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DOI: 10.1055/s-0040-1712138
Reconhecimento precoce e tratamento das fraturas e luxações carpometacarpais
Artikel in mehreren Sprachen: português | English
Resumo
As lesões na região carpometacarpal (CMC) podem passar despercebidas em mais da metade dos casos. O diagnóstico precoce é determinante para o tratamento. Embora clinicamente o paciente já possa demonstrar que de fato ocorreu a lesão, radiografias apropriadas, principalmente na incidência em perfil, são fundamentais para o diagnóstico. A lesão mais comum afeta as articulações de 4° e 5° dedos. O tratamento vai depender do tipo da lesão e o grau de envolvimento das articulações. Geralmente, é necessária redução e fixação.Quando apenas um raio é acometido, habitualmente o 5°, pode ser feita redução fechada e fixação com fios de Kirschner. Nos casos complexos, faz-se necessária a redução aberta e fixação, sendo os fios de Kirschner os materiais mais comumente usados. Após a retirada dos fios, intensifica-se a reabilitação.Se foi alcançada uma redução apropriada, esperam-se resultados funcionais e radiográficos satisfatórios.
Palavras-chave
articulações carpometacarpais/lesões - articulações carpometacarpais/patologia - articulações carpometacarpais/cirurgia - luxações articulares - ossos da mãoNota
O presente artigo de revisão não faz necessária a submissão ao Comitê de Ética em Pesquisa.
Publikationsverlauf
Eingereicht: 12. August 2019
Angenommen: 20. Februar 2020
Artikel online veröffentlicht:
31. März 2021
© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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