{"id":1065484,"date":"2025-12-15T22:50:03","date_gmt":"2025-12-15T19:50:03","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1065484"},"modified":"2025-12-15T22:50:03","modified_gmt":"2025-12-15T19:50:03","slug":"artroscopia-de-glezna","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1065484","title":{"rendered":"Artroscopia de glezn\u0103"},"content":{"rendered":"
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<\/p>\n

Dr. Bogdan <\/span>Dariciuc<\/span><\/a>, medic specialist <\/span>Ortopedie-Traumatologie<\/span>, <\/span>Arcadia<\/span><\/a><\/p>\n<\/div>\n

Artroscopia<\/span> de <\/span>glezn\u0103<\/span>este<\/span> o <\/span>procedur\u0103<\/span> minim <\/span>invaziv\u0103<\/span>care <\/span>permite<\/span>diagnosticul<\/span>\u0219i<\/span>tratamentul<\/span> chirurgical al <\/span>unor<\/span>afec\u021biuni<\/span> ale <\/span>gleznei<\/span>.<\/span>Aceasta<\/span> se <\/span>realizeaz\u0103<\/span>prin<\/span>intermediul<\/span> a<\/span>2<\/span>incizii<\/span> de 5<\/span>mm<\/span>\u0219i<\/span>presupune<\/span>introducerea<\/span>unei<\/span>camere<\/span> video la <\/span>nivelul<\/span>articula\u021biei<\/span>\u0219i<\/span>utilizarea<\/span>unor<\/span>instrumente<\/span>chirurgicale<\/span>specifice<\/span>.<\/span><\/p>\n

\u00cen<\/span>func\u021bie<\/span> de<\/span>partea<\/span>gleznei<\/span>prin<\/span> care se face <\/span>accesul<\/span>la <\/span>articula\u021bie<\/span>, <\/span>artroscopia<\/span>poate<\/span> fi <\/span>anterioar\u0103<\/span>sau<\/span>posterioar\u0103<\/span>.<\/span><\/p>\n

Diagnosticul<\/span>afec\u021biunilor<\/span>gleznei<\/span><\/p>\n

Patologia<\/span>gleznei<\/span>este<\/span>diagnosticat\u0103<\/span>prin<\/span>:<\/span><\/p>\n

examen clinic<\/span> (consult <\/span>ortopedic<\/span>) <\/span>am\u0103nun\u021bit<\/span>;<\/span><\/p>\n

investiga\u021bii<\/span>paraclinice<\/span> (<\/span>imagistice<\/span>) \u2013 <\/span>radiografii<\/span>, <\/span>ecografie<\/span>musculoscheletal\u0103<\/span>, examen CT <\/span>sau<\/span> RMN.<\/span><\/p>\n

Simptomele<\/span> care pot indica <\/span>necesitatea<\/span>realiz\u0103rii<\/span>unei<\/span>artroscopii<\/span> de <\/span>glezn\u0103<\/span><\/p>\n

Durerea<\/span> la <\/span>nivelul<\/span>articula\u021biei<\/span>gleznei<\/span>este<\/span>principalul<\/span>simptom<\/span> pe care <\/span>\u00eel<\/span>prezint\u0103<\/span>pacien\u021bii<\/span> care au <\/span>nevoie<\/span> de <\/span>artroscopie<\/span> de <\/span>glezn\u0103<\/span>. La <\/span>examenul<\/span> clinic <\/span>am\u0103nun\u021bit<\/span> se <\/span>vor<\/span>lua<\/span>\u00een<\/span>considerare<\/span>:<\/span>localizarea<\/span>durerii<\/span>, <\/span>intensitatea<\/span>acesteia<\/span>, <\/span>factorii<\/span>declan\u0219atori<\/span>\u0219i<\/span>factorii<\/span>amelioratori<\/span>. Se <\/span>v<\/span>a<\/span>realiza<\/span>testarea<\/span>amplitudinii<\/span>mi\u0219c\u0103rilor<\/span> active <\/span>\u0219i<\/span>pasive<\/span>\u0219i<\/span>se <\/span>va<\/span>evalua<\/span>statusul<\/span> neurovascular.<\/span><\/p>\n

Pacien\u021bii<\/span>c\u0103rora<\/span> li se <\/span>recomand\u0103<\/span>realizarea<\/span>unei<\/span>artroscopii<\/span> de <\/span>glezn\u0103<\/span>mai<\/span> pot <\/span>prezenta<\/span>:<\/span><\/p>\n

cracmente<\/span> (<\/span>clicuri<\/span> la <\/span>nivelul<\/span>articula\u021biei<\/span>);<\/span><\/p>\n

hemartroz\u0103<\/span>(<\/span>acumulare<\/span> de <\/span>s\u00e2nge<\/span>\u00een<\/span>articula\u021bia<\/span>gleznei<\/span>)<\/span>posttraumatic\u0103<\/span>sau<\/span>hidartroze<\/span>(<\/span>acumulare<\/span> de <\/span>lichid<\/span>sinovial<\/span>\u00een<\/span>exces<\/span>\u00een<\/span>articula\u021bia<\/span>gleznei<\/span>)<\/span>repetate<\/span> ulterior;<\/span><\/p>\n

impoten\u021b\u0103<\/span>func\u021bional\u0103<\/span>;<\/span><\/p>\n

instabilitate<\/span> \u2013 <\/span>senza\u021bie<\/span> de \u201e<\/span>sc\u0103pare<\/span>\u201d <\/span>dup\u0103<\/span>entorse<\/span>repetate<\/span>.<\/span><\/p>\n

Patologii<\/span>tratate<\/span>prin<\/span>a<\/span>rtroscopi<\/span>e<\/span>anterioar\u0103<\/span> de <\/span>glezn<\/span>\u0103<\/span><\/p>\n

Principalele<\/span>patologii<\/span> la <\/span>nivelul<\/span>compartimentului<\/span> anterior al <\/span>gleznei<\/span>,<\/span> care pot fi <\/span>tratate<\/span>artroscopic<\/span>,<\/span> sunt:<\/span><\/p>\n

s<\/span>indromul<\/span> de conflict anterior <\/span>tibio<\/span>-talar<\/span>, <\/span>den<\/span>u<\/span>mit<\/span>\u0219i<\/span>sindrom<\/span> de impingement anterior<\/span>(<\/span>glezna<\/span>fotbalistului<\/span>)<\/span> \u2013<\/span>compresia<\/span>unor<\/span>structuri<\/span>moi<\/span>sau<\/span> dure <\/span>periarticulare<\/span> la <\/span>nivelul<\/span>compartimentului<\/span> anterior al <\/span>gleznei<\/span>, <\/span>\u00eentre<\/span>tibie<\/span>\u0219i<\/span> talus, <\/span>\u00een<\/span>timpul<\/span>dorsiflexiei<\/span>piciorului<\/span>;<\/span><\/p>\n

prezen\u021ba<\/span> de <\/span>c<\/span>orpi<\/span>liberi<\/span>intraarticulari<\/span> \u2013 <\/span>fragmente<\/span>mici<\/span> de <\/span>cartilaj<\/span>desprinse<\/span>\u00een<\/span>urma<\/span>unui<\/span> traumatism <\/span>sau<\/span>spontan<\/span>, care<\/span> pot fi <\/span>\u00ee<\/span>ndep<\/span>\u0103<\/span>rtat<\/span>e<\/span>artroscopic<\/span>;<\/span><\/p>\n

s<\/span>inovita<\/span>cronic<\/span>\u0103<\/span> a <\/span>gleznei<\/span> \u2013<\/span>inf<\/span>l<\/span>ama<\/span>\u021b<\/span>ia<\/span>cronic<\/span>\u0103<\/span> a <\/span>membranei<\/span>sinoviale<\/span>; <\/span>a<\/span>rtroscopic<\/span> se<\/span>\u00ee<\/span>ndep<\/span>\u0103<\/span>rteaz<\/span>\u0103<\/span>aceast<\/span>\u0103<\/span>sinovial<\/span>\u0103<\/span>abundent<\/span>\u0103<\/span>, <\/span>interven\u021bia<\/span>numindu<\/span>-se <\/span>sinovectomie<\/span>;<\/span><\/p>\n

o<\/span>steocondrita<\/span>disecant<\/span>\u0103<\/span> a <\/span>talusului<\/span>\u2013<\/span>un fragment de <\/span>os<\/span>acoperit<\/span> de <\/span>cartilaj<\/span> se <\/span>necrozeaz\u0103<\/span>. <\/span>Uneori<\/span>devine<\/span>corp<\/span> liber <\/span>\u00een<\/span>articula\u021bie<\/span>, <\/span>alteori<\/span> se <\/span>pr\u0103bu\u0219e\u0219te<\/span>, <\/span>alteori<\/span>doar<\/span>cartilajul<\/span> articular <\/span>este<\/span>deteriorat<\/span>;<\/span><\/p>\n

i<\/span>nstabilitatea<\/span> antero-<\/span>lateral<\/span>\u0103<\/span> a <\/span>gleznei<\/span><\/a>\u2013 <\/span>leziunea<\/span>ligamentului<\/span>talo<\/span>-fibular anterior <\/span>(<\/span>ATFL<\/span>)<\/span>, <\/span><\/p>\n<\/div>\n<\/div>\n

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carepoate<\/span> fi <\/span>operat\u0103<\/span>printr<\/span>-o <\/span>tehnic<\/span>\u0103<\/span> de <\/span>stabilizare<\/span>efectuat<\/span>\u0103<\/span>artroscopic<\/span>,<\/span>numit\u0103<\/span>Brostrom<\/span>;<\/span><\/p>\n

c<\/span>alusuri<\/span>le<\/span>vicioase<\/span>dup<\/span>\u0103<\/span>fracturi<\/span>, <\/span>ce<\/span>determin<\/span>\u0103<\/span>tulbur<\/span>\u0103<\/span>ri<\/span> ale <\/span>mecanicii<\/span>articulare<\/span> \u2013 pot fi <\/span>realizate<\/span>artroscopic<\/span> diverse <\/span>proceduri<\/span>corective<\/span>;<\/span><\/p>\n

a<\/span>rtroza<\/span> de <\/span>glezn<\/span>\u0103<\/span>avansat\u0103<\/span> \u2013<\/span>tratat\u0103<\/span>prin<\/span>artrodez<\/span>\u0103<\/span> de <\/span>glezn<\/span>\u0103<\/span>artroscopic<\/span>\u0103<\/span> cu <\/span>fixare<\/span>percutan<\/span>\u0103<\/span>(<\/span>desfiin\u021barea<\/span>unei<\/span>articula\u021bii<\/span>\u0219i<\/span>fixarea<\/span>acesteia<\/span> cu <\/span>\u0219uruburi<\/span>prin<\/span>piele<\/span>, <\/span>introduse<\/span>prin<\/span>incizii<\/span>mici<\/span>)<\/span>.<\/span><\/p>\n

Patologii<\/span>tratate<\/span>prin<\/span>a<\/span>rtroscopi<\/span>e<\/span>posterioar\u0103<\/span> de <\/span>glezn<\/span>\u0103<\/span><\/p>\n

Principalele<\/span>patologii<\/span> la <\/span>nivelul<\/span>compartimentului<\/span> posterior al <\/span>gleznei<\/span>,<\/span> care pot fi <\/span>tratate<\/span>artroscopic<\/span>,<\/span> sunt:<\/span><\/p>\n

s<\/span>indromul<\/span> de impingement posterior al <\/span>gleznei<\/span> (<\/span>glezna<\/span>dansatorului<\/span>)<\/span> \u2013<\/span>compresia<\/span>unor<\/span>structuri<\/span>, cel <\/span>mai<\/span>adesea<\/span>proeminen\u021be<\/span>osoase<\/span> la <\/span>nivelul<\/span>por\u021biunii<\/span>posterioare<\/span> a <\/span>gleznei<\/span>, <\/span>\u00eentre<\/span>tibie<\/span>\u0219i<\/span> talus, <\/span>\u00een<\/span>timpul<\/span>mi\u0219c\u0103rii<\/span> de <\/span>flexie<\/span>plantar\u0103<\/span>;<\/span><\/p>\n

maladi<\/span>a<\/span> Haglund<\/span>\u2013 <\/span>osteofitoza<\/span>calcanean<\/span>\u0103<\/span> la <\/span>nivelul<\/span>inser\u021biei<\/span>tendonului<\/span>ahilean<\/span>; <\/span>prin<\/span> cura <\/span>chirurgical\u0103<\/span>artroscopic\u0103<\/span> a <\/span>maladi<\/span>ei<\/span> Haglund <\/span>se <\/span>\u00ee<\/span>ndep<\/span>\u0103<\/span>rteaz<\/span>\u0103<\/span> bursa <\/span>inflamat<\/span>\u0103<\/span>\u0219<\/span>i<\/span> se <\/span>rezec<\/span>\u0103<\/span>osteofitoza<\/span>calcanean<\/span>\u0103<\/span>;<\/span><\/p>\n

a<\/span>rtroza<\/span>avansat\u0103<\/span>\u2013 <\/span>a<\/span>rtrodeza<\/span>subastragalian<\/span>\u0103<\/span>presupune<\/span>desfiin<\/span>\u021b<\/span>area<\/span>articula<\/span>\u021b<\/span>iei<\/span>dintre<\/span> talus <\/span>\u0219<\/span>i<\/span>calcaneu<\/span>\u00ee<\/span>n<\/span>contextul<\/span>artrozei<\/span>avansate<\/span>\u0219i<\/span>fixare<\/span>percutan<\/span>\u0103<\/span>cu <\/span>\u0219uruburi<\/span>.<\/span><\/p>\n

Recuperarea<\/span>\u0219i<\/span>\u00eentoarcerea<\/span> la <\/span>munc\u0103<\/span>\u0219i<\/span>activit\u0103\u021bi<\/span> sportive <\/span>dup\u0103<\/span>artroscopia<\/span> de <\/span>glezn\u0103<\/span><\/p>\n

\u00cen<\/span>cazul<\/span>artroscopiei<\/span> de <\/span>glezn\u0103<\/span>, <\/span>spitalizarea<\/span>este<\/span> de <\/span>scurt\u0103<\/span>durat\u0103<\/span>, <\/span>\u00een<\/span> general <\/span>24-48 de ore<\/span>.<\/span><\/p>\n

Postoperator<\/span> se <\/span>recomand\u0103<\/span>:<\/span><\/p>\n

tratament<\/span> cu <\/span>antalgice<\/span>, <\/span>antiinflamatoare<\/span>;<\/span><\/p>\n

heparin\u0103<\/span> cu <\/span>greutate<\/span>molecular\u0103<\/span>mic\u0103<\/span>\u00een<\/span>doza<\/span>profilactic\u0103<\/span>c\u00e2teva<\/span>zile<\/span>;<\/span><\/p>\n

mers<\/span>progresiv<\/span>;<\/span><\/p>\n

kinetoterapie<\/span>.<\/span><\/p>\n

Majoritatea<\/span>pacien\u021bilor<\/span> au <\/span>nevoie<\/span> de o <\/span>perioad\u0103<\/span>cuprins\u0103<\/span>\u00eentre<\/span> 7 <\/span>\u0219i<\/span> 14 <\/span>zile<\/span>pentru<\/span> a se <\/span>recupera<\/span>dup\u0103<\/span>artroscopia<\/span> de <\/span>glezn\u0103<\/span>.<\/span><\/p>\n

\u00centoarcerea la <\/span>munc\u0103<\/span>dup\u0103<\/span>artroscopia<\/span> de <\/span>glezn\u0103<\/span> se face:<\/span><\/p>\n

dup\u0103<\/span> 3-4 <\/span>zile<\/span>\u00een<\/span>cazul<\/span>muncii<\/span> de <\/span>birou<\/span>;<\/span><\/p>\n

dup\u0103<\/span> 2-4 <\/span>s\u0103pt\u0103m\u00e2ni<\/span>\u00een<\/span>cazul<\/span>muncii<\/span>manuale<\/span>, <\/span>\u00een<\/span> care se <\/span>pune<\/span>mult\u0103<\/span>presiune<\/span> pe <\/span>picior<\/span>, <\/span>fiind<\/span>solicitat\u0103<\/span>glezna<\/span>.<\/span><\/p>\n

Perioada<\/span> de <\/span>timp<\/span>\u00een<\/span> care pot fi <\/span>reluate<\/span>activit\u0103\u021bile<\/span> sportive<\/span>depinde<\/span> de <\/span>patologia<\/span> care a <\/span>determinat<\/span>efectuarea<\/span>artroscopiei<\/span> de <\/span>glezn\u0103<\/span>.<\/span><\/p>\n

Avantajele<\/span>artroscopiei<\/span> de <\/span>glezn\u0103<\/span><\/p>\n

Artroscopia<\/span> de <\/span>glezn\u0103<\/span>:<\/span><\/p>\n

provoac\u0103<\/span> un traumatism minim;<\/span><\/p>\n

prezint\u0103<\/span> un <\/span>risc<\/span> minim de <\/span>infec\u021bie<\/span>;<\/span><\/p>\n

necesit\u0103<\/span>spitalizare<\/span> de <\/span>scurt\u0103<\/span>durat\u0103<\/span>;<\/span><\/p>\n

ofer\u0103<\/span> o imagine de <\/span>ansamblu<\/span> a <\/span>leziunilor<\/span>articulare<\/span>;<\/span><\/p>\n<\/div>\n<\/div>\n

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asigur\u0103<\/span>acurate\u021bea<\/span>diagnosticului<\/span>\u0219i<\/span>posibilitatea<\/span> de a <\/span>efectua<\/span> diverse <\/span>proceduri<\/span>chirurgicale<\/span> minim <\/span>invaziv<\/span>;<\/span><\/p>\n

implic\u0103<\/span> o <\/span>perioad\u0103<\/span>scurt\u0103<\/span> de <\/span>recuperare<\/span>.<\/span><\/p>\n

Riscuri<\/span>\u0219i<\/span>complica\u021bii<\/span> ale <\/span>artroscopiei<\/span> de <\/span>glezn\u0103<\/span><\/p>\n

Toate<\/span>interven\u021biile<\/span>chirurgicale<\/span>prezint\u0103<\/span>posibile<\/span>riscuri<\/span>\u0219i<\/span>complica\u021bii<\/span>. <\/span>De\u0219i<\/span>\u00ee<\/span>n<\/span>cazul<\/span>artoscopiei<\/span> de <\/span>glezn\u0103<\/span>acestea<\/span> sunt <\/span>rar<\/span>\u00eent\u00e2lnite<\/span>, <\/span>p<\/span>rincipalele<\/span>riscuri<\/span>\u0219i<\/span>complica\u021bii<\/span> care pot <\/span>ap\u0103rea<\/span> sunt:<\/span><\/p>\n

infec\u021bia<\/span>;<\/span><\/p>\n

s<\/span>\u00e2ngerare<\/span>a<\/span>\u00een<\/span>articula\u021bie<\/span>;<\/span><\/p>\n

lezarea<\/span>nervilor<\/span>, care <\/span>duce<\/span> la <\/span>amor\u021birea<\/span>fe\u021bei<\/span>dorsale<\/span> (<\/span>partea<\/span> de sus) a <\/span>piciorului<\/span>;<\/span><\/p>\n

tromboz<\/span>a<\/span>venoas\u0103<\/span>profund\u0103<\/span>;<\/span><\/p>\n

emboli<\/span>a<\/span>pulmonar\u0103<\/span>;<\/span><\/p>\n

recuren\u021ba<\/span>simptomelor<\/span>;<\/span><\/p>\n

s<\/span>indromul<\/span>dureros<\/span> regional complex \u2013 <\/span>sindrom<\/span>algoneurodistrofic<\/span>.<\/span><\/p>\n

Artroscopia<\/span> de <\/span>glezn\u0103<\/span> se <\/span>realizeaz\u0103<\/span>\u00een<\/span>siguran\u021b\u0103<\/span>\u00ee<\/span>n<\/span>Spitalul<\/span>Multidisciplinar<\/span> Arcadia. <\/span>Pentru<\/span>programarea<\/span>un<\/span>u<\/span>i<\/span> consult de <\/span>Ortopedie-Traumatologie<\/span>, <\/span>pacien\u021bii<\/span> au la <\/span>dispozi\u021bie<\/span>num\u0103rul<\/span> de <\/span>telefon<\/span>0232 920, Call <\/span>Center<\/span> Arcadia<\/span>.<\/span><\/p>\n

www.arcadiamedical.ro<\/span><\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Dr. Bogdan Dariciuc, medic specialist Ortopedie-Traumatologie, Arcadia Artroscopia de glezn\u0103este o procedur\u0103 minim invaziv\u0103care permitediagnosticul\u0219itratamentul chirurgical al unorafec\u021biuni ale gleznei.Aceasta se realizeaz\u0103prinintermediul a2incizii de 5mm\u0219ipresupuneintroducereauneicamere video la nivelularticula\u021biei\u0219iutilizareaunorinstrumentechirurgicalespecifice. \u00cenfunc\u021bie departeaglezneiprin care se face accesulla articula\u021bie, artroscopiapoate fi anterioar\u0103sauposterioar\u0103. Diagnosticulafec\u021biunilorgleznei Patologiaglezneiestediagnosticat\u0103prin: examen clinic (consult ortopedic) am\u0103nun\u021bit; investiga\u021biiparaclinice (imagistice) \u2013 radiografii, ecografiemusculoscheletal\u0103, examen CT sau RMN. Simptomele […]<\/p>\n","protected":false},"author":1,"featured_media":1065485,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[174],"class_list":["post-1065484","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-romania","tag-suceavanews-ro"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1065484","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1065484"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1065484\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/media\/1065485"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1065484"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1065484"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1065484"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}