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Relación entre la cirugía artroscópica de rodilla y la activación de puntos gatillo miofasciales: presentación de una hipótesis
Relationship between arthroscopic surgery of the knee and activation of myofascial trigger points: presentation of a hypothesis
A.L. Rodríguez Fernández
Autor para correspondencia
alrodfer@ceu.es

Correspondencia: Departamento de Fisioterapia Facultad de Ciencias Experimentales y de la Salud Martín de los Heros, 60 28008 Madrid
, J.L. Bartolomé Martín
Fisioterapeutas. Profesores Colaboradores del Departamento de Fisioterapia de la Facultad de Ciencias Experimentales y de la Salud de la Universidad San Pablo–CEU
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        "resumen" => "<span class="elsevierStyleSectionTitle">Resumen</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Desde que el Dr&#46; Severin Nordentoft realizara la primera exploraci&#243;n del interior de una rodilla utilizando la artroscopia&#44; este procedimiento ha evolucionado much&#237;simo a lo largo de todo el siglo XX siendo indicaci&#243;n absoluta en gran cantidad de procesos patol&#243;gicos&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Si bien la t&#233;cnica a disminuido mucho las complicaciones postoperatorias&#44; los fisioterapeutas encontramos en el tratamiento de los pacientes sometidos a artroscopia de rodilla&#44; la activaci&#243;n de diferentes Puntos Gatillo Miofasciales &#40;PGM&#41; que explican diversos cuadros dolorosos presentados&#46; Las posibles causas de aparici&#243;n de estos PGM son&#58;<ul class="elsevierStyleList" id="l0005"><li class="elsevierStyleListItem" id="li0005"><p id="p0005" class="elsevierStylePara elsevierViewall">&#8211;Las adherencias y el dolor de los portales de entrada&#46;</p><p id="p0010" class="elsevierStylePara elsevierViewall">&#8211; La isquemia quir&#250;rgica&#46;</p><p id="p0015" class="elsevierStylePara elsevierViewall">&#8211; El flexo de rodilla causado por el hidrartros secundario a la cirug&#237;a&#46;</p></li></ul></p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Parece ser que cada causa podr&#237;a activar de manera espec&#237;fica un grupo de PGM en los m&#250;sculos flexores o extensores de rodilla&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Este trabajo sugiere una hip&#243;tesis que pretende explicar esta relaci&#243;n de especificidad entre origen de la activaci&#243;n y PGM activados y pretende comprobarla en el seno de una investigaci&#243;n cl&#237;nica&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Abstract</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Since Dr&#46; Severin Nodertoft performed the first interior exploration of the knee using arthroscopy&#44; this procedure has made huge progress throughout the twentieth century and is now used in many pathological processes&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Although this technique has greatly reduced postoperative complications&#44; physiotherapists find&#44; in the treatment of patients who have undergone knee arthroscopy&#44; the activation of different Myofascial Trigger Points &#40;MTPs&#41; that explain various painful symptoms present&#46; The possible causes of the appearance of these MTPs are&#58;<ul class="elsevierStyleList" id="l0010"><li class="elsevierStyleListItem" id="li0010"><p id="p0020" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">&#8211;The adherences and pain at entry points&#46;</span></p><p id="p0025" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">&#8211; The surgical ischemia&#46;</span></p><p id="p0030" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">&#8211; Knee flexion caused by secondary hydrarthrosis due to surgery&#46;</span></p></li></ul></p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">It appears that each cause can activate a specific group of MTPs in the flexor and extensor muscles of the knee&#46;</span></p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">This study puts forward a hypothesis to explain the specific relationship between the origin of activation and MTPs activated and attempts to verify this by clinical investigation&#46;</span></p>"
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ISSN: 02115638
Idioma original: Español
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