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Prof. Marcelo Cano Cappellac




      Manejo de Lesiones de
       Extremidad Superior
          (codo y mano)




Kinesiología del Deporte 2008
SOAP en lesiones de
          codo y mano
Subjective, Objective, Assessment and Planing

Examen subjetivo

Examen objetivo

Evaluación

Planificación
Evaluación
Lesiones de codo

Athletes of all ages and skill
levels are increasingly
participating in sports involving
overhead arm motions, making
elbow injuries more common.
Among these injuries is lateral
epicondylitis, which occurs in
over 50% of athletes using
overhead arm motions. Lateral
epicondylitis is characterised by
pain in the area where the
common extensor muscles meet
the lateral humeral epicondyle.
Lesiones de codo

The onset of this pathological condition
begins with the excessive use of the wrist
extensor musculature. Repetitive
microtraumatic injury can lead to mucinoid
degeneration of the extensor origin and
subsequent failure of the tendon. Lateral
epicondylitis can almost always be treated
nonoperatively with activity modification and
specific exercises.
Lesiones de codo

 f the athlete fails to respond to nonoperative
 reatment after 6 months to 1 year, they are
candidates for surgical intervention. Medial
epicondylitis is characterised by pain and
 enderness at the flexor-pronator tendinous origin
with pathology commonly being located at the
nterface between the pronator teres and flexor carpi
 adialis origin. Golfers and tennis players often
develop this condition because of the repetitive
valgus stress placed on the medial elbow soft
 issues.
Lesiones de codo

As with lateral epicondylitis, patients with medial
epicondylitis not responding to an extensive
nonoperative programme are candidates for
 urgical intervention. A less common cause of
medial elbow pain is medial ulnar collateral
 gament injury. Repetitive valgus stress placed
on the joint can lead to microtraumatic injury and
 algus instability. When the medial ulnar
 ollateral ligament is disrupted, abnormal stress
s placed on the articular surfaces that can lead
 o degenerative changes with osteophyte
 ormation.
Lesiones de codo


A strict rehabilitation regimen is first employed;
 gament reconstruction is only recommended if
 he injury fails to improve and only in athletes
 equiring a high level of performance. Excessive
 algus stress can also lead to posteromedial
olecranon impingement on the olecranon fossa
producing pain, osteophyte and loose body
ormation.
Manos y dedos



Esguinces
y fracturas
Manos y dedos

Esguinces y fracturas
Manos y dedos

Esguinces y fracturas
Seminario de palpación

Con su compañer@ identifique las
  siguientes
estructuras:
1.Todos los bordes de la escápula
2.Fosa supraespinosa
3.Articulación esternoclavicular (sienta en
  los diferentes movimientos de clavícula)
4.Articulación acromioclavicular
5.Apófisis coracoides
Seminario de palpación

6. Tendón bicipital
7. Músculo infraespinoso
8. Líneas articulares de codo
9. Tendones extensores de muñeca y
  dedos
10. Inserción proximal de tendones
  flexores de muñeca y dedos.
Seminario Integración

  Sepárese en 6 grupos y para el deporte y
  lesión asignada identifique:
• Estructuras anatómicas comprometidas
• Elementos internos y externos que
  pueden aumentar el riesgo que se
  produzca la lesión
• Manejo inmediato y tardío de la lesión
  (elementos más relevantes a tomar en
  consideración)

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Manejo De Lesiones de EESS 2

  • 1. Prof. Marcelo Cano Cappellac Manejo de Lesiones de Extremidad Superior (codo y mano) Kinesiología del Deporte 2008
  • 2. SOAP en lesiones de codo y mano Subjective, Objective, Assessment and Planing Examen subjetivo Examen objetivo Evaluación Planificación
  • 4. Lesiones de codo Athletes of all ages and skill levels are increasingly participating in sports involving overhead arm motions, making elbow injuries more common. Among these injuries is lateral epicondylitis, which occurs in over 50% of athletes using overhead arm motions. Lateral epicondylitis is characterised by pain in the area where the common extensor muscles meet the lateral humeral epicondyle.
  • 5. Lesiones de codo The onset of this pathological condition begins with the excessive use of the wrist extensor musculature. Repetitive microtraumatic injury can lead to mucinoid degeneration of the extensor origin and subsequent failure of the tendon. Lateral epicondylitis can almost always be treated nonoperatively with activity modification and specific exercises.
  • 6. Lesiones de codo f the athlete fails to respond to nonoperative reatment after 6 months to 1 year, they are candidates for surgical intervention. Medial epicondylitis is characterised by pain and enderness at the flexor-pronator tendinous origin with pathology commonly being located at the nterface between the pronator teres and flexor carpi adialis origin. Golfers and tennis players often develop this condition because of the repetitive valgus stress placed on the medial elbow soft issues.
  • 7. Lesiones de codo As with lateral epicondylitis, patients with medial epicondylitis not responding to an extensive nonoperative programme are candidates for urgical intervention. A less common cause of medial elbow pain is medial ulnar collateral gament injury. Repetitive valgus stress placed on the joint can lead to microtraumatic injury and algus instability. When the medial ulnar ollateral ligament is disrupted, abnormal stress s placed on the articular surfaces that can lead o degenerative changes with osteophyte ormation.
  • 8. Lesiones de codo A strict rehabilitation regimen is first employed; gament reconstruction is only recommended if he injury fails to improve and only in athletes equiring a high level of performance. Excessive algus stress can also lead to posteromedial olecranon impingement on the olecranon fossa producing pain, osteophyte and loose body ormation.
  • 12. Seminario de palpación Con su compañer@ identifique las siguientes estructuras: 1.Todos los bordes de la escápula 2.Fosa supraespinosa 3.Articulación esternoclavicular (sienta en los diferentes movimientos de clavícula) 4.Articulación acromioclavicular 5.Apófisis coracoides
  • 13. Seminario de palpación 6. Tendón bicipital 7. Músculo infraespinoso 8. Líneas articulares de codo 9. Tendones extensores de muñeca y dedos 10. Inserción proximal de tendones flexores de muñeca y dedos.
  • 14. Seminario Integración Sepárese en 6 grupos y para el deporte y lesión asignada identifique: • Estructuras anatómicas comprometidas • Elementos internos y externos que pueden aumentar el riesgo que se produzca la lesión • Manejo inmediato y tardío de la lesión (elementos más relevantes a tomar en consideración)