Conclusión: Manejo Artroscopico del Pinzamiento Subacromial

El artroscopio ha cambiado la cirugía del hombro, debido a que tiene varias ventajas sobre la cirugía abierta: permite la visualización magnificada de las estructuras intra y periarticulares; facilita la identificación exacta de la patología; el trauma mínimo a los tejidos blandos, incluyendo el hecho de no desinsertar el deltoides; disminuye las complicaciones y facilita una rehabilitación precoz, la que disminuye las adherencias y la atrofia muscular. Esta técnica ha demostrado muy buenos resultados a largo y corto plazo.

El procedimiento es técnicamente difícil al principio, por lo que requiere entrenamiento y experiencia para utilizarlo. Sin embargo, una vez que se obtiene la experiencia el tiempo quirúrgico es mínimo. El procedimiento brinda excelentes resultados y opciones de manejo. El equipo necesario varía poco del necesario para una artroscopia de rodilla (7).

Summary

The impinyement syndrome is a spectrum of progressive lesions to the soft tissues in the subacromial apace. In its inicial stuges and specially in younger individuals conservative treatment leads to quod results. More advanced lesions including partial and complete rotator cuff fears often require surgical magnagement in order to relieve pain and regain good function. Subacromial decompression including subacromial bursectomy, ac ligament resection, anterior acrogolasty and dobridement of trayed tenduns can be performed with and arthroscopic technique. Complete rotator cuff tears are reaired thruugh a lateral mini-deltoid splitting incision. Arthroscopy allow visualization of all intra-articular structures, less trauma to surrounding soff tissues, earler rehabilitation and fewer complications results are as good and often better than with open surgery.

Escala de Hombro de Ucla

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