24-144
Manejo del dolor retropatelar
MORENO GUERRERO, T. J.; FERNANDEZ MORAL, v.; OJANGUREN CASERO, M. l.; SUAREZ VÁZQUEZ, A. HOSPITAL NUESTRA SEÑORA DE COVADONGA SERVICIO DE TRAUMATOLOGÍA y CIRUGÍA ORTOPÉDICA OVIEDO
Recepción:
15/01/2009
Aceptación:
15/01/2009
Publicación:
15/01/2009
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Resumen (ES)
One of the motives more frequcnt of consultatlon by knee pain use to tind out in theanterior compartment ofit, that it is ussualy exposed to straight traumas and extra load anddescribe it as Anterior Pain Syndrom. Thcre is controversy about treatment and there arenot correlation betwecn clinical sintoms and objetive findings when thcre are, as dysplasia,patelar instability, osteochondral lesions, etc.the authors reviewed blomechanical, metabolic, dcgenerativc and dcgcnerativc and painconcepts at a rational protocol of conservatlve managment during 3 to 6 months with,cryotherapy, salicylates, glycosaminoglycans by parentcral way, muscular potentiation andphysical therapy.In 2/3 ofpatients, the syntoms dlsappeared, l/S hnproved and in l/S without effect. In thclast group, relapses and objetive findings, were indications for surgcry (15-20% of cases).
Palabras clave (ES):
Rodilla
Femoropatelar
Dolor
Patela
Rótula
Femororotuliano
Resumen (EN)
One of the motives more frequcnt of consultatlon by knee pain use to tind out in theanterior compartment ofit, that it is ussualy exposed to straight traumas and extra load anddescribe it as Anterior Pain Syndrom. Thcre is controversy about treatment and there arenot correlation betwecn clinical sintoms and objetive findings when thcre are, as dysplasia,patelar instability, osteochondral lesions, etc.the authors reviewed blomechanical, metabolic, dcgenerativc and dcgcnerativc and painconcepts at a rational protocol of conservatlve managment during 3 to 6 months with,cryotherapy, salicylates, glycosaminoglycans by parentcral way, muscular potentiation andphysical therapy.In 2/3 ofpatients, the syntoms dlsappeared, l/S hnproved and in l/S without effect. In thclast group, relapses and objetive findings, were indications for surgcry (15-20% of cases).
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