{"id":3150,"date":"2015-01-08T08:25:13","date_gmt":"2015-01-08T07:25:13","guid":{"rendered":"https:\/\/www.institutdanielmayral.com\/fractura-d-estres-o-de-sobrecarrega-ossia-de-l-esportista-per-institut-de-podologia-daniel-mayral\/"},"modified":"2024-12-30T11:43:07","modified_gmt":"2024-12-30T10:43:07","slug":"fractura-d-estres-o-de-sobrecarrega-ossia-de-l-esportista-per-institut-de-podologia-daniel-mayral","status":"publish","type":"post","link":"https:\/\/www.institutdanielmayral.com\/ca\/fractura-d-estres-o-de-sobrecarrega-ossia-de-l-esportista-per-institut-de-podologia-daniel-mayral\/","title":{"rendered":"Fractura d&#8217;estr\u00e8s o de sobrec\u00e0rrega \u00f2ssia de l&#8217; esportista per Institut de podologia Daniel Mayral"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1289.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:40px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><p>Com a pod\u00f2leg, \u00e9s normal trobar-me en la consulta di\u00e0ria, esportista que presenten grans dolors i edema (inflamaci\u00f3) a la zona de l&#8217;avantpeu, per\u00f2 sent un dolor que \u00e9s dif\u00edcil de localitzar-lo en un punt.<\/p>\n<p>Al principi sol remetre amb rep\u00f2s, per\u00f2 en caminar de nou torna. Si fem una radiografia immediatament no veurem cap mena de fractura, s\u00ed al cap d&#8217;unes setmanes on veurem l&#8217;evoluci\u00f3 del call ossi.<\/p>\n<p>En molts casos se&#8217;ls realitza una resson\u00e0ncia magn\u00e8tica on s&#8217;observa aquesta fractura. Per\u00f2 en realitat, qu\u00e8 \u00e9s la fractura d&#8217;estr\u00e8s o del soldat? A principis de segle un metge militar va observar que despr\u00e9s de llargues caminades dels soldats, alguns patien aquest quadre cl\u00ednic, per\u00f2 faltaven les proves diagn\u00f2stiques radiogr\u00e0fiques, que el 1958 es va confirmar.<\/p>\n<p>Normalment aquest tipus de fractures tenen m\u00e9s incid\u00e8ncia en els metatarsians centrals, per microtraumatismes continuats, en un augment d&#8217;activitat f\u00edsica, fa que l&#8217;os s&#8217;hipertrofi\u00ef i despr\u00e9s es remodela, aquesta etapa \u00e9s la que l&#8217;os es debilita i pot fracturar-se, normalment hi ha un problema biomec\u00e0nic de la marxa que fa que hi hagi m\u00e9s pressi\u00f3 Kg\/cm2 en una determinada zona de suport provocant aquests microtraumatismes i al final l&#8217;os es fractura per estr\u00e8s o torsi\u00f3.<\/p>\n<p>Tamb\u00e9 pot oc\u00f3rrer que un os es trobi debilitat per l&#8217;osteoporosi, obesitat, artritis, galindons,&#8230; En aquest cas l&#8217;os es fractura perqu\u00e8 no aguanta el tipus de pressi\u00f3 (fractura per insufuci\u00e8ncia).<\/p>\n<p>A l&#8217;Institut de podologia Daniel Mayral, ubicat a Hospital Quir\u00f3n Teknon, tenim diferents tipus de tractaments depenent del tipus de fractura d&#8217;estres que presenti. En la majoria de casos col\u00b7loquem una sabatilla post quir\u00fargica, amb una plantilla d&#8217;\u00faltima generaci\u00f3, per equilibrar les pressions a la zona de l&#8217;avantpeu, on normalment localitzem aquestes fractures. En alguns casos, i m\u00e9s en esportistes d&#8217;elit procedim a la intervenci\u00f3 quir\u00fargica immobilitzant la zona de la fractura. L&#8217; evoluci\u00f3 anir\u00e0 en funci\u00f3 del tipus de fractura, essent aconsellable l&#8217; increment gradual de l&#8217; activitat f\u00edsica i fent controls de radiografies per veure l&#8217; evoluci\u00f3 que normalment en 6 mesos, ja estar\u00e0 remodelat l&#8217;os, mentrestant aplicar laserter\u00e0pia, magnetoter\u00e0pia i crioter\u00e0pia.<\/p>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":2794,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47,43,40,42,50],"tags":[],"class_list":["post-3150","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirurgia-podologica","category-futbol-ca","category-padel-ca","category-running-ca","category-sabates-de-taco"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fractura d&#039;estr\u00e8s o de sobrec\u00e0rrega \u00f2ssia de l&#039; 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