{"id":76121,"date":"2005-09-09T00:00:00","date_gmt":"2005-09-09T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/gonalgia-invalidante-de-reciente-comienzo-investigando-fracturas-de-estres\/"},"modified":"2005-09-09T00:00:00","modified_gmt":"2005-09-09T00:00:00","slug":"gonalgia-invalidante-de-reciente-comienzo-investigando-fracturas-de-estres","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/gonalgia-invalidante-de-reciente-comienzo-investigando-fracturas-de-estres\/","title":{"rendered":"Gonalgia invalidante de reciente comienzo: investigando fracturas de estr\u00e9s."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Concepci\u00f3n Chalmeta Verdejo <\/strong><\/h2>\n<p>El diagn\u00f3stico diferencial de las fracturas estr\u00e9s de rodilla incluye aquellas condiciones que cl\u00ednicamente cursan de una forma similar. La importancia de un diagn\u00f3stico correcto, en la mayor brevedad de tiempo posible, es esencial para un apropiado tratamiento y puede ser determinante del pron\u00f3stico.  nuestro estudio, realizado de forma prospectiva, pretende conseguir un diagn\u00f3stico precoz de las fracturas de estr\u00e9s de rodilla, llevando a cabo una anamnesis dirigida y exploraci\u00f3n f\u00edsica de la rodilla dolorosa en busca de zonas de hipersensibilidad en meseta tibial y c\u00f3ndilo femoral, solicitando precozmente las pruebas de imagen necesarias (gammagraf\u00eda \u00f3sea y\/o rnm) si la sospecha diagn\u00f3stica es alta y la radiograf\u00eda simple de rodilla es inespec\u00edfica.  el perfil de nuestro grupo de pacientes fue de personas de edad avanzada y con sobrepeso. En m\u00e1s de la mitad de los pacientes (57%) el dolor estaba localizado en meseta tibial interna; no observamos un ritmo definido del dolor y en la mayor\u00eda de los casos el dolor no interrump\u00eda el sue\u00f1o nocturno. las pruebas de imagen realizadas mostraron, en la radiolog\u00eda simple,cambios degenerativos moderados en la mayor parte de los pacientes. La gammagraf\u00eda \u00f3sea mostr\u00f3 alteraciones compatibles con el diagn\u00f3stico de fractura de estr\u00e9s en el 75.51% pacientes, de los cuales en 14 el diagn\u00f3stico coincidi\u00f3 con el de la rnm; mostrando una sensibilidad de la t\u00e9cnica en nuestro caso del 93% y una especificidad del 34.3%.  tras instauraci\u00f3n del tratamiento observamos mejor\u00eda del dolor hasta un 50% del valor inicial de la eva en el 69% de los pacientes en el primer mes de tratamiento. Al tercer mes de seguimiento, 38 pacientes tuvieron una eva &lt;5mm y 8 pacientes estaban asintom\u00e1ticos (eva=0mm).  conclusiones:  1. Nuestros datos indican que las fracturas de estr\u00e9s en la rodilla son frecuentes, aunque los datos previos sobre esta patolog\u00eda se limiten a casos espor\u00e1dicos (c<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Gonalgia invalidante de reciente comienzo: investigando fracturas de estr\u00e9s.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Gonalgia invalidante de reciente comienzo: investigando fracturas de estr\u00e9s. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Concepci\u00f3n Chalmeta Verdejo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 09\/09\/2005<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jos\u00e9 Andres Roman  Ivorra<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: fernando L\u00f3pez prats <\/li>\n<li>Mar\u00eda manuela Morales su\u00e1rez-varela (vocal)<\/li>\n<li> Herrera i lara  Manuel (vocal)<\/li>\n<li>gabriel Herrero-beaumont (ausente) (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Concepci\u00f3n Chalmeta Verdejo El diagn\u00f3stico diferencial de las fracturas estr\u00e9s de rodilla incluye aquellas condiciones que cl\u00ednicamente [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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