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Evaluación y seguimiento clínico de pacientes intervenidos quirúrgicamente por fracturas claviculares y luxaciones acromioclaviculares en una institución de cuarto nivel en Bogotá-Colombia.

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dc.contributor.advisorSánchez Blanco, Juan Pablo
dc.creatorRincón Mora, Cristian Eduardo
dc.creatorHurtado Mogollón, Hugo Santiago
dc.creator.degreeEspecialista en Epidemiología (en Convenio con el CES)
dc.creator.degreeLevelEspecialización
dc.date.accessioned2025-09-08T12:49:23Z
dc.date.available2025-09-08T12:49:23Z
dc.date.created2025-07-17
dc.descriptionLas fracturas de clavícula (FC) y las luxaciones acromioclaviculares (LAC) son lesiones frecuentes del hombro que, en muchos casos, requieren manejo quirúrgico. Objetivo: Describir los desenlaces clínicos y funcionales de pacientes intervenidos quirúrgicamente por FC en el tercio medio o distal y por LAC, tratados entre 2021 y 2023 en una institución de cuarto nivel en Bogotá, Colombia. Materiales y Métodos: Estudio observacional, descriptivo de corte transversal con selección de 35 pacientes hecho mediante muestreo por conveniencia. Se realizó seguimiento clínico a 18 meses mediante la escala Constant-Murley Shoulder Score (CMSS). Resultados: El 77,1% de los casos correspondió a FC, principalmente del tercio medio. El mecanismo de trauma más común fue la caída en bicicleta (54,3%). El puntaje CMSS promedio fue de 83,6 puntos (DE 16,7), indicando una recuperación biomecánica satisfactoria. Sin embargo, el 80% reportó limitaciones funcionales en actividades diarias y el 62,86% en actividades deportivas. El grupo tratado con placa gancho presentó mayor dolor, mayor tasa de retiro de material y menor tolerancia funcional. La tasa de complicaciones posoperatorias fue baja (2,9%). Conclusión: El seguimiento a mediano plazo mostró resultados clínicos positivos, pero se evidenció una discrepancia entre la funcionalidad objetiva y la percepción subjetiva del paciente. Se recomienda complementar la evaluación con instrumentos que integren aspectos psicosociales y ocupacionales.
dc.description.abstractClavicle fractures (CF) and acromioclavicular dislocations (ACD) are common shoulder injuries that often require surgical management. Objective: To describe the clinical and functional outcomes of patients undergoing surgery for midshaft or distal CF and ACD, treated between 2021 and 2023 at a level IV institution in Bogotá, Colombia. Methods: Observational, descriptive, and retrospective study involving 35 patients selected through convenience sampling. Clinical follow-up was conducted up to 18 months using the Constant-Murley Shoulder Score (CMSS). Results: Clavicle fractures accounted for 77.1% of cases, mostly affecting the midshaft. Bicycle falls were the most frequent trauma mechanism (54.3%). The mean CMSS was 83.6 (SD 16.7), suggesting favorable biomechanical recovery. However, 80% reported significant limitations in daily activities and 62.86% in sports. Patients treated with hook plates experienced more pain, higher implant removal rates, and greater functional impairment. The overall postoperative complication rate was low (2.9%). Conclusion: Mid-term follow-up showed generally positive clinical outcomes, although a discrepancy was noted between objective functionality and patients’ subjective perception. The findings highlight the need for complementary assessment tools that incorporate psychosocial and occupational dimensions.
dc.format.extent41 pp
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.48713/10336_46424
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/46424
dc.language.isospa
dc.publisherUniversidad del Rosario
dc.publisherUniversidad CES
dc.publisher.departmentEscuela de Medicina y Ciencias de la Salud
dc.publisher.programEspecialización en Epidemiología
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
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dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectFractura de clavícula
dc.subjectLuxación acromioclavicular
dc.subjectOsteosíntesis
dc.subjectFuncionalidad
dc.subjectEscala Constant-Murley.
dc.subject.keywordClavicle fracture
dc.subject.keywordAcromioclavicular dislocation
dc.subject.keywordOsteosynthesis
dc.subject.keywordFunctionality
dc.subject.keywordConstant-Murley Score
dc.titleEvaluación y seguimiento clínico de pacientes intervenidos quirúrgicamente por fracturas claviculares y luxaciones acromioclaviculares en una institución de cuarto nivel en Bogotá-Colombia.
dc.title.TranslatedTitleClinical evaluation and follow-up of patients surgically treated for clavicle fractures and acromioclavicular dislocations at a fourth-level institution in Bogotá, Colombia.
dc.typebachelorThesis
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de grado
local.department.reportEscuela de Medicina y Ciencias de la Salud
local.regionesBogotá
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Especialización en Epidemiología