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Revista de la Asociación Médica del Centro Médico ABC

2017, Número 1

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An Med Asoc Med Hosp ABC 2017; 62 (1)


Capsulitis adhesiva

Serrano AAM, Abush TS

Idioma: Español
Referencias bibliográficas: 40
Paginas: 37-43
Archivo PDF: 198.35 Kb.


RESUMEN

Históricamente, la capsulitis adhesiva se ha definido como una entidad de etiología desconocida, curso variable, poco predecible y de tratamiento controversial. También se conoce como «hombro congelado», y consiste en la pérdida de movilidad pasiva del hombro, especialmente de la rotación externa, que se acompaña de dolor difuso y limitación funcional. Su curso es insidioso, progresivo y, en la mayoría de los casos, autolimitante. Se presenta con mayor frecuencia entre los 40 y 70 años; es más común en mujeres y pacientes con alteraciones tiroideas o diabetes. El objetivo del tratamiento es restaurar la movilidad articular y la funcionalidad, así como mejorar el dolor mediante el uso de antiinflamatorios, esteroides, terapia física y, en ocasiones, manipulación cerrada bajo anestesia, o bien, liberación capsular por medio de artroscopia. El objetivo de este artículo es revisar todas las definiciones operacionales de la capsulitis adhesiva, describir los agentes causales y cambios patológicos intraarticulares, y exponer las alternativas terapéuticas conservadoras y quirúrgicas para el tratamiento adecuado de quienes la padecen.


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