El papel de la rehabilitación tras las reparaciones de las inestabilidades de muñeca

Abstract

One of the most frequent wrist pathologies seen by the hand surgeon are the carpal instabilities together with the pain in the ulnocarpal side. The most common causes are due to injuries in the fibrocartilage triangular complex. These injuries sometimes may cause an instability of the distal radio-ulnar joint. After an analysis of the anatomical and biomechanical data, and taking the few rehabilitation protocols of scapholunate and lunotriquetral instabilities published in the literature, specific rehabilitation programs for each one of these are presented. A description of the protocols is provided for rehabilitation after fibrocartilage triangular complex repairs, as well as of the protocols currently used by us.The importance of the propioceptive re-education in this type of injuries is also defined, and a detailed description of program of gradual introduction to certain exercises aimed at this.