{"id":5562,"date":"2018-08-13T15:22:07","date_gmt":"2018-08-13T18:22:07","guid":{"rendered":"http:\/\/barcainnovationhub.com\/?p=5562"},"modified":"2021-11-23T10:03:33","modified_gmt":"2021-11-23T13:03:33","slug":"cirurgia-lesions-isquiotibials","status":"publish","type":"post","link":"https:\/\/barcainnovationhub.com\/ca\/cirurgia-lesions-isquiotibials\/","title":{"rendered":"LA CIRURGIA EN LESIONS DEL TEND\u00d3 CENTRAL DELS ISQUIOTIBIALS: UN ESTUDI PROPI"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"<p>Fa dos anys, l\u2019equip m\u00e8dic del FC Barcelona va decidir operar aquells esportistes amb aquest tipus de lesi\u00f3. Quins resultats s&#8217;han obtingut?<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[221,43,31],"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=\"Fa dos anys, l\u2019equip m\u00e8dic del FC Barcelona va decidir operar aquells esportistes amb aquest tipus de lesi\u00f3. 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Solen ser de m\u00e9s gravetat si afecten les estructures tendinoses, ja que aix\u00f2 complica el pron\u00f2stic i allarga els terminis de recuperaci\u00f3.<\/p>\n<p><strong>Les lesions en el tend\u00f3 central dels isquiotibials<\/strong> es produeixen generalment a uns 10-20 cent\u00edmetres del seu origen superior i solen ser dif\u00edcils de diagnosticar, ja que pot semblar que afecten \u00fanicament les fibres musculars. Actualment no hi ha criteris clars sobre quin ha de ser el seu tractament. <strong>Tot i que poden recuperar-se mitjan\u00e7ant un tractament conservador (rep\u00f2s, ultrasons, massatge o estiraments), les recurr\u00e8ncies s\u00f3n freq\u00fcents i hi ha casos en qu\u00e8 sembla aconsellable la cirurgia.<\/strong><\/p>\n<blockquote><p>Fa dos anys, l\u2019equip m\u00e8dic del FC Barcelona va decidir operar aquells esportistes amb aquest tipus de lesi\u00f3 \u201csi era cr\u00f2nica i recurrent o si era aguda per\u00f2 el trencament era total i els extrems del tend\u00f3 estaven allunyats\u201d, comenta Ricard Pruna, cap dels serveis m\u00e8dics del club.<\/p><\/blockquote>\n<p>Recentment \u2014juntament amb els responsables de la Sports Trauma Research Unit de l\u2019hospital Mehil\u00e4inen de Finl\u00e0ndia\u2014 s\u2019han publicat els resultats d\u2019aquesta iniciativa a la revista <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5818092\/\" target=\"_blank\" rel=\"noopener\"><em>The Orthopedic Journal of Sports Medicine<\/em><\/a>.<\/p>\n<p>&nbsp;<\/p>\n<h2>Prometedors resultats de la cirurgia<\/h2>\n<p>Fins aquest moment s\u2019han operat vuit esportistes amb aquest tipus de lesi\u00f3, cinc dels quals eren futbolistes professionals que patien recaigudes. \u201cEn el cas de lesi\u00f3 aguda, la cirurgia consisteix a reunir els extrems del tend\u00f3 en el que es coneix com una sutura <em>cap amb cap<\/em>\u201d, explica Pruna. \u201cSi \u00e9s cr\u00f2nica, cal retensar-ho, per la qual cosa s\u2019utilitza un clau fixat en la part superior\u201d.<\/p>\n<p>Tots ells van ser diagnosticats mitjan\u00e7ant l\u2019\u00fas de la resson\u00e0ncia magn\u00e8tica. \u201cHem de tenir-ne indicis cl\u00ednicament i llavors repetir la prova d\u2019imatge despr\u00e9s d\u2019un cert temps, perqu\u00e8 la sang acumulada permeti observar clarament la lesi\u00f3\u201d, apunta.<\/p>\n<blockquote><p>Els resultats fins ara han estat molt positius. Un cop acabada la rehabilitaci\u00f3, que va durar entre 2,5 i 4 mesos, no ha sorgit cap problema en el per\u00edode de seguiment.<\/p><\/blockquote>\n<p>Aquest tipus de lesions \u2014considerades globalment\u2014 es repeteixen en aproximadament el 30% dels qui les pateixen. En aquest cas, tanmateix, i tot i que es tracta en principi de casos amb pitjor pron\u00f2stic, <strong>\u201cno hi ha hagut cap recaiguda, i tots han recuperat el nivell que tenien abans de la lesi\u00f3\u201d, assegura Pruna.<\/strong><\/p>\n<p>&nbsp;<\/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, dissenyat per Gil Rodas<\/a><\/h4>\n<p>&nbsp;<\/p>\n<p>En tot cas, encara cal recopilar m\u00e9s dades i a m\u00e9s llarg termini. \u201cEns cal veure m\u00e9s casos i ampliar el temps d\u2019evoluci\u00f3 per tenir clares les conclusions\u201d, reconeix Pruna, que alhora est\u00e0 \u201cesperan\u00e7at, perqu\u00e8 ens est\u00e0 donant molt bons resultats. Aviat veurem que les indicacions per utilitzar la cirurgia s\u00f3n molt clares\u201d.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>L\u2019equip de Bar\u00e7a Innovation Hub<\/em><\/strong><\/p>\n"}],"banner_1":[{"activar_imagen_unica_para_banner":true,"imagen_unica_para_banner":"https:\/\/static.capabiliaserver.com\/frontend\/clients\/barca\/wp_prod\/wp-content\/uploads\/2021\/08\/7faec6ce-fondo-08.png","activar_titulo_banner":true,"titulo_banner":"APUNTA\u2019T AL CERTIFICAT EN METGE D\u2019EQUIP \u2013 CONCEPTES ESSENCIALS","activar_subtitulo_banner":false,"subtitulo_banner":"","activar_cta_banner":true,"cta_texto_banner":"UNIR-SE ARA","cta_url_banner":"https:\/\/barcainnovationhub.com\/ca\/product\/certificat-en-metge-dequip-conceptes-essencials\/?utm_source=ads_banner&utm_medium=content&utm_campaign=notas","color_fondo_banner":"","imagen_fondo_banner":false,"activar_imagen_izquierda_banner":false,"imagen_izquierda_banner":false}],"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":"","activar_nuevos_banners":true,"activar_banner_1":false,"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\/11\/0c419a94-fondo-12-3.png","mostrar_titulo_banner":true,"titulo_para_banner":"APUNTA\u2019T AL CERTIFICAT EN METGE D\u2019EQUIP \u2013 CONCEPTES ESSENCIALS","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-metge-dequip-conceptes-essencials\/?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},"alineacion_vertical_header":"center"},"_links":{"self":[{"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/posts\/5562"}],"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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/comments?post=5562"}],"version-history":[{"count":5,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/posts\/5562\/revisions"}],"predecessor-version":[{"id":109426,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/posts\/5562\/revisions\/109426"}],"wp:attachment":[{"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/media?parent=5562"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/categories?post=5562"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/tags?post=5562"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}