<?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>S2306-41022017000100012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Frecuencia de diagnóstico de lesiones óseas en luxación glenohumeral anterior]]></article-title>
<article-title xml:lang="en"><![CDATA[Frecuency of diagnosis of bone lesions in cases of anterior glenohumeral dislocation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galdámez-Grajeda]]></surname>
<given-names><![CDATA[PG]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Esperón-Hernández]]></surname>
<given-names><![CDATA[RI]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Escalante]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bobadilla-Lezcano]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cámara-Arrigunaga]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Ortopedia  ]]></institution>
<addr-line><![CDATA[Mérida Yucatán]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Investigación  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital de Ortopedia  ]]></institution>
<addr-line><![CDATA[Mérida Yucatán]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2017</year>
</pub-date>
<volume>31</volume>
<numero>1</numero>
<fpage>12</fpage>
<lpage>17</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022017000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022017000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022017000100012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Antecedentes:  Las luxaciones de hombro son motivo común de consulta en las salas de emergencia; presentan un alto índice de recurrencia (hasta 96%) a causa de las lesiones óseas asociadas. El objetivo de este estudio fue identificar un subregistro de lesiones identificadas en radiografía inicial comparada con radiografía postreducción.  Material y métodos:  Se evaluaron las radiografías de 46 pacientes con sospecha de luxación glenohumeral anterior para diagnóstico e identificación de lesiones óseas iniciales; posteriormente, se realizó reducción y se analizó la serie ósea radiográfica postreducción (AP, Stryker y West Point) para evidenciar lesiones óseas subdiagnosticadas inicialmente.  Resultados:  Se identificó lesión ósea en 26.1% de los individuos en la radiografía AP en un primer momento; de las personas que no mostraron fractura prerreducción, en 67.6% se encontró lesión ósea en las series radiográficas postreducción.  Conclusiones:  Se encontró un subdiagnóstico de 67.6% de las lesiones evidentes en la serie ósea postreducción en comparación con la radiografía AP inicial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background:  Shoulder dislocation is a common reason for admission in the emergency room. Its recurrence rate may be as high as 96% due to the associated bone lesions. The purpose of this study is to identify the underreporting of lesions comparing those identified in the initial X-ray with those identified in the post-reduction X-ray.  Material and methods:  X-rays of 46 patients with suspected anterior glenohumeral dislocation were assessed for diagnostic purposes and to identify the initial bone lesions. After patients had undergone reduction, post-reduction serial bone X-rays (AP, Stryker, Westpoint) were taken and analyzed looking for bone lesions that were initially missed.  Results:  Bone lesions were identified in 26.1% of the patients based on the initial AP X-rays. In 67.6% of the patients without a pre-reduction fracture a bone lesion was found in the post-reduction serial X-rays.  Conclusions:  The underreporting rate of bone lesions was 67.6% comparing the initial AP X-rays with the post-reduction serial bone X-rays.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Luxación]]></kwd>
<kwd lng="es"><![CDATA[hombro]]></kwd>
<kwd lng="es"><![CDATA[frecuencia]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="en"><![CDATA[Dislocation]]></kwd>
<kwd lng="en"><![CDATA[shoulder]]></kwd>
<kwd lng="en"><![CDATA[frequency]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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