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8/12/2019 poliartrita studenti
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PERIARTRITA SCAPULOMUMERALA
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DEFINITIE:
sindrom clinic caracterizat prin durere,
redoare articulara si impotenta functionala
determinat de procese patologice localizate lanivelul umarului si care afecteaza structurile
periarticulare: ligamente, capsula articulara,
tendoane, bursa si muschi.
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CLASIFICARE:
1. Umar simplu dureros
2. Umar dureros acut3. Umar mixt
4. Umar blocat
5. Umar pseudoparalitic
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CAUZE:
1. INTRINSECI:
- Artrite reumatismale
- Artrite infectioase- Artrite posttraumatice
- Artropatii degenerative
- Neurogene
- Neoplazice
- Afectiuni periarticulare
2. EXTRINSECI
-Neuropatii C5-C6
-Sindroame fibromialgice-Sdr Pancoast-Tobias
-Sdr Parsonage-Turner
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CAZ CLINIC
ANAMNEZA:
1. Istoric:
- Boli reumatismale (inflamatorii/degenerative)- Comorbiditati nereumatismale
- Traumatisme, CVM
2. Simptome:- Durerea (caracter, localizare)
- Redoarea (prezenta/absenta)
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ANATOMIE FUNCTIONALA
EXAMEN CLINIC
ARTICULATII SINOVIALE:
1.Glenohumerala
2.Acromioclaviculara3.Sternoclaviculara
ARTICULATII FUNCTIONALE:1.Scapulotoracica
2.Subacromiodeltoidiana (suprahumerala)
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EXAMEN CLINIC
1. INPECTIE
2. PALPARE
3. MOBILITATE
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INSPECTIA
Anterior Posterior Lateral
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INSPECTIA
- simetria reperelor osoase
- simetria contururilor musculare
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PALPAREA
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PALPAREA
ARTICULATII:
-sternoclaviculara
-acromioclaviculara
INSERTII CAPSULOLOIGAMENTARE
-supraspinos- biceps
- deltoid
-varful coracoidei
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PALPAREAHIPOTROFIA/TUMEFACTIA/CONTRACTURA MUSCULARA
-Trapez
-Angular
-Deltoid
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MOBILITATEA
-Flexia (antepulsia)
- Extensia (retropulsia)
-Abductia
-Adductia
-Rotatia interna
-Rotatia externa
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MOBILITATEA
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RADIOGRAFIA
Tumefactia partilor moi
Osteocondensarea rebordului glenoidian/
culisei bicipitale Deformarea, descentrarea capului humeral
Pensarea spatiului artic. acromioclaviculare
Chisturi subcondrale
Osteofite
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ECOGRAFIA
- insertiile, structura tendoanelor
-procese inflamatorii la nivelul burselor (bursite)
- ruptura coifului rotatorilor
-Capsula (ingrosata/retractata)
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DIAGNOSTIC
- tendinite : supraspinos, infraspinos, biceps,
-Bursite
-sindrom de impingement
-sdr de ruptura a coifului rotatorilor
-capsulita retractila
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