{"id":931,"date":"2020-11-09T16:58:21","date_gmt":"2020-11-09T14:58:21","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/?p=931"},"modified":"2020-11-09T17:05:30","modified_gmt":"2020-11-09T15:05:30","slug":"lesio-de-menisc-ansu-fati","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2020\/11\/09\/lesio-de-menisc-ansu-fati\/","title":{"rendered":"La lesi\u00f3 de menisc d’Ansu Fati: Qu\u00e8 ha passat i quines s\u00f3n les opcions de tractament?"},"content":{"rendered":"

El menisc \u00e9s una estructura de consist\u00e8ncia el\u00e0stica, que es troba entre el f\u00e8mur i la t\u00edbia i que actua com a amortidor. T\u00e9 una forma especial de mitja lluna perqu\u00e8 el f\u00e8mur s’acobli a la perfecci\u00f3 amb la t\u00edbia. Tenim 2 meniscs en cada genoll, un extern i un altre intern. El mecanisme m\u00e9s freq\u00fcent de\u00a0lesi\u00f3 de menisc<\/strong>\u00a0\u00e9s per un gir del genoll, com va passar en aquesta ocasi\u00f3. La\u00a0lesi\u00f3 de menisc d’Ansu Fati<\/strong>\u00a0es va produir quan, en deixar el peu a terra i a causa del contacte amb el contrari, el genoll va girar de manera antinatural, provocant la conseg\u00fcent\u00a0lesi\u00f3 de menisc<\/strong>.\u00a0\u00c9s per aquest motiu que, els futbolistes,\u00a0quan\u00a0preveuen un contacte, intenten aixecar el peu de terra.\u00a0Fent-ho, eviten aquest tipus de lesions o fins i tot altres m\u00e9s greus associades a altres estructures del genoll.\u00a0I \u00e9s que, la lesi\u00f3 de menisc<\/strong> pot anar\u00a0associada a un trencament de lligaments<\/strong>\u00a0\u00a0(creuat anterior<\/a>,\u00a0lateral intern<\/a>…)\u00a0\u00a0i\/o del\u00a0cart\u00edlag articular<\/a><\/strong>.<\/p>\n

<\/p>\n

TIPUS DE LESI\u00d3 DE MENISC<\/h2>\n

El\u00a0menisc<\/strong>\u00a0que m\u00e9s freq\u00fcentment s’afecta \u00e9s el menisc intern, concretament la part posterior. No obstant aix\u00f2, pot lesionar-se qualsevol part, depenent del moviment realitzat. A causa de la forma especial d’aportaci\u00f3 sangu\u00ednia de menisc, hi ha 2 tipus de ruptures: les localitzades a la zona central (on no arriba sang i cal ressecar la lesi\u00f3, ja que no cicatritza) i les m\u00e9s perif\u00e8riques (on s\u00ed arriba aportaci\u00f3 sangu\u00ednia i \u00e9s possible suturar i conservar).<\/p>\n

Quan\u00a0es trenca ‘tot el menisc’<\/strong>\u00a0i cal ressecar, la pressi\u00f3 entre f\u00e8mur i t\u00edbia augmenta fins a un 300%, provocant el\u00a0desgast del cart\u00edlag del genoll<\/strong><\/a>\u00a0\u00a0a mig termini i la conseg\u00fcent\u00a0artrosi preco\u00e7<\/strong>\u00a0.\u00a0\u00c9s per aix\u00f2 que,\u00a0sempre que sigui possible, cal intentar conservar el menisc i suturar-lo<\/strong>\u00a0.\u00a0Actualment,\u00a0pot realitzar-se la sutura de menisc mitjan\u00e7ant artrosc\u00f2pia<\/strong>\u00a0sense problemes, permetent conservar el ‘amortidor’ natural del genoll.<\/p>\n

\"Lesi\u00f3n<\/p>\n

CONSEQ\u00dc\u00c8NCIES DE L’EXTRACCI\u00d3 DE MENISC<\/h2>\n

Tot dep\u00e8n de la quantitat i sobretot de la zona de\u00a0menisc trencat i ressecat<\/strong>\u00a0.\u00a0A m\u00e9s menisc ressecat, m\u00e9s possibilitat de seq\u00fceles a mig i llarg termini<\/strong>.\u00a0Si, a el cap dels anys, hi ha dolor i limitacions a causa del\u00a0desgast de l’cart\u00edlag<\/strong>\u00a0, hi ha altres opcions de tractament: el\u00a0substitut meniscal amb implants de col\u00b7lagen artificial<\/strong>\u00a0o el\u00a0trasplantament de menisc amb empelts de donant<\/strong>.\u00a0Tamb\u00e9\u00a0hi ha nous tractaments per a les lesions focals del cart\u00edlag<\/strong>\u00a0, com utilitzar les\u00a0c\u00e8l\u00b7lules mare del propi pacient<\/a>\u00a0<\/strong>\u00a0i el\u00a0BST-Cargel\u00ae<\/strong><\/a>\u00a0.<\/p>\n

SEMPRE QUE ES PUGUI, CAL REPARAR EL MENISC<\/h2>\n

Sens dubte, sempre que es pugui,\u00a0cal REPARAR EL MENISC\u00a0<\/strong>\u00a0(Save the Meniscus!<\/em>\u00a0). Com hem dit, les\u00a0lesions a la perif\u00e8ria del menisc<\/strong>\u00a0tenen capacitat de cicatritzaci\u00f3 per l’aportaci\u00f3 sangu\u00ednia que els arriba, aix\u00ed doncs, cal intentar cosir-lo SEMPRE. En canvi, les lesions que es produeixen en\u00a0la part central de menisc<\/strong>, no tenen capacitat de cicatritzaci\u00f3 i cal acabar llevant-lo. Si podem\u00a0conservar el menisc en la seva totalitat<\/strong>, evitarem les seq\u00fceles a llarg termini a causa de la falta d'”amortiment” que produeix. Per\u00f2, repeteixo, tot aix\u00f2 dep\u00e8n del\u00a0tipus de lesi\u00f3 de menisc<\/strong>\u00a0que s’hagi produ\u00eft, no de la capacitat t\u00e8cnica que tinguem per reparar-lo o no.
\nActualment, amb la\u00a0artrosc\u00f2pia<\/strong>\u00a0, podem realitzar tot tipus de reparacions sense cap complicaci\u00f3 i amb tots els avantatges que suposa aquesta t\u00e8cnica (menor dolor, recuperaci\u00f3 m\u00e9s r\u00e0pida, menys cicatriu ….).<\/p>\n

\n

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

\u00abSi podem conservar el 100% de menisc evitarem les seq\u00fceles a llarg termini\u00a0\u00a0<\/strong>a causa de la manca d’amortiment\u00bb<\/strong><\/h4>\n

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

Imagen:\u00a0fcbarcelonanoticias.com<\/a><\/small><\/p>\n

\n
\n

VOL\u00a0CONTACTAR\u00a0AMB EL DR. SERGI SASTRE?<\/span><\/h1>\n

DEMANAR CITA<\/a>\u00a0| SOL\u00b7LICITAR TELEVISITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

El menisc \u00e9s una estructura de consist\u00e8ncia el\u00e0stica, que es troba entre el f\u00e8mur i la t\u00edbia i que actua com a amortidor. T\u00e9 una forma especial de mitja lluna perqu\u00e8 el f\u00e8mur s’acobli a la perfecci\u00f3 amb la t\u00edbia. Tenim 2 meniscs en cada genoll, un extern i un altre intern. El mecanisme m\u00e9s […]<\/p>\n","protected":false},"author":2,"featured_media":929,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[195,216,196],"tags":[403,404,407,405,406,408,409,410],"yoast_head":"\nLa lesi\u00f3 de menisc d'Ansu Fati: Qu\u00e8 ha passat i quines s\u00f3n les opcions de tractament? - Blog de Traumatolog\u00eda Deportiva<\/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.barnaclinic.com\/blog\/traumatologia-deportiva\/ca\/2020\/11\/09\/lesio-de-menisc-ansu-fati\/\" \/>\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 menisc d'Ansu Fati: Qu\u00e8 ha passat i quines s\u00f3n les opcions de tractament? - Blog de Traumatolog\u00eda Deportiva\" \/>\n<meta property=\"og:description\" content=\"El menisc \u00e9s una estructura de consist\u00e8ncia el\u00e0stica, que es troba entre el f\u00e8mur i la t\u00edbia i que actua com a amortidor. 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