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De Quervain: causas y tratamiento

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De Quervain: causas y tratamiento

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Comprende De Quervain: causas y tratamiento

Created by

Vanery Jurikxy Hernandez Garcia
Vanery Jurikxy Hernandez Garcia
Mexico

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De Quervain: causas y tratamiento
 

De Quervain: causas y tratamientoOnline version

Comprende De Quervain: causas y tratamiento

by Vanery Jurikxy Hernandez Garcia
1

Introducción

De Quervain es una tenosinovitis de la vaina tendinosa en el pulgar. Provoca dolor, sensibilidad y dificultad para mover la muñeca y el pulgar.

2

Qué lo provoca

La sobrecarga repetitiva de los tendones del pulgar y del primer compartimento puede irritarlos. Factores de riesgo: uso intenso, embarazo, y ciertas actividades laborales.

3

Síntomas principales

Dolor en la base del pulgar, hinchazón y debilidad al sujetar objetos. Dolor al mover el pulgar o la muñeca.

4

Diagnóstico

El diagnóstico se basa en la historia clínica y examen físico. Se puede confirmar con pruebas de movilidad y, a veces, ultrasonido o IRM.

5

Tratamiento conservador

Reposo y inmovilización con férula. Antiinflamatorios y fisioterapia ayudan a reducir la inflamación y el dolor.

6

Ejercicios y rehabilitación

Una vez disminuido el dolor, se realizan ejercicios de estiramiento y fortalecimiento para pulgar y muñeca, guiados por un profesional.

7

Cuándo considerar cirugía

Si el dolor persiste tras tratamiento conservador, puede considerarse cirugía para liberar la vaina tendinosa y aliviar la presión.

8

Procedimiento quirúrgico

La intervención libera la vaina de los tendones afectados, aliviando el dolor y mejorando la movilidad del pulgar.

9

Recuperación posquirúrgica

Reposo inicial seguido de fisioterapia. La recuperación varía, pero muchos recuperan la función total con tiempo adecuado.

10

Prevención

Evitar movimientos repetitivos intensos y adaptar herramientas de agarre. Tomar descansos y fortalecer muñeca y pulgar.

 
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