{"id":1329,"date":"2023-07-06T00:51:24","date_gmt":"2023-07-06T00:51:24","guid":{"rendered":"https:\/\/drbadia.com\/es\/?p=1329"},"modified":"2026-05-02T11:52:15","modified_gmt":"2026-05-02T16:52:15","slug":"semilunar-flotante-inestabilidad-carpiana","status":"publish","type":"post","link":"https:\/\/drbadia.com\/es\/semilunar-flotante-inestabilidad-carpiana\/","title":{"rendered":"Desgarros de los ligamentos escafolunar y lunotriquetral"},"content":{"rendered":"\n

El semilunar flotante: tratamiento artrosc\u00f3pico de desgarros completos simult\u00e1neos de los ligamentos escafolunar y lunotriquetral<\/h2>\n\n\n\n

American Association for Hand Surgery 2008<\/p>\n\n\n\n

Resumen:<\/strong><\/h4>\n\n\n
\n
\"\"\/<\/figure><\/div>\n\n\n

Las inestabilidades carpianas contin\u00faan siendo un tema controvertido en la cirug\u00eda de la mano. El diagn\u00f3stico preciso de las lesiones ligamentarias suele ser dif\u00edcil sin una evaluaci\u00f3n artrosc\u00f3pica. Pocos estudios se han centrado en el diagn\u00f3stico y manejo adecuado de desgarros simult\u00e1neos de los ligamentos escafolunar (SL) y lunotriquetral (LT)<\/a>. Se trata de una lesi\u00f3n poco com\u00fan que provoca una discapacidad significativa y dolor cr\u00f3nico de mu\u00f1eca<\/a>. Esta condici\u00f3n se conoce esencialmente como \u201csemilunar flotante\u201d e indica una lesi\u00f3n ligamentaria severa. Trece pacientes (seis mujeres y siete hombres) con desgarros completos de SL y LT y con inestabilidad carpiana din\u00e1mica evidente en la artroscopia fueron incluidos en este estudio. Ninguno de los pacientes mostr\u00f3 evidencia radiogr\u00e1fica de luxaci\u00f3n del semilunar. Un paciente se present\u00f3 de forma aguda y fue operado 3 d\u00edas despu\u00e9s de la lesi\u00f3n. El tiempo promedio desde la lesi\u00f3n inicial hasta la artroscopia en los otros 12 pacientes fue de 13.5 meses (rango: 1.5\u201384 meses). Todos los pacientes fueron sometidos a desbridamiento artrosc\u00f3pico de los ligamentos SL y LT<\/a> junto con fijaci\u00f3n percut\u00e1nea (dos alambres de Kirschner de 0.045 pulgadas) en ambas articulaciones. En el seguimiento final, el rango promedio de movimiento fue de 50\u00b0 de flexi\u00f3n, 54\u00b0 de extensi\u00f3n, 77\u00b0 de pronaci\u00f3n, 80\u00b0 de supinaci\u00f3n, 25\u00b0 de desviaci\u00f3n cubital y 15\u00b0 de desviaci\u00f3n radial. La fuerza de agarre promedio fue del 67% en comparaci\u00f3n con el lado no afectado. Todos los pacientes presentaron pruebas de desplazamiento negativas en el seguimiento final. Adem\u00e1s, no se evidenci\u00f3 inestabilidad est\u00e1tica ni din\u00e1mica en todos los pacientes, excepto en uno que desarroll\u00f3 una inestabilidad volar intercalada del segmento 8 meses despu\u00e9s de la cirug\u00eda. En el seguimiento final, diez pacientes no presentaron dolor<\/a>, uno present\u00f3 dolor leve y dos experimentaron dolor moderado.<\/p>\n\n\n\n

Palabras clave:<\/b> Inestabilidad carpiana – Artroscopia – Desgarros ligamentarios – Inestabilidad del semilunar<\/p>\n\n\n\n

Descargar PDF aqu\u00ed<\/a><\/p>\n\n\n

\n
\"Badia<\/figure><\/div>\n\n\n

Citar este art\u00edculo<\/strong>: Badia, Alejandro & Khanchandani, Prakash. (2009). The Floating Lunate: Arthroscopic Treatment of Simultaneous Complete Tears<\/a> of the Scapholunate and Lunotriquetral Ligaments. Hand (New York, N.Y.). 4. 250-5. 10.1007\/s11552-008-9155-6. <\/p>\n","protected":false},"excerpt":{"rendered":"

Los desgarros simult\u00e1neos de los ligamentos escafolunar y lunotriquetral, conocidos como \u00absemilunar flotante\u00bb, requieren un diagn\u00f3stico artrosc\u00f3pico preciso y tratamiento quir\u00fargico para aliviar el dolor y mejorar la\u2026<\/p>\n","protected":false},"author":3,"featured_media":1330,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[165,93],"tags":[863,932,779],"class_list":{"0":"post-1329","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-publicaciones-muneca","8":"category-publicaciones-cientificas","9":"tag-artroscopia-2","10":"tag-condiciones-de-la-muneca","11":"tag-mano","12":"entry"},"acf":[],"yoast_head":"\nInestabilidad Carpiana y Semilunar Flotante | Tratamiento Artrosc\u00f3pico<\/title>\n<meta name=\"description\" content=\"Descubre el tratamiento artrosc\u00f3pico del 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