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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2020; 48(02): 93-100
DOI: 10.1055/s-0040-1721045
Original Article | Artículo Original

Presentación de la “muñeca SOAC”: Colapso avanzado por artrosis escafotrapeciotrapezoidea

Artikel in mehreren Sprachen: English | español
Ricardo Kaempf de Oliveira
1   Santa Casa de Misericórdia, Porto Alegre, RS, Brazil
,
Márcio Aita 
2   Universidade Federal do ABC, Santo André, SP, Brazil
,
João Brunelli 
3   Department of Orthopedics and Traumatology, Cirurgia de Mão e Microcirurgia, Santa Casa de Misericórdia, São Paulo, SP, Brazil
,
Vicente Carratalá
4   Traumatology Service, Hospital Quirónsalud Valencia, Valencia, Spain
,
Pedro J Delgado
5   Hospital Universitário HM Montepríncipe, Universidad CEU San Pablo, Boadilla del Monte, Madrid, Spain
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Resumen

A pesar de constituir la segunda causa más común de artrosis de la muñeca, poco se conoce sobre la artrosis escafotrapeciotrapezoidea. No todos los pacientes con este tipo de artrosis presentan síntomas, y, incluso en los pacientes sintomáticos, la intensidad de las quejas no es proporcional a la gravedad de la degeneración. En los pacientes sintomáticos, cuando fracasa el tratamiento conservador, las clasificaciones de los grados para ayudar a definir el tratamiento quirúrgico se basan únicamente en las características de la articulación, y no evalúan el resto del carpo.

En general, la mayoría de los procesos degenerativos carpianos muestra el mismo patrón de evolución, el cual varía de acuerdo con la lesión inicial junto con el tipo de deformidad y las inestabilidades inherentes. Por lo tanto, nuestra hipótesis es la de que la evolución degenerativa debida a la artrosis primaria de la articulación escafotrapeciotrapezoidea también obedece a una secuencia evolutiva lógica, similar a la que ocurre en el colapso avanzado escafolunar scapholunate advanced collapse (SLAC), scaphoid nonunion advanced collapse (SNAC), scaphoid malunion advanced collapse (SMAC), and scaphoid chondrocalcinosis advanced collapse (SCAC), thus resulting in scaphotrapeziotrapezoid osteoarthritis advanced collapse (SOAC). Hemos dividido al SOAC en tres grupos, y consideramos que su tratamiento deberá estar guiado por la etapa evolutiva de la enfermedad, y no por la técnica preferida por el cirujano.

Palabras clave

articulación escafotrapeciotrapezoidea (ETT) - artritis - clasificación - artroscopia/uso


Publikationsverlauf

Eingereicht: 27. Juli 2020

Angenommen: 22. September 2020

Artikel online veröffentlicht:
24. November 2020

© 2020. The Author(s). 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 commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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