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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2019, Number 1

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Ortho-tips 2019; 15 (1)

Addressing chronic distal ulnar radius instability

Palomino RHI

Language: Spanish
References: 12
Page: 54-60
PDF size: 158.78 Kb.


ABSTRACT

Chronic distal radio-ulnar instability is one of the main pathologies that cause pain and decrease in the load force, which leads to disability in the patient. The high frequency of this condition is mainly due to poor diagnosis and management in acute phase, since it is considered as a wrist sprain, instead of severe injury to joint or ligament structures. To perform a correct diagnosis, we need to understood the anatomy and joint physiology, and make appropriate studies to ruled out secondary osteoarthritis. The treatments, mostly surgical, ranging from techniques of reconstruction of the distal radio-ulnar ligaments and triangular fibrocartilage to the total arthroplasty of the distal radio-ulnar. The main objective of these procedures is to improve or eliminate the pain, as well as upgrade the loading function, but we must also know that many of them will require revision surgery in the medium or long term, so the patient should be aware that their injury will bring consequences.


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