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trauma > Insuficiencia del tendon tibial posterior > Flashcards

Insuficiencia del tendon tibial posterior Flashcards

1
Q

Eponimo

A

pie plano del adulto

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2
Q

musculo involucrado

A

tibial posterior

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3
Q

origen del tibial posterior

A

membrana interosea y en las superficies posteriores adyacentes de la tibia y el perone

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4
Q

inserccion del tibial posterior

A

tuberosidad del escafoides y region adyacente del cuneiforme medial

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5
Q

Irrigacion del tibial posterior

A

arteria tibial posterior

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6
Q

inervacion del tibial posterior

A

nervio tibial

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7
Q

grupo etario y sexo

A

mujeres >50 años

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8
Q

mecanismo de lesion

A

microtrauma repetitivo
ruptura aguda
proceso degenerativo

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9
Q

clasificacion usada

A

Johnson y strom

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10
Q

Johnson y Storm etapa 1

A

tendon inflamado
sin cambioas en la forma del pie

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11
Q

Johnson y Storm etapa 1 rx

A

sin alteraciones

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12
Q

Johnson y Storm etapa 2A

A

tendon elongado
defirnudad de pie plano valgo

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13
Q

Johnson y Storm etapa 2A retropie

A

flexible

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14
Q

Johnson y Storm etapa 2A rx

A

colapso plantar

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15
Q

johnson y storm etapa 2 B

A

tendon elongado
deformidad de pie plano valgo

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16
Q

Retropie Johnson y storm etapa 2B

A

flexible

17
Q

Antepie johnson y storm etapa 2B

A

en abduccion

18
Q

johnson y storm etapa 2B rx

A

colapso plantar

19
Q

johnson y storm etapa 3

A

deformidad del pie plano

20
Q

johnson y storm etapa 3 retropie

A

deformidad rigida en valgo

21
Q

johnson y storm etaoa 3 antepie

A

abduccion rigida

22
Q

johnson y storm etapa 3 rx

A

colapso del arco plantar y artrosis subtalar

23
Q

johnson y storm etapa 4

A

pie plano
compromiso del ligamento deltoideo

24
Q

johnson y storm etapa 4 retropie

A

deformidad rigida en valgo

25
Q

johnson y stomr etapa 4 antepie

A

abduccion rigida

26
Q

Johnsin y storm etapa 4 rx

A

colapso del arco plantar
artrosis subtalar
talar tilt

27
Q

CC

A

peridda del arco plantar (lintudinal medial)
dolor
edema
debilidad (cara medial del pie y del tobillo)
pie plano
valgo en retropie
abduccion del antepie

28
Q

EF

A

elevacion del talon

29
Q

cantidad de elevacion de un tendon competente

A

8-10

30
Q

estudio inicial

A

rx

31
Q

Rx

A

AP y lateral de ambos pies con apoyo

32
Q

indicaciones de RMN

A

lesiones o edema en el tendon

33
Q

Indicaciones de tx conservador

A

etapa 1 y 2A

34
Q

Tx conservador

A

inmovilizacion 4-8 semanas + analgesicos + reposo

35
Q

Indicaciones de tx qx

A

Etapas 2B 3 y 4

36
Q

Tx qx

A

transferencias tendinosas o triple artrodesis

37
Q

complicaciones

A

dolor cronico

trauma (40 decks)

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