Lesão de Stener: Avaliação Funcional após Tratamento Cirúrgico com Âncoras
DOI:
https://doi.org/10.21270/archi.v11i4.5873Palavras-chave:
Ulna, Polegar, Ligamentos, Ferimentos e Lesões, Cirurgia OrtopédicaResumo
Objetivo: O objetivo desse estudo é avaliar os resultados funcionais de pacientes submetidos a tratamento cirúrgico de lesões completas do ligamento colateral ulnar do polegar (LCU) com âncoras. Método: estudo retrospectivo por meio da avaliação funcional de 15 pacientes submetidos a tratamento cirúrgico de lesões completas do LCU com âncoras. Foram avaliados idade, gênero, ocupação, mão dominante, tempo entre a lesão e a cirurgia, mecanismo de trauma e tempo de seguimento, amplitude de movimento, forças de pinça e preensão e teste de estabilidade em valgo. Foi aplicado questionário DASH (Disabilities of the Arm, Shoulder and Hand) para avaliar disfunções e sintomas dos pacientes submetidos ao tratamento cirúrgico. Resultado: Nenhum paciente apresentou instabilidade após o tratamento cirúrgico. O tempo de seguimento médio foi de 52 meses. Em comparação com a literatura, observamos maior força de pinça do polegar e menor valor de amplitude de extensão da metacarpo-falangeana, sem diferença estatisticamente significativa entre os valores da força de preensão e flexão. Conclusão: O tratamento cirúrgico das lesões de Stener do polegar com âncoras é uma opção segura, que fornece estabilidade e boa recuperação funcional. A recuperação das forças de pinça e preensão foram adequadas, promovendo boa função do polegar. O nível de dor e satisfação dos pacientes no seguimento pós-operatório foram considerados, em geral, bastante satisfatórios.
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