CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2020; 48(02): 101-108
DOI: 10.1055/s-0040-1719014
Original Article | Artículo Original

Reconstrucción percutánea del ligamento colateral ulnar de la articulación metacarpofalángica del pulgar: Técnica y resultados

Article in several languages: English | español
1   Hand Surgery Unit, Centro Privado de Cirugía del Pie y la Mano (CEPYM), Tucumán, Argentina
2   Hand Surgery Unit, Centro Integral de Ortopedia y Traumatología (CIOT), Tucumán, Argentina
,
2   Hand Surgery Unit, Centro Integral de Ortopedia y Traumatología (CIOT), Tucumán, Argentina
,
3   Hand Surgery Unit, Instituto Rotella, Tucumán, Argentina
,
4   Hand Clinic, Centro Tecan, Universidad de Málaga, Málaga, Spain
,
5   Occupational Therapy, Hand therapy, Tucumán, Argentina
,
6   Hand Surgery Unit, Clínica Mayo, Tucumán, Argentina
› Author Affiliations

Resumen

Objetivo El objetivo de este trabajo es presentar una nueva técnica percutánea de reconstrucción del ligamento colateral ulnar de la articulación metacarpofalángica del pulgar con injerto tendinoso, y evaluar los resultados funcionales y la estabilidad a los seis meses postoperatorios.

Material y métodos Se realizó la técnica de ligamentoplastia percutánea con injerto de tendón del músculo palmaris longus y tornillos de tenodesis en 6 pacientes que presentaban inestabilidad ulnar de pulgar (> 30° de desviación radial) con más de 6 semanas de evolución. Se valoró el rango de movilidad, la fuerza de agarre (prensión), y la fuerza de pinzas (llave, palmar, y tres puntos) en comparación al miembro contralateral, así como la escala de Quick Disabilities of the Arm, Shoulder and Hand (DASH).

Resultados A los 6 meses, el movimiento articular fue del 100%, la fuerza de agarre fue del 94.8%, la pinza de llave, del 95%, la pinza palmar, del 85,7%, y la pinza 3 puntos, del 93.5% en comparación al miembro contralateral. El bostezo interno fue de 14° en comparación con 9° en el miembro contralateral. El Quick DASH disminuyó de 24.2 a 2.6 puntos.

Conclusión Ideamos este procedimiento quirúrgico versátil para obtener movilidad precoz y las ventajas que nos otorgan las técnicas percutáneas.



Publication History

Received: 27 July 2020

Accepted: 02 September 2020

Article published online:
24 November 2020

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