Fisioterapia precoz en transferencia del trapecio inferior para lesiones masivas e irreparables del manguito rotador. A propósito de un caso clínico

Q3 Medicine Rehabilitacion Pub Date : 2023-04-01 DOI:10.1016/j.rh.2022.04.003
I. López-Zamora, I. Campos-Varela, A. Luzardo-González, A. Justes-Solé
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Abstract

Massive and irreparable lesions of the rotator cuff are frequent between people over 60 years old. Recently, inferior trapezium transference with Achilles tendon allograft has demonstrated very good results to restore shoulder's function. For this kind of surgery, it is recommended an absolute immobilization in shoulder abduction at 90° and maximal external rotation between 6-8 weeks. A 57-year-old woman underwent surgery with a lower trapezius transfer to repair the rotator cuff due to a massive and irreparable tear. She started aquatic physiotherapy 15 days after surgery and conventional physiotherapy treatment at 25 days, with a follow-up of 12 months. Good functional results of the operated shoulder were obtained, which were maintained in the postoperative follow-up. In this case early physiotherapy did not result in any risk of suture dehiscence, loosen or distressing of the allograft.

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下斜方肌转移术中的早期物理治疗,用于肩袖的巨大和无法修复的损伤。针对一个临床病例
60岁以上的人经常出现巨大且无法修复的肩袖损伤。近年来,应用同种异体跟腱移植下斜方肌重建肩关节功能取得了良好的效果。对于这种手术,建议在90°时绝对固定肩部外展,并在6-8周内进行最大外旋。一位57岁的女性接受了下斜方肌移植手术,以修复因巨大且无法修复的撕裂而导致的肩袖。她在手术后15天开始进行水上理疗,25天开始进行常规理疗,随访12个月。肩部手术取得了良好的功能效果,并在术后随访中保持了良好的效果。在这种情况下,早期物理治疗并没有导致任何缝线裂开、松动或同种异体移植物疼痛的风险。
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来源期刊
Rehabilitacion
Rehabilitacion Medicine-Rehabilitation
CiteScore
0.80
自引率
0.00%
发文量
63
期刊介绍: La revista que es desde hace más de 40 años la publicación oficial de la Sociedad Española de Rehabilitación y referente de la mayoría de las Sociedades de la Especialidad de los países americanos de habla hispana. Se publican 5 números pluritemáticos al año y uno monográfico sobre un tema del mayor interés y actualidad designado por el consejo de redacción.
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