{"id":11731,"date":"2019-01-10T00:00:00","date_gmt":"2019-01-09T23:00:00","guid":{"rendered":"http:\/\/web-server-devel.mgc.es\/tinc-dolor-a-lespatlla\/"},"modified":"2019-11-22T12:42:18","modified_gmt":"2019-11-22T11:42:18","slug":"tinc-dolor-a-lespatlla","status":"publish","type":"post","link":"https:\/\/www.mgc.es\/ca\/blog\/tinc-dolor-a-lespatlla\/","title":{"rendered":"Tinc dolor a l&#8217;espatlla"},"content":{"rendered":"<div class=\"video\"><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/311469418\" width=\"640\" height=\"360\" frameborder=\"0\" webkitallowfullscreen mozallowfullscreen allowfullscreen><\/iframe><\/div>\n<p>L&#8217;articulaci\u00f3 de l&#8217;espatlla \u00e9s la m\u00e9s m\u00f2bil de tot l&#8217;organisme i pot presentar lesions ja des de la joventut. El Dr. Manuel Mendoza, metge especialista en traumatologia de la M\u00fatua General de Catalunya, ens parla sobre el dolor d&#8217;espatlla, una de les consultes m\u00e9s freq\u00fcents en aquesta especialitat.<!--more--><\/p>\n<p><strong>Qu\u00e8 pot causar dolor a l&#8217;espatlla?<\/strong> Un dels problemes que poden causar lesions a l&#8217;espatlla s\u00f3n els moviments repetitius. L&#8217;articulaci\u00f3 de l&#8217;espatlla \u00e9s una estructura anat\u00f2mica b\u00e0sicament tendinosa, molt m\u00f2bil i que permet moviments per sobre de si mateixa. Si s\u00f3n repetitius i impliquen un sobreesfor\u00e7, per exemple els que es fan al gimn\u00e0s o a les activitats laborals que requereixen tasques de dalt a baix, hi haur\u00e0 un desgast que pot derivar en una lesi\u00f3.<\/p>\n<p><strong>Quines persones s\u00f3n m\u00e9s propenses a tenir aquesta patologia?<\/strong> En general, el dolor d&#8217;espatlla afecta dos grups de poblaci\u00f3. D&#8217;una banda, una poblaci\u00f3 jove que b\u00e0sicament presenta lesions per traumatisme i per inestabilitat, sobretot a causa de la pr\u00e0ctica d&#8217;esports de llan\u00e7ament i de contacte. De l&#8217;altra, una poblaci\u00f3 adulta amb lesions degudes a la degeneraci\u00f3 de les estructures tendinoses, que amb el temps poden derivar en artrosi i fins i tot pot fer-se necessari substituir aquesta articulaci\u00f3 per una pr\u00f2tesi.<\/p>\n<p><strong>Com es fa el diagn\u00f2stic?<\/strong> Avui dia tenim a la nostra disposici\u00f3 diversos mitjans de diagn\u00f2stic per valorar les lesions de l&#8217;espatlla: la radiologia simple, l&#8217;ecografia i la resson\u00e0ncia, que \u00e9s la prova m\u00e9s precisa i fiable. Aquesta prova \u00e9s la que ens proporcionar\u00e0 un informe quantitatiu i qualitatiu de la lesi\u00f3 que presenta el pacient. I amb aquestes dades podem establir una estrat\u00e8gia terap\u00e8utica per determinar si es necessita un tractament conservador, un tractament rehabilitador o un tractament quir\u00fargic.<\/p>\n<p><strong>Com poden afectar aquestes lesions de l&#8217;espatlla en les activitats de la vida di\u00e0ria?<\/strong> Les lesions a l&#8217;espatlla sempre es manifesten per dues condicions: la fatiga i el dolor i la impot\u00e8ncia funcional. La fatiga que afecta els esportistes joves comporta una espatlla inestable, que no t\u00e9 un rendiment absolut, sobretot en l&#8217;esport de llan\u00e7ament o de precisi\u00f3. En un altre tipus de poblaci\u00f3, aquesta fatiga ocasiona una dificultat per desenvolupar les activitats de la vida di\u00e0ria que requereixen un rang de mobilitat en els tres sectors: a la flexi\u00f3, en la rotaci\u00f3 externa i en la rotaci\u00f3 interna, com ara vestir-se, pentinar-se, rentar-se&#8230;.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-5529\" src=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2019\/01\/dolor-hombro.redu_.jpg\" alt=\"\" width=\"1000\" height=\"666\" \/>El dolor \u00e9s el motiu principal pel qual els pacients acudeixen a la consulta, sobretot el dolor nocturn, que est\u00e0 gaireb\u00e9 sempre present, especialment si es dorm de costat. Una altra de les causes \u00e9s quan el dolor impedeix fer les activitats normals de la vida di\u00e0ria, com ara col\u00b7locar-se el cintur\u00f3 de seguretat o, en les dones, cordar-se correctament el sostenidor.Per tant, i resumint, el que majorit\u00e0riament fa que es vagi a la consulta \u00e9s el dolor, la impot\u00e8ncia funcional i el baix rendiment en les activitats esportives.<\/p>\n<p><strong>Quin tractament \u00e9s adequat en aquesta mena de patologies? <\/strong>A la poblaci\u00f3 jove, si hi ha una inestabilitat a l&#8217;espatlla, ha de ser reparada o el pacient pot tenir una lesi\u00f3 greu a l\u2019articulaci\u00f3 de l&#8217;espatlla. La reparaci\u00f3 es pot fer amb t\u00e8cniques semi invasives, com ara l&#8217;artrosc\u00f2pia, que necessita incisions m\u00ednimes i obt\u00e9 resultats m\u00e9s que acceptables. Si la poblaci\u00f3 \u00e9s adulta, el tractament m\u00e8dic ser\u00e0 el convencional: rehabilitador, ergon\u00f2mic i postural. Per\u00f2 si les lesions que presenta aquesta poblaci\u00f3 s\u00f3n perqu\u00e8 estan afectats els tendons que fan funcionar l&#8217;articulaci\u00f3 de l&#8217;espatlla, s\u2019haur\u00e0 de fer un tractament quir\u00fargic reparador, perqu\u00e8 si no, l&#8217;espatlla no funcionar\u00e0 mai en condicions excel\u00b7lents.<\/p>\n<p>Quan parlem de la poblaci\u00f3 m\u00e9s gran i tenim un proc\u00e9s artr\u00f2sic degeneratiu d&#8217;aquesta articulaci\u00f3 que causa molt dolor i molta impot\u00e8ncia funcional, sempre queda la possibilitat de fer el recanvi prot\u00e8sic de l&#8217;articulaci\u00f3, com ara al maluc i al genoll, que sol tenir resultats excel\u00b7lents.<\/p>\n<p><strong>Com podem prevenir les lesions a l&#8217;espatlla?<\/strong> Molts dels nostres pacients ens pregunten com poden prevenir les lesions. Quan es tracta del grup de pacients joves, sol ser dif\u00edcil frenar-los en la seva activitat i en aquests casos ens hem de limitar a tractar all\u00f2 que s&#8217;ha lesionat, a restaurar l&#8217;anatomia que s&#8217;ha lesionat. Quan parlem de la poblaci\u00f3 adulta, se sol recomanar un tractament postural i ergon\u00f2mic. Per explicar-ho d&#8217;alguna manera, treballar per sobre de l&#8217;al\u00e7ada de les espatlles comporta que &#8220;el marc de la porta&#8221;, que \u00e9s la clav\u00edcula i la part superior del acromi, fregui amb la part inferior dels tendons. I aquest desgast que es produeix en xocar un os contra un tend\u00f3, arribat un moment desencadenar\u00e0 un trencament del tend\u00f3. El fet de no dormir del costat afectat facilita que es tingui un millor descans nocturn. I evitar les activitats de dalt a baix facilita que no hi hagi una irritaci\u00f3 de les estructures anat\u00f2miques per sota del acromi.<\/p>\n<p>Finalment, a la poblaci\u00f3 molt gran, el consell \u00e9s el tractament farmacol\u00f2gic d&#8217;aquestes lesions i mol\u00e8sties. Aquestes mesures es poden combinar amb m\u00e9s, com ara la crioter\u00e0pia. El gel \u00e9s un antiinflamatori que arriba perfectament a l&#8217;articulaci\u00f3 de l&#8217;espatlla i \u00e9s un tractament de f\u00e0cil aplicaci\u00f3, sempre aconsellable per a tots els nostres pacients.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>L&#8217;articulaci\u00f3 de l&#8217;espatlla \u00e9s la m\u00e9s m\u00f2bil de tot l&#8217;organisme i pot presentar lesions ja des de la joventut. El Dr. Manuel Mendoza, metge especialista en traumatologia de la M\u00fatua General de Catalunya.<\/p>\n","protected":false},"author":3,"featured_media":27940,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[402,413,481],"class_list":["post-11731","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-salut","tag-centre-medic","tag-destacat","tag-prevencio"],"featured_image_src":"https:\/\/www.mgc.es\/wp-content\/uploads\/2019\/01\/026-Dolor_espatlla-scaled.jpg","author_info":{"display_name":"Revista Inter\u00e8s Mutu","author_link":"https:\/\/www.mgc.es\/ca\/blog\/author\/interesmutu\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tinc dolor a l&#039;espatlla - MGC M\u00fatua<\/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.mgc.es\/ca\/blog\/tinc-dolor-a-lespatlla\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tinc dolor a l&#039;espatlla - MGC M\u00fatua\" \/>\n<meta property=\"og:description\" content=\"L&#039;articulaci\u00f3 de l&#039;espatlla \u00e9s la m\u00e9s m\u00f2bil de tot l&#039;organisme i pot presentar lesions ja des de la joventut. 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