{"id":306,"date":"2012-04-01T11:48:55","date_gmt":"2012-04-01T09:48:55","guid":{"rendered":"http:\/\/balcells.cat\/?p=306"},"modified":"2018-02-04T19:39:26","modified_gmt":"2018-02-04T18:39:26","slug":"el-turmell-tan-important-tan-del-licat-i-tan-mal-cuidat","status":"publish","type":"post","link":"https:\/\/balcells.cat\/es\/2012\/04\/el-turmell-tan-important-tan-del-licat-i-tan-mal-cuidat\/","title":{"rendered":"El turmell, tan important, tan del.licat i tan&#8230;mal cuidat."},"content":{"rendered":"<p>La lesi\u00f3 m\u00e9s freq\u00fcent entre els esportistes, \u00e9s de llarg, el que popularment es coneix com a &#8220;esquin\u00e7 de turmell&#8221;.<\/p>\n<p>De fet, \u00e9s una lesi\u00f3 molt m\u00e9s complexe del que es pot suposar a primera vista, afecta fins a un 30 % de tots els esportistes entre 16 i 22 anys, i compren una s\u00e8rie d&#8217;entitats que van des de una lleugera distensi\u00f3 dels lligaments que envolten les articulacions del turmell fins a una ruptura total amb lesi\u00f3 a la c\u00fapula cartilaginosa.<\/p>\n<p>El fet de no completar una recuperaci\u00f3 adequada de la lesi\u00f3 o de que aquesta no sigui evaluada correctament, pot portar a una inestabilitat cr\u00f2nica, amb els efectes que aix\u00f2 comporta no nom\u00e9s a la pr\u00e0ctica esportiva, si no a la salut i qualitat de vida del pacient en general.<\/p>\n<p><a href=\"http:\/\/balcells.cat\/wp-content\/uploads\/2012\/04\/Ankle-sprain-2.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"alignright size-full wp-image-308\" alt=\"\" src=\"http:\/\/balcells.cat\/wp-content\/uploads\/2012\/04\/Ankle-sprain-2.jpg\" width=\"382\" height=\"450\" srcset=\"https:\/\/balcells.cat\/wp-content\/uploads\/2012\/04\/Ankle-sprain-2.jpg 382w, https:\/\/balcells.cat\/wp-content\/uploads\/2012\/04\/Ankle-sprain-2-254x300.jpg 254w\" sizes=\"(max-width: 382px) 100vw, 382px\" \/><\/a><\/p>\n<p>Fa anys, aquestes lesions solien ser reparades a quir\u00f2fan. Avui hi ha molt bona evid\u00e8ncia que en la gran majoria dels casos, s&#8217;obtenen uns resultats iguals o millors, sense haver de passar per quir\u00f2fan. Aquest canvi de tend\u00e8ncia potser ha influ\u00eft en considerar aquestes lesions com a &#8220;menors&#8221;. \u00c9s una interpretaci\u00f3 perillosa.<\/p>\n<p>Si el tractament d&#8217;aquestes lesions no inclou un bon programa de rehabilitaci\u00f3, la funci\u00f3 del turmell es pot veure afectada negativament, amb una perillosa tend\u00e8ncia a la repetici\u00f3 de la lesi\u00f3 i a una cronificaci\u00f3 de la inestabilitat.<\/p>\n<p>Cal fer una bona valoraci\u00f3 inicial de la lesi\u00f3 i adequar el tractament a les caracter\u00edstiques individuals de cada pacient.<\/p>\n<p>Per cert, mireu el peu dret del jugador que porta la pilota a la foto adjunta&#8230;<\/p>\n<p>&nbsp;<\/p>\n<p>Us deixo un enlla\u00e7 a la p\u00e0gina web de l&#8217;Associaci\u00f3 Americana de Metges de Fam\u00edlia que exposa molt correctament l&#8217;abordatge d&#8217;aquesta lesi\u00f3:<\/p>\n<p><span style=\"font-size: medium;\">http:\/\/www.aafp.org\/afp\/2001\/0101\/p93.html#afp20010101p93-b20 <\/span><\/p>\n<p>&nbsp;<\/p>\n<p>Tamb\u00e9 us deixo bibliografia m\u00e9s acad\u00e8mica per a qui vulgui investigar m\u00e9s a fons el problema:<\/p>\n<ul>\n<li>Perlman M, Leveille D, DeLeonibus J, Hartman R, Klein J, Handelman R, et al. Inversion lateral ankle trauma: differential diagnosis, review of the literature, and prospective study. <em>J Foot Surg<\/em>. 1987;26:95\u2013135<\/li>\n<li>Koutures, CG, Gregory, AJM, Council on Sports Medicine and Fitness. Injuries in Youth Soccer. Pediatrics 2010; 125: 410-414.<\/li>\n<li>Ekman EF, Fiechtner JJ, Levy S, Fort JG. Efficacy of celecoxib versus ibuprofen in the treatment of acute pain: a multicenter, double-blind, randomized controlled trial in acute ankle sprain. Am J Orthop (Belle Mead NJ). 2002 Aug;31(8):445-51.<\/li>\n<li>Bennett WF. Lateral ankle sprains. Part II: acute and chronic treatment. <em>Orthop Rev<\/em>. 1994;23:504\u201310.<\/li>\n<li>Safran MR, Benedetti RS, Bartolozzi AR 3d, Mandelbaum BR. Lateral ankle sprains: a comprehensive review. Part 1: etiology, pathoanatomy, histopathogenesis, and diagnosis. <em>Med Sci Sports Exerc<\/em>. 199931(7 suppl):S429\u201337.<\/li>\n<li>Karlsson J, Lundin O, Lind K, Styf J. Early mobilization versus immobilization after ankle ligament stabilization. <em>Scand J Med Sci Sports<\/em>. 1999;9:299\u2013303<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>La lesi\u00f3 m\u00e9s freq\u00fcent entre els esportistes, \u00e9s de llarg, el que popularment es coneix com a &#8220;esquin\u00e7 de turmell&#8221;. De fet, \u00e9s una lesi\u00f3 molt m\u00e9s complexe del que es pot suposar a primera vista, afecta fins a un 30 % de tots els esportistes entre 16 i 22 anys, i compren una s\u00e8rie [&hellip;]<\/p>","protected":false},"author":3,"featured_media":308,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[11],"tags":[13,14],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>El turmell, tan important, tan del.licat i tan...mal cuidat. - Balcells.cat<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/balcells.cat\/es\/2012\/04\/el-turmell-tan-important-tan-del-licat-i-tan-mal-cuidat\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"El turmell, tan important, tan del.licat i tan...mal cuidat. - Balcells.cat\" \/>\n<meta property=\"og:description\" content=\"La lesi\u00f3 m\u00e9s freq\u00fcent entre els esportistes, \u00e9s de llarg, el que popularment es coneix com a &#8220;esquin\u00e7 de turmell&#8221;. De fet, \u00e9s una lesi\u00f3 molt m\u00e9s complexe del que es pot suposar a primera vista, afecta fins a un 30 % de tots els esportistes entre 16 i 22 anys, i compren una s\u00e8rie [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/balcells.cat\/es\/2012\/04\/el-turmell-tan-important-tan-del-licat-i-tan-mal-cuidat\/\" \/>\n<meta property=\"og:site_name\" content=\"Balcells.cat\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/BalcellsCentreTraumatologiaiFisioterapia\/\" \/>\n<meta property=\"article:published_time\" content=\"2012-04-01T09:48:55+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-02-04T18:39:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/balcells.cat\/wp-content\/uploads\/2012\/04\/Ankle-sprain-2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"382\" \/>\n\t<meta property=\"og:image:height\" content=\"450\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Dr Eudald Balcells\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dr Eudald Balcells\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/balcells.cat\/2012\/04\/el-turmell-tan-important-tan-del-licat-i-tan-mal-cuidat\/\",\"url\":\"https:\/\/balcells.cat\/2012\/04\/el-turmell-tan-important-tan-del-licat-i-tan-mal-cuidat\/\",\"name\":\"El turmell, tan important, tan del.licat i tan...mal cuidat. - Balcells.cat\",\"isPartOf\":{\"@id\":\"https:\/\/balcells.cat\/#website\"},\"datePublished\":\"2012-04-01T09:48:55+00:00\",\"dateModified\":\"2018-02-04T18:39:26+00:00\",\"author\":{\"@id\":\"https:\/\/balcells.cat\/#\/schema\/person\/4b6e8b9ed3cc0b9306647d28b40e209c\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/balcells.cat\/2012\/04\/el-turmell-tan-important-tan-del-licat-i-tan-mal-cuidat\/\"]}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/balcells.cat\/#website\",\"url\":\"https:\/\/balcells.cat\/\",\"name\":\"Balcells.cat\",\"description\":\"Centre de Traumatologia i Fisioter\u00e0pia\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/balcells.cat\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"es\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/balcells.cat\/#\/schema\/person\/4b6e8b9ed3cc0b9306647d28b40e209c\",\"name\":\"Dr Eudald Balcells\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/balcells.cat\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/9049327ba8871d9328e2bae0a9ca8fd9?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/9049327ba8871d9328e2bae0a9ca8fd9?s=96&d=mm&r=g\",\"caption\":\"Dr Eudald Balcells\"},\"sameAs\":[\"http:\/\/balcells.cat\"],\"url\":\"https:\/\/balcells.cat\/es\/author\/eudald\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"El turmell, tan important, tan del.licat i tan...mal cuidat. - Balcells.cat","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/balcells.cat\/es\/2012\/04\/el-turmell-tan-important-tan-del-licat-i-tan-mal-cuidat\/","og_locale":"es_ES","og_type":"article","og_title":"El turmell, tan important, tan del.licat i tan...mal cuidat. - Balcells.cat","og_description":"La lesi\u00f3 m\u00e9s freq\u00fcent entre els esportistes, \u00e9s de llarg, el que popularment es coneix com a &#8220;esquin\u00e7 de turmell&#8221;. 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