Última revisão: 27 Out 2020
Última atualização: 06 Maio 2020

Resumo

Definição

História e exame físico

Principais fatores de diagnóstico

  • história de trauma ou de osteoporose
  • dor no punho
  • sensibilidade sobre o rádio distal
  • edema

Outros fatores de diagnóstico

  • deformidade
  • sensibilidade na tabaqueira anatômica
  • dormência nos dedos
  • hipoestesia
  • ferida aberta

Exames diagnósticos

Exames a serem considerados

  • tomografia computadorizada (TC) do punho
  • ressonância nuclear magnética (RNM; sem contraste) do punho
  • absorciometria por dupla emissão de raios X (DEXA)
Mais exames a serem considerados

Algoritmo de tratamento

Colaboradores

Trauma, Hand and Wrist Surgeon

Department of Trauma and Hand Surgery

Maasstad Hospital

Rotterdam

Netherlands

Divulgações

NWLS is an author of several references cited in this topic. He is a consultant for Synthes, Medartis, and Arthrex, and has received honoraria from The AO Foundation for teaching courses.

Dr Niels W.L. Schep would like to gratefully acknowledge Dr Jeffrey N. Lawton, Dr John R. Lien, Dr Gregory D. Byrda, Dr Tamara D. Rozental, and Dr Chaitanya S. Mudgal, previous contributors to this topic.

Divulgações

JNL is a consultant for Innomed Inc, has received honoraria from The AO Foundation for teaching courses, and has been sponsored for research by DePuy Synthes. JRL and GDB declare that they have no competing interests. TDR is an author of several references cited in this topic. CSM has been reimbursed by AO North America and Asia Pacific for being a faculty member during educational conferences. 

Colegas revisoresMOSTRAR TODOS

Program Director of Hand and Upper Extremity Surgery

Rothman Institute

Associate Professor of Orthopaedic Surgery

Thomas Jefferson University

Philadelphia

PA

Divulgações

AI declares that he has no competing interests.

Associate Professor of Orthopaedics

Lund University

Chief

Hand Surgery Section

Department of Orthopaedics

Hässleholm and Kristianstad Hospitals

Sweden

Divulgações

Not disclosed.

O uso deste conteúdo está sujeito aos nossos avisos legais