{"id":4387,"date":"2019-04-02T07:00:49","date_gmt":"2019-04-02T05:00:49","guid":{"rendered":"https:\/\/www.activasalut.com\/?p=4387"},"modified":"2019-04-02T16:54:47","modified_gmt":"2019-04-02T14:54:47","slug":"lesiones-de-labrum-en-la-cadera","status":"publish","type":"post","link":"https:\/\/www.activasalut.com\/ca\/lesiones-de-labrum-en-la-cadera\/","title":{"rendered":"Lesions de l\u00e0brum en el maluc"},"content":{"rendered":"\n

El l\u00e0brum <\/em><\/strong>\u00e9s la corona de fibrocart\u00edlag articular<\/em> que protegeix l’articulaci\u00f3 del maluc (la cavitat de la pelvis on s’instal\u00b7la el cap del f\u00e8mur), permetent el seu moviment com un rodet.<\/p>\n\n\n\n\n\n\n\n

Es situa, a manera d’anell, en l’acet\u00e0bul (pelvis) del maluc i estabilitza el cap del f\u00e8mur en el maluc.<\/p>\n\n\n\n

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MAYO CLINIC<\/a><\/em><\/figcaption><\/figure>\n\n\n\n

Patologia i Cl\u00ednica <\/strong><\/h3>\n\n\n\n

El l\u00e0brum<\/em><\/strong> pot lesionar-se trencant-se o des-inserint-se del cart\u00edlag articular al que est\u00e0 ancorat. Pot deure’s a traumatismes<\/strong>, xoc f\u00e8muracetabular<\/em><\/strong>, degeneraci\u00f3<\/strong>, displ\u00e0sia<\/strong>, … Aquesta patologia, \u00e9s comuna en esports on es juga en pista dura o semi- dura (parquet), com en el Tennis (pista ciment o greenset<\/em>), handbol, futbol sala, fins i tot en el P\u00e0del.  <\/strong><\/p>\n\n\n\n

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MAYO CLINIC<\/a><\/figcaption><\/figure>\n\n\n\n

Aquest any 2019 han estat famosos, els casos dels jugadors Aris Patiniotis (p\u00e0del) i Andy Murray (tennis), que han passat pel quir\u00f2fan, per solucionar els seus problemes de l\u00e0brum de maluc<\/em>. <\/p>\n\n\n\n

Quan el l\u00e0brum<\/em> es lesiona, disminueix la subjecci\u00f3 del maluc<\/strong>. Aix\u00f2 genera petites microinestabilitats<\/strong> que, en permetre que les superf\u00edcies articulars es copegin, poden produir lesions de cart\u00edlag<\/strong> (al capdavant femoral i acet\u00e0bul) produint artrosis articular<\/a><\/em><\/strong>. <\/p>\n\n\n\n

Normalment, els\npacients que sofreixen de lesions en el l\u00e0brum, tenen un dolor en l’engonal<\/strong> que de vegades irradia cap al gluti i que\ns’intensifica amb determinats moviments. Tamb\u00e9 refereixen sorolls o bloquejos articulars<\/strong> del maluc, aix\u00ed com inestabilitat (fallades) articular<\/strong>, en\nel maluc.<\/p>\n\n\n\n

Diagn\u00f2stic <\/h3>\n\n\n\n

El diagn\u00f2stic d’una lesi\u00f3 del l\u00e0brum de maluc<\/em>, es poden realitzar mitjan\u00e7ant Radiografies i Resson\u00e0ncies magn\u00e8tica<\/em>. Un estudi especial, \u00e9s la Artro-Resson\u00e0ncia<\/strong>, que afegeix a l’exploraci\u00f3, una infiltraci\u00f3 d’un contrast en l’articulaci\u00f3, amb el que la fiabilitat dels resultats augmenta considerablement.<\/p>\n\n\n\n

No obstant aix\u00f2, la prova que permetr\u00e0 con\u00e8ixer la veritable magnitud de la lesi\u00f3 , \u00e9s la Artrosc\u00f2pia de maluc<\/em><\/strong>, introduint una c\u00e0mera en l’articulaci\u00f3, valorar les diferents estructures i, aix\u00ed mateix, permet reparar la lesi\u00f3. <\/p>\n\n\n\n

Tractament <\/h3>\n\n\n\n

El tractament de les lesions de l\u00e0brum en el maluc<\/em><\/strong> estan condicionat pel grau d’afectaci\u00f3 del l\u00e0brum<\/em><\/strong>, aix\u00ed com l’edat<\/strong> del pacient. En casos lleus, s’aconsella tractament Fisioterapia<\/a> i Osteopat\u00eda<\/a><\/strong>, per potenciar tota la musculatura de maluc i s\u00f2l de la pelvis (hipopressius)<\/a>. <\/p>\n\n\n\n

En casos greus, s’intenta cirurgia Artrosc\u00f2pia<\/em><\/strong> amb t\u00e8cniques de restituci\u00f3 del l\u00e0brum<\/em>, b\u00e9 mitjan\u00e7ant la reinserci\u00f3 de la zona que s’ha separat del cart\u00edlag, o b\u00e9 amb altres t\u00e8cniques com la sutura del l\u00e0brum<\/em>. <\/p>\n\n\n\n

Les lesions de l\u00e0brum<\/em> s’associen, amb molta freq\u00fc\u00e8ncia, a lesions del cart\u00edlag del maluc (cap f\u00e8mur i glenoides<\/em>). Aquestes lesions es deuen a la inestabilitat articular, i poden retardar la rehabilitaci\u00f3 post. quir\u00fargica, obligat\u00f2ria despr\u00e9s d’operar.<\/p>\n\n\n\n

Visita la nostra UNITAT DE L’ESPORT<\/a> <\/a><\/h2>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

El l\u00e0brum \u00e9s la corona de fibrocart\u00edlag articular que protegeix l’articulaci\u00f3 del maluc (la cavitat de la pelvis on s’instal\u00b7la el cap del f\u00e8mur),Llegeix m\u00e9s…<\/a><\/p>\n","protected":false},"author":84,"featured_media":4384,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[610,553,475,604,831,467,469,2790],"tags":[3100,1398,1401,1184,686,2454,258,2639,2644,3101,3097,3098,3096,3099,1467,26,1885,2714,2724,952,1422,92],"yoast_head":"\nLesions de l\u00e0brum en el maluc<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.activasalut.com\/ca\/lesiones-de-labrum-en-la-cadera\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Lesions de l\u00e0brum en el maluc\" \/>\n<meta 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