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Fixed Lunate Flexion Deformity in Distal Radius Fractures
Article en En | WPRIM | ID: wpr-138560
Biblioteca responsable: WPRO
ABSTRACT
Carpal malalignments in malunion of distal radius fracture are considered as an adaptive response of the carpus to loss of normal architecture of the distal radius. This condition leads to mechanical overload, ligament attenuation and progressive dynamic instability around the wrist joint. Radial corrective osteotomy is suggested as a treatment option of carpal malalignment after distal radius malunion. In radiocarpal malalignment, the lunate is usually observed in flexion in contrast to its extension posture in the more common midcarpal malalignment. We report two cases of fixed lunate flexion deformity after a distal radius fracture, in which reduction and fixation of fresh fracture or corrective osteotomy of malunion were not successful. Arthritic changes were observed in the radiolunate joint on arthroscopy. Thus, fixed flexion deformity of the lunate might be associated with posttraumatic arthritic change in the radiolunate joint.
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Texto completo: 1 Base de datos: WPRIM Asunto principal: Osteotomía / Postura / Artroscopía / Radio (Anatomía) / Fracturas del Radio / Anomalías Congénitas / Articulación de la Muñeca / Articulaciones / Ligamentos Idioma: En Revista: Clinics in Orthopedic Surgery Año: 2016 Tipo del documento: Article
Texto completo: 1 Base de datos: WPRIM Asunto principal: Osteotomía / Postura / Artroscopía / Radio (Anatomía) / Fracturas del Radio / Anomalías Congénitas / Articulación de la Muñeca / Articulaciones / Ligamentos Idioma: En Revista: Clinics in Orthopedic Surgery Año: 2016 Tipo del documento: Article