{"id":1073022,"date":"2025-12-16T05:24:44","date_gmt":"2025-12-16T02:24:44","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1073022"},"modified":"2025-12-16T05:24:44","modified_gmt":"2025-12-16T02:24:44","slug":"capsulita-retractila-umarul-inghetat","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1073022","title":{"rendered":"Capsulita retractil\u0103 (um\u0103rul \u00eenghe\u021bat)"},"content":{"rendered":"<div class=\"entry-content\">\n<div id=\"attachment_316954\" class=\"wp-caption alignright\"><img decoding=\"async\" aria-describedby=\"caption-attachment-316954\" loading=\"lazy\" class=\"size-medium wp-image-316954\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2025\/12\/darca-gabriel-300x197-1.png\" alt=\"Dr. Gabriel D\u00e2rc\u0103, chirurg Ortopedie-Traumatologie cu supraspecializare \u00een Chirurgia um\u0103rului \u0219i membrului superior, Arcadia\" width=\"300\" height=\"197\" title=\"darca-gabriel-300x197-1\"><\/p>\n<p id=\"caption-attachment-316954\" class=\"wp-caption-text\"><a href=\"https:\/\/www.arcadiamedical.ro\/echipa-medicala\/darca-gabriel\">Dr. Gabriel D\u00e2rc\u0103<\/a>, chirurg Ortopedie-Traumatologie cu supraspecializare \u00een Chirurgia um\u0103rului \u0219i membrului superior, <a href=\"http:\/\/www.arcadiamedical.ro\">Arcadia<\/a><\/p>\n<\/div>\n<p>Capsulita retractil\u0103 (sau um\u0103rul \u00eenghe\u021bat) este o afec\u021biune caracterizat\u0103 prin <strong>limitarea progresiv\u0103 a mi\u0219c\u0103rii \u00een articula\u021bia um\u0103rului.<\/strong> Aceasta afecteaz\u0103 aproximativ 2% din popula\u021bia global\u0103, fiind mai frecvent \u00eent\u00e2lnit\u0103 la persoanele cu v\u00e2rste cuprinse \u00eentre 40 \u0219i 60 de ani.<\/p>\n<p><strong>Simptomele capsulitei retractile<\/strong><\/p>\n<p>Printre simptomele capsulitei retractile se num\u0103r\u0103:<\/p>\n<ul>\n<li><strong>durerea<\/strong> \u2013 surd\u0103 \u0219i persistent\u0103, resim\u021bit\u0103 at\u00e2t \u00een timpul zilei, c\u00e2t \u0219i pe parcursul nop\u021bii, afect\u00e2nd calitatea vie\u021bii pacientului \u0219i put\u00e2nd duce la oboseal\u0103 cronic\u0103 \u0219i chiar la tulbur\u0103ri psihologice;<\/li>\n<li><strong>limitarea mobilit\u0103\u021bii<\/strong> \u2013 restric\u021bie progresiv\u0103 a mi\u0219c\u0103rilor um\u0103rului;<\/li>\n<li><strong>dificult\u0103\u021bi \u00een activit\u0103\u021bile zilnice<\/strong> \u2013 incapacitatea de a efectua mi\u0219c\u0103ri uzuale, precum \u00eembr\u0103carea, piept\u0103narea sau ridicarea obiectelor.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p><strong>Cauze \u0219i factori de risc pentru capsulita retractil\u0103<\/strong><\/p>\n<p><strong>\u00cen cele mai multe cazuri, capsulita retractil\u0103 apare f\u0103r\u0103 o cauz\u0103 evident\u0103.<\/strong><\/p>\n<p>Factorii de risc includ:<\/p>\n<ul>\n<li>v\u00e2rsta: 40-60 de ani;<\/li>\n<li>sexul: femeile sunt de dou\u0103 ori mai predispuse dec\u00e2t b\u0103rba\u021bii;<\/li>\n<li>traumatismele sau interven\u021biile chirurgicale la nivelul um\u0103rului;<\/li>\n<li>imobilizarea prelungit\u0103 a um\u0103rului;<\/li>\n<li>stresul psihic puternic;<\/li>\n<li>afec\u021biunile sistemice: diabet, afec\u021biuni cardiovasculare, boala Parkinson.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p><strong>Tratamentul capsulitei retractile<\/strong><\/p>\n<p><strong>Tratamentul conservator<\/strong> este utilizat \u00een majoritatea cazurilor, cu o durat\u0103 medie de aproximativ 1 an. Acesta const\u0103 \u00een:<\/p>\n<ul>\n<li>fizioterapie \u0219i kinetoterapie pentru redob\u00e2ndirea mobilit\u0103\u021bii;<\/li>\n<li>medica\u021bie analgezic\u0103 \u0219i antiinflamatoare pentru reducerea durerii;<\/li>\n<li>infiltra\u021bii cu cortizon \u00een cazurile severe.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p><strong>Tratamentul chirurgical<\/strong> este recomandat pacien\u021bilor la care tratamentul conservator nu ofer\u0103 ameliorare semnificativ\u0103. Se realizeaz\u0103 pe cale artroscopic\u0103 \u0219i const\u0103 \u00een eliberarea aderen\u021belor \u0219i contracturilor capsulei articulare. Este urmat de mobilizare precoce a um\u0103rului pentru prevenirea recidivelor.<\/p>\n<p>\u00a0<\/p>\n<p><strong>Pacient de 35 de ani cu capsulit\u0103 retractil\u0103, tratat la Arcadia<\/strong><\/p>\n<p>Un pacient \u00een v\u00e2rst\u0103 de 35 de ani s-a prezentat la Spitalul Arcadia cu <strong>dureri importante \u0219i o pierdere semnificativ\u0103 a mobilit\u0103\u021bii um\u0103rului bra\u021bului dominant <\/strong>\u2013 bra\u021bul drept. Simptomatologia se instalase rapid progresiv, \u00een urma unui traumatism. Pacientul beneficiase de tratament conservator, cu evolu\u021bie trenant\u0103 de aproximativ 1 an. Infiltra\u021biile subacromiale cu cortizon \u0219i fiziokinetoterapia aduseser\u0103 doar amelior\u0103ri par\u021biale \u0219i temporare ale acuzelor.<\/p>\n<p><strong>RMN-ul efectuat preoperator<\/strong> a eviden\u021biat o coaf\u0103 a rotatorilor intact\u0103, fibroz\u0103 important\u0103 \u00een intervalul rotatorilor \u0219i o \u00eengro\u0219are a capsulei articulare antero-inferioare.<\/p>\n<p>Tratamentul propus a fost chirurgical. Interven\u021bia a durat aproximativ <strong>45 de minute<\/strong> \u0219i a constat \u00een <strong>eliberarea aderen\u021belor de la nivelul fe\u021bei profunde a coafei rotatorilor \u0219i cur\u0103\u021barea fibrozei din intervalul rotatorilor.<\/strong><\/p>\n<p>Evolu\u021bia postoperatorie a fost excelent\u0103, cu o <strong>ameliorare semnificativ\u0103 a durerilor chiar din prima zi dup\u0103 interven\u021bie.<\/strong><\/p>\n<p>Pacientul a fost rev\u0103zut la control la 2 s\u0103pt\u0103m\u00e2ni postoperator pentru suprimarea firelor de sutur\u0103. Acesta prezenta <strong>mobilitate foarte bun\u0103 la nivelul um\u0103rului<\/strong> \u0219i <strong>nivel redus de durere rezidual\u0103,<\/strong> urm\u00e2nd s\u0103 \u00eenceap\u0103 <strong>fiziokinetoterapia<\/strong> de recuperare medical\u0103, necesar\u0103 p\u00e2n\u0103 la vindecarea complet\u0103.<\/p>\n<p>Adoptarea unui tratament adecvat \u0219i ini\u021bierea precoce a recuper\u0103rii pot \u00eembun\u0103t\u0103\u021bi semnificativ prognosticul pacien\u021bilor cu capsulit\u0103 retractil\u0103.<\/p>\n<p>Pentru program\u0103ri, ave\u021bi la dispozi\u021bie num\u0103rul de telefon <strong>0232 920, Call Center Arcadia.<\/strong><\/p>\n<p><a href=\"http:\/\/www.arcadiamedical.ro\">www.arcadiamedical.ro<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Gabriel D\u00e2rc\u0103, chirurg Ortopedie-Traumatologie cu supraspecializare \u00een Chirurgia um\u0103rului \u0219i membrului superior, Arcadia Capsulita retractil\u0103 (sau um\u0103rul \u00eenghe\u021bat) este o afec\u021biune caracterizat\u0103 prin limitarea progresiv\u0103 a mi\u0219c\u0103rii \u00een articula\u021bia um\u0103rului. Aceasta afecteaz\u0103 aproximativ 2% din popula\u021bia global\u0103, fiind mai frecvent \u00eent\u00e2lnit\u0103 la persoanele cu v\u00e2rste cuprinse \u00eentre 40 \u0219i 60 de ani. Simptomele capsulitei [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1073023,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[174],"class_list":["post-1073022","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\/1073022","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=1073022"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1073022\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/media\/1073023"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1073022"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1073022"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1073022"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}