<?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>2521-2281</journal-id>
<journal-title><![CDATA[Medicina clínica y social]]></journal-title>
<abbrev-journal-title><![CDATA[Med. clín. soc.]]></abbrev-journal-title>
<issn>2521-2281</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Ciencias Médicas, Filial de Santa Rosa del Aguaray, Cátedra de Socioantropología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2521-22812024000300390</article-id>
<article-id pub-id-type="doi">10.52379/mcs.v8i2.498</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Funcionalidad de la mano luego de una carpectomía proximal: primer caso en el servicio de kinesiología de la Universidad Nacional de Asunción]]></article-title>
<article-title xml:lang="en"><![CDATA[Functionality of the hand after a proximal carpectomy: first case in the kinesiology service of the National University of Asuncion]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ibáñez]]></surname>
<given-names><![CDATA[Lenis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernaola]]></surname>
<given-names><![CDATA[Claudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuevas]]></surname>
<given-names><![CDATA[Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almirón]]></surname>
<given-names><![CDATA[Marcos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>8</volume>
<numero>3</numero>
<fpage>390</fpage>
<lpage>394</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2521-22812024000300390&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2521-22812024000300390&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2521-22812024000300390&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La muñeca es el segmento anatómico que permite aproximar la mano a la boca, las fracturas luxaciones de los huesos del carpo son poco frecuentes, corresponden entre el 5-7% de las fracturas de la muñeca y la mano, se presentan mediante traumatismos de alta energía generando así una discapacidad física y funcional importante para el paciente. La carpectomía de la hilera proximal tiene como objetivo preservar la movilidad de la muñeca y reducir su deterioro para las actividades de la vida diaria. Se presenta un paciente de sexo masculino de 41 años de edad de profesión aserradero que fue derivado a rehabilitación fisioterapéutica post intervención quirúrgica por traumatismo de alta energía sobre la mano dominante a través un accidente de tránsito. La evolución fue favorable, a las 8 semanas de rehabilitación fisioterapéutica y siguiendo un protocolo de intervención mediado por ejercicios terapéuticos y de rehabilitación, el paciente logró realizar actividades voluntarias con la mano relacionadas a la movilidad y la fuerza de prensión.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The wrist is the anatomical segment that allows the hand to be brought closer to the mouth. Fractures and dislocations of the carpal bones are rare, accounting for between 5-7% of fractures of the wrist and hand and occur through high-risk trauma. energy thus generating a significant physical and functional disability for the patient. Proximal row carpectomy aims to preserve the mobility of the wrist and reduce its impairment for activities of daily living. We present a 41-year-old male patient with a sawmill profession who was referred to physiotherapy rehabilitation after surgery due to high-energy trauma to the dominant hand through a traffic accident. The evolution was favorable, after 8 weeks of physiotherapy rehabilitation and following an intervention protocol mediated by therapeutic and rehabilitation exercises, the patient was able to perform voluntary activities with the hand related to mobility and grip strength.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fractura - luxación]]></kwd>
<kwd lng="es"><![CDATA[carpectomía proximal]]></kwd>
<kwd lng="es"><![CDATA[ejercicios terapéuticos]]></kwd>
<kwd lng="es"><![CDATA[ejercicios de rehabilitación.]]></kwd>
<kwd lng="en"><![CDATA[fracture - dislocation]]></kwd>
<kwd lng="en"><![CDATA[proximal carpectomy]]></kwd>
<kwd lng="en"><![CDATA[therapeutic exercises]]></kwd>
<kwd lng="en"><![CDATA[rehabilitation exercises.]]></kwd>
</kwd-group>
</article-meta>
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