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DOI: 10.1055/s-0039-3399517
Tratamiento rehabilitador en las inestabilidades mediocarpianas palmares
Conservative Management in Palmar Midcarpal InstabilitiesPublikationsverlauf
26. September 2019
07. Oktober 2019
Publikationsdatum:
19. November 2019 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00033287/201902/lookinside/thumbnails/10-1055-s-0039-3399517_1900056-1.jpg)
Resumen
Las inestabilidades mediocarpianas son una patología provocada por la descoordinación en el movimiento entre la hilera proximal y distal del carpo. Las más frecuentes son las inestabilidades palmares (PMCI) y suelen ocasionar un dolor y un clunk muy característico con determinados movimientos de la muñeca. Su diagnóstico en ocasiones no es fácil ya que no existen pruebas de imagen diagnósticas específicas. La primera opción de su tratamiento siempre será conservadora a través de rehabilitación. Actualmente no existen estudios randomizados con series amplias en cuanto a resultados de los tratamientos propuestos dado que no es una patología muy frecuente. En este artículo, se propone un protocolo de trabajo en base a la revisión de los estudios biomecánicos existentes hasta el momento actual.
Abstract
Midcarpal instabilities are a pathology caused by the uncoordination on the move between proximal and distal carpal rows. The most frequent are palmar instabilities ( PMCI) and usually cause pain and clunk very characteristic with certain movements of the wrist. Sometimes their diagnosis aren't easy because there aren't specific diagnosed imaging tests. The first option of their treatment will always be conservative through rehabilitation. Currently there are no randomized studies with large series with results of the proposed treatments because is not a frequent pathology. In this article a work protocol is proposed based on the review of existing biomechanical studies up to the present time.
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