{"id":24137,"date":"2019-06-05T14:58:35","date_gmt":"2019-06-05T17:58:35","guid":{"rendered":"https:\/\/barcainnovationhub.com\/?p=24137"},"modified":"2021-11-25T11:29:35","modified_gmt":"2021-11-25T14:29:35","slug":"el-tendo-del-plantar-un-nou-actor-en-les-tendinopaties-aquil%c2%b7lianes-resistents","status":"publish","type":"post","link":"https:\/\/barcainnovationhub.com\/ca\/el-tendo-del-plantar-un-nou-actor-en-les-tendinopaties-aquil%c2%b7lianes-resistents\/","title":{"rendered":"EL TEND\u00d3 DEL PLANTAR, UN NOU ACTOR EN LES TENDINOPATIES AQUIL\u00b7LIANES RESISTENTS"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"<p>La tendinopatia cr\u00f2nica del tend\u00f3 d\u2019Aquil\u00b7les \u00e9s una de les m\u00e9s freq\u00fcents en aquest tipus de malalties, tant en esportistes com en persones no per for\u00e7a relacionades amb l\u2019esport. <\/p>\n","protected":false},"author":24,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[221,43,43,31,31,18],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v16.6.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<meta name=\"description\" content=\"La tendinopatia cr\u00f2nica del tend\u00f3 d\u2019Aquil\u00b7les \u00e9s una de les m\u00e9s freq\u00fcents en aquest tipus de malalties, tant en esportistes com en persones no per for\u00e7a relacionades amb l\u2019esport.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/barcainnovationhub.com\/ca\/el-tendo-del-plantar-un-nou-actor-en-les-tendinopaties-aquil%c2%b7lianes-resistents\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta 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tendinopatia cr\u00f2nica del tend\u00f3 d\u2019Aquil\u00b7les \u00e9s una de les m\u00e9s freq\u00fcents en aquest tipus de malalties, tant en esportistes com en persones no per for\u00e7a relacionades amb l\u2019esport. No obstant aix\u00f2, les causes i els mecanismes relacionats encara no es comprenen del tot, i moltes vegades el tractament \u00e9s un gran repte per als metges i recuperadors. Tot i que molts pacients milloren amb tractaments conservadors basats en c\u00e0rregues graduals, alguns casos s\u00f3n resistents i es prolonguen en el temps sense resultats. Darrerament, alguns investigadors han observat que un altre tend\u00f3, el del m\u00fascul plantar, podria estar al darrere d\u2019aquests casos, la qual cosa confon el diagn\u00f2stic exacte i en condiciona la recuperaci\u00f3, per a la qual caldrien altres procediments.<\/p>\n<p>Lorenzo Masci, consultor i metge esportiu, va presentar part d\u2019aquestes troballes en la confer\u00e8ncia de l&#8217;any passat i de nou estar\u00e0 present a l\u2019<a href=\"https:\/\/barcainnovationhub.com\/es\/event\/barca-sports-medicine-conference\/\" target=\"_blank\" rel=\"noopener\">11a Bar\u00e7a Sports Medicine Conference<\/a> organitzada pel Bar\u00e7a Innovation Hub. A m\u00e9s, en publica un resum a la revista <em><a href=\"https:\/\/www.apunts.org\/en-plantaris-tendon-association-with-mid-portion-articulo-S1886658118300434\" target=\"_blank\" rel=\"noopener\">Apunts. Medicina de l\u2019Esport<\/a>.<\/em><\/p>\n<p>&nbsp;<\/p>\n<h2>El tend\u00f3 del plantar, el gran sospit\u00f3s<\/h2>\n<p>El tend\u00f3 del m\u00fascul plantar recorre gaireb\u00e9 tot el panxell per la part interna, passa pel costat del tend\u00f3 d\u2019Aquil\u00b7les i acaba inserint-se en l\u2019os calcani, tot i que el trajecte exacte varia entre persones. Si b\u00e9 el m\u00fascul no \u00e9s gens funcional en l\u2019\u00e9sser hum\u00e0, sembla que pot causar problemes. En els \u00faltims anys s\u2019han descrit cada vegada m\u00e9s casos en els quals el tend\u00f3 del plantar i el d\u2019Aquil\u00b7les es trobaven massa a prop l\u2019un de l\u2019altre en tendinopaties aquil\u00b7lianes resistents, fins i tot adherits i envoltats per teixit inflamat, amb una matriu de teixit conjuntiu molt desorganitzada a la part interna del darrer. \u201cCreiem que hi ha un subgrup de pacients que presenten una interfer\u00e8ncia del plantar. Encara no en coneixem la incid\u00e8ncia real, per\u00f2 cada cop veiem m\u00e9s pacients en els quals no funciona el programa de rehabilitaci\u00f3 tradicional\u201d, comenta Masci.<\/p>\n<p>No es coneixen prou b\u00e9 els mecanismes exactes pels quals el plantar lesiona el tend\u00f3 d\u2019Aquil\u00b7les, per\u00f2 hi ha sospites que, quan el primer s\u2019engrosseix, acaba comprimint i engrossint el segon, la qual cosa provoca fins i tot que s\u2019adhereixin entre ells. Es creu que el recorregut en algunes variants anat\u00f2miques augmenten aquest risc.<\/p>\n<p>&nbsp;<\/p>\n<h2>Repercussions en el diagn\u00f2stic i el tractament<\/h2>\n<p>En general, cal sospitar d\u2019una afectaci\u00f3 del plantar quan hi ha una tendinopatia del tend\u00f3 d\u2019Aquil\u00b7les a la part mitjana i interna resistent al tractament. L\u2019ecografia pot revelar un tend\u00f3 engrossit amb un augment del corrent sanguini. Altres t\u00e8cniques d\u2019imatge m\u00e9s modernes, com les anomenades <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4765029\/\" target=\"_blank\" rel=\"noopener\"><em>Ultrasound Tissue Characterisation<\/em><\/a> mostren una matriu de col\u00b7lagen desestructurada a la part del tend\u00f3 d\u2019Aquil\u00b7les relacionada amb el plantar.<\/p>\n<p>Pel que fa al tractament, la rehabilitaci\u00f3 habitual consisteix en \u201cun programa progressiu de c\u00e0rrega alta, generalment amb s\u00e8ries d\u2019aixecaments de panxell\u201d, explica Masci. \u201cNo obstant aix\u00f2, la nostra hip\u00f2tesi \u00e9s que les tendinopaties del tend\u00f3 d\u2019Aquil\u00b7les relacionades amb el plantar s\u00f3n m\u00e9s dif\u00edcils de gestionar. Basant-nos en els estudis amb cad\u00e0vers que demostren l\u2019augment de la pressi\u00f3 entre aquests tendons al final del grau de flexi\u00f3 plantar i dorsal, recomanem limitar aquests exercicis per evitar la sobrec\u00e0rrega\u201d. Un exercici m\u00e9s efica\u00e7 podria consistir a enfocar l\u2019esfor\u00e7 en el grau mitj\u00e0 de posicions del turmell.<\/p>\n<p>Un altre tipus de tractament podria ser l\u2019extirpaci\u00f3 del tend\u00f3 del plantar mitjan\u00e7ant una intervenci\u00f3 quir\u00fargica. Els pocs estudis duts a terme semblen prometedors, per\u00f2 Masci recomana prud\u00e8ncia: \u201cNecessitem encara assaigs cl\u00ednics que ho demostrin\u201d, conclou.<\/p>\n<p>&nbsp;<\/p>\n<p><em>L\u2019equip Bar\u00e7a Innovation Hub<\/em><\/p>\n<h4><a href=\"http:\/\/barcainnovationhub.com\/ca\/product\/certificat-en-metge-dequip-conceptes-essencials\/\" target=\"_blank\" rel=\"noopener\">Apunta\u2019t al Certificat en Metge d\u2019Equip \u2013 Conceptes essencials<\/a><\/h4>\n"}],"activar_banner_2":false,"banner_2":false,"activar_banner_3":false,"banner_3":false,"id_magento":"","colaboradores":false,"cta_titulo_top":"","cta_boton_top":"","cta_url_top":"","cta_titulo_footer":"","cta_subtitulo_footer":"","cta_boton_footer":"","cta_url_footer":"","alineacion_vertical_header":"center","activar_banner_1":false,"banner_1":false,"activar_nuevos_banners":true,"mostrar_banner_1":true,"crear_banner_1":{"utilizar_imagen_unica_para_banner":true,"asignar_imagen_unica_para_banner":"https:\/\/barcainnovationhub.com\/wp-content\/uploads\/2021\/10\/c7929a9b-fondo-07-3.png","mostrar_titulo_banner":true,"titulo_para_banner":"APUNTA\u2019T AL CERTIFICAT EN C\u00c0RREGA DE TREBALL I LESIONS EN ESPORTS D\u2019EQUIP","mostrar_subtitulo_banner":false,"subtitulo_del_banner":"","mostrar_cta_banner":true,"texto_cta_banner":"UNIR-SE ARA","url_cta_banner":"https:\/\/barcainnovationhub.com\/ca\/product\/certificat-en-carrega-de-treball-i-lesions-en-esports-dequip\/?utm_source=ads_banner&utm_medium=content&utm_campaign=notas","fondo_de_color_banner":"","fondo_de_imagen_banner":false,"mostrar_imagen_izquierda_banner":false,"asignar_imagen_izquierda_banner":false},"mostrar_banner_2":false,"crear_banner_2":{"utilizar_imagen_unica_para_banner":false,"asignar_imagen_unica_para_banner":false,"mostrar_titulo_banner":false,"titulo_para_banner":"","mostrar_subtitulo_banner":false,"subtitulo_del_banner":"","mostrar_cta_banner":false,"texto_cta_banner":"","url_cta_banner":"","fondo_de_color_banner":"","fondo_de_imagen_banner":false,"mostrar_imagen_izquierda_banner":false,"asignar_imagen_izquierda_banner":false},"mostrar_banner_3":false,"crear_banner_3":{"utilizar_imagen_unica_para_banner":false,"asignar_imagen_unica_para_banner":false,"mostrar_titulo_banner":false,"titulo_para_banner":"","mostrar_subtitulo_banner":false,"subtitulo_del_banner":"","mostrar_cta_banner":false,"texto_cta_banner":"","url_cta_banner":"","fondo_de_color_banner":"","fondo_de_imagen_banner":false,"mostrar_imagen_izquierda_banner":false,"asignar_imagen_izquierda_banner":false}},"_links":{"self":[{"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/posts\/24137"}],"collection":[{"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/users\/24"}],"replies":[{"embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/comments?post=24137"}],"version-history":[{"count":5,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/posts\/24137\/revisions"}],"predecessor-version":[{"id":110387,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/posts\/24137\/revisions\/110387"}],"wp:attachment":[{"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/media?parent=24137"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/categories?post=24137"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/tags?post=24137"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}