{"id":705,"date":"2022-04-01T11:42:21","date_gmt":"2022-04-01T10:42:21","guid":{"rendered":"https:\/\/institutdelgenoll.com\/sindrome-rotuliano\/"},"modified":"2022-04-28T10:03:00","modified_gmt":"2022-04-28T09:03:00","slug":"sindrome-rotuliano","status":"publish","type":"page","link":"https:\/\/institutdelgenoll.com\/es\/sindrome-rotuliano\/","title":{"rendered":"S\u00edndrome rotuliano doloroso"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00bb1&#8243; admin_label=\u00bbHero\u00bb _builder_version=\u00bb4.14.8&#8243; background_color=\u00bb#f1f5f7&#8243; custom_padding=\u00bb70px|0px|70px|0px|true|false\u00bb bottom_divider_height=\u00bb0px\u00bb border_radii=\u00bboff|||300px|\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row _builder_version=\u00bb3.25&#8243; custom_margin=\u00bb|||\u00bb custom_margin_tablet=\u00bb||0px|\u00bb custom_margin_last_edited=\u00bboff|desktop\u00bb custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb3.25&#8243; custom_padding=\u00bb|||\u00bb custom_padding_tablet=\u00bb0px|50px|50px|50px\u00bb custom_padding_last_edited=\u00bboff|desktop\u00bb global_colors_info=\u00bb{}\u00bb padding_tablet=\u00bb0px|50px|50px|50px\u00bb padding_last_edited=\u00bboff|desktop\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.14.8&#8243; text_font=\u00bb|700||on|||||\u00bb text_text_color=\u00bb#677a92&#8243; text_line_height=\u00bb1.8em\u00bb header_font=\u00bb|800|||||||\u00bb header_font_size=\u00bb50px\u00bb header_2_font=\u00bb||||||||\u00bb max_width=\u00bb750px\u00bb custom_margin=\u00bb||0px||false|false\u00bb custom_margin_tablet=\u00bb0px|50px||50px\u00bb custom_margin_phone=\u00bb|20px||\u00bb custom_margin_last_edited=\u00bboff|desktop\u00bb text_line_height_tablet=\u00bb1.8em\u00bb text_line_height_phone=\u00bb1.8em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb header_font_size_tablet=\u00bb\u00bb header_font_size_phone=\u00bb36px\u00bb header_font_size_last_edited=\u00bbon|phone\u00bb header_2_font_size_last_edited=\u00bboff|desktop\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<h1>S\u00edndrome rotuliano doloroso y inestabilidad<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1&#8243; admin_label=\u00bbHero\u00bb _builder_version=\u00bb3.22&#8243; custom_padding=\u00bb70px|0px|70px|0px|true|false\u00bb bottom_divider_height=\u00bb0px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row column_structure=\u00bb1_4,3_4&#8243; use_custom_gutter=\u00bbon\u00bb gutter_width=\u00bb2&#8243; _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb1_4&#8243; _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bbdefault\u00bb background_color=\u00bb#028DD1&#8243; custom_padding=\u00bb20px|20px|20px|20px|true|true\u00bb border_radii=\u00bbon|25px|25px|25px|25px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bb61514fbe-8f08-48e0-a704-1a8052eef58f\u00bb text_text_color=\u00bb#FFFFFF\u00bb header_2_text_color=\u00bb#FFFFFF\u00bb header_2_font_size=\u00bb30px\u00bb text_orientation=\u00bbleft\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<h2>\u00bfQu\u00e9 es la r\u00f3tula?<\/h2>\n<p>Es un hueso de la articulaci\u00f3n de la rodilla que se encuentra intercalado en el trayecto del tend\u00f3n del m\u00fasculo cu\u00e1driceps femoral, llamado ligamento rotuliano, entre la r\u00f3tula y la tibia.[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00bb3_4&#8243; _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bbdefault\u00bb text_orientation=\u00bbleft\u00bb max_width=\u00bb800px\u00bb custom_margin=\u00bb||35px||false|false\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<h2>S\u00edndrome rotuliano doloroso<\/h2>\n<h3>\u00bfPor qu\u00e9 me duele la r\u00f3tula?<\/h3>\n<p>Es uno de los motivos de consulta m\u00e1s frecuentes en traumatolog\u00eda.<\/p>\n<p>El dolor en el s\u00edndrome rotuliano doloroso o s\u00edndrome de dolor anterior de rodilla o s\u00edndrome f\u00e9moro-patelar es de origen multifactorial (microtraumatismos de repetici\u00f3n, atrofia muscular, displasia troclear&#8230;).<\/p>\n<p>Es caracter\u00edstico tener dolor al subir y bajar escaleras, al arrodillarse o despu\u00e9s de estar sentado durante un tiempo prolongado con las piernas encogidas.<\/p>\n<p>Adem\u00e1s de una exhaustiva exploraci\u00f3n f\u00edsica, completaremos el estudio con radiograf\u00edas de la rodilla y una resonancia magn\u00e9tica. Una de las principales causas de dolor es la condromal\u00e1cea rotuliana.<\/p>\n<h3>\u00bfQu\u00e9 puedo hacer para mejorar el dolor?<\/h3>\n<p>No existe un tratamiento definitivo que permita \u00abcurar\u00bb completamente el dolor.<\/p>\n<p>Medidas posturales, evitar subir-bajar escaleras son recomendaciones cl\u00e1sicas para intentar disminuir el dolor.<\/p>\n<p>Se recomiendan ejercicios de rehabilitaci\u00f3n enfocados a disminuir el proceso inflamatorio y potenciar la musculatura del cu\u00e1driceps. Los ejercicios isom\u00e9tricos y de cadena cin\u00e9tica cerrada son los m\u00e1s recomendados.<\/p>\n<p>Como medidas generales, se recomiendan los antiinflamatorios no esteroidales, el hielo y el reposo deportivo, adem\u00e1s de los ejercicios previamente citados.<\/p>\n<p>Los condroprotectores, las infiltraciones con \u00e1cido hialur\u00f3nico o PRP mejoran la cl\u00ednica (dolor, movilidad, crujidos) pero no existe evidencia de regeneraci\u00f3n del cart\u00edlago da\u00f1ado.[\/et_pb_text][et_pb_text _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bbdefault\u00bb text_orientation=\u00bbleft\u00bb max_width=\u00bb800px\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<h2><strong>Inestabilidad rotuliana<\/strong><\/h2>\n<h3>\u00bfCu\u00e1ndo debo considerar que tengo una inestabilidad rotuliana?<\/h3>\n<p>Estamos ante una inestabilidad rotuliana cuando la r\u00f3tula ha salido de su situaci\u00f3n correcta (se ha luxado) y deja de estar centrada en la tr\u00f3clea femoral.<\/p>\n<p>Ante un primer episodio de luxaci\u00f3n, el tratamiento consiste en inmovilizar la rodilla en extensi\u00f3n, permitiendo la carga parcial de la extremidad durante 2 a 3 semanas. En un porcentaje elevado de casos, la cicatrizaci\u00f3n conseguida es suficiente para que no se vuelva a producir ning\u00fan episodio de luxaci\u00f3n nuevo. Es necesario completar el tratamiento con una pauta de ejercicios de rehabilitaci\u00f3n.<\/p>\n<h3>Valoraci\u00f3n de la inestabilidad rotuliana<\/h3>\n<p>En caso de haber sufrido varios episodios de luxaci\u00f3n de r\u00f3tula, se recomienda la correcci\u00f3n quir\u00fargica del (o de los) par\u00e1metros anat\u00f3mico alterado adem\u00e1s de la reconstrucci\u00f3n del ligamento patelo-femoral medial que se lesiona de forma sistem\u00e1tica en luxaciones de r\u00f3tula.<\/p>\n<p>Con la ayuda de unas radiograf\u00edas y de un TAC de la rodilla, podremos decidir los diferentes gestos quir\u00fargicos que deberemos hacer para devolver la estabilidad a la rodilla.<\/p>\n<p>El tratamiento postoperatorio con rehabilitaci\u00f3n es fundamental para conseguir una completa movilidad de la rodilla y recuperaci\u00f3n de la musculatura.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1&#8243; admin_label=\u00bbFAQ\u00bb 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Es un hueso de la articulaci\u00f3n de la rodilla que se encuentra intercalado en el trayecto del tend\u00f3n del m\u00fasculo cu\u00e1driceps femoral, llamado ligamento rotuliano, entre la r\u00f3tula y la tibia.S\u00edndrome rotuliano doloroso \u00bfPor qu\u00e9 me duele la r\u00f3tula? Es uno de los motivos de consulta m\u00e1s [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"_links":{"self":[{"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/pages\/705"}],"collection":[{"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/comments?post=705"}],"version-history":[{"count":4,"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/pages\/705\/revisions"}],"predecessor-version":[{"id":709,"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/pages\/705\/revisions\/709"}],"wp:attachment":[{"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/media?parent=705"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}