Última revisão: 27 GUA 2021
Última atualização: 06 Mai 2020

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

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

Outros fatores diagnósticos

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

Investigações diagnósticas

Investigações a serem consideradas

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

Algoritmo de tratamento

Colaboradores

Autores

Niels W.L. Schep, MD

Trauma, Hand and Wrist Surgeon

Department of Trauma and Hand Surgery

Maasstad Hospital

Rotterdam

Netherlands

Declarações

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.

Agradecimentos

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.

Declarações

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. 

Revisores

Asif Ilyas, MD

Program Director of Hand and Upper Extremity Surgery

Rothman Institute

Associate Professor of Orthopaedic Surgery

Thomas Jefferson University

Philadelphia

PA

Declarações

AI declares that he has no competing interests.

Isam Atroshi, MD, PhD

Associate Professor of Orthopaedics

Lund University

Chief

Hand Surgery Section

Department of Orthopaedics

Hässleholm and Kristianstad Hospitals

Sweden

Declarações

Not disclosed.

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