{"id":19883,"date":"2024-08-29T07:31:12","date_gmt":"2024-08-29T06:31:12","guid":{"rendered":"https:\/\/centrekine.com\/lesion-hombro-tendinitis-supraespinoso\/"},"modified":"2025-01-29T09:42:29","modified_gmt":"2025-01-29T08:42:29","slug":"lesio-a-lespatlla-tendinitis-del-supraespinos","status":"publish","type":"post","link":"https:\/\/centrekine.com\/ca\/lesio-a-lespatlla-tendinitis-del-supraespinos\/","title":{"rendered":"Lesi\u00f3 a l’espatlla: tendinitis del supraespin\u00f3s"},"content":{"rendered":"

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Avui al <\/span><\/span><\/span>bloc<\/span><\/span><\/span><\/a> de <\/span><\/span><\/span>Centre Kine <\/span><\/span><\/b>parlarem de la <\/span><\/span><\/span>tendinopatia o \u201ctendinitis\u201d del supraespin\u00f3s <\/span><\/span><\/b>, una <\/span><\/span><\/span>lesi\u00f3 de l’espatlla dolorosa <\/span><\/span><\/b>molt freq\u00fcent. A m\u00e9s, analitzarem quines s\u00f3n les causes, com podem evitar que se’ns faci malb\u00e9 el tend\u00f3 i el tractament que apliquem a\u00a0 <\/span><\/span><\/span>Centre Kine.\u00a0\u00a0<\/span><\/span><\/b><\/a><\/p>\n

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L’espatlla i la tendinitis del m\u00fascul supraespin\u00f3s\u00a0<\/span><\/span><\/b><\/h2>\n

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L’ <\/span><\/span><\/span>espatlla <\/span><\/span><\/b>\u00e9s una <\/span><\/span><\/span>estructura complexa<\/span><\/span><\/span><\/a> i est\u00e0 composta per diferents ossos, m\u00fasculs i tendons que s’encarreguen de la seva mobilitat, for\u00e7a i estabilitat. Tamb\u00e9 \u00e9s una de les <\/span><\/span><\/span>articulacions amb m\u00e9s mobilitat <\/span><\/span><\/b>del cos hum\u00e0. Per aix\u00f2, els elements que el componen han d’estar en equilibri.\u00a0<\/span><\/span><\/span><\/p>\n

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Aix\u00ed mateix, qualsevol causa de desestabilitzaci\u00f3 entre les parts provoca desequilibris que poden donar lloc a <\/span><\/span><\/span>lesions <\/span><\/span><\/b>. Per exemple, la <\/span><\/span><\/span>tendinopatia del supraespin\u00f3s <\/span><\/span><\/b>.\u00a0<\/span><\/span><\/span><\/p>\n

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El <\/span><\/span><\/span>mal d’espatlla <\/span><\/span><\/b>\u00e9s la 3a causa de dolor a nivell musculoesquel\u00e8tic a les consultes d’Atenci\u00f3 Prim\u00e0ria i en m\u00e9s del <\/span><\/span><\/span>45% dels casos <\/span><\/span><\/b>es troben <\/span><\/span><\/span>la tendinitis del supraespin\u00f3s <\/span><\/span><\/b>o del <\/span><\/span><\/span>maniguet rotador<\/span><\/span><\/span><\/a> , impingement subacromial i artrosi acromi-clavicular. <\/span><\/span><\/span>D’aquests casos, nom\u00e9s el 50% t\u00e9 una <\/span><\/span><\/span>resoluci\u00f3 completa als 6 mesos <\/span><\/span><\/b>i la resta segueixen presentant <\/span><\/span><\/span>s\u00edmptomes despr\u00e9s d’un any.\u00a0<\/span><\/span><\/b><\/p>\n

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Com es produeix la tendinitis del m\u00fascul supraespin\u00f3s<\/span><\/span><\/b><\/h2>\n

Segons <\/span><\/span><\/span>diferents teories acceptades <\/span><\/span><\/b>la <\/span><\/span><\/span>tendinopatia del supraespin\u00f3s <\/span><\/span><\/b>\u00e9s un <\/span><\/span><\/span>trastorn dolor\u00f3s <\/span><\/span><\/b>freq\u00fcent que es pot desenvolupar per dos motius:\u00a0<\/span><\/span><\/span><\/p>\n

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1.Origen metab\u00f2lic<\/span><\/span><\/b><\/p>\n

La tendinopatia del supraespin\u00f3s pot comen\u00e7ar com una <\/span><\/span><\/span>insufici\u00e8ncia vascular <\/span><\/span><\/b>el que significa que no est\u00e0 arribant sang de manera adequada a la zona m\u00e9s vulnerable del <\/span><\/span><\/span>tend\u00f3 <\/span><\/span><\/b>. Aix\u00f2 facilita els processos d’ <\/span><\/span><\/span>inflamaci\u00f3 <\/span><\/span><\/b>, <\/span><\/span><\/span>degeneraci\u00f3 i lesi\u00f3 <\/span><\/span><\/b>del mateix. Es creu que fins al 60% s\u00f3n per aquest motiu.\u00a0<\/span><\/span><\/span><\/p>\n

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2. Sobre\u00fas del m\u00fascul<\/span><\/span><\/b><\/p>\n

En aquest cas, s\u201f <\/span><\/span><\/span>atribueix m\u00e9s a un <\/span><\/span>\u00fas excessiu <\/span><\/b>oa una <\/span><\/span>compressi\u00f3 <\/span><\/b>a partir d\u201funa biomec\u00e0nica alterada de l\u201fespatlla, que a una utilitzaci\u00f3 excessiva del bra\u00e7 en una ocasi\u00f3 concreta.\u00a0<\/span><\/span><\/span>\u00a0<\/b><\/b><\/b>\u00a0<\/span><\/p>\n

Tipus de tendinopaties a l’espatlla<\/span><\/span><\/b><\/em><\/h3>\n

D’altra banda, les <\/span><\/span><\/span>tendinopaties <\/span><\/span><\/b>es poden classificar en 3 tipus, dependr\u00e0 de l’ <\/span><\/span><\/span>estat del teixit <\/span><\/span><\/b>i en quin <\/span><\/span><\/span>moment es troba la lesi\u00f3, parlem de tend\u00f3:\u00a0<\/span><\/span><\/b><\/p>\n

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  1. Reactiu: <\/span><\/span><\/b>fase de molt dolor, <\/span><\/span><\/span>s’acumulen l\u00edquids <\/span><\/span><\/b>per aix\u00f2 augmenta la mida, per\u00f2 no hi ha <\/span><\/span><\/span>inflamaci\u00f3 <\/span><\/span><\/b>a la zona.\u00a0<\/span><\/span><\/span><\/li>\n
  2. Desestructurat <\/span><\/span><\/b>: no sol ser dolor\u00f3s, desordre fibril\u00b7lar.\u00a0<\/span><\/span><\/span><\/li>\n
  3. Degenerat: <\/span><\/span><\/b>nom\u00e9s hi ha <\/span><\/span><\/span>dolor <\/span><\/span><\/b>en situaci\u00f3 de sobrec\u00e0rrega.<\/span><\/span><\/span><\/li>\n<\/ol>\n

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    Signes i s\u00edmptomes de la tendinopatia del supraespin\u00f3s<\/span><\/span><\/b><\/h2>\n

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    Aquest tipus de <\/span><\/span><\/span>lesi\u00f3 a l’espatlla <\/span><\/span><\/b>es manifesta amb aquests s\u00edmptomes:\u00a0<\/span><\/span><\/span><\/p>\n

    \u00a0<\/span><\/p>\n