{"id":567,"date":"2018-10-23T14:46:27","date_gmt":"2018-10-23T12:46:27","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/?p=567"},"modified":"2018-10-24T15:37:34","modified_gmt":"2018-10-24T13:37:34","slug":"lesio-de-colze-de-messi","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/","title":{"rendered":"La lesi\u00f3 de colze de Messi, qu\u00e8 pot ser i per qu\u00e8 no s’opera"},"content":{"rendered":"

Davant la recent\u00a0lesi\u00f3 de colze de<\/strong>\u00a0Lionel Messi<\/strong><\/a>\u00a0aquest passat cap de setmana, s\u00f3n moltes les persones que em pregunten sobre ella.<\/span>\u00a0Segons el\u00a0comunicat oficial<\/a>\u00a0dels\u00a0Serveis m\u00e8dics del FC.<\/a><\/span>Barcelona:\u00a0“Les proves realitzades al jugador del primer equip\u00a0Leo Messi<\/strong>\u00a0han confirmat que t\u00e9 una fractura al radi del bra\u00e7 dret.<\/em><\/span>\u00a0El temps aproximat de baixa \u00e9s de tres setmanes”.<\/em><\/span>\u00a0Sense tenir tota la informaci\u00f3 del cas, intentar\u00e9 explicar en qu\u00e8 pot consistir la\u00a0lesi\u00f3 de colze de Messi<\/strong>\u00a0i per qu\u00e8 i en quins casos pot no ser necess\u00e0ria cirurgia.<\/span><\/span><\/p>\n

<\/p>\n

COM FUNCIONA EL COLZE?<\/strong><\/span><\/h2>\n

Vaig a explicar primer, de manera simple,\u00a0com funciona el colze.<\/strong><\/span>\u00a0Est\u00e0 compost per 3 ossos: a la part superior es troba\u00a0l’h\u00famer,<\/strong>\u00a0que presenta 2 parts (una articulaci\u00f3 per al c\u00fabit i una altra pel radi) i en part inferior, composta per 2 ossos:\u00a0el radi<\/strong>\u00a0(el cap del radi) i\u00a0el c\u00fabit<\/strong>\u00a0(el ol\u00e9cranon).<\/span>\u00a0El colze t\u00e9 un doble moviment: la capacitat de flexionar i estendre (degut sobretot a la part d’h\u00famer-ol\u00e9cranon) i la capacitat de girar el palmell de la m\u00e0 amunt i avall, anomenat pronaci\u00f3 i supinaci\u00f3 (degut principalment al moviment del cap de radi-h\u00famer).<\/span>\u00a0Per tant, el conjunt dels 3 ossos del colze fa que puguem flexionar-estirar el bra\u00e7 i girar la m\u00e0 amunt i avall.<\/span><\/p>\n

\n

\"sastre-sergi\"<\/a><\/strong><\/em><\/h4>\n

“El conjunt dels 3 ossos del colze (h\u00famer, radi i c\u00fabit) fa que puguem flexionar-estirar el bra\u00e7 i girar la m\u00e0 amunt i avall”<\/strong><\/span><\/h4>\n

Dr. Sergi Sastre<\/span><\/a><\/p><\/blockquote>\n

LA LESI\u00d3 DE COLZE DE MESSI: FRACTURA SENSE LUXACI\u00d3<\/strong><\/span><\/h2>\n

Veient les imatges del partit, tal com vaig suposar en el mateix moment de la lesi\u00f3 i aix\u00ed ho vaig comunicar a trav\u00e9s de les xarxes socials, podem afirmar que\u00a0Leo NO va presentar una luxaci\u00f3 de colze<\/strong>\u00a0(lesi\u00f3 molt m\u00e9s greu, on l’articulaci\u00f3 del colze “es surt de lloc” i es trenquen els lligaments).<\/span><\/p>\n

Segons la informaci\u00f3 de qu\u00e8 disposem i sense poder visualitzar les proves d’imatges que s’han realitzat, podem pressuposar 2 escenaris:<\/span><\/p>\n

Fractura estable sense lesi\u00f3 dels lligaments del colze<\/strong><\/span><\/h5>\n

Podria tractar-se d’una fractura anomenada estable i poc despla\u00e7ada del cap del radi de manera a\u00efllada i sense cap\u00a0lesi\u00f3 dels lligaments del colze.<\/strong><\/span>\u00a0En aquest cas, no es recomana tractament quir\u00fargic i l’adequat \u00e9s una immobilitzaci\u00f3 inicial i iniciar la fisioter\u00e0pia preco\u00e7 per evitar les rigideses al colze.<\/span>\u00a0Les rigideses s\u00f3n m\u00e9s freq\u00fcents al colze que en altres articulacions en casos d’immobilitzacions prolongades.<\/span>\u00a0Si es tracta d’una fractura d’aquest tipus, podria reincorporar-se a les 3-5 setmanes,<\/strong>\u00a0encara que recordem que, perqu\u00e8 un os fracturat el considerem com “soldat”, han de passar un m\u00ednim de 6 setmanes.<\/span><\/p>\n

\n

\"sastre-sergi\"<\/a><\/strong><\/em><\/h4>\n

“Si es tracta d’una fractura estable sense afectaci\u00f3 dels lligaments, podr\u00e0 reincorporar-se a les 3-5 setmanes, tot i que, perqu\u00e8 l’os fracturat estigui ‘soldat’, han de passar 6 setmanes”<\/strong><\/span><\/h4>\n

Dr. Sergi Sastre<\/span><\/a><\/p><\/blockquote>\n

Fractura comminuta inestable<\/strong><\/span><\/h5>\n

Podria tractar-se d’una fractura anomenada comminuta inestable (en diversos trossos) on la s\u00edntesi quir\u00fargica (tornar a posar tots els fragments en el seu lloc) \u00e9s molt dif\u00edcil.<\/span>\u00a0En aquests casos, pot ser recomanable immobilitzar i esperar que la fractura consolidi no del “tot correctament” i esperar que aix\u00f2 no origini una inestabilitat de colze.<\/span>\u00a0Si els lligaments no han estat afectats \u00e9s menys probable que quedi inestable.<\/span>\u00a0De tractar-se d’aquest tipus de fractura, seria important iniciar la fisioter\u00e0pia preco\u00e7 per evitar la rigidesa, per\u00f2 tamb\u00e9 el per\u00edode de recuperaci\u00f3 seria m\u00e9s llarg,<\/strong>\u00a0ja que\u00a0una nova caiguda podria comportar un despla\u00e7ament preco\u00e7 de la fractura.<\/strong><\/span><\/p>\n

\n

\"sastre-sergi\"<\/a><\/strong><\/em><\/h4>\n

“De tractar-se d’una fractura comminuta inestable, seria important iniciar la fisioter\u00e0pia preco\u00e7 per evitar la rigidesa, per\u00f2 tamb\u00e9 el per\u00edode de recuperaci\u00f3 seria m\u00e9s llarg”<\/strong><\/span><\/h4>\n

Dr. Sergi Sastre<\/span><\/a><\/p><\/blockquote>\n

Recordem que\u00a0els tractaments proposats a esportistes d’elit no s\u00f3n sempre els millors per als pacients.<\/strong><\/span>\u00a0De vegades, s’anteposa una recuperaci\u00f3 molt preco\u00e7, a costa d’augmentar les seq\u00fceles a mig i llarg termini.<\/span><\/p>\n

Esperem que la\u00a0lesi\u00f3 de colze de Messi<\/strong>\u00a0sigui una\u00a0fractura estable sense afectaci\u00f3 de lligaments<\/strong>,\u00a0<\/strong>ja que\u00a0el pron\u00f2stic i els temps de recuperaci\u00f3 s\u00f3n molt millors i les seq\u00fceles pr\u00e0cticament nul\u00b7les.<\/strong><\/span>\u00a0Haurem d’esperar l’evoluci\u00f3, desitjant-li una r\u00e0pida i total recuperaci\u00f3.<\/span><\/p>\n

\n

\"sastre-sergi\"<\/a><\/strong><\/em><\/h4>\n

“Esperem que la\u00a0lesi\u00f3 de colze de Messi<\/strong>\u00a0sigui una\u00a0fractura estable sense afectaci\u00f3 de lligaments.<\/strong><\/span>\u00a0El pron\u00f2stic i els temps de recuperaci\u00f3 s\u00f3n millors i les seq\u00fceles pr\u00e0cticament nul\u00b7les “<\/strong><\/span><\/h4>\n

Dr. Sergi Sastre<\/span><\/a><\/p><\/blockquote>\n

\n

\"BANNER-CITA-SergiSastre\"<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Davant la recent\u00a0lesi\u00f3 de colze de\u00a0Lionel Messi\u00a0aquest passat cap de setmana, s\u00f3n moltes les persones que em pregunten sobre ella.\u00a0Segons el\u00a0comunicat oficial\u00a0dels\u00a0Serveis m\u00e8dics del FC.Barcelona:\u00a0“Les proves realitzades al jugador del primer equip\u00a0Leo Messi\u00a0han confirmat que t\u00e9 una fractura al radi del bra\u00e7 dret.\u00a0El temps aproximat de baixa \u00e9s de tres setmanes”.\u00a0Sense tenir tota la informaci\u00f3 […]<\/p>\n","protected":false},"author":2,"featured_media":571,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[224,225,226],"yoast_head":"\nLa lesi\u00f3 de colze de Messi, qu\u00e8 pot ser i per qu\u00e8 no s'opera<\/title>\n<meta name=\"description\" content=\"Sense tenir tota la informaci\u00f3 del cas, intentar\u00e9 explicar en qu\u00e8 consisteix la lesi\u00f3 de colze de Messi i per qu\u00e8 i quan pot no ser necess\u00e0ria cirurgia\" \/>\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.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La lesi\u00f3 de colze de Messi, qu\u00e8 pot ser i per qu\u00e8 no s'opera\" \/>\n<meta property=\"og:description\" content=\"Sense tenir tota la informaci\u00f3 del cas, intentar\u00e9 explicar en qu\u00e8 consisteix la lesi\u00f3 de colze de Messi i per qu\u00e8 i quan pot no ser necess\u00e0ria cirurgia\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Traumatolog\u00eda Deportiva\" \/>\n<meta property=\"article:published_time\" content=\"2018-10-23T12:46:27+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-10-24T13:37:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/wp-content\/uploads\/sites\/3\/lesio-de-colze-messi-lesion-de-codo-messi.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"barnacl\u00ednic+\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"barnacl\u00ednic+\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/\",\"url\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/\",\"name\":\"La lesi\u00f3 de colze de Messi, qu\u00e8 pot ser i per qu\u00e8 no s'opera\",\"isPartOf\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#website\"},\"datePublished\":\"2018-10-23T12:46:27+00:00\",\"dateModified\":\"2018-10-24T13:37:34+00:00\",\"author\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#\/schema\/person\/54cdc3d8a00f80c3057b6dbc23ba7e07\"},\"description\":\"Sense tenir tota la informaci\u00f3 del cas, intentar\u00e9 explicar en qu\u00e8 consisteix la lesi\u00f3 de colze de Messi i per qu\u00e8 i quan pot no ser necess\u00e0ria cirurgia\",\"breadcrumb\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/#breadcrumb\"},\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"La lesi\u00f3 de colze de Messi, qu\u00e8 pot ser i per qu\u00e8 no s’opera\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#website\",\"url\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/\",\"name\":\"Blog de Traumatolog\u00eda Deportiva\",\"description\":\"Unidad de Traumatolog\u00eda Deportiva de barnacl\u00ednic+\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"ca\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#\/schema\/person\/54cdc3d8a00f80c3057b6dbc23ba7e07\",\"name\":\"barnacl\u00ednic+\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ca\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/2dceb63b73aa111ce672136eaa610fd2?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/2dceb63b73aa111ce672136eaa610fd2?s=96&d=mm&r=g\",\"caption\":\"barnacl\u00ednic+\"},\"url\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/author\/alex\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"La lesi\u00f3 de colze de Messi, qu\u00e8 pot ser i per qu\u00e8 no s'opera","description":"Sense tenir tota la informaci\u00f3 del cas, intentar\u00e9 explicar en qu\u00e8 consisteix la lesi\u00f3 de colze de Messi i per qu\u00e8 i quan pot no ser necess\u00e0ria cirurgia","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/","og_locale":"ca_ES","og_type":"article","og_title":"La lesi\u00f3 de colze de Messi, qu\u00e8 pot ser i per qu\u00e8 no s'opera","og_description":"Sense tenir tota la informaci\u00f3 del cas, intentar\u00e9 explicar en qu\u00e8 consisteix la lesi\u00f3 de colze de Messi i per qu\u00e8 i quan pot no ser necess\u00e0ria cirurgia","og_url":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/","og_site_name":"Blog de Traumatolog\u00eda Deportiva","article_published_time":"2018-10-23T12:46:27+00:00","article_modified_time":"2018-10-24T13:37:34+00:00","og_image":[{"width":800,"height":350,"url":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/wp-content\/uploads\/sites\/3\/lesio-de-colze-messi-lesion-de-codo-messi.jpg","type":"image\/jpeg"}],"author":"barnacl\u00ednic+","twitter_card":"summary_large_image","twitter_misc":{"Escrit per":"barnacl\u00ednic+","Temps estimat de lectura":"4 minuts"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/","url":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/","name":"La lesi\u00f3 de colze de Messi, qu\u00e8 pot ser i per qu\u00e8 no s'opera","isPartOf":{"@id":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#website"},"datePublished":"2018-10-23T12:46:27+00:00","dateModified":"2018-10-24T13:37:34+00:00","author":{"@id":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#\/schema\/person\/54cdc3d8a00f80c3057b6dbc23ba7e07"},"description":"Sense tenir tota la informaci\u00f3 del cas, intentar\u00e9 explicar en qu\u00e8 consisteix la lesi\u00f3 de colze de Messi i per qu\u00e8 i quan pot no ser necess\u00e0ria cirurgia","breadcrumb":{"@id":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/#breadcrumb"},"inLanguage":"ca","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/10\/23\/lesio-de-colze-de-messi\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/"},{"@type":"ListItem","position":2,"name":"La lesi\u00f3 de colze de Messi, qu\u00e8 pot ser i per qu\u00e8 no s’opera"}]},{"@type":"WebSite","@id":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#website","url":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/","name":"Blog de Traumatolog\u00eda Deportiva","description":"Unidad de Traumatolog\u00eda Deportiva de barnacl\u00ednic+","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"ca"},{"@type":"Person","@id":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#\/schema\/person\/54cdc3d8a00f80c3057b6dbc23ba7e07","name":"barnacl\u00ednic+","image":{"@type":"ImageObject","inLanguage":"ca","@id":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/2dceb63b73aa111ce672136eaa610fd2?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2dceb63b73aa111ce672136eaa610fd2?s=96&d=mm&r=g","caption":"barnacl\u00ednic+"},"url":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/author\/alex\/"}]}},"_links":{"self":[{"href":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/wp-json\/wp\/v2\/posts\/567"}],"collection":[{"href":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/wp-json\/wp\/v2\/comments?post=567"}],"version-history":[{"count":3,"href":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/wp-json\/wp\/v2\/posts\/567\/revisions"}],"predecessor-version":[{"id":570,"href":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/wp-json\/wp\/v2\/posts\/567\/revisions\/570"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/wp-json\/wp\/v2\/media\/571"}],"wp:attachment":[{"href":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/wp-json\/wp\/v2\/media?parent=567"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/wp-json\/wp\/v2\/categories?post=567"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/wp-json\/wp\/v2\/tags?post=567"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}