{"id":8831,"date":"2020-04-20T11:00:01","date_gmt":"2020-04-20T11:00:01","guid":{"rendered":"https:\/\/centremompo.es\/?p=8831"},"modified":"2022-12-20T11:04:37","modified_gmt":"2022-12-20T11:04:37","slug":"los-grados-de-la-luxacion-acromioclavicular","status":"publish","type":"post","link":"https:\/\/centremompo.es\/acceder\/los-grados-de-la-luxacion-acromioclavicular\/","title":{"rendered":"Los grados de la luxaci\u00f3n acromioclavicular"},"content":{"rendered":"

El m\u00e9dico te ha dicho que tienes una luxaci\u00f3n acromioclavicular y no sabes qu\u00e9 es eso, aqu\u00ed tienes la respuesta.<\/p>\n

Qu\u00e9 es la luxaci\u00f3n acromioclavicular<\/h1>\n
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La mejor forma de entender estas lesiones es comprendiendo que no estamos hablando exclusivamente de la articulaci\u00f3n entre clav\u00edcula y acromion, sino de la estabilidad de la cintura escapular.<\/div>\n
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Las lesiones acromioclaviculares suelen producirse en ca\u00eddas sobre el mu\u00f1\u00f3n del hombro, generalmente en accidentes de ciclismo o motociclismo, con descenso brusco de la esc\u00e1pula con respecto a la clav\u00edcula.<\/div>\n
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Los primeros ligamentos sometidos a tensi\u00f3n en este tipo de lesiones son los acromioclaviculares; accidentes con poca energ\u00eda s\u00f3lo lesionan dichos ligamentos, mientras que accidentes de mayor energ\u00eda producen una lesi\u00f3n al mismo tiempo y solidaria de los ligamentos acromio y coraco-claviculares.<\/div>\n
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Para valorar el grado de desplazamiento suele realizarse una radiograf\u00eda de ambas acromioclaviculares con peso colgado de las mu\u00f1ecas, de esta forma se puede valorar el espacio entre esa articulaci\u00f3n.<\/div>\n
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El desplazamiento vertical tanto cl\u00ednico signo de la tecla de piano como radiol\u00f3gico, justifica que se hable de luxaci\u00f3n acromioclavicular.<\/div>\n
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Una luxaci\u00f3n se define como la p\u00e9rdida del contacto normalmente existente entre dos superficies que se articulan.<\/div>\n
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Todas las luxaciones se han de tratar de forma urgente, si bien en ocasiones su tratamiento definitivo puede realizarse de forma programada y quirurgica.<\/div>\n<\/div>\n
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Los grados de la luxaci\u00f3n acromioclavicular<\/h1>\n

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Se agrupan en 6 tipos, de acuerdo a sus caracter\u00edsticas<\/div>\n
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\u2022 Tipo I:<\/strong> Esguince de los ligamentos acromio claviculares. La articulaci\u00f3n se<\/div>\n
mantiene estable y no hay cambios radiogr\u00e1ficos.<\/div>\n
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\u2022 Tipo II<\/strong>. Roturade los ligamentos acromio claviculares, con indemnidad de los<\/div>\n
coracoclaviculares. Puede haber cierta inestabilidad en el plano horizontal y en la<\/div>\n
radiograf\u00edas antero posteriores hay menos de un 25% de luxaci\u00f3n.<\/div>\n
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\u2022 Tipo III:<\/strong> Roturatotal de los ligamentos acromio claviculares y coracoclaviculares.<\/div>\n
La articulaci\u00f3n es bastante inestable y hay una luxaci\u00f3n del 25 al 100 % en\u00a0las proyecciones antero posteriores de la radiograf\u00eda.<\/div>\n
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\u2022 Tipo IV:<\/strong> es la luxaci\u00f3n posterior del extremo distal de la clav\u00edcula.<\/div>\n
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\u2022 Tipo V:<\/strong> es una forma m\u00e1s severa de la tipo III, con rotura de tejido fascial<\/div>\n
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\u2022 Tipo VI<\/strong>: son muy raras. La clav\u00edcula se luxa en posici\u00f3n inferior y queda alojada en<\/div>\n
posici\u00f3n inferior<\/div>\n
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El tratamiento para las lesiones hasta el tipo 3 vendaje. El resto\u00a0quir\u00fargico<\/div>\n
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\u00bfC\u00f3mo se cura la luxaci\u00f3n acromioclavicular?<\/strong><\/h2>\n
El<\/span> tr<\/span>at<\/span>am<\/span>ient<\/span>o<\/span> para<\/span> un<\/span>a<\/span> lux<\/span>aci<\/span>\u00f3n<\/span> ac<\/span>rom<\/span>i<\/span>oc<\/span>lav<\/span>icular<\/span> depend<\/span>e<\/span> del<\/span> grad<\/span>o<\/span> de<\/span> les<\/span>i<\/span>\u00f3n<\/span>.<\/span><\/div>\n
En<\/span> general<\/span>,<\/span> el<\/span> tr<\/span>at<\/span>am<\/span>ient<\/span>o<\/span> para<\/span> un<\/span>a<\/span> lux<\/span>aci<\/span>\u00f3n<\/span> ac<\/span>rom<\/span>i<\/span>oc<\/span>lav<\/span>icular<\/span> es<\/span> un<\/span> pro<\/span>ces<\/span>o<\/span> individual<\/span>iz<\/span>ado, no obstante podemos definir ciertas generalidades:<\/span><\/div>\n
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Las lesiones de grado I y II se tratan con tratamientos conservadores.<\/strong> Est<\/span>o<\/span> signific<\/span>a<\/span> que<\/span> el<\/span> pac<\/span>ient<\/span>e<\/span> de<\/span>be<\/span> us<\/span>ar<\/span> un<\/span> cab<\/span>est<\/span>r<\/span>illo<\/span> dur<\/span>ante<\/span> dos<\/span> a<\/span> t<\/span>res<\/span> sem<\/span>anas<\/span>,<\/span> se<\/span>gu<\/span>ido<\/span> de<\/span> un<\/span> program<\/span>a<\/span> de<\/span> rehabilit<\/span>aci<\/span>\u00f3n<\/span> por<\/span> un<\/span> f<\/span>is<\/span>iot<\/span>er<\/span>ape<\/span>uta<\/span> o<\/span> prof<\/span>es<\/span>ional<\/span> de<\/span> la<\/span> sal<\/span>ud<\/span>.<\/span> Est<\/span>os<\/span> tr<\/span>at<\/span>am<\/span>ient<\/span>os<\/span> ay<\/span>ud<\/span>an<\/span> a<\/span> cal<\/span>mar<\/span> el<\/span> d<\/span>olor<\/span> y<\/span> a<\/span> permit<\/span>ir<\/span> que<\/span> el<\/span> pac<\/span>ient<\/span>e<\/span> rec<\/span>upe<\/span>re<\/span> la<\/span> mov<\/span>il<\/span>idad<\/span>.<\/span><\/div>\n
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Los pacientes con lesiones de grado III<\/strong> t<\/span>ien<\/span>en<\/span> may<\/span>ores<\/span> d<\/span>ud<\/span>as<\/span> ac<\/span>erc<\/span>a<\/span> de<\/span> la<\/span> me<\/span>j<\/span>or<\/span> form<\/span>a<\/span> de<\/span> tr<\/span>at<\/span>arl<\/span>as<\/span>.<\/span><\/div>\n
Depend<\/span>i<\/span>endo<\/span> del<\/span> tip<\/span>o<\/span> de<\/span> deform<\/span>idad<\/span>,<\/span> el<\/span> tr<\/span>at<\/span>am<\/span>ient<\/span>o<\/span> in<\/span>icial<\/span> p<\/span>ued<\/span>e<\/span> ser<\/span> conserv<\/span>ador<\/span> o<\/span> quir<\/span>\u00fa<\/span>rg<\/span>ico<\/span>.<\/span> Si<\/span> el<\/span> pac<\/span>ient<\/span>e<\/span> no<\/span> ti<\/span>ene<\/span> un<\/span>a<\/span> deform<\/span>idad<\/span> grand<\/span>e<\/span> y<\/span> su<\/span> act<\/span>ivid<\/span>ad<\/span> es<\/span> normal<\/span>,<\/span> ent<\/span>on<\/span>ces<\/span> se<\/span> rec<\/span>omi<\/span>enda<\/span> el<\/span> tr<\/span>at<\/span>am<\/span>ient<\/span>o<\/span> conserv<\/span>ador<\/span> con<\/span> el<\/span> cab<\/span>est<\/span>r<\/span>illo<\/span>.<\/span> Si<\/span> el<\/span> pac<\/span>ient<\/span>e<\/span> ne<\/span>ces<\/span>ita<\/span> mayor<\/span> mov<\/span>il<\/span>idad<\/span> en<\/span> la<\/span> z<\/span>ona<\/span> a<\/span>fect<\/span>ada<\/span>,<\/span> ent<\/span>on<\/span>ces<\/span> el<\/span> tr<\/span>at<\/span>am<\/span>ient<\/span>o<\/span> quir<\/span>\u00fa<\/span>rg<\/span>ico<\/span> es<\/span> la<\/span> me<\/span>j<\/span>or<\/span> op<\/span>ci<\/span>\u00f3n<\/span>.<\/span><\/div>\n
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Las lesiones de grado IV, V y VI requieren tratamiento quir\u00fargico<\/strong>.<\/span> Ex<\/span>ist<\/span>en<\/span> var<\/span>ias<\/span> t<\/span>\u00e9<\/span>c<\/span>nic<\/span>as<\/span> quir<\/span>\u00fa<\/span>rg<\/span>icas<\/span> para<\/span> tr<\/span>atar<\/span> un<\/span>a<\/span> lux<\/span>aci<\/span>\u00f3n<\/span> ac<\/span>rom<\/span>i<\/span>oc<\/span>lav<\/span>icular<\/span>,<\/span> com<\/span>o<\/span> la<\/span> ins<\/span>er<\/span>ci<\/span>\u00f3n<\/span> de<\/span> ag<\/span>uj<\/span>as<\/span> de<\/span> Kir<\/span>sh<\/span>ner<\/span>,<\/span> el<\/span> inj<\/span>erto<\/span> de<\/span> tend<\/span>ones<\/span>,<\/span> y<\/span> o<\/span>tr<\/span>as<\/span> t<\/span>\u00e9<\/span>c<\/span>nic<\/span>as<\/span>.<\/span> Est<\/span>a<\/span> dec<\/span>isi<\/span>\u00f3n<\/span> se<\/span> de<\/span>be<\/span> adapt<\/span>ar<\/span> al<\/span> tip<\/span>o<\/span> de<\/span> les<\/span>i<\/span>\u00f3n<\/span>,<\/span> la<\/span> gra<\/span>ved<\/span>ad<\/span> de<\/span> la<\/span> lux<\/span>aci<\/span>\u00f3n<\/span> y<\/span> el<\/span> n<\/span>ive<\/span>l<\/span> de<\/span> func<\/span>ional<\/span>idad<\/span> del<\/span> mi<\/span>em<\/span>bro<\/span>.<\/span><\/div>\n
En<\/span> el<\/span> cas<\/span>o<\/span> de<\/span> los<\/span> pac<\/span>ient<\/span>es<\/span> con<\/span> les<\/span>ion<\/span>es<\/span> de<\/span> grad<\/span>o<\/span> III<\/span>,<\/span> la<\/span> me<\/span>j<\/span>or<\/span> form<\/span>a<\/span> de<\/span> determin<\/span>ar<\/span> el<\/span> tr<\/span>at<\/span>am<\/span>ient<\/span>o<\/span> ad<\/span>ec<\/span>u<\/span>ado<\/span> es<\/span> consult<\/span>ar<\/span> con<\/span> un<\/span> es<\/span>pe<\/span>cial<\/span>ista<\/span> en<\/span> h<\/span>omb<\/span>ro<\/span>.<\/span><\/div>\n
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Depend<\/span>i<\/span>endo<\/span> del<\/span> grad<\/span>o<\/span> de<\/span> in<\/span>est<\/span>abil<\/span>idad<\/span> horizontal<\/span> que<\/span> t<\/span>eng<\/span>a<\/span> el<\/span> pac<\/span>ient<\/span>e<\/span>,<\/span> el<\/span> tr<\/span>at<\/span>am<\/span>ient<\/span>o<\/span> p<\/span>ued<\/span>e<\/span> ser<\/span> conserv<\/span>ador<\/span> (<\/span>con<\/span> cab<\/span>est<\/span>r<\/span>illo<\/span>)<\/span> o<\/span> quir<\/span>\u00fa<\/span>rg<\/span>ico<\/span>.<\/span> El<\/span> es<\/span>pe<\/span>cial<\/span>ista<\/span> t<\/span>amb<\/span>i<\/span>\u00e9n<\/span> de<\/span>be<\/span> t<\/span>ener<\/span> en<\/span> cu<\/span>enta<\/span> el<\/span> tip<\/span>o<\/span> de<\/span> act<\/span>ivid<\/span>ad<\/span> deport<\/span>iva<\/span> o<\/span> labor<\/span>al<\/span> del<\/span> pac<\/span>ient<\/span>e<\/span> al<\/span> determin<\/span>ar<\/span> el<\/span> me<\/span>j<\/span>or<\/span> tr<\/span>at<\/span>am<\/span>ient<\/span>o<\/span>.<\/span><\/div>\n
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Si padeces de esta patolog\u00eda te invitamos a que pidas una sesi\u00f3n de valoraci\u00f3n con nuestros fisioterapeutas<\/a>, para<\/span> determin<\/span>ar<\/span> la<\/span> me<\/span>j<\/span>or<\/span> op<\/span>ci<\/span>\u00f3n<\/span> para<\/span> c<\/span>ada<\/span> cas<\/span>o<\/span>.<\/span><\/div>\n
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El<\/span> tr<\/span>at<\/span>am<\/span>ient<\/span>o<\/span> ad<\/span>ec<\/span>u<\/span>ado<\/span> a<\/span>se<\/span>gur<\/span>ar<\/span>\u00e1<\/span> que<\/span> el<\/span> pac<\/span>ient<\/span>e<\/span> t<\/span>eng<\/span>a<\/span> la<\/span> me<\/span>j<\/span>or<\/span> rec<\/span>uper<\/span>aci<\/span>\u00f3n<\/span> pos<\/span>ible<\/span>.<\/span><\/div>\n
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Os dejamos un v\u00eddeo al respecto. \u00c1nimo, hay personas que incluso utilizan un cabestrillo. que puede almenos, inmovilizar parcialmente la lesi\u00f3n<\/div>\n
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