RESUMEN
We report a case of subperiosteal osteoid osteoma of the triquetrum located into the piso-triquetral joint space. Such a variant at this particular location is very rare. The diagnosis was delayed for six years. A bloc resection of the tumour was followed by complete recovery.
Asunto(s)
Neoplasias Óseas/cirugía , Articulaciones del Carpo/cirugía , Osteoma Osteoide/cirugía , Hueso Piramidal/cirugía , Neoplasias Óseas/diagnóstico , Articulaciones del Carpo/patología , Diagnóstico Diferencial , Femenino , Humanos , Persona de Mediana Edad , Osteoma Osteoide/diagnóstico , Resultado del Tratamiento , Hueso Piramidal/patologíaRESUMEN
There is not enough evidence in the literature to support the use of any treatment in distal radius fractures, mainly because of the heterogeneous aspects of most series. There is a need for more standardized analyses of distal radius fractures that should allow the identification of more homogeneous groups of patients. The authors propose a novel synthetic method to analyse acute distal radius fractures in adults. A one-page chart includes criteria related to the patient (P), the energy of the accident (A), and the characteristics of the fracture (F) along with associated ulnar and carpal lesions. The preliminary results of the use of this chart in 258 consecutive patients are presented. Four homogeneous groups of patients are described and the principles of their treatment are discussed.
Asunto(s)
Accidentes , Síndrome del Túnel Carpiano/cirugía , Fijación Interna de Fracturas/métodos , Registros Médicos/normas , Fracturas del Radio/cirugía , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Síndrome del Túnel Carpiano/etiología , Femenino , Francia/epidemiología , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Fracturas del Radio/complicaciones , Fracturas del Radio/diagnóstico , Fracturas del Radio/epidemiología , Recuperación de la Función , Factores de Tiempo , Resultado del Tratamiento , Neuropatías Cubitales/etiología , Neuropatías Cubitales/cirugía , Traumatismos de la Muñeca/cirugíaRESUMEN
Displacements of articular fragments are not always visible on initial radiographs of acute distal radius fractures. Despite the wide use of CT scan, it may be useful to know a simple index that could suggest an articular displaced fracture from the initial standard radiographs. The authors describe an articular sagittal index (ASI) of the distal radius and provide reference values from a study of 100 healthy volunteers. An increase of the ASI index suggests a displaced articular distal radius fracture with possible impaction.