Utilidad de la tomografía axial computarizada en fracturas ocultas de maléolo posterior en pacientes con fracturas diafisarias de tibia en una clínica de trauma de Santa Marta - Colombia del 2021 – 2023

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dc.contributor.advisorMahecha, Cristian
dc.contributor.advisorSeverini, Carlos
dc.contributor.advisorSilvera Fonseca, Luz Marina
dc.contributor.authorTellez Gamarra, Diego Alejandro
dc.contributor.authorSarzosa Varona, Santiago
dc.coverage.spatialBarranquillaspa
dc.creator.emaildiegoa-tellezg@unilibre.edu.cospa
dc.creator.emailsantiago-sarzosav@unilibre.edu.cospa
dc.creator.emaildiegotg_9307@hotmail.comspa
dc.creator.emailsarzosa64@hotmail.comspa
dc.date.accessioned2024-07-17T15:50:28Z
dc.date.available2024-07-17T15:50:28Z
dc.date.created2024-06
dc.description.abstractIntroducción: Las fracturas diafisarias de tibia se pueden asociar a otras fracturas del maléolo posterior ipsilateral. Esto ha sido demostrado en estudios asiáticos, europeos y estadounidenses, sin registro en el territorio colombiano, evidenciando incidencia de hasta el 49% de esta asociación. Pero gran parte de esta asociación son difíciles diagnosticar mediante radiografía. Objetivo: Determinar la utilidad de la tomografía axial computarizada en fracturas ocultas del maléolo posterior en pacientes con fracturas diafisarias de tibia en una clínica de trauma de Santa Marta del 2021 – 2023. Metodología: Se realizó un estudio descriptivo de corte transversal con la base de datos de una clínica de trauma de la ciudad de Santa Marta - Colombia con una población de 49 pacientes donde se describió la incidencia de las fracturas del maléolo posterior mediante rayos X y tomografía, así como se realizó la descripción tomográfica de las fracturas del maléolo posterior. Resultados: Se obtuvieron 49 pacientes, con una incidencia de fractura de maléolo posterior de 48,9% mediante tomografía y del 12% con radiografía, el 74% estaba relacionada a fractura con trazo espiroideo diafisario. El patrón de fractura más frecuente de maléolo posterior fue el Haraguchi tipo I y Bartonicek tipo 2 Conclusión: Las fracturas diafisarias de tibia con trazo en espiral son los tipos de fractura con mayor asociación a una fractura oculta del maléolo posterior. Incluso la evaluación del tobillo mediante radiografía puede ser negativa para FMP en gran número de casos, llevando a la TAC a ser la herramienta diagnóstica predilecta por su alta sensibilidad y especificidad. La TAC podría realizarse de forma rutinaria en la práctica clínica con el fin de realizar un diagnóstico oportuno de este tipo de lesión.spa
dc.description.abstractenglishBackground:: Diaphyseal fractures of the tibia can be associated with other fractures of the ipsilateral posterior malleolus. This has been demonstrated in Asian, European and American studies, without registration in Colombian territory, showing an incidence of up to 49% of this association. But much of this association is difficult to diagnose by radiography. Objective: Determine the usefulness of computed axial tomography in occult fractures of the posterior malleolus in patients with tibial diaphyseal fractures in a trauma clinic in Santa Marta from 2021 - 2023. Methodology: A descriptive cross-sectional study was carried out with the database of a trauma clinic in the city of Santa Marta - Colombia with a population of 49 patients where the incidence of fractures of the posterior malleolus was described using X-rays and tomography. , as well as the tomographic description of the fractures of the posterior malleolus was carried out. Results: 49 patients were obtained, with an incidence of posterior malleolus fracture of 48.9% using tomography and 12% using radiography, 74% of which were related to a fracture with diaphyseal spiral stroke. The most common posterior malleolus fracture pattern was Haraguchi type I and Bartonicek type 2. Conclusion: Diaphyseal fractures of the tibia with a spiral stroke are the types of fracture with the greatest association with an occult fracture of the posterior malleolus. Even evaluation of the ankle by X-ray can be negative for FMP in a large number of cases, leading CT to be the preferred diagnostic tool due to its high sensitivity and specificity. CT could be performed routinely in clinical practice in order to make a timely diagnosis of this type of injury.spa
dc.description.sponsorshipUniversidad Libre Seccional Barranquilla -- Facultad de Ciencias de la Salud -- Especialización en Ortopedia y Traumatologíaspa
dc.formatPDFspa
dc.identifier.urihttps://hdl.handle.net/10901/29450
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenseAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/spa
dc.subjectFracturas de tobillospa
dc.subjectFracturas de la tibiaspa
dc.subjectTomografía computarizadaspa
dc.subject.lembFracturas de la tibiaspa
dc.subject.lembFracturas de tobillospa
dc.subject.lembTomografíaspa
dc.subject.lembImagen por resonancia magnéticaspa
dc.subject.lembTomografía computarizada por rayos Xspa
dc.subject.subjectenglishAnkle fracturesspa
dc.subject.subjectenglishTibia fracturesspa
dc.subject.subjectenglishComputed tomographyspa
dc.titleUtilidad de la tomografía axial computarizada en fracturas ocultas de maléolo posterior en pacientes con fracturas diafisarias de tibia en una clínica de trauma de Santa Marta - Colombia del 2021 – 2023spa
dc.title.alternativeUtility of computed axial tomography in occult fractures of the posterior malleolus in patients with tibial diaphyseal fractures in a trauma clinic in Santa Marta - Colombia from 2021 - 2023spa
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1fspa
dc.type.driverinfo:eu-repo/semantics/bachelorThesisspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.type.localTesis de Especializaciónspa

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