Video Experimental Relacionado
Updated: Feb 12, 2026
05:52
Author Spotlight: Treating Frozen Shoulder with Small Needle Knife Therapy
Published on: November 17, 2023
2.3K
Resultados de la inyección de esteroides en múltiples sitios específica del paciente predeterminada
Ayyappan V Nair1, Maythilisharan Rambhojun1, M S Bharath Bharadhwaj1
1Department of Orthopaedics, Manipal Whitefield Hospital, Bengaluru, Karnataka, India.
Journal of orthopaedic case reports
|February 11, 2026
Resumen
Las inyecciones de esteroides específicas para el paciente combinadas con fisioterapia mejoran significativamente los síntomas del hombro congelado (FS). Este tratamiento mejora el rango de movimiento y reduce el dolor, ofreciendo una opción no quirúrgica efectiva para el manejo de la FS.
Área de la Ciencia:
- La ortopedia es la ortopedia.
- Medicina Deportiva Medicina Deportiva es una especialidad médica.
- La fisioterapia es una terapia física.
Sus antecedentes:
- El hombro congelado (ES) se presenta con dolor y movimiento restringido, lo que requiere tratamientos no quirúrgicos efectivos.
- Las opciones no quirúrgicas actuales para la FS carecen de una clara superioridad debido a los diseños de estudio variados.
Objetivo del estudio:
- Para evaluar la eficacia de las inyecciones de esteroides multi-sitio específicas para el paciente, combinadas con un protocolo estandarizado de fisioterapia para el manejo de FS.
Principales métodos:
- Un estudio prospectivo en el que participaron 94 pacientes con FS primaria.
- El ultrasonido y las radiografías confirmaron los diagnósticos.
- Inyecciones de betametasona intraarticular y en varios sitios seguidas de un protocolo de fisioterapia de 8 semanas.
- Evaluación utilizando las puntuaciones ROM, VAS, ASES y SPADI en múltiples puntos de tiempo.
Principales resultados:
- Mejoras significativas en abducción (124° a 173°), flexión hacia adelante (123° a 174°) y rotación externa (26° a 55°).
- La puntuación media de ASES mejoró de 28.8 a 92.5, y el VAS disminuyó de 6.7 a 0.4.
- La rotación interna mejoró en 4 niveles vertebrales.
Conclusiones:
- La infiltración de esteroides multi-sitio específica del paciente es un tratamiento eficaz para la FS.
- Este enfoque reduce significativamente el dolor y mejora el rango de movimiento y los resultados clínicos.
- La terapia combinada ofrece una prometedora estrategia de manejo no quirúrgico para el hombro congelado.
Videos de Conceptos Relacionados
01:23Muscles of the Shoulder
9.3K
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
9.3K
01:30Radiological Investigation I: X-ray and CT
1.2K
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
1.2K
02:24Predicting Reaction Outcomes
11.0K
Kinetics describes the rate and path by which a reaction occurs. In contrast, thermodynamics deals with state functions and describes the properties, behavior, and components of a system. It is not concerned with the path taken by the process and cannot address the rate at which a reaction occurs. Although it does provide information about what can happen during a reaction process, it does not describe the detailed steps of what appears on an atomic or a molecular level. On the other hand,...
11.0K
01:13Outcomes of Glycolysis
107.7K
Nearly all the energy used by cells comes from the bonds that make up complex organic compounds. These organic compounds are broken down into simpler molecules, such as glucose. As a result, cells extract energy from glucose over many chemical reactions—a process called cellular respiration.
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
107.7K
01:11Guidelines for Writing Outcome
4.0K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
4.0K
01:15Bioavailability Study Design: Healthy Subjects Versus Patients
162
Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
162