{"id":535,"date":"2018-06-12T13:43:31","date_gmt":"2018-06-12T11:43:31","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/?p=535"},"modified":"2018-06-12T13:43:31","modified_gmt":"2018-06-12T11:43:31","slug":"eleccio-tractament-per-la-lesio-del-manegot-dels-rotatoris","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/06\/12\/eleccio-tractament-per-la-lesio-del-manegot-dels-rotatoris\/","title":{"rendered":"Elecci\u00f3 de tractament per la lesi\u00f3 del manegot dels rotatoris"},"content":{"rendered":"<p><span class=\"notranslate\">Hem parlat en repetides ocasions de la\u00a0<a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/tag\/maniguet-rotador\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>lesi\u00f3 del manegot rotatoris<\/strong><\/a>.<\/span>\u00a0<span class=\"notranslate\">Hem explicat quines s\u00f3n les seves\u00a0<a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/04\/04\/lesio-del-manegot-dels-rotatoris-espatlla\/\" target=\"_blank\" rel=\"noopener noreferrer\">caracter\u00edstiques i tractament<\/a>, les\u00a0fases de la lesi\u00f3\u00a0,\u00a0els s\u00edmptomes\u00a0,\u00a0<a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/04\/19\/causes-lesio-del-manegot-dels-rotatoris\/\" target=\"_blank\" rel=\"noopener noreferrer\">les causes<\/a>\u00a0i els\u00a0<a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/05\/14\/factors-risc-lesio-del-manegot-dels-rotatoris\/\" target=\"_blank\" rel=\"noopener noreferrer\">factors de risc<\/a>.<\/span>\u00a0<span class=\"notranslate\">En el post d&#8217;avui explicarem els factors que influeixen a l&#8217;hora de seguir un tipus de tractament o un altre.<\/span>\u00a0<span class=\"notranslate\">I \u00e9s que, sense tractament, la\u00a0<a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/04\/04\/lesio-del-manegot-dels-rotatoris-espatlla\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>lesi\u00f3 del manegot dels rotatoris<\/strong><\/a>\u00a0pot acabar provocant rigidesa o debilitat permanents i la degeneraci\u00f3 progressiva de l&#8217;articulaci\u00f3 de l&#8217;espatlla.<\/span>\u00a0<span class=\"notranslate\">Arribant a impedir aixecar el bra\u00e7 en les fases m\u00e9s evolucionades.<\/span><\/p>\n<p><!--more--><\/p>\n<h2><span class=\"notranslate\"><strong>QUINS FACTORS INFLUEIXEN A L&#8217;HORA D&#8217;ESCOLLIR EL TRACTAMENT DE LA LESI\u00d3 DEL MANEGOT DELS ROTATORIS?<\/strong><\/span><\/h2>\n<p><span class=\"notranslate\">En un post anterior d&#8217;aquest bloc parlem de les\u00a0<strong><a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/04\/04\/lesio-del-manegot-dels-rotatoris-espatlla\/\" target=\"_blank\" rel=\"noopener noreferrer\">opcions de tractament per la lesi\u00f3 del manegot dels rotatoris<\/a>\u00a0<\/strong>en funci\u00f3 de la pres\u00e8ncia de trencament o no del tend\u00f3.<\/span>\u00a0<span class=\"notranslate\">Les opcions de tractament m\u00e9s conservadores (fisioter\u00e0pia) o la reparaci\u00f3 mitjan\u00e7ant intervenci\u00f3 quir\u00fargica dependran, sobretot, d&#8217;aquesta pres\u00e8ncia o abs\u00e8ncia de trencament.<\/span>\u00a0<span class=\"notranslate\">Tot i aix\u00f2, hi ha altres factors que influiran a l&#8217;hora d&#8217;escollir el tractament indicat per a cada cas.<\/span>\u00a0<span class=\"notranslate\">Vegem quins s\u00f3n:<\/span><\/p>\n<ul>\n<li class=\"first\"><span class=\"notranslate\"><strong>La fase de lesi\u00f3 que ens trobem:<\/strong>\u00a0En fases inicials i si no es presenta trencament, la fisioter\u00e0pia pot ser suficient per reequilibrar la musculatura de l&#8217;articulaci\u00f3 i corregir la lesi\u00f3.<\/span><\/li>\n<li><span class=\"notranslate\"><strong>L&#8217;edat:<\/strong>\u00a0En edats avan\u00e7ades s&#8217;incrementa el risc de ruptura i empitjora la capacitat de cicatritzaci\u00f3.<\/span><\/li>\n<li><span class=\"notranslate\"><strong>L&#8217;esport que practica el pacient:<\/strong>\u00a0S&#8217;ha de tenir en compte la difer\u00e8ncia entre un esportista que utilitza principalment els bra\u00e7os i un que no ho fa.<\/span><\/li>\n<li><span class=\"notranslate\"><strong>El treball:<\/strong>\u00a0Si el treball realitzat pel pacient implica l&#8217;\u00fas o no dels bra\u00e7os.<\/span><\/li>\n<li><span class=\"notranslate\"><strong>El bra\u00e7 afectat:<\/strong>\u00a0Si la\u00a0<strong>lesi\u00f3 del manegot dels rotatoris<\/strong>\u00a0afecta el bra\u00e7 dominant o no.<\/span><\/li>\n<li><span class=\"notranslate\"><strong>El major nombre de tendons afectats:<\/strong>\u00a0Habitualment sol afectar principalment el\u00a0<em>supraespin\u00f3s<\/em>\u00a0, despr\u00e9s s&#8217;afegeix la\u00a0<em>porci\u00f3 llarga del b\u00edceps<\/em>\u00a0i finalment el\u00a0<em>infraespin\u00f3s<\/em>.<\/span><\/li>\n<li><span class=\"notranslate\"><strong>La mida de la ruptura:<\/strong>\u00a0Pot variar des d&#8217;un simple &#8220;desfilament&#8221; del tend\u00f3 fins a la ruptura completa de diversos tendons.<\/span><\/li>\n<li class=\"last\"><span class=\"notranslate\"><strong>Si el pacient \u00e9s fumador o no:<\/strong>\u00a0\u00c9s un factor molt important que ha demostrat afavorir la progressi\u00f3 de la ruptura i dificultar la cicatritzaci\u00f3 en alterar el proc\u00e9s de microvascularitzaci\u00f3 de manera directa.<\/span><\/li>\n<\/ul>\n<p><span class=\"notranslate\">Davant d&#8217;una\u00a0<strong>lesi\u00f3 del manegot dels rotatoris,<\/strong>\u00a0el\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/91\/sergi\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>metge especialista en traumatologia esportiva<\/strong><\/a>\u00a0haur\u00e0 d&#8217;analitzar: primer si existeix o no trencament del tend\u00f3, despr\u00e9s tots els factors esmentats;<\/span>\u00a0<span class=\"notranslate\">depenent de tots aix\u00f2, li recomanar\u00e0 quina \u00e9s la millor opci\u00f3 de tractament en cada cas.<\/span><\/p>\n<hr \/>\n<p><a href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-cita\/?profesional=91\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone\" src=\"http:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/wp-content\/uploads\/sites\/3\/BANNER-CITA-SergiSastre.png\" alt=\"BANNER-CITA-SergiSastre\" width=\"1468\" height=\"218\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hem parlat en repetides ocasions de la\u00a0lesi\u00f3 del manegot rotatoris.\u00a0Hem explicat quines s\u00f3n les seves\u00a0caracter\u00edstiques i tractament, les\u00a0fases de la lesi\u00f3\u00a0,\u00a0els s\u00edmptomes\u00a0,\u00a0les causes\u00a0i els\u00a0factors de risc.\u00a0En el post d&#8217;avui explicarem els factors que influeixen a l&#8217;hora de seguir un tipus de tractament o un altre.\u00a0I \u00e9s que, sense tractament, la\u00a0lesi\u00f3 del manegot dels rotatoris\u00a0pot acabar [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":532,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[194],"tags":[202,189,187,201,198],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Elecci\u00f3 de tractament per la lesi\u00f3 del manegot dels rotatoris<\/title>\n<meta name=\"description\" content=\"El post d&#039;avui explicarem els factors que influeixen a l&#039;hora de seguir un tipus de tractament o un altre per la lesi\u00f3 del manegot dels rotatoris\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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