Actualización sobre el síndrome de estrés tibial medial

Autores

  • Santiago Gómez García Policía Nacional de Colombia
  • Fernando Marco Martínez Universidad Complutense de Madrid
  • África López-Illescas Ruiz Consejo Superior de Deportes
  • Martha C. Gómez Tinoco Ejército Nacional de Colombia
  • Mikhail Benet Rodríguez Unicafam
  • Juan M. Alarcón García Hospital Nuestra Señora de América

DOI:

https://doi.org/10.22335/rlct.v6i3.22

Palavras-chave:

Síndrome do estresse tibial medial,, lesão por estresse tibial, lesões nos membros inferiores,, atualização, esportes, reabilitação, fisioterapia

Resumo

A síndrome do estresse tibial medial é uma das causas mais comuns de dor induzida pelo exercício físico nas extremidades inferiores em praticantes de atividades físicas e esportivas. É um evento semiótico produzido por lesão repetitiva de estresse mecânico no aspecto medial da tíbia, freqüente entre as doenças que afetam corredores e treinamento militar; geralmente não é grave, mas, se não tratada adequadamente, pode evoluir para lesões incapacitantes, como a fratura por estresse da tíbia. Existem fatores de risco que contribuem para desenvolvimento da patologia, entre eles o tipo de atividade, técnicas inadequadas de treinamento, condições do solo, tipo de calçado utilizado, pronação anormal da articulação subtalar, sexo feminino, massa corporal elevada índice e diminuição da densidade mineral óssea. O diagnóstico geralmente é estabelecido por meio de anamnese e exame físico, pois as radiografias não fornecem informações úteis, apenas ajudam a estabelecer o diagnóstico diferencial com as fraturas por estresse da tíbia, e os exames radiológicos mais caros não se justificam. O tempo de recuperação para os acometidos por essa doença é bastante prolongado, havendo a tendência de abandonar a terapia, impedindo a realização dos objetivos terapêuticos propostos, o tratamento padrão ouro é a fisioterapia, porém existem outras modalidades terapêuticas com grandes perspectivas para o tratamento. o tratamento dessa entidade nosológica, na qual a Terapia Extracorpórea por Ondas de Choque se destaca, e embora existam estudos científicos sobre esse assunto, não há o suficiente. Tanto a fisiopatologia como a prevenção e o tratamento ainda não são claros. Devido ao exposto acima, é feita uma revisão do estado da arte dos aspectos fundamentais desta patologia.

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Biografia do Autor

  • Santiago Gómez García, Policía Nacional de Colombia

    Médico Deportólogo. Especialista en Medicina del Deporte y en Ortopedia y Traumatología. Magister en Traumatología del Deporte. Candidato a Doctor en Cirugia Ortopédica y Traumatológia. Dirección de Sanidad Policía Nacional.

  • Fernando Marco Martínez, Universidad Complutense de Madrid

    Doctor en Medicina y Cirugía. Médico Especialista en Cirugía Ortopédica y Traumatología. Catedrático de Cirugía Ortopédica y Traumatología.

  • África López-Illescas Ruiz, Consejo Superior de Deportes

    Doctora en Medicina y Cirugía. Médico Especialista en Medicina de la Educación Física y el Deporte. Centro de Medicina del Deporte.

  • Martha C. Gómez Tinoco, Ejército Nacional de Colombia

    Master en Psicología del Deporte y la Actividad Física. Psicóloga especialista en Psicología Deportiva. Candidata a Doctora en Psicología del Aprendizaje Humano. Dirección de Sanidad.

  • Mikhail Benet Rodríguez, Unicafam

    Doctor en Ciencias Médicas. Médico. Máster en Fisiología General. Especialista en Fisiología Normal y Patológica. Coordinador de Investigaciones.

  • Juan M. Alarcón García, Hospital Nuestra Señora de América

    Doctor en Medicina y Cirugía. Médico Especialista en Cirugía General. Director de la Unidad de Ecografía y Ondas de choque.

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Publicado

2018-08-30

Edição

Seção

Artigos de pesquisa / Artigos Originais

Como Citar

Actualización sobre el síndrome de estrés tibial medial. (2018). Revista Logos Ciencia & Tecnología, 6(3), 84-97. https://doi.org/10.22335/rlct.v6i3.22