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

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Page 1: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

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.

Page 2: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

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

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 3: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 4: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS
Page 5: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS
Page 6: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

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

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 7: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

FX. DE ESCAFOIDES.

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 8: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

FX DEL POLO PROXIMAL DEL ESCAFOIDES

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 9: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

FRACTURA DEL SEMILUNAR, ENFERMEDAD DE KIEMBOCK

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 10: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

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

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 11: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

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

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 12: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

FX. TRAPEZOIDE, RX., CT.

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 13: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

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

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 14: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

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

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 15: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

LUXACION. CON FRACTURA DE LA CINTURA ,SEMILUNAR.

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 16: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 17: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

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

PEQUEÑA FRACTURA EN ESPACIO ESCAFO-HUESO GRANDE

Page 18: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

LUXACIION TRANSESCAFOIDEA, CON FRACTURA DESPLAZADA DE

ESCAFOIDES ADICIONADO A SUBLUXACION PERILUNAR.

Page 19: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

RADIOGRAPHICS, OCTOBER ISSUE 2008, 28, (6)

Page 20: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

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)

Page 21: MULTIDETECTOR CT OF CARPAL INJURIES: ANATOMY, FRACTURES, AND FRACTURE-DISLOCATIONS

GRACIAS!!!