{"id":585,"date":"2018-12-03T17:44:34","date_gmt":"2018-12-03T15:44:34","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/?p=585"},"modified":"2018-12-03T17:56:16","modified_gmt":"2018-12-03T15:56:16","slug":"esquinc-de-turmell-mal-curat","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2018\/12\/03\/esquinc-de-turmell-mal-curat\/","title":{"rendered":"Esquin\u00e7 de turmell mal curat. Per qu\u00e8 pot ser?"},"content":{"rendered":"

Moltes vegades s’engloba dins el concepte d’esquin\u00e7 de turmell<\/strong><\/a>\u00a0diverses patologies que podr\u00edem englobar dins del concepte de\u00a0s\u00edndrome post-esquin\u00e7 de turmell.<\/strong><\/span>\u00a0Habitualment s’ent\u00e9n com\u00a0“esquin\u00e7 de turmell”<\/strong>\u00a0a una\u00a0ruptura parcial del lligament lateral extern del turmell<\/strong>\u00a0despr\u00e9s d’una lesi\u00f3 esportiva.<\/span>\u00a0Com vam explicar en\u00a0un post anterior<\/a>, solem trigar a recuperar-nos entre 3 i 6 setmanes en funci\u00f3 del grau de l’esquin\u00e7 i de l’extensi\u00f3 del mateix.<\/span>\u00a0No obstant aix\u00f2, de vegades, la lesi\u00f3 perdura o segueix produint dolor.<\/span>\u00a0Vegem qu\u00e8 pot ser aquest\u00a0“esquin\u00e7 de turmell mal curat”<\/strong>…<\/span>
\n<\/p>\n

EL NOU LLIGAMENT DEL TURMELL<\/strong><\/span><\/h2>\n

El\u00a0lligament lateral extern del turmell<\/strong>\u00a0(LLE) es compon de tres parts.<\/span>\u00a0La part anterior \u00e9s la que recentment ha estat descrita com el\u00a0nou lligament del turmell<\/strong>\u00a0(https:\/\/www.ub.edu\/web\/ub\/ca\/menu_eines\/noticies\/2018\/10\/057.html<\/a>), que no \u00e9s m\u00e9s que la identificaci\u00f3 de 2 lligaments dins de la part anterior del LLE.<\/span>\u00a0Igual que ocorre al genoll, hi ha una part del\u00a0lligament lateral extern del turmell<\/strong>\u00a0que \u00e9s intraraticular (igual que el\u00a0lligament creuat anterior, ja comentat en altres entrades del bloc<\/a>) i que de vegades no cicatritza despr\u00e9s de la seva lesi\u00f3.<\/span><\/p>\n

ESQUIN\u00c7 DE TURMELL MAL CURAT<\/strong><\/span><\/h2>\n

Quan es produeix un\u00a0esquin\u00e7 de turmell<\/strong><\/a>\u00a0o\u00a0lesi\u00f3 del LLE,<\/strong>\u00a0en funci\u00f3 de la seva extensi\u00f3, se sol resoldre de manera espont\u00e0nia en 3-6 setmanes.<\/span>\u00a0Si en el termini de 2-3 mesos persisteix un dolor a la part externa del turmell, i el dolor, en lloc de millorar, empitjora, sol ser perqu\u00e8 no \u00e9s \u00fanicament un “esquin\u00e7 de turmell<\/strong><\/a>“.<\/span>\u00a0Hi pot haver altres lesions associades, com una\u00a0lesi\u00f3 cartolaginosa de la c\u00fapula astragalina,<\/strong>\u00a0o b\u00e9 de\u00a0l’articulaci\u00f3 subastragalina,<\/strong>\u00a0o realment s’ha produ\u00eft una lesi\u00f3 “mal curada” de la part articular del\u00a0lligament lateral extern<\/strong>\u00a0que requerir\u00e0 probablement una reparaci\u00f3 quir\u00fargica per poder reprendre les activitats esportives.<\/span><\/p>\n

QUAN ACUDIR AL METGE?<\/strong><\/span><\/h2>\n

Si despr\u00e9s d’uns 2-3 mesos despr\u00e9s d’un\u00a0esquin\u00e7 de turmell<\/strong><\/a>\u00a0o\u00a0lesi\u00f3 del<\/strong>\u00a0lligament lateral extern del turmell<\/strong>\u00a0que no millora de manera progressiva, caldr\u00e0 realitzar algun tipus de prova i ser valorada per un\u00a0metge traumat\u00f2leg especialista<\/a>\u00a0en aquest tipus de lesions per descartar algun tipus de lesi\u00f3 associada.<\/p>\n

\n

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

Moltes vegades s’engloba dins el concepte d’esquin\u00e7 de turmell\u00a0diverses patologies que podr\u00edem englobar dins del concepte de\u00a0s\u00edndrome post-esquin\u00e7 de turmell.\u00a0Habitualment s’ent\u00e9n com\u00a0“esquin\u00e7 de turmell”\u00a0a una\u00a0ruptura parcial del lligament lateral extern del turmell\u00a0despr\u00e9s d’una lesi\u00f3 esportiva.\u00a0Com vam explicar en\u00a0un post anterior, solem trigar a recuperar-nos entre 3 i 6 setmanes en funci\u00f3 del grau de l’esquin\u00e7 […]<\/p>\n","protected":false},"author":2,"featured_media":583,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[233,196],"tags":[234,235,236],"yoast_head":"\nEsquin\u00e7 de turmell mal curat. 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