Lesión de Stener: Valoración Funcional tras Tratamiento Quirúrgico con Anclajes
DOI:
https://doi.org/10.21270/archi.v11i4.5873Palabras clave:
Cúbito, Pulgar, Ligamentos, Heridas y Traumatismos, OrtopediaResumen
Objetivo: El objetivo de este estudio es evaluar los resultados funcionales de pacientes sometidos a tratamiento quirúrgico de lesiones completas del ligamento colateral cubital del pulgar (ULC) con anclajes. Método: estudio retrospectivo a través de la evaluación funcional de 15 pacientes sometidos a tratamiento quirúrgico de lesiones completas de LCU con anclajes. Se evaluaron la edad, el sexo, la ocupación, la mano dominante, el tiempo entre la lesión y la cirugía, el mecanismo del trauma y el tiempo de seguimiento, el rango de movimiento, la fuerza de pellizco y prensión y la prueba de estabilidad en valgo. Se aplicó un cuestionario DASH (Disabilities of the Arm, Shoulder and Hand) para evaluar disfunciones y síntomas de pacientes sometidos a tratamiento quirúrgico. Resultado: Ningún paciente presentó inestabilidad posterior al tratamiento quirúrgico. El tiempo medio de seguimiento fue de 52 meses. En comparación con la literatura, observamos una mayor fuerza de pellizco del pulgar y un menor valor de amplitud de extensión metacarpofalángica, sin diferencia estadísticamente significativa entre los valores de fuerza de agarre y flexión. Conclusión: El tratamiento quirúrgico de las lesiones de Stener del pulgar con anclajes es una opción segura que proporciona estabilidad y buena recuperación funcional. La recuperación de la fuerza de pellizco y prensión fue adecuada, favoreciendo una buena función del pulgar. El nivel de dolor y la satisfacción de los pacientes en el seguimiento postoperatorio se consideraron en general bastante satisfactorios.
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