Base de dados : MEDLINE
Pesquisa : A02.835.232.087.319.150.150 [Categoria DeCS]
Referências encontradas : 147 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 15 ir para página                         

  1 / 147 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28185993
[Au] Autor:Chevrollier J; Pomares G; Huguet S; Dap F; Dautel G
[Ad] Endereço:Centre chirurgical Émile-Gallé, 49, rue Hermite, 54000 Nancy, France. Electronic address: jeremie.chevrollier@orange.fr.
[Ti] Título:Intracarpal shortening osteotomy for Kienböck's disease: A retrospective study of 28 cases.
[So] Source:Orthop Traumatol Surg Res;103(2):191-198, 2017 Apr.
[Is] ISSN:1877-0568
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Kienböck's disease is rare in patients with a neutral or positive ulnar variance. In these situations, treatment is challenging and controversial. Various intracarpal shortening osteotomy (ICSO) procedures have been proposed. OBJECTIVE: Study the effect of the type of ICSO (isolated capitate osteotomy or combined with hamate osteotomy) on the clinical and radiological outcomes in a retrospective series. METHODS: Patients with Kienböck's disease were treated with ICSO. A dorsal approach centered over the capitate was used. The transverse osteotomy was located 5mm below the capitate's proximal chondral boundary. The osteotomy cut was 2mm thick. In some patients, a hamate osteotomy was done at the same level as that of the capitate. The osteotomy site was fixed with staples. Cases were classified as with or without a vascularized bone graft was added to the ICSO. RESULTS: There were 28 cases and the average follow-up was 43 months. Three patients required surgical revision. Pain relief at rest was achieved in all patients. The flexion/extension range of motion was 84°. Strength was 75% of the opposite side. The mean QuickDASH was 32.5 and the PRWE (Patient Related Wrist Evaluation) was 30.2. Isolated capitate osteotomy resulted in better satisfaction and improved ulnar/radial deviation and flexion range of motion. There was no difference in terms of pain, strength and functional scores. However, it triggered a significant increase in the radioscaphoid angle. Adding a vascularized bone graft did not impact the outcomes. DISCUSSION: Isolated capitate osteotomy provides better outcomes than combined capitate/hamate osteotomy (satisfaction and wrist range of motion) and should be done as the primary procedure. However, since it increases the radioscaphoid angle more than combined capitate/hamate osteotomy, the latter procedure should be used when a large radioscaphoid angle exists preoperatively. We found no benefit of using a vascularized graft. LEVEL OF EVIDENCE: IV.
[Mh] Termos MeSH primário: Capitato/cirurgia
Hamato/cirurgia
Osteonecrose/cirurgia
Osteotomia/métodos
Articulação do Punho/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Transplante Ósseo
Capitato/diagnóstico por imagem
Feminino
Hamato/diagnóstico por imagem
Seres Humanos
Masculino
Meia-Idade
Dor Musculoesquelética/etiologia
Osteonecrose/complicações
Osteonecrose/diagnóstico por imagem
Radiografia
Amplitude de Movimento Articular
Estudos Retrospectivos
Articulação do Punho/diagnóstico por imagem
Articulação do Punho/cirurgia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170211
[St] Status:MEDLINE


  2 / 147 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28027385
[Au] Autor:Potini VC; Gibson PD; Wu K; Li K; Tan V
[Ti] Título:A Novel Screening Technique for Ulnar-Sided Carpometacarpal Dislocations.
[So] Source:Orthopedics;40(2):e352-e356, 2017 Mar 01.
[Is] ISSN:1938-2367
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Diagnosing ulnar-sided carpometacarpal joint dislocation is difficult, and more than half of injuries are missed on initial examination. The authors hypothesized that measuring the angle between the capitate and the metacarpals (capitate-metacarpal angle) on a plain radiograph would provide a simple, reliable tool to aid in the diagnosis of ulnar-sided carpometacarpal dislocation. This study retrospectively reviewed patients who underwent surgery for ulnar-sided carpometacarpal dislocation (study group). Two authors identified the contour of the capitate and the second, fourth, and fifth metacarpals on plain radiographs. The control group consisted of patients who had radiographs and no bony carpal or metacarpal pathology. Information on the contour of each bone was entered into MATLAB, version 8.5, software (MathWorks, Natick, Massachusetts), which calculated the 2-dimensional angles. A 3-dimensional model based on computed tomography scan data was used to obtain a "true lateral" image to account for variable rotation on plain radiographs. With the use of conventional lateral hand radiographs, the average capitate-metacarpal angle in the control group was 10° compared with 19° in the study group. Using a screening value of 15° on plain radiographs, the sensitivity of the capitate-metacarpal angle was 0.85 and the specificity was 0.79. Both 2-dimensional and 3-dimensional measurements showed that the angle between the capitate and the lesser metacarpals is a reliable screening tool for carpometacarpal dislocation. During evaluation of patients with posttraumatic hand pain, an increased capitate-metacarpal angle may indicate the need for advanced imaging studies to further evaluate the carpometacarpal joints. [Orthopedics. 2017; 40(2):e352-e356.].
[Mh] Termos MeSH primário: Capitato/diagnóstico por imagem
Articulações Carpometacarpais/lesões
Luxações Articulares/diagnóstico por imagem
Ossos Metacarpais/diagnóstico por imagem
[Mh] Termos MeSH secundário: Articulações Carpometacarpais/diagnóstico por imagem
Estudos de Casos e Controles
Seres Humanos
Imagem Tridimensional
Radiografia
Estudos Retrospectivos
Sensibilidade e Especificidade
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170522
[Lr] Data última revisão:
170522
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161228
[St] Status:MEDLINE
[do] DOI:10.3928/01477447-20161219-04


  3 / 147 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27524692
[Au] Autor:Hernandez-Soria A; Das De S; Model Z; Lee SK; Wolfe SW
[Ad] Endereço:Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
[Ti] Título:The Effect of Capitate Position on Coronal Plane Wrist Motion After Simulated 4-Corner Arthrodesis.
[So] Source:J Hand Surg Am;41(11):1049-1055, 2016 Nov.
[Is] ISSN:1531-6564
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The objective of this study was to examine the effect of altering the capitolunate relationship on coronal-plane wrist motion after scaphoidectomy and simulated 4-corner arthrodesis. Two positions of different capitolunate alignments were compared: "anatomic" (unchanged from pre-fusion) and "lunate-covered" (capitate translated to cover the lunate). We hypothesized that wrist resting posture would be altered and radial-ulnar motion would diminish after 4-corner arthrodesis in the lunate-covered position when compared with normal wrists. METHODS: Six human cadaveric limbs were disarticulated at the elbow and mounted on a custom jig. The resting position of the wrist was recorded with no load applied, followed by a load of 44 N applied to the flexor carpi radialis, extensor carpi radialis longus, and extensor carpi radialis brevis tendons to simulate radial deviation and to the flexor carpi ulnaris and extensor carpi ulnaris tendons to simulate ulnar deviation. Scaphoidectomy was performed and 2 methods of 4-corner arthrodesis with different capitolunate coronal alignments were studied in random order. Range of motion was compared using one-way analysis of variance and Bonferroni correction. RESULTS: The "lunate covered" wrist demonstrated significantly greater radial resting posture than that of the preoperative wrist. Under a 44 N load, the lunate-covered position had significantly greater radial motion than the preoperative radial motion. Wrists fused in the "anatomic" position did not differ significantly from the preoperative wrists in posture or range of motion. CONCLUSIONS: In this cadaveric model, complete covering of the capitate head by the lunate placed the wrist in increased radial deviation compared with the anatomic posture. Changes induced in the resting tension of the extrinsic wrist ligaments serve as a reasonable explanation for the increased radial posture and motion. In a clinical setting, these changes may affect postoperative wrist posture and function. CLINICAL RELEVANCE: Maintaining anatomic lunate position leads to preservation of greater wrist motion and anatomic alignment in a patient undergoing 4-corner arthrodesis.
[Mh] Termos MeSH primário: Artrodese/métodos
Capitato
Osso Escafoide/cirurgia
Articulação do Punho/fisiologia
[Mh] Termos MeSH secundário: Cadáver
Capitato/anatomia & histologia
Seres Humanos
Osso Semilunar/anatomia & histologia
Amplitude de Movimento Articular
Articulação do Punho/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160816
[St] Status:MEDLINE


  4 / 147 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27199138
[Au] Autor:Thabouillot O; Ollat D
[Ad] Endereço:Emergency Department, Bégin Military Hospital, Saint-Mandé, France.
[Ti] Título:About a painful wrist after a forced dorsiflexion trauma.
[So] Source:Emerg Med J;33(6):385, 2016 Jun.
[Is] ISSN:1472-0213
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Capitato/diagnóstico por imagem
Capitato/lesões
Fraturas Ósseas/diagnóstico por imagem
Traumatismos do Punho/diagnóstico por imagem
[Mh] Termos MeSH secundário: Acidentes por Quedas
Diagnóstico Diferencial
Seres Humanos
Masculino
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170201
[Lr] Data última revisão:
170201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160521
[St] Status:MEDLINE
[do] DOI:10.1136/emermed-2015-204852


  5 / 147 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27189150
[Au] Autor:Johnson CC; Gausden EB; Weiland AJ; Lane JM; Schreiber JJ
[Ad] Endereço:Hospital for Special Surgery, New York, NY. Electronic address: johnsonc@hss.edu.
[Ti] Título:Using Hounsfield Units to Assess Osteoporotic Status on Wrist Computed Tomography Scans: Comparison With Dual Energy X-Ray Absorptiometry.
[So] Source:J Hand Surg Am;41(7):767-74, 2016 Jul.
[Is] ISSN:1531-6564
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Rates of evaluation and treatment for osteoporosis following distal radius fragility fractures remain low. As a subset of patients with these fractures undergo diagnostic computed tomography (CT) scan of the wrist, utilizing bone mineral density (BMD) measurements available with this imaging can be used to detect osteopenia or osteoporosis. This information may consequently prompt intervention to prevent a subsequent fracture. The purpose of this study was to determine if Hounsfield unit (HU) measurements at the wrist correlate with BMD measurements of the hip, femoral neck, and lumbar spine and to assess the ability of these HU measurements to detect osteoporosis of the hip. METHODS: Forty-five female patients with distal radius fractures who underwent CT scan and dual energy x-ray absorptiometry scan as part of the management of their wrist fracture were identified. Bone mineral density measurements were made using the regional cancellous bone HU value at the capitate and compared with values obtained by a dual energy x-ray absorptiometry scan. RESULTS: Hounsfield unit values at the capitate were significantly correlated with BMD and t scores at the femoral neck, hip, and lumbar spine. An HU threshold of 307 in the capitate optimized sensitivity (86%) and specificity (94%) for detecting osteoporotic patients. CONCLUSIONS: By demonstrating that capitate HU measurements from clinical CT scans are correlated with BMD and t scores at the hip, femoral neck, and lumbar spine, our data suggest that clinical CT scans should have a role in detecting osteopenia and osteoporosis. TYPE OF STUDY/LEVEL OF EVIDENCE: Diagnostic III.
[Mh] Termos MeSH primário: Absorciometria de Fóton
Densidade Óssea
Capitato/diagnóstico por imagem
Tomografia Computadorizada Multidetectores
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Colo do Fêmur/diagnóstico por imagem
Articulação do Quadril/diagnóstico por imagem
Seres Humanos
Vértebras Lombares/diagnóstico por imagem
Meia-Idade
Fraturas por Osteoporose/diagnóstico
Fraturas do Rádio/diagnóstico por imagem
Estudos Retrospectivos
Sensibilidade e Especificidade
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160519
[St] Status:MEDLINE


  6 / 147 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26774547
[Au] Autor:Linnell JD; Bernstein DT; Sanderson CJ; Netscher DT; Mitchell SA
[Ad] Endereço:Orthopedic Hand and Microsurgery Fellowship, Baylor College of Medicine, Houston, TX. Electronic address: jlinnell7@gmail.com.
[Ti] Título:A Cadaver Investigation of Screw Purchase With 2 Retrograde Techniques for Capitolunate Arthrodesis.
[So] Source:J Hand Surg Am;41(3):362-6, 2016 Mar.
[Is] ISSN:1531-6564
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To examine the hypothesis that the amount of bone purchase within the lunate is greater when using a technique for intermetacarpal retrograde screw placement across the capitolunate joint than when using a dorsal capitate technique. METHODS: Seven fresh cadaver limbs were dissected. We exposed the carpus and scaphoidectomy and performed selective capitolunate decortication. We compared the technique of dorsal capitate placement of headless compression screws with intermetacarpal placement by measuring the depth of purchase in the lunate. RESULTS: Drill hole depths in the lunate were greater using the intermetacarpal technique versus the dorsal capitate technique; the average depth was 9.0 and 6.4 mm, respectively. The calculated number of threads was also greater with the intermetacarpal technique than with the dorsal capitate technique (15 vs 9 threads, respectively). CONCLUSIONS: The intermetacarpal technique for retrograde headless compression screw placement in a capitolunate arthrodesis provided a greater depth of purchase in the lunate portion of the construct. It also afforded more ease of placement than previously described antegrade techniques without the risk of hardware migration into the radiocarpal joint. CLINICAL RELEVANCE: The knowledge gained from this study may help guide surgeons to choose a technique for retrograde placement of headless compression screws in capitolunate arthrodesis to gain better purchase within the lunate.
[Mh] Termos MeSH primário: Artrodese/instrumentação
Parafusos Ósseos
Capitato/cirurgia
Osso Semilunar/cirurgia
Articulação do Punho/cirurgia
[Mh] Termos MeSH secundário: Cadáver
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160118
[St] Status:MEDLINE


  7 / 147 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26686062
[Au] Autor:van Leeuwen WF; Oflazoglu K; Menendez ME; Ring D
[Ad] Endereço:Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
[Ti] Título:Negative Ulnar Variance and Kienböck Disease.
[So] Source:J Hand Surg Am;41(2):214-8, 2016 Feb.
[Is] ISSN:1531-6564
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To test the primary null hypothesis that there is no difference in mean ulnar variance (UV) scaled to the length of the capitates between 166 wrists with Kienböck disease and an equal number of matched controls and to test the secondary null hypothesis that mean scaled UV does not vary based on age, sex, or race in both Kienböck and control wrists. METHODS: Ulnar variance was measured on posteroanterior radiographs of the wrist as the distance between a line through the midpoint between the volar and the dorsal edges of the ulnar margin of the radius and a line tangential to the most distal aspect of the carpal surface of the head of the ulna, both perpendicular to the longitudinal axis of the radius. Measurement of UV was scaled to the length of the capitate, resulting in a UV to capitate height (UV:CH) ratio. RESULTS: We found a significant difference in mean UV:CH ratio between patients with Kienböck disease and a control group matched by age, sex, race, and limb. The prevalence of negative UV was high in both patients with Kienböck disease and matched controls. There were no differences in mean UV:CH ratio with respect to age, sex, or race among patients with Kienböck disease or matched controls. CONCLUSIONS: The precise role of ulna minus in the development of Kienböck disease remains uncertain and unanswered, given that many patients with Kienböck disease have neutral or positive UV. In addition, a large proportion of the normal population has negative UV, whereas Kienböck disease is rare.
[Mh] Termos MeSH primário: Capitato
Osteonecrose/diagnóstico por imagem
Ulna
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos de Casos e Controles
Estudos de Coortes
Feminino
Seres Humanos
Masculino
Meia-Idade
Radiografia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151222
[St] Status:MEDLINE


  8 / 147 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:26715719
[Au] Autor:Bishay SN
[Ad] Endereço:Department Of Orthopaedic Surgery, National Institute of Neuromotor System of Imbaba, General Organization of Teaching Hospitals and Institutes, Egypt.
[Ti] Título:Curettage without bone grafting for a simple bone cyst in the capitate.
[So] Source:J Orthop Surg (Hong Kong);23(3):361-4, 2015 Dec.
[Is] ISSN:2309-4990
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To review the outcome after intralesional curettage without bone grafting for simple bone cysts in the capitate. METHODS: Records of 12 hands in 10 consecutive females aged 14 to 21 (mean, 17.5) years who underwent intralesional curettage without bone grafting for a simple bone cyst in the capitate were reviewed. Clinical outcome was evaluated using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Wrist/hand pain was assessed using the modified Mayo wrist score. Patient satisfaction, range of motion, and grip strength were self-evaluated as improved, unchanged, or worse. RESULTS: After a mean follow-up of 7.5 (range, 2.5- 12.5) years, the mean DASH score was 12.3 (range, 0-25), and the mean modified Mayo wrist score was 85 (range, 70-95); the modified Mayo wrist score was excellent in 8 hands and good in 4 hands. All patients had bone union and preservation of capitate height. All patients had no pain except for 2 patients (4 hands) who reported pain after strenuous activity. All patients had improved range of motion, and all but 2 patients had improved grip strength. CONCLUSION: Curettage without bone grafting for a simple bone cyst in the capitate is a sufficient and viable option.
[Mh] Termos MeSH primário: Cistos Ósseos/cirurgia
Capitato
Procedimentos Ortopédicos/métodos
Articulação do Punho/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Cistos Ósseos/diagnóstico
Transplante Ósseo
Feminino
Seres Humanos
Amplitude de Movimento Articular
Articulação do Punho/fisiopatologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1608
[Cu] Atualização por classe:170214
[Lr] Data última revisão:
170214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151231
[St] Status:MEDLINE


  9 / 147 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26612636
[Au] Autor:Shimizu T; Omokawa S; del Piñal F; Shigematsu K; Moritomo H; Tanaka Y
[Ad] Endereço:Department of Orthopedic Surgery, Nara Medical University, Nara, Japan.
[Ti] Título:Arthroscopic Partial Capitate Resection for Type Ia Avascular Necrosis: A Short-Term Outcome Analysis.
[So] Source:J Hand Surg Am;40(12):2393-400, 2015 Dec.
[Is] ISSN:1531-6564
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To examine short-term clinical results of arthroscopic partial resection for type Ia avascular necrosis of the capitate. METHODS: Patients who underwent arthroscopic treatment for type 1a avascular necrosis of the capitate with at least 1-year follow-up were identified through a retrospective chart review. The necrotic capitate head was arthroscopically resected with removal of the lunate facet and preservation of the scaphoid and hamate facets. Wrist range of motion, grip strength, and radiographic parameters--carpal height ratio, radioscaphoid angle, and radiolunate angle-were determined before surgery and at the latest follow-up. Patients completed a visual analog scale for pain; Disabilities of the Arm, Shoulder, and Hand measure; and the Patient-Rated Wrist Evaluation score before surgery and at the latest follow-up. RESULTS: Five patients (1 male, 4 females) with a mean age of 34 years (range, 16-49 years) and a mean follow-up duration of 20 months (range, 12-36 months) were identified during the chart review. All were type Ia (Milliez classification). Arthroscopy revealed fibrillation or softening with cartilage detachment at the lunate facet of the capitate head and an intact articular surface at the scaphoid and hamate facet. At the latest follow-up, the mean wrist flexion-extension was 123° (vs 81° before surgery) and grip strength was 74% (vs 37% before surgery). The visual analog scale score for pain; the Disabilities of the Arm, Shoulder, and Hand score; and the Patient-Rated Wrist Evaluation score before surgery showed a significant improvement following treatment. Radiographic parameters did not significantly change at the final follow-up, although the proximal carpal row trended toward flexion. CONCLUSIONS: Arthroscopic partial resection of the capitate head was an acceptable treatment for type Ia avascular necrosis of the capitate. It provided adequate pain relief and improved the range of wrist motion and grip strength during short-term follow-up. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
[Mh] Termos MeSH primário: Artroscopia
Capitato/cirurgia
Osteonecrose/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Capitato/diagnóstico por imagem
Capitato/patologia
Avaliação da Deficiência
Feminino
Seres Humanos
Masculino
Meia-Idade
Osteonecrose/diagnóstico por imagem
Osteonecrose/patologia
Medição da Dor
Radiografia
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:161126
[Lr] Data última revisão:
161126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151128
[St] Status:MEDLINE


  10 / 147 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26558669
[Au] Autor:Lamas Gomez C; Proubasta Renart I; Llusa Perez M
[Ti] Título:Relationship Between Wrist Motion and Capitolunate Reduction in Four-Corner Arthrodesis.
[So] Source:Orthopedics;38(11):e1040-5, 2015 Nov.
[Is] ISSN:1938-2367
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The authors retrospectively studied 36 patients with degenerative changes associated with scaphoid nonunion and scapholunate advanced collapse treated with circular plate fixation and bone graft. The goals of the study were to review the incidence of dorsal impingement, nonunion of arthrodesis, loose hardware, broken screws, and limitation in wrist motion associated with correct or incorrect surgical capitolunate reduction. Surgical indications were scapholunate advanced collapse (3 patients), scaphoid nonunion advanced collapse (32 patients), and sequelae of irreducible perilunate dislocation (1 patient). All of the patients were men, with a mean age of 48 years (range, 35-68 years). Average follow-up was 56 months (range, 12-108 months). Functional outcomes evaluated were pain with the visual analog scale, range of motion, grip strength, Disabilities of the Arm, Shoulder and Hand (DASH) score, satisfaction, and time to union. Mean visual analog scale score was 7 (range, 5-9) preoperatively and 1 (range, 0-2) postoperatively. Average wrist range of motion was 42° in extension, 36° in flexion, 15° in ulnar deviation, and 12° in radial deviation. Mean grip strength was 34 kg preoperatively, 50 kg postoperatively, and 56 kg contralaterally. Thirty-five of the 36 patients achieved union at 6 months. Degenerative changes at the radiolunate articulation were present in 1 patient 62 months after surgery, but he was asymptomatic. Mean capitolunate angle was 38º preoperatively and 9º postoperatively. Poor correlation was found between the measured capitate-lunate angle and subsequent flexion and extension (r=0.32 and r=0.17, respectively) using the Pearson correlation coefficient. The authors noted 1 or 2 broken screws in 3 cases (8.3%) and hardware dorsal impingement in the plate in 6 cases (16.6%). Mean DASH score was 24 of 100. Overall patient satisfaction was 70%.
[Mh] Termos MeSH primário: Artrodese/métodos
Capitato/cirurgia
Osso Semilunar/cirurgia
Amplitude de Movimento Articular
Articulação do Punho/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Transplante Ósseo
Feminino
Seguimentos
Força da Mão
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Escala Visual Analógica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1606
[Cu] Atualização por classe:151112
[Lr] Data última revisão:
151112
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151113
[St] Status:MEDLINE
[do] DOI:10.3928/01477447-20151020-14



página 1 de 15 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde