Pseudoartrosis de hueso grande. A prop贸sito de un caso
- 作者：X. Cardona-Morera de la Vall ; lgarciab@mc-mutual.com ; jcardonamorera@yahoo.es ; L. Garcí ; a-Bordes ; X. Gó ; mez-Bonsfills
- 关键词：Hueso grande ; Seudoartrosis ; Tornillo Herbert-Whipple ; Mano
- 刊名：Revista Espa帽ola de Cirug铆a Ortop茅dica y Traumatolog铆a
- 出版年：2010
- 期刊代码：pca311_18884415
- 类别：med
- 出版时间：January-February 2010
- 卷：54
- 期：1
- 页码：73-76
- 文件大小：211 K
摘要
Purpose
The purpose of the study is to review the literature on the treatment of capitate bone fracture and pseudoarthrosis.
Materials and methods
We present the case of a capitate bone fracture that went undetected following trauma caused by forced hyperextension leading to posterior pseudoarthrosis.
Results
A satisfactory result was achieved by surgery with Herbert-Whipple screw fixation preceded by fracture site refreshment.
Conclusions
Hamate bone pseudoarthrosis is a rare cause of occult pain in the wrist. The pain's clinical history, numbness of the distal carpal arch, some radiographic findings and, especially, complementary CT- or MRi studies are elements that must be used to confirm an initial diagnosis.