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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(05): 537-542
DOI: 10.1055/s-0040-1712138
Artigo de Revisão
Mão

Reconhecimento precoce e tratamento das fraturas e luxações carpometacarpais

Article in several languages: português | English
Eduardo Murilo Novak 
1   Escola de Medicina, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil
2   Departamento de Medicina Forense e Psiquiatria, Universidade Federal do Paraná, Curitiba, PR, Brasil
,
Giana Silveira Giostri
1   Escola de Medicina, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil
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Resumo

As lesões na região carpometacarpal (CMC) podem passar despercebidas em mais da metade dos casos. O diagnóstico precoce é determinante para o tratamento. Embora clinicamente o paciente já possa demonstrar que de fato ocorreu a lesão, radiografias apropriadas, principalmente na incidência em perfil, são fundamentais para o diagnóstico. A lesão mais comum afeta as articulações de 4° e 5° dedos. O tratamento vai depender do tipo da lesão e o grau de envolvimento das articulações. Geralmente, é necessária redução e fixação.Quando apenas um raio é acometido, habitualmente o 5°, pode ser feita redução fechada e fixação com fios de Kirschner. Nos casos complexos, faz-se necessária a redução aberta e fixação, sendo os fios de Kirschner os materiais mais comumente usados. Após a retirada dos fios, intensifica-se a reabilitação.Se foi alcançada uma redução apropriada, esperam-se resultados funcionais e radiográficos satisfatórios.

Palavras-chave

articulações carpometacarpais/lesões - articulações carpometacarpais/patologia - articulações carpometacarpais/cirurgia - luxações articulares - ossos da mão

Nota

O presente artigo de revisão não faz necessária a submissão ao Comitê de Ética em Pesquisa.




Publication History

Received: 12 August 2019

Accepted: 20 February 2020

Article published online:
31 March 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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