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Inicio Revista Colombiana de Reumatología Epicondilitis medial. Revisión del estado actual de la enfermedad
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Vol. 18. Núm. 4.
Páginas 295-303 (Diciembre 2011)
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Vol. 18. Núm. 4.
Páginas 295-303 (Diciembre 2011)
DOI: 10.1016/S0121-8123(11)70045-7
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Epicondilitis medial. Revisión del estado actual de la enfermedad
Medial epicondylitis. Current concepts
Diego Mauricio Muñoz1, Fabio Vela Rodríguez1, Enrique Vergara Amador2,
Autor para correspondencia
1 Residente de Ortopedia y Traumatología, Universidad Nacional de Colombia
2 Profesor asociado de Ortopedia y Traumatología, Universidad Nacional de Colombia. Unidad de Ortopedia, Departamento de Cirugía, Facultad de Medicina, Ciudad Universitaria, Universidad Nacional de Colombia, Bogotá, Colombia
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La epicondilitis medial tiene menor incidencia que la lateral, patología que ha sido principalmente descrita en estudios anatómicos y clínicos. La información sobre la epicondilitis lateral ha sido extrapolada a la epicondilitis medial. Se ha denominado a la epicondilitis medial como “codo de golfista”, debido a la asociación con este deporte; sin embargo, se asocia mucho más a actividades laborales específicas.

Es una patología que compromete el origen de los músculos de la parte medial del codo, conocidos como músculos flexopronadores, organizados así: pronator teres, flexor carpiradialis, palmarislongus, flexordigitorumsuperficialis y flexor carpiulnaris. El diagnóstico principalmente es clínico y se puede apoyar mediante imágenes diagnósticas. El manejo conservador es el más frecuente (85–90%), y los objetivos son mejoría del dolor y rehabilitación para una reincorporación a las actividades. En casos resistentes a tratamiento conservador, la cirugía es el último paso, preferiblemente resecando la zona afectada.

Palabras clave:
epicondilitis medial
codo de golfista

The medial epicondylitis has a smaller impact that the lateral, pathology that has mainly been described in anatomical study and clinical trials. The information on the lateral epicondylitis has been extrapolated to the medial epicondylitis. It has been called to the medial epicondylitis as “golfer's elbow”, due to the association with this sport, however joins much more to labor activities. It is a pathology that commits the origin of the muscles of the medial elbow, known as flexopronator muscles, organized like this: pronator teres, flexor carpi radialis, palmarislongus, flexordigitorumsuperficialis, flexor carpi ulnaris. The diagnosis is mainly clinical and can be supported by diagnostic images. The treatment conservative is more frequent (85–90%) and the objectives are: improvement of the pain and rehabilitation for a return to the activities, if not achieved the improvement is performed surgery preferably with resection the affected area.

Key words:
medial epicondylitis
golfer's elbow
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