<?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>1889-836X</journal-id>
<journal-title><![CDATA[Revista de Osteoporosis y Metabolismo Mineral]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Osteoporos Metab Miner]]></abbrev-journal-title>
<issn>1889-836X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Investigaciones Óseas y Metabolismo Mineral]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1889-836X2026000100037</article-id>
<article-id pub-id-type="doi">10.20960/revosteoporosmetabminer.00096</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La cara oculta de la fractura de muñeca]]></article-title>
<article-title xml:lang="en"><![CDATA[The dark side of wrist fractures]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toribio]]></surname>
<given-names><![CDATA[Ana María Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cid-Bassaletti]]></surname>
<given-names><![CDATA[Constanza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segovia]]></surname>
<given-names><![CDATA[Ramón Costa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Complejo Asistencial de Zamora Servicio de Medicina Física y Rehabilitación ]]></institution>
<addr-line><![CDATA[Zamora ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundación para la Investigación e Innovación Biomédica de los Hospitales Infanta Sofía y Henares Hospital Universitario Infanta Sofía Servicio de Medicina Física y Rehabilitación]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario 12 de Octubre Servicio de Medicina Interna ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<volume>18</volume>
<numero>1</numero>
<fpage>37</fpage>
<lpage>44</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1889-836X2026000100037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1889-836X2026000100037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1889-836X2026000100037&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: la fractura de radio distal (FRD) es uno de los motivos de consulta más frecuentes en Rehabilitación y afecta principalmente a mujeres de edad avanzada.  Caso clínico: se presenta el caso clínico de una mujer de 78 años con una fractura de radio distal de evolución tórpida. Tras una anamnesis y exploración detallada se sospecha distrofia simpático refleja (DSR). Se objetivó osteoporosis moteada en radiografía simple de muñeca, así como alteraciones analíticas (hipovitaminosis D) y densitométricas (osteopenia en fémur/osteoporosis en columna).  Discusión: el objetivo del tratamiento rehabilitador es obtener la máxima funcionalidad de la extremidad afectada, acelerar la recuperación y prevenir complicaciones como la rigidez articular y el dolor. Existen entidades nosológicas que inicialmente pueden pasar desapercibidas provocando una evolución clínica desfavorable. Es fundamental realizar un diagnóstico y tratamiento precoces para minimizar complicaciones y secuelas a largo plazo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: distal radius fracture is one of the most common reasons for consultation in rehabilitation and mainly affects elderly women.  Case report: we present the clinical case of a 78-year-old woman with a slow-healing distal radius fracture. After a detailed medical history and examination, reflex sympathetic dystrophy is suspected. Speckled osteoporosis was observed on plain wrist radiography, as well as laboratory abnormalities (hypovitaminosis D) and densitometric abnormalities (osteopenia in the femur/osteoporosis in the spine).  Discussion: the goal of rehabilitation treatment is to achieve maximum functionality of the affected limb, accelerate recovery, and prevent complications such as joint stiffness and pain. There are nosological entities that may initially go unnoticed, leading to an unfavorable clinical course. Early diagnosis and treatment are essential to minimize complications and long-term sequelae.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fractura de radio distal]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de dolor regional complejo]]></kwd>
<kwd lng="es"><![CDATA[Distrofia simpático refleja]]></kwd>
<kwd lng="es"><![CDATA[Tratamiento precoz]]></kwd>
<kwd lng="es"><![CDATA[Osteoporosis]]></kwd>
<kwd lng="en"><![CDATA[Distal radius fracture]]></kwd>
<kwd lng="en"><![CDATA[Complex regional pain syndrome]]></kwd>
<kwd lng="en"><![CDATA[Reflex sympathetic dystrophy]]></kwd>
<kwd lng="en"><![CDATA[Early treatment]]></kwd>
<kwd lng="en"><![CDATA[Osteoporosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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