{"id":1290559,"date":"2026-01-05T00:00:00","date_gmt":"2026-01-04T21:00:00","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1290559"},"modified":"2026-01-05T00:00:00","modified_gmt":"2026-01-04T21:00:00","slug":"degetul-in-ciocan-grifa-digitala","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1290559","title":{"rendered":"Degetul \u00een ciocan (grifa digital\u0103)"},"content":{"rendered":"<div class=\"entry-content\">\n<div id=\"attachment_715799\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.botosaninews.ro\/wp-content\/uploads\/2026\/01\/dariciuc-bogdan_publicatii.png\"><img decoding=\"async\" aria-describedby=\"caption-attachment-715799\" loading=\"lazy\" class=\"size-medium wp-image-715799\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2026\/01\/dariciuc-bogdan_publicatii-300x197-1.png\" width=\"300\" height=\"197\" title=\"dariciuc-bogdan_publicatii-300x197-1\"><\/a><\/p>\n<p id=\"caption-attachment-715799\" class=\"wp-caption-text\"><a href=\"https:\/\/www.arcadiamedical.ro\/echipa-medicala\/dariciuc-bogdan#medinfo\">Dr. Bogdan Dariciuc<\/a>, medic specialist Ortopedie-Traumatologie, <a href=\"http:\/\/www.arcadiamedical.ro\">Arcadia<\/a><\/p>\n<\/div>\n<p>Degetul \u00een ciocan, cunoscut \u0219i sub denumirea de \u201egrif\u0103 digital\u0103\u201d, reprezint\u0103 o <strong>deformare a degetelor de la nivelul membrului inferior, ap\u0103rut\u0103 din cauza unui dezechilibru \u00eentre ac\u021biunea mu\u0219chilor flexori \u0219i extensori ai degetului<\/strong>. Aceast\u0103 afec\u021biune nu este doar o problem\u0103 estetic\u0103, ci una func\u021bional\u0103, care poate afecta confortul \u0219i mobilitatea.<\/p>\n<p><strong>Clasificarea degetului \u00een ciocan<\/strong><\/p>\n<p>Pentru o mai bun\u0103 \u00een\u021belegere, <strong>deformarea degetelor se \u00eemparte \u00een mai multe tipuri, \u00een func\u021bie de articula\u021biile implicate<\/strong>:<\/p>\n<ul>\n<li><strong>Mallet toe<\/strong> \u2013 caracterizat prin flexia articula\u021biei interfalangiene distale;<\/li>\n<li><strong>Claw toe<\/strong> \u2013 implic\u0103 flexia articula\u021biilor interfalangiene proximale \u0219i distale, asociat\u0103 cu extensia articula\u021biei metatarsofalangiene;<\/li>\n<li><strong>Hammer toe<\/strong> \u2013 presupune flexia articula\u021biei interfalangiene proximale \u0219i extensia articula\u021biei metatarsofalangiene.<\/li>\n<\/ul>\n<p>Aceast\u0103 clasificare ajut\u0103 medicul s\u0103 stabileasc\u0103 tratamentul adecvat \u00een func\u021bie de severitatea \u0219i tipul deform\u0103rii.<\/p>\n<p><strong>Cauzele apari\u021biei degetului \u00een ciocan<\/strong><\/p>\n<p>Degetul \u00een ciocan poate avea multiple cauze. Printre cele mai frecvente se num\u0103r\u0103 <strong>factorii congenitali, traumatismele, arsurile, anumite patologii neurologice sau boli inflamatorii precum poliartrita reumatoid\u0103<\/strong>. \u00cen timp, aceste cauze determin\u0103 modific\u0103ri structurale ale degetelor, care devin vizibile \u0219i deranjante.<\/p>\n<p><strong>Simptomele \u0219i evolu\u021bia degetului \u00een ciocan<\/strong><\/p>\n<p><strong>La \u00eenceput, grifele sunt reductibile<\/strong>, ceea ce \u00eenseamn\u0103 c\u0103 degetele pot fi \u00eendreptate manual. Pe m\u0103sur\u0103 ce afec\u021biunea avanseaz\u0103, <strong>\u021besuturile se retract\u0103, iar deformarea devine ireductibil\u0103<\/strong> (rigid\u0103). \u00cen aceast\u0103 etap\u0103, <strong>degetele proeminente intr\u0103 \u00een conflict cu \u00eenc\u0103l\u021b\u0103mintea, provoc\u00e2nd disconfort \u0219i durere<\/strong>.<\/p>\n<p>Presiunea exercitat\u0103 de pantof asupra degetului \u00eendoit poate duce la <strong>apari\u021bia b\u0103t\u0103turilor dureroase<\/strong>. \u00cen plus, deformarea pune presiune pe oasele metatarsiene, ceea ce cauzeaz\u0103 frecvent <strong>dureri \u00een talp\u0103<\/strong>. \u00cen cazurile severe, pot ap\u0103rea <strong>calusuri dureroase<\/strong> pe partea inferioar\u0103 a piciorului, din cauza presiunii crescute asupra articula\u021biilor contractate.<\/p>\n<p><strong>Op\u021biuni de tratament pentru degetul \u00een ciocan<\/strong><\/p>\n<p>Tratamentul degetului \u00een ciocan se \u00eemparte \u00een dou\u0103 mari categorii: conservator \u0219i chirurgical.<\/p>\n<ol>\n<li><strong> Tratamentul conservator<\/strong><\/li>\n<\/ol>\n<p>\u00cen fazele incipiente, se recomand\u0103:<\/p>\n<ul>\n<li>purtarea de \u00eenc\u0103l\u021b\u0103minte larg\u0103 \u0219i comod\u0103;<\/li>\n<li>kinetoterapie pentru ameliorarea simptomelor (de\u0219i nu opre\u0219te evolu\u021bia deform\u0103rii);<\/li>\n<li>utilizarea ortezelor de sus\u021binere \u00een pantofi, pentru reducerea presiunii exercitate asupra deform\u0103rilor.<\/li>\n<\/ul>\n<p>Este important de men\u021bionat c\u0103 <strong>niciun tratament conservator nu a demonstrat eficien\u021b\u0103 \u00een corectarea permanent\u0103 a deform\u0103rii<\/strong>.<\/p>\n<ol start=\"2\">\n<li><strong> Tratamentul chirurgical<\/strong><\/li>\n<\/ol>\n<p>\u00cen cazurile avansate, solu\u021bia este interven\u021bia chirurgical\u0103, care poate fi minim invaziv\u0103 sau clasic\u0103, \u00een func\u021bie de particularit\u0103\u021bile fiec\u0103rui pacient. Chirurgia are un <strong>scop func\u021bional<\/strong>, nu estetic, \u0219i urm\u0103re\u0219te <strong>redarea mobilit\u0103\u021bii \u0219i formei normale a degetului<\/strong>.<\/p>\n<p>Printre cele mai frecvente proceduri se num\u0103r\u0103:<\/p>\n<ul>\n<li>plastiile de tendon;<\/li>\n<li>tenotomiile (sec\u021bionarea unui tendon);<\/li>\n<li>osteotomiile (\u00eendep\u0103rtarea sau realinierea unei por\u021biuni de os afectat de o deformare);<\/li>\n<li>artrodezele digitale (blocarea unei articula\u021bii pentru stabilitate).<\/li>\n<\/ul>\n<p>\u00cen cazurile \u00een care rigiditatea este sever\u0103 \u0219i deformarea este mare, poate fi necesar\u0103 <strong>\u00eendep\u0103rtarea unei p\u0103r\u021bi din falang\u0103 (falangectomie)<\/strong> sau <strong>scurtarea metatarsianului (osteotomie Weil)<\/strong>.<\/p>\n<p>Tratamentul chirurgical al degetului \u00een ciocan se efectueaz\u0103 \u00een siguran\u021b\u0103 \u00een <a href=\"http:\/\/www.arcadiamedical.ro\">Spitalul Arcadia<\/a>. Pentru program\u0103ri, pacien\u021bii au la dispozi\u021bie num\u0103rul de telefon <strong>0232 920, Call Center Arcadia<\/strong>.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Bogdan Dariciuc, medic specialist Ortopedie-Traumatologie, Arcadia Degetul \u00een ciocan, cunoscut \u0219i sub denumirea de \u201egrif\u0103 digital\u0103\u201d, reprezint\u0103 o deformare a degetelor de la nivelul membrului inferior, ap\u0103rut\u0103 din cauza unui dezechilibru \u00eentre ac\u021biunea mu\u0219chilor flexori \u0219i extensori ai degetului. Aceast\u0103 afec\u021biune nu este doar o problem\u0103 estetic\u0103, ci una func\u021bional\u0103, care poate afecta confortul [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1290562,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[174],"class_list":["post-1290559","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\/1290559","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=1290559"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1290559\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/media\/1290562"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1290559"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1290559"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1290559"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}