8. sd hombro doloroso
TRANSCRIPT
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Lo mas frecuente
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Signo de la tecla, al presionarla en la parte central sube y baja como unatecla
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Los hiperlaxos tienen signo de la Tecla bilateral
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Estudiar con RX, exámenes generales, punción articular
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Hemangioma
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5 causas mas frecuentes
Capsulitis adhesiva
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Fribrocartilago en el tendon del manguito de los rotadores, esta calcificación se Reabsorve y ahí empieza el dolor
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En la bursa
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La patología inicia parte en el tendón, si el pellizcamiento es primario es porFalla congénita de la forma del acromion
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Hoy en dia esta comprobado que la aparicion de osteofitos es secundaria a lesionesAromiales, y no como se pensaba antes que era a la inversa
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Hay tanto contacto que el tendon acromio deltoide se endurece
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Luego aparece el dolor nocturno
Pellizcamiento entre70A 120° al levantar el brazoAntes y después de eso El dolor no está
Abduccion o flexion asoiada a rotación puede producir dolor
Poner lidocaina en la articulaciónY hacer el movimiento, evaluando si aparece dolor
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osteofito
AP normal, la lesión solo aparece al Angular la articulacion
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plano
Curvo, es el mas frecuente
gancho
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Rotura, se ve el manguito retraido del supraespinoso
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Imposible rehabilitar al paciente sin movilidad
En espacio subacromial, buena respuesta
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En la descompresión se alivian los osteofitos
Se hacen en forma mixtaLos resultados de ambas son similaresLo importante es el resultado a largo plazo
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Se cura sola pero el hombro queda rígido
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Dg clínico con Rx normal
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Mover lo mas posible el hombro
Oral ha mostrado mejoría
Liquido frio que Aumenta el Volumen de la articulación
Al final
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Que el hombro congelado
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