RESUMEN
There are various treatments for chronic dynamic scapholunate instability and there is still much debate about the best method of treatment. We retrospectively analysed 42 patients who had been treated by arthroscopic debridement and percutaneous pinning for chronic dynamic scapholunate instability. All patients were clinically improved without radiographic changes after surgery and were still satisfied at a mean follow-up of 68 months. Arthroscopic debridement and percutaneous pinning may be a good option for treating chronic dynamic scapholunate instability. Level of evidence: IV.
Asunto(s)
Artroscopía , Clavos Ortopédicos , Articulaciones del Carpo/cirugía , Desbridamiento , Inestabilidad de la Articulación/cirugía , Ligamentos Articulares/cirugía , Adulto , Articulaciones del Carpo/diagnóstico por imagen , Moldes Quirúrgicos , Terapia por Ejercicio , Femenino , Estudios de Seguimiento , Fuerza de la Mano , Humanos , Inestabilidad de la Articulación/diagnóstico por imagen , Ligamentos Articulares/diagnóstico por imagen , Ligamentos Articulares/lesiones , Hueso Semilunar/diagnóstico por imagen , Hueso Semilunar/cirugía , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Radiografía , Rango del Movimiento Articular , Estudios Retrospectivos , Hueso Escafoides/diagnóstico por imagen , Hueso Escafoides/cirugía , Férulas (Fijadores) , Adulto JovenRESUMEN
BACKGROUND: There is no established principle regarding weight-bearing in conservative and operative management of fifth metatarsal base fractures. METHODS: We reviewed 86 patients with acute fifth metatarsal base fractures. Conservatively treated late or early weight-bearing patients were assigned to Group A or C, respectively. Operatively treated late or early weight-bearing patients were assigned to Group B or D, respectively. Results were evaluated by clinical union, bone resorption, and the American Orthopaedic Foot and Ankle Society (AOFAS) and Visual Analogue Scale (VAS) scores. RESULTS: All 4 groups had bone union at a mean of 6.9 weeks (range, 5.1-15.0). There were no differences between the groups in the AOFAS and VAS scores. In the early weight-bearing groups, there were fewer cases of bone resorption, and the bone unions periods were earlier. CONCLUSIONS: Early weight-bearing may help this patient population. Moreover, conservative treatment could be an option in patients with underlying diseases.