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2019, Número 2

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Ortho-tips 2019; 15 (2)


Consideraciones en fracturas por fragilidad de radio distal en adultos mayores. Caso clínico y opinión de expertos

Moreno ELÁ, Bermúdez SI, Fernández CRE, Reyes PE

Idioma: Español
Referencias bibliográficas: 30
Paginas: 112-120
Archivo PDF: 126.79 Kb.


RESUMEN

Las fracturas por fragilidad de radio distal se presentan en caídas de su propia o menor altura, son las más comunes de la extremidad superior y las segundas más comunes en adultos mayores. Son una causa importante de morbilidad. La inversión de la pirámide poblacional por el aumento de esperanza de vida hace esencial tomar consideraciones especiales para su manejo, como es la calidad ósea del paciente y su actividad física. El objetivo del tratamiento es mantener una adecuada función de la extremidad sin dolor, así como conservar, en medida de lo posible, la estética; sin embargo, a la fecha no existe un consenso en cuanto al tratamiento en adultos mayores. Los resultados radiográficos no siempre se correlacionan con los resultados clínicos y funcionales. Este artículo ofrece una visión general del tema con un enfoque especial en pacientes con osteoporosis, así como la opinión de expertos de esta unidad. Esto se ilustra mediante la presentación de un caso clínico.


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