Management with radial shockwaves in fracture of multiple methacarpals with delay of consolidation
DOI:
https://doi.org/10.28957/rcmfr.v30n10Keywords:
Shock waves, bone consolidation delay, rehabilitationAbstract
The process of healing a fracture depends on many factors external and internal to the patient, as well as physical and biological. When its development is delayed, different strategies can be used, such as surgery, expectant management and shock waves, seeking to improve this condition. We present a 27-year-old patient who suffered a work accident with 3 fractures in the left hand involving the 2.4 5 and metacarpals. The 4th finger consolidated adequately, but the 2nd and 5th finger did not. Management was given with radial shock waves in 6 sessions at 2 Barr 2000 strokes accompanied by 2 sessions of physical therapy for the 2nd finger, achieving a spectacular process of bone consolidation while in 5th there was no such intervention because this intervention was not performed. After this process, the patient returned to his work activities, improving even the arches of movement as well as the ability to grasp and hold. The 2nd finger was used as an intervention and the 5th finger as a control within the same patient, achieving complete consolidation as described in the bibliography in previous cases with focal shock waves, but in this case it was achieved with radial ones, as well as improvement in movement arches. And the ability to make pinch and grasp, although there was no improvement over the pain. It was found that with the shock waves it was possible to carry out the biological process of adequate bone formation to achieve consolidation. Shock wave management has been shown to be effective as a therapeutic procedure, considered more economical and practically free of side effects to facilitate delayed healing in metacarpal fractures. In addition to this proven process with X-ray follow-up, it can also help to give functionality as well as the reintegration of the patient’s daily activities.
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