presentazion hombro doloroso
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Post on 22-Jan-2018
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![Page 1: Presentazion hombro doloroso](https://reader030.vdocuments.net/reader030/viewer/2022012401/58ad60c71a28ab9e428b4c11/html5/thumbnails/1.jpg)
DIAGNOSTICO DIFERENCIAL en el
HOMBRO DOLOROSO
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3°motivo de consulta entre la patología
músculo-esquelética!
PRINCIPALES CAUSAS DE HOMBRO DOLOROSO
-TEJIDOS BLANDOS…
-INESTABILIDAD ARTICULAR…
-ARTRITIS…
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SINDROME del MANGUITO ROTADOR
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Subescapular
Un poco de anatomia…
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ARCO CORACO-ACROMIAL
BURSA SUBACROMIO-DELTOIDEA
TENDON DEL BICEPS
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CLINICA
…DOLOR!!!AGUDO!
PROGRESIVO
CRONICO
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DIAGNOSTICO…
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EXPLORACIÓN del HOMBRO…
Maniobras
Palpación
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ESPACIO SUBACROMIAL
- ARCO DOLOROSO
- NEER (MANIOBRA DEL IMPINGEMENT)
- Maniobra de Hawkins-Kennedy
- Maniobra de Yocum
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ESPACIO SUBACROMIAL
-ARCO DOLOROSO -NEER (MANIOBRA DEL IMPINGEMENT)
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ESPACIO SUBACROMIAL
Maniobra de Hawkins-Kennedy
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Maniobra de Yocum
ESPACIO SUBACROMIAL
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Se
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RV+
S E S E S E S E
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TENDÓN del SUPRAESPINOSO
-Maniobra de Jobe(o Empty can test)
-Signo del brazo caido
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TENDÓN del SUPRAESPINOSO
Maniobra de Jobe(o Empty can test)
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Signo del brazo caido
TENDÓN del SUPRAESPINOSO
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…en resumen...
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Jobe Drop Arm Test
Se
Es
RV+
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Tendón del infraespinoso
-Maniobra de Patte
-Prueba del infraespinoso(o de la rotación externa contra resistencia)
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Tendón del infraespinoso
-Maniobra de Patte -Prueba del infraespinoso
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Patte Infraespinoso
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RV+
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Tendón del subescapular
Signo de Napoleón
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Maniobra de Gerber(o Lift-off Test)
Tendón del subescapular
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Napoleon Gerber
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Es
RV+
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Tendón de la porción larga del bíceps
-Maniobra de Speed (Palm-up test)
-Maniobra de Yergason
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…entonces…
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Speed Yergason
Serie 1
Serie 2
Serie 3
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CONCLUYENDO…
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