Sistema de Medición estandarizado para articulación de Lisfranc en Tomografía Axial Computada. Estudio experimental

dc.contributor.advisorHerrera Arbeláez, Juan Manuel
dc.contributor.advisorDe La Hoz , José Antonio
dc.contributor.authorCoronell Ortega , Carlos Gustavo
dc.contributor.authorRojas Vargas, Giselle Katherine
dc.contributor.orcidCoronell Ortega, Carlos Gustavo [0000-0002-3006-8845]
dc.contributor.orcidRojas Vargas, Giselle Katherine [0000-0002-4731-1979]
dc.date.accessioned2024-07-31T19:40:53Z
dc.date.available2024-07-31T19:40:53Z
dc.date.issued2024-07
dc.description.abstractSe realizaron disecciones cadavéricas en pies bilaterales a 9 cadáveres en el instituto CLEMI en julio del 2022. Realizada por 27 residentes de ortopedia de la Universidad El Bosque. El estudio se realizó en dos etapas: normalización de medidas en espécimen cadavérico y planteamiento piloto de medidas en el TAC y normalización de medidas en espécimen cadavérico. Cada disección anatómica se inició con un abordaje dorso medial del medio pie sobre la primera cuña y base del segundo metatarsiano. De aquí se realizó la disección completa de la articulación desde medial hacia lateral y se procedió a desarticular la articulación de Lisfranc hacia plantar conservando íntegros los ligamentos plantares. Una vez realizada la desarticulación se realizaron 9 mediciones de los diferentes componentes articulares y sus relaciones articulares , obteniendo como resultado una alta correlación entre las diferentes medidas cadavéricas, con la mayoría de los índices Kappa entre los valores de buena concordancia y, muy buena concordancia, como lo es la medida del gusano de seda al segundo metatarsiano (0.18 SD 0.17 mm, K 0.94), lo que significa que independiente de la raza, la edad y el género, las mediciones que se realizan en la articulación de Lisfranc son completamente normalizados en el espécimen cadavérico.
dc.description.abstractenglishCadaveric dissections on bilateral feet were performed on 9 cadavers at the CLEMI institute in July 2022. Performed by 27 orthopedics residents from Universidad El Bosque. The study was performed in two stages: standardization of measurements in cadaveric specimen and pilot approach of measurements in CT and standardization of measurements in cadaveric specimen. Each anatomical dissection began with a dorsal medial approach of the midfoot over the first wedge and base of the second metatarsal. From there, the complete dissection of the joint was performed from medial to lateral and the Lisfranc joint was disarticulated towards the plantar, preserving the plantar ligaments intact. Once the disarticulation was performed, 9 measurements of the different articular components and their articular relations were taken, obtaining as a result a high correlation between the different cadaveric measurements, with most of the Kappa indexes between values of good concordance and very good concordance, as is the measurement of the silkworm to the second metatarsal (0. 18 SD 0.17 mm, K 0.94), which means that independent of race, age and gender, the measurements taken at the Lisfranc joint are completely standardized in the cadaveric specimen.
dc.description.degreelevelEspecializaciónspa
dc.description.degreenameEspecialista en Ortopedia y Traumatologíaspa
dc.format.mimetypeapplication/pdf
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/12776
dc.language.isoes
dc.publisher.facultyFacultad de Medicinaspa
dc.publisher.grantorUniversidad El Bosquespa
dc.publisher.programEspecialización en Ortopedia y Traumatologíaspa
dc.relation.referencesWelck MJ, Zinchenko R, Rudge B. Lisfranc injuries. Injury. 2015;46(4):536–41. doi: 10.1016/j.injury.
dc.relation.referencesChen J, Sagoo N, Panchbhavi VK. The Lisfranc injury: A literature review of anatomy, etiology, evaluation, and management. Foot Ankle Spec. 2021;14(5):458–67. doi: 10.1177/1938640020950133.2014.11.026.
dc.relation.referencesYan, A., Chen, S. R., Ma, X., Shi, Z., & Hogan, M. (2021). Updates on Lisfranc Complex Injuries. Foot & ankle orthopaedics, 6(1), 2473011420982275. doi: 10.1177/2473011420982275.
dc.relation.referencesSuzuki Y, Edama M, Kaneko F, Ikezu M, Matsuzawa K, Hirabayashi R, et al. Morphological characteristics of the Lisfranc ligament. J Foot Ankle Res. 2020;13(1). doi: 10.1186/s13047-020-00412-0.
dc.relation.referencesMoracia-Ochagavía I, Rodríguez-Merchán EC. Lisfranc fracture-dislocations: current management. EFORT Open Rev. 2019;4(7):430–44. doi: 10.1302/2058-5241.4.180076.
dc.relation.referencesSeow D, Yasui Y, Chan LYT, Murray G, Kubo M, Nei M, et al. Inconsistent radiographic diagnostic criteria for lisfranc injuries: a systematic review. BMC Musculoskelet Disord. 2023;24(1). doi: 10.1186/s12891-023-07043-z.
dc.relation.referencesCastro M, Melão L, Canella C, Weber M, Negrão P, Trudell D, et al. Lisfranc joint ligamentous complex: MRI with anatomic correlation in cadavers. AJR Am J Roentgenol. 2010;195(6):W447–55. doi: 10.2214/ajr.10.4674.
dc.relation.referencesDe-las-Heras Romero J. Classification and management of Lisfranc joint injuries: current concepts. Curr Orthop Pract. 2016;27(6):680–5. doi: 10.1097/bco.0000000000000435.
dc.relation.referencesMascio A, Greco T, Maccauro G, Perisano C. Lisfranc complex injuries management and treatment: current knowledge. Int J Physiol Pathophysiol Pharmacol. 2022;14(3):161–70.
dc.relation.referencesCarrascoso J, Iriarte I, Serrano M, Cerezal L, Llopis E. Lisfranc injury imaging and surgical management. Semin Musculoskelet Radiol. 2016;20(02):139–53. doi: 10.1055/s-0036-1581119.
dc.relation.referencesSiddiqui NA, Galizia MS, Almusa E, Omar IM. Evaluation of the tarsometatarsal joint using conventional radiography, CT, and MR imaging. Radiographics. 2014;34(2):514–31. doi: 10.1148/rg.342125215.
dc.relation.referencesThomas JL, Kopiec A, Mark K, Chandler LM. Radiographic value of the Lisfranc diastasis in a standardized population. Foot Ankle Spec. 2020;13(6):494–501. doi: 10.1177/1938640019890738.
dc.relation.referencesSripanich Y, Weinberg MW, Krähenbühl N, Rungprai C, Mills MK, Saltzman CL, et al. Imaging in Lisfranc injury: a systematic literature review. Skeletal Radiol. 2020;49(1):31–53. doi: 10.1007/s00256-019-03282-1.
dc.relation.referencesFalcon S, McCormack T, Mackay M, Wolf M, Baker J, Tarakemeh A, et al. Retrospective chart review: Weightbearing CT scans and the measurement of the Lisfranc ligamentous complex. Foot Ankle Surg. 2023;29(1):39–43. doi: 10.1016/j.fas.2022.08.011.
dc.relation.referencesTalaski GM, Baumann AN, Walley KC, Anastasio AT, de Cesar Netto C. Weightbearing computed tomography vs conventional tomography for examination of varying degrees of Lisfranc injuries: A systematic review of the literature. Foot Ankle Orthop. 2023;8(4). doi: 10.1177/24730114231209767.
dc.relation.referencesKitsukawa K, Hirano T, Niki H, Tachizawa N, Mimura H. The diagnostic accuracy of MRI to evaluate acute Lisfranc joint injuries: Comparison with direct operative observations. Foot Ankle Orthop. 2022;7(1). doi: 10.1177/24730114211069080.
dc.relation.referencesPearsall C, Arciero E, Gupta P, Bäcker H, Tantigate D, Trofa DP, et al. Defining operative indications in Lisfranc injuries: A systematic review. Foot Ankle Spec. 2023;193864002311753. doi: 10.1177/19386400231175376.
dc.relation.referencesDeLuca MK, Boucher LC. Morphology of the lisfranc joint complex. J Foot Ankle Surg. 2023;62(2):261–6. doi: 10.1053/j.jfas.2022.07.004.
dc.relation.referencesSripanich Y, Steadman J, Krähenbühl N, Rungprai C, Saltzman CL, Lenz AL, et al. Anatomy and biomechanics of the Lisfranc ligamentous complex: A systematic literature review. J Biomech. 2021;119(110287):110287. doi: 10.1016/j.jbiomech.2021.110287.
dc.relation.referencesDe Bruijn J, Hagemeijer NC, Rikken QGH, Husseini JS, Saengsin J, Kerkhoffs GMMJ, et al. Lisfranc injury: Refined diagnostic methodology using weightbearing and non-weightbearing radiographs. Injury. 2022 ;53(6):2318–25. doi: 10.1016/j.injury.2022.02.040.
dc.relation.referencesRikken QGH, Hagemeijer NC, De Bruijn J, Kaiser P, Kerkhoffs GMMJ, DiGiovanni CW, et al. Novel values in the radiographic diagnosis of ligamentous Lisfranc injuries. Injury. 2022;53(6):2326–32. doi: 10.1016/j.injury.2022.02.044.
dc.relation.referencesTang L, Zhou W, Bai L, Wu C, Xiong C, Yan Y, et al. Comparison of diagnostic performance of X‑ray, CT and MRI in patients with surgically confirmed subtle Lisfranc injuries. Exp Ther Med. 2024;27(4). doi: 10.3892/etm.2024.12462.
dc.rights.accessrightsinfo:eu-repo/semantics/closedAccess
dc.rights.accessrightshttp://purl.org/coar/access_right/c_14cb
dc.rights.localAcceso cerradospa
dc.subjectArticulación de lisfranc
dc.subjectLesiones del pie
dc.subjectEstudio cadavérico
dc.subjectTomografía axial computarizada
dc.subject.keywordsLisfranc joint
dc.subject.keywordsfoot injuries
dc.subject.keywordscadaveric study
dc.subject.keywordscomputed tomography
dc.subject.nlmWE 168
dc.titleSistema de Medición estandarizado para articulación de Lisfranc en Tomografía Axial Computada. Estudio experimental
dc.title.translatedStandardized Measurement System for Lisfranc joint in Computed Axial Tomography. Experimental study
dc.type.coarhttps://purl.org/coar/resource_type/c_7a1f
dc.type.coarversionhttps://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driverinfo:eu-repo/semantics/bachelorThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesis/Trabajo de grado - Monografía - Especializaciónspa

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