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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2017; 45(02): 130-135
DOI: 10.1055/s-0037-1607460
Surgical Technique | Técnica Quirúrgica
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Tratamiento de la Disociación Escafolunar mediante tenodesis y ligamentoplastia con el Extensor Carpi Radialis Brevis por un único abordaje

Scapholunate Dissociation Treatment via tenodesis and ligamentoplasty with Extensor Carpi Radialis Brevis with a single approach
G. Celester Barreiro
1   Unidad de Cirugía de la Mano Del Hospital HM-modelo. A Coruña, Spain
,
A. Prego Bestilleiro
1   Unidad de Cirugía de la Mano Del Hospital HM-modelo. A Coruña, Spain
2   Mutua Gallega, A Coruña, Spain
,
M. Corredoira Trobajo
3   Complejo Hospitalario Universitario de Ferrol, A Coruña, Spain
,
J. M. Varela Vázquez
3   Complejo Hospitalario Universitario de Ferrol, A Coruña, Spain
› Author Affiliations
Further Information

Publication History

23 July 2017

18 September 2017

Publication Date:
03 November 2017 (online)

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Resumen

Puede decirse que el conocimiento de la etiología, fisiopatología y estados evolutivos de la Disociación Escafolunar (DEL) actualmente es amplio, pero continúa existiendo mucha controversia en cuanto a su tratamiento, siendo ésta una cuestión de la patología carpiana aún no resuelta. En este artículo presentamos una nueva técnica quirúrgica basada en la perfecta reducción de la diástasis y en el mantenimiento del escafoides y semilunar en su posición idónea mediante una tenodesis en el escafoides y una ligamentoplastia entre éste y el semilunar. Con la ventaja de que para ambos fines se emplea el tendón del extensor carpi radialis brevis por una única vía de abordaje y con una técnica sencilla.

Abstract

It can be said that the knowledge of the etiology, pathophysiology and evolutionary states of the Scapholunate Dissociation (SLD) is currently wide, but there is still a great deal of controversy regarding its treatment, being this a question of the carpal pathology still unresolved. In this article, we present a new surgical technique based on the perfect reduction of the dislocation and in the maintenance of the scaphoid and semilunar in their ideal position through a tenodesis in the scaphoid and a ligamentoplasty between this and the lunate in a simple way and with a single approach, using for both purposes the tendon of the extensor carpi radialis brevis.

Descriptores

disociación escafolunar - tenodesis - ligamentoplastia

Keywords

scapholunate dissociation - tenodesis - ligamentoplasty
 

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