MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS.

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República Bolivariana De Venezuela Universidad De Los Andes Servicio de Radiología y Diagnóstico por Imágenes. MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE- DISLOCATIONS. RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6) Dr. Javic A. González R III de Radiología.

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República Bolivariana De Venezuela Universidad De Los Andes Servicio de Radiología y Diagnóstico por Imágenes. MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS. RADIOGRAPHICS , OCTOBER ISSUE 2008, 28, (6) Dr. Javic A. González R III de Radiología. - PowerPoint PPT Presentation

Transcript of MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS.

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República Bolivariana De VenezuelaUniversidad De Los Andes

Servicio de Radiología y Diagnóstico por Imágenes.

MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-

DISLOCATIONS.RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Dr. Javic A. GonzálezR III de Radiología.

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• INCIDENCIA DE 159 POR 100000 USA.• FX. ESCAFOIDES 50-80%• DX. CONVENCIONAL POR Rx.• TAC FX. OCULTAS.

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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FRACTURAS DE LA LINEZ PROXIMAL DEL CARPO.Escafoides, con mecanismos de hiperextensión, daño del ligamento escafoideo y grande.

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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FX. DE ESCAFOIDES.

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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FX DEL POLO PROXIMAL DEL ESCAFOIDES

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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FRACTURA DEL SEMILUNAR, ENFERMEDAD DE KIEMBOCK

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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FRACTURA DEL PIRAMIDAL, RX., CT SAGITAL MODIFICADO, 3D CT DORSAL.

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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FX. PISIFORME, RX., CT., 3D CT

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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FX. TRAPEZOIDE, RX., CT.

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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FX. NO DESPLAZADA Y ASOCIADA DE CAPITATE Y ESCAFOIDES, RX., ED CT, CT.

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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FRACTURA DEL GANCHOSO, AXIAL CT, 3D CT, NO DESPLAZADA EN LA BASE.

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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LUXACION. CON FRACTURA DE LA CINTURA ,SEMILUNAR.

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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LACERACION Y SUBLUXACIÓN DEL ARCO PERILUNAR EN SEMILUNAR, CON DISRUPCIÓN DE AMBOS ARCOS, Y

PEQUEÑA FRACTURA EN ESPACIO ESCAFO-HUESO GRANDE

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LUXACIION TRANSESCAFOIDEA, CON FRACTURA DESPLAZADA DE

ESCAFOIDES ADICIONADO A SUBLUXACION PERILUNAR.

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RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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CONCLUSION

• LAS FRACTURAS DEL CARPO Y LUXACIONES PUEDEN SER DIAGNOSTICADAS CON RADIOGRAFIAS CONVENCIONALES, CT CON RECONSTRUCCION MULTIPLANAR Y VOLUMETRICA QUE PUEDEN SER USADAS COMO TECNICAS PARA INDAGAR FRACTURAS OCULTAS Y A SU VEZ ILUSTRAR LA COMPLEJIDAD Y EXTENSIÓN DE DICHAS FRACTURAS Y LUXACIONES.

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

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GRACIAS!!!