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Desenlaces en el manejo con balón subacromial en rupturas masivas del manguito rotador en la Subred Integrada de Servicios de Salud Sur Occidente Unidad Hospital Occidente de Kennedy 2019-2022: serie de casos
| dc.contributor.advisor | Salas Garzon , Gustavo Antonio | |
| dc.contributor.advisor | Pedraza, Ana Maria | |
| dc.creator | Acosta Garzón, Iván Camilo | |
| dc.creator.degree | Especialista en Ortopedia y Traumatología HOK | es |
| dc.creator.degreeLevel | Maestría | |
| dc.creator.degreetype | Presencial | es |
| dc.date.accessioned | 2022-11-24T12:48:18Z | |
| dc.date.available | 2022-11-24T12:48:18Z | |
| dc.date.created | 2022-11-16 | |
| dc.description | Las lesiones irreparables del manguito rotador están asociadas a una baja tasa de resolución y mejoría sintomática, pese a los múltiples tratamientos propuestos para esta entidad. La implantación de un balón biodegradable en el espacio subacromial se ha convertido en una de las propuestas más recientes para el tratamiento sintomático de estas lesiones. En la actualidad no existe evidencia suficiente que respalde su uso rutinario, así como tampoco se conoce los resultados en la población colombiana. Propósito: Describir los desenlaces funcionales en el uso del balón subacromial en pacientes con lesiones masivas irreparables del manguito rotador en la Subred Integrada de Servicios de Salud Sur Occidente ESE Hospital Occidente de Kennedy Materiales y métodos: Se realizo un estudio observacional descriptivo de pacientes con lesiones irreparables masivas tratadas con implantación de balón subacromial en la Subred Integrada de Servicio de Salud Sur Occidente ESE Hospital Occidente de Kennedy entre 2019 y 2022. Se evaluaron arcos de movilidad, dolor y funcionalidad mediante la escala ASES prequirrugicos y en seguimiento a 6 meses. Resultados: En el estudio se incluyeron 10 sujetos en el periodo evaluado. Se encontró una mejoría progresiva en la escala funcional ASES iniciando en promedio de 28,3 a 68. La puntuación del EVA disminuyo en mediana de 5,0 y 5,5 puntos entre la valoración posoperatorioa y prequirurgica. Se identifico una disminución en los arcos de movimiento del hombro en la primera evaluación posoperatoria, que recupero progresivamente sin volver al rango de movimiento inicial. No se presentó ninguna infección de sitio operatorio, ni complicaciones perioperatorias. Conclusión: Los desenlaces funcionales con el uso de balón subacromial en los pacientes con lesiones irreparables del manguito rotador tratados en un hospital de tercer nivel en Bogotá son favorables en cuanto a escala funcional de ASES así como dolor, con una disminución inicial de los arcos de movimiento del hombro | es |
| dc.description.abstract | Irreparable rotator cuff tears are associated with a lower rate of resolution and symptoms relieve, regardless the multiple management protocols proposed to treat it. The implantation of a biodegradable balloon in the subacromial space has been found as an interesting recent proposal for treating these lesions. As of today, there is not enough evidence that supports its use, neither result of its use in Colombian population. Objective: Describe the functional outcomes of the use of subacromial balloon spacer in patients with massive irreparable rotator cuff tears in the la Subred Integrada de Servicios de Salud Sur Occidente ESE Hospital Occidente de Kennedy. Materials and Methods: This is an observational descriptive study of patients with massive irreparable rotator cuff tears treated with subacromial balloon spacer in the la Subred Integrada de Servicios de Salud Sur Occidente ESE Hospital Occidente de Kennedy between 2019 and 2022. Pain, range of movement and functionality using de ASES score were evaluated in each patient before surgery and were followed 6 months postoperatively. Results: In this study we included 10 patients in the period of time evaluated. A progressive improve in ASES score was found, starting with an average of 28,3 to 68 points. The AVC pain score diminished in a median between 5,0 and 5,5 between preoperative and postoperative evaluations. It was also found a decrease in range of movement starting in the first postoperative evaluation, improving progressively without reaching the preoperative values. There was no operative site infection or perioperative complications. Conclusion: There was an improve in ASES functional score and VAS pain score in patients treated with subacromial balloon spacer in a third level hospital in Bogota. A decrease in range of movement of the shoulder was initially found | es |
| dc.format.extent | 31 pp | es |
| dc.format.mimetype | application/pdf | es |
| dc.identifier.doi | https://doi.org/10.48713/10336_37032 | |
| dc.identifier.uri | https://repository.urosario.edu.co/handle/10336/37032 | |
| dc.language.iso | spa | es |
| dc.publisher | Universidad del Rosario | |
| dc.publisher.department | Escuela de Medicina y Ciencias de la Salud | |
| dc.publisher.program | Especialización en Ortopedia y Traumatología FSFB | |
| dc.rights | Atribución-NoComercial-SinDerivadas 2.5 Colombia | * |
| dc.rights.accesRights | info:eu-repo/semantics/openAccess | es |
| dc.rights.acceso | Abierto (Texto Completo) | es |
| dc.rights.licencia | EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos. | spa |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/2.5/co/ | * |
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| dc.source.instname | instname:Universidad del Rosario | |
| dc.source.reponame | reponame:Repositorio Institucional EdocUR | |
| dc.subject | Rupturas masivas | es |
| dc.subject | Lesion del manguito rotador | es |
| dc.subject | Espaciador Subacromial | es |
| dc.subject | Hombro | es |
| dc.subject | Artroscopia | es |
| dc.subject | Implantación de balón biodegradable | es |
| dc.subject | Balón subacromial | es |
| dc.subject.ddc | Ciencias médicas, Medicina | es |
| dc.subject.keyword | Rotator cuff tears | es |
| dc.subject.keyword | Shoulder pain | es |
| dc.subject.keyword | Subacromial Spacer | es |
| dc.subject.keyword | Arthroscopy | es |
| dc.subject.keyword | Balloon implantation | es |
| dc.subject.keyword | Subacromial balloon | es |
| dc.title | Desenlaces en el manejo con balón subacromial en rupturas masivas del manguito rotador en la Subred Integrada de Servicios de Salud Sur Occidente Unidad Hospital Occidente de Kennedy 2019-2022: serie de casos | es |
| dc.title.TranslatedTitle | Outcomes of subacromial spacer as management of massive rotator cuff tears in the Subred Integrada de Servicios de Salud Sur Occidente Unidad Hospital Occidente de Kennedy: a case series study | es |
| dc.type | bachelorThesis | es |
| dc.type.document | Trabajo de grado | es |
| dc.type.hasVersion | info:eu-repo/semantics/acceptedVersion | |
| dc.type.spa | Trabajo de grado | es |
| local.department.report | Escuela de Medicina y Ciencias de la Salud | es |
