Protocolo de tratamiento en terapia de mano tras la reconstrucción artroscópica del ligamento escafosemilunar basado en la patomecánica y control neuromuscular de la articulación escafosemilunar

Mireia Esplugas; Josep Maria Sole Artigau

doi:10.1055/s-0043-1777113

Revista Iberoamericana de Cirugía de la Mano, Table of Contents

CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2023; 51(02): e66-e78
DOI: 10.1055/s-0043-1777113

Artículo de Actualización | Update Article

Protocolo de tratamiento en terapia de mano tras la reconstrucción artroscópica del ligamento escafosemilunar basado en la patomecánica y control neuromuscular de la articulación escafosemilunar

Article in several languages: español | English

Mireia Esplugas

¹Institut Kaplan Barcelona, Barcelona, España

,

Josep Maria Sole Artigau

²Tarragona Hand Clinic, Tarragona, España

› Author Affiliations

Abstract

Resúmen

Objetivo Evaluar la eficacia de un protocolo de tratamiento en terapia de mano tras la reconstrucción artroscópica del ligamento escafosemilunar dorsal, siguiendo la técnica de Corella.

Métodos Implementamos un protocolo de menos de 3 meses de duración escalonado en 7 fases terapéuticas basadas en la patomecánica y el control neuromuscular de la articulación escafosemilunar. Ofrecemos directrices claras para la evaluación clínica del paciente intervenido.

Resultados Observamos una mejora significativa de las medidas de dolor, fuerza y movilidad en todos los pacientes estudiados, a los 6 meses postoperatorios.

Conclusiones El protocolo secuencial propuesto se muestra como una estrategia efectiva para la rehabilitación de la mano tras la reconstrucción artroscópica del ligamento escafosemilunar. Ello tiene implicaciones positivas para la práctica clínica y podría considerarse un nuevo estándar en la terapia de mano.

Palabras clave

artroscopia escafosemilunar - protocolo escafolunar - rehabilitación escafosemilunar

Full Text

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