Fractura De Escafoide Jess. 1. FRACTURA DE ESCAFOIDE Jessica Cruz Muños ; 2. Generalidades Después de la fractura de Colles. A fratura do punho – rádio distal – é uma das mais frequentes do esqueleto. Não raro as fraturas acabam consolidando com deformidade. throsis. Cross-sectional studies. RESUMO. Objetivo: Verificar como os cirurgiões da mão conduzem o trat- amento da fratura de escafoide e suas complicações.

Author: Faekinos Faukinos
Country: Malaysia
Language: English (Spanish)
Genre: Music
Published (Last): 22 February 2015
Pages: 430
PDF File Size: 20.77 Mb
ePub File Size: 2.52 Mb
ISBN: 380-2-49582-678-1
Downloads: 54521
Price: Free* [*Free Regsitration Required]
Uploader: Yobar

Am J Sports Med. The fracture plane was not visible on anteroposterior escaflide lateral radiographs of the wrist, only on a pronated oblique view Fig.


Even bone scintigraphy may have negative results, as was shown in the series by Hanks et al. The mean time from diagnosis was 4. Acute fractures of the scaphoid.

We opted for surgical treatment with percutaneous fixation of the scaphoid and in situ fixation of the radial styloid process Figure 4. However, there was no record of a more intense trauma that had triggered the symptoms.

Proximal pole scaphoid fracture showing nonunion. Another feature related to the frtura fracture was the presence of edema around the scaphoid bone. A compression screw is passed through the guidewire and its end position is checked with the image intensifier. Consolidation was observed in 26 cases In suspected cases, MRI is the examination of choice.

Fratura do escafoide por estresse em ginasta: relato de caso

This retrospective cross-sectional study was submitted to and approved by the Research Ethics Committee, under No. Received Sep 3; Accepted Sep Thus, Rettig and Kollias 21 fraturz a more aggressive treatment in cases of non-dislocated or minimally dislocated fractures, especially in athletes. Percutaneous screw fixation for fractures of the scaphoid. Grip strength of right hand reached 66 kgf.


Tech Hand Up Extrem Surg. More comparisons about the differences between the postoperative periods, such as the use of plaster casts present in most studies, are still required, since in the present study they were not used. The mean time to return to work was 5. Keywords – Epiphyses, slipped; Fractures, stress; Wrist. The two cases that did not present radiological union had follow-up of 24 weeks or longer.

Support Center Support Center. Minimally invasive techniques may limit the arterial damage observed in open surgeries, and would theoretically ewcafoide the chance of fracture union. Herbert screw fixation by limited access for acute fractures of the scaphoid. J Hand Surg Am. These cases persisted with dysfunction due to loss of normal range of motion, pain, and pressure strength deficit. His training routine was six hours a day, three days a week for the previous seven years. Stress fractures of the lower extremity are common and are often related to athletic activities.

Scaphoid wrist fracture, showing nonunion. Rarer still are the fractures associated with traumatic epiphysiolysis. Tomographic images C and D demonstrating nonunion after screw removal. There was no history of pain or trauma to the affected wrist. Table 1 Time of consolidation and diagnosis in weeks. frstura

Percutaneous fixation of scaphoid fractures. Figures 2 and 3 – Magnetic resonance image in T1 and T2. Results Twenty-eight patients were selected, with a mean of eight weeks of follow-up.

Percutaneous Herbert screw osteosynthesis of the scaphoid bone. Another important feature is the risk of progression to nonunion or avascular sscafoide, resulting from the proximal pole circulation’s dependence on the vessels that cross the waist of this bone. Br J Sports Med. A total of 28 patients were analyzed, totaling 28 wrists operated between January and Aprila number determined by the calculation of the sample size escaflide by the Laboratory of Epidemiology and Statistics of the Dante Pazzanese Institute.


Nonunion of the scaphoid: Inagaki H, Inoue G. In both cases of nonunion, this follow-up was longer than 24 weeks, and a new surgical intervention was required. Patients who have similar complaints without a history of acute injury, but perform activities involving repetitive stress should be examined carefully and the hypothesis of stress fracture of the scaphoid should be investigated 1,4.

A randomized clinical trial.

Fratura de Bennett – Wikipédia, a enciclopédia livre

If a suitable position is not achieved, a thicker guidewire can be used 1. Am J Sports Med. Results This study included 28 patients who did not present bilateral fractures and had a mean follow-up of eight weeks ranging from 7 to 12 weeks until fracture consolidation was confirmed. The patient reported pain in the anatomical snuffbox and distal radial epiphysis. This study is aimed at analyzing the percutaneous fixation technique for waist and proximal scaphoid fractures, considering the time of consolidation, epidemiological profile age, gender, side, and mechanism of traumadegree of function, complications, and return to work.