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DOI: 10.1055/s-0037-1607460
Tratamiento de la Disociación Escafolunar mediante tenodesis y ligamentoplastia con el Extensor Carpi Radialis Brevis por un único abordaje
Scapholunate Dissociation Treatment via tenodesis and ligamentoplasty with Extensor Carpi Radialis Brevis with a single approachPublication History
23 July 2017
18 September 2017
Publication Date:
03 November 2017 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00033287/201702/lookinside/thumbnails/10-1055-s-0037-1607460_1700030-1.jpg)
Resumen
Puede decirse que el conocimiento de la etiología, fisiopatología y estados evolutivos de la Disociación Escafolunar (DEL) actualmente es amplio, pero continúa existiendo mucha controversia en cuanto a su tratamiento, siendo ésta una cuestión de la patología carpiana aún no resuelta. En este artículo presentamos una nueva técnica quirúrgica basada en la perfecta reducción de la diástasis y en el mantenimiento del escafoides y semilunar en su posición idónea mediante una tenodesis en el escafoides y una ligamentoplastia entre éste y el semilunar. Con la ventaja de que para ambos fines se emplea el tendón del extensor carpi radialis brevis por una única vía de abordaje y con una técnica sencilla.
Abstract
It can be said that the knowledge of the etiology, pathophysiology and evolutionary states of the Scapholunate Dissociation (SLD) is currently wide, but there is still a great deal of controversy regarding its treatment, being this a question of the carpal pathology still unresolved. In this article, we present a new surgical technique based on the perfect reduction of the dislocation and in the maintenance of the scaphoid and semilunar in their ideal position through a tenodesis in the scaphoid and a ligamentoplasty between this and the lunate in a simple way and with a single approach, using for both purposes the tendon of the extensor carpi radialis brevis.
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