<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2306-4102</journal-id>
<journal-title><![CDATA[Acta ortopédica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta ortop. mex]]></abbrev-journal-title>
<issn>2306-4102</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Ortopedia y Traumatología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2306-41022016000200057</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Luxación de tendones extensores de la mano a nivel metacarpofalángico (zona V de Verdan)]]></article-title>
<article-title xml:lang="en"><![CDATA[Dislocation of the extensor tendons of the hand at the metacarpo-phalangeal level (zone V of Verdan)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Vázquez]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ayala-Gamboa]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico ABC  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2016</year>
</pub-date>
<volume>30</volume>
<numero>2</numero>
<fpage>57</fpage>
<lpage>60</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022016000200057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022016000200057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022016000200057&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La luxación de los tendones extensores a nivel metacarpofalángico (MCF) de los dedos es una alteración mecánica poco frecuente que se caracteriza por incompetencia o ruptura de la banda sagital (BS), estructura que estabiliza dichos tendones. Se manifiesta por desplazamiento cubital del tendón extensor (en raras ocasiones, la luxación es radial o divergente), que limita su función y puede causar dolor o chasquido. El diagnóstico se hace al observar el tendón extensor del lado cubital de la articulación MCF en flexión del dedo. El tratamiento debe ser conservador cuando el diagnóstico se efectúa en las primeras tres semanas. Se recomienda tratamiento quirúrgico cuando el diagnóstico es tardío. Existen varias técnicas de reparación quirúrgica.  Material y métodos:  Se revisaron bases de datos electrónicas (Ovid y Medline) en busca de artículos relacionados con esta patología. Se examinaron los casos de luxación de tendones extensores en zona V en nuestros pacientes.  Resultados:  Se encontraron 10 artículos y cuatro libros relacionados con esta patología. Analizamos 18 individuos con 21 lesiones de Abril de 1978 a Agosto de 2011; de ellos, 10 fueron hombres y ocho mujeres, con edad de 21 a 73 años (promedio, 47 años). El dedo más afectado fue el medio (con 13 casos), seguido del índice (con cinco casos), el meñique (con dos casos) y el anular (con un caso). Trece sujetos fueron tratados quirúrgicamente y ocho de forma conservadora. Las técnicas quirúrgicas utilizadas fueron: de Wheeldon en siete personas, combinación de reparación primaria con técnica de Wheeldon en cuatro casos, reparación primaria de la BS y técnica de Carroll en un paciente cada una. El seguimiento mínimo fue de un año y el más largo de 34 años (promedio, 17.5 años).  Discusión:  Las lesiones de tendones extensores en zona V son poco frecuentes. Cuando el diagnóstico es tardío, requieren tratamiento quirúrgico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Traumatic dislocation of the extensor tendon over the metacarpophalangeal (MCP) joint is a rare lesion that is caused by the dysfunction or rupture of the sagittal band, which is an important stabilizing structure of the extensor tendon. This mechanical alteration presents itself as instability that affects function and may cause pain or snapping during finger motion. The diagnosis is made when ulnar dislocation of the extensor tendon is observed over the MCP joint. Nonsurgical treatment is successful and should be attempted when injuries are diagnosed within the first three weeks. Several surgical repairs have been described.  Material and methods:  We searched medical databases (Ovid, Medline) for papers on extensor tendon dislocation. We also revised our own cases of this injury.  Results:  Our search resulted in 10 articles and four books. We found 18 patients with 21 injuries, 10 men and eight women. The most frequently affected finger was the middle one (in thirteen cases), followed by the index (in five cases), the fourth finger (in two cases) and the third one (in one case). Eight of our patients were treated conservatively and thirteen required surgical treatment. The surgical procedures performed were Wheeldon's in seven cases; primary repair of the sagittal band and Wheeldon in four cases; primary repair alone in one case; and Carroll's in one case. The follow-up was between one and 34 years (average: 17.5 years).  Discussion:  Extensor tendon dislocation in zone V is rare. When the diagnosis is made after three weeks of the lesion, the surgical treatment is recommended.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tendón]]></kwd>
<kwd lng="es"><![CDATA[extensor]]></kwd>
<kwd lng="es"><![CDATA[luxación]]></kwd>
<kwd lng="es"><![CDATA[mano]]></kwd>
<kwd lng="es"><![CDATA[tratamiento]]></kwd>
<kwd lng="en"><![CDATA[Tendon]]></kwd>
<kwd lng="en"><![CDATA[extensor]]></kwd>
<kwd lng="en"><![CDATA[dislocation]]></kwd>
<kwd lng="en"><![CDATA[hand]]></kwd>
<kwd lng="en"><![CDATA[treatment]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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