Correlación entre el dolor y los índices radiológicos en pacientes mayores de 60 años con fractura de radio distal

• Autores: H. Gutiérrez Espinoza, F. Araya Quintanilla, R. Gutiérrez Monclus
• Localización: Revista de la Sociedad Española del Dolor (SED), ISSN 1134-8046, Vol. 26, Nº. 6, 2019, págs. 324-330
• Idioma: español
• DOI: 10.20986/resed.2019.3720/2018
• Títulos paralelos:
  • Correlation between pain and radiological parameters in patients older than 60 years of age with distal radius fracture
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• Dialnet Métricas: 2 Citas
• Resumen
  • español

    RESUMEN Objetivo: Determinar si existe correlación entre el dolor y el alineamiento aceptable de la fractura de radio distal (FRD) en pacientes mayores de 60 años. Material y método: El presente estudio correlacional fue realizado en el Hospital Clínico San Borja Arriarán. Se reclutaron de forma prospectiva 210 pacientes con FRD extrarticular según la clasificación AO. Para evaluar los resultados de la reducción ortopédica se evaluaron índices radiológicos como la inclinación radial, la angulación dorsal residual y la varianza ulnar. Tras la retirada de la inmovilización y a los 6 meses de seguimiento se evaluó la intensidad del dolor con la escala visual analógica (EVA), la función de la muñeca con el cuestionario de evaluación de la muñeca valorada por el paciente (PRWE) y la fuerza de puño con un dinamómetro. Resultados: Solo 88 pacientes (42 %) presentaron un alineamiento aceptable de la FRD. Tras la retirada de la inmovilización, en el total de pacientes la correlación con la EVA fue de 0,17 (p = 0,546), la puntuación PRWE de 0,09 (p = 0,821) y la fuerza de puño de 0,08 (p = 0,631). Al sexto mes de seguimiento la correlación con la EVA fue de 0,09 (p = 0,668), PRWE de 0,05 (p = 0,882) y la fuerza de puño de 0,04 (p = 0,614). Conclusión: A corto y medio plazo no existe una correlación significativa entre el alineamiento aceptable basado en índices radiológicos y el dolor y la función de pacientes mayores de 60 años con FRD extrarticular tratados de manera conservadora.

  • English

    ABSTRACT Objective: To determine whether there is a correlation between pain and acceptable distal radius fracture (DRF) alignment in patients older than 60 years of age. Material and method: This correlational study was carried out at the San Borja Arriarán Clinical Hospital. A total of 210 patients diagnosed with extra-articular DRF, according to the AO classification, were recruited prospectively recruited. Radiological parameters, including radial inclination, residual dorsal angulation and ulnar variance, were evaluated to assess the results of the orthopedic reduction. After the removal of the immobilization and after 6 months of follow-up, the pain intensity was assess with the visual analogue scale (VAS), the wrist function with the PRWE questionnaire and the grip strength with a dynamometer. Results: Only 88 patients (42%) showed acceptable DRF alignment. After cast removal, in the total of patients the correlations between alignment were as follows: VAS 0.17 (p = 0.546), PRWE 0.09 (p = 0.821), and grip strength 0.08 (p = 0.631). At the 6th months of follow-up, the correlation with the VAS was 0.09 (p = 0.668), PRWE 0.05 (p = 0.882) and grip strength 0.04 (p = 0.614). Conclusion: In the short and medium term, there was no significant correlation between acceptable alignment according to radiological parameters and pain and function of patients older than 60 years with extra-articular DRF treated conservatively.

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