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1.
J Hand Surg Eur Vol ; 41(2): 212-9, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26497593

RESUMEN

UNLABELLED: The purpose of this study was to find clinical or ultrasound characteristics that might predict the failure of conservative treatment in de Quervain's syndrome. A total of 42 ultrasound-guided injections have been performed in 41 patients after clinical and ultrasound examination. Patients were immobilized for 3 weeks with a spica splint cast, and clinically evaluated at 3 and 6 weeks and by phone call at the end of the study. Ultrasound showed a septum between the tendons of the first comportment in 34% of the wrists. At last follow-up (mean 15.6 months after the injection) ten patients (24%) had undergone surgery. When comparing ultrasound and clinical characteristics of the operated and non-operated wrists, we found that patients with a high baseline visual analogue scale, with all positive clinical tests and with a persistent intracompartmental septum, had a significantly higher risk of failure following conservative treatment. LEVEL OF EVIDENCE: III.


Asunto(s)
Enfermedad de De Quervain/diagnóstico por imagen , Enfermedad de De Quervain/tratamiento farmacológico , Esteroides/administración & dosificación , Adulto , Anciano , Femenino , Humanos , Inyecciones Intralesiones , Masculino , Persona de Mediana Edad , Dimensión del Dolor , Estudios Prospectivos , Resultado del Tratamiento , Ultrasonografía Intervencional
2.
Chir Main ; 31(4): 195-8, 2012 Sep.
Artículo en Francés | MEDLINE | ID: mdl-22980994

RESUMEN

The authors report the case of a dorsal, closed, radiocarpal dislocation with a small posterior marginal fracture of the radius, in an 85-year-old woman, without violent trauma (fall from her height). The dislocation was reduced by traction and the wrist immobilized in a plaster cast for 6 weeks. Six months after the accident, the patient had resumed her activities without pain with a diminished range of motion. This dislocation is exceptional at this age. In our case, the functional outcome was good after orthopaedic treatment.


Asunto(s)
Luxaciones Articulares/terapia , Traumatismos de la Muñeca/terapia , Accidentes por Caídas , Anciano de 80 o más Años , Moldes Quirúrgicos , Femenino , Humanos , Luxaciones Articulares/diagnóstico por imagen , Radiografía , Fracturas del Radio/diagnóstico por imagen , Fracturas del Radio/terapia , Tracción , Traumatismos de la Muñeca/diagnóstico por imagen
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