{"id":31112,"date":"2025-08-07T11:55:00","date_gmt":"2025-08-07T08:55:00","guid":{"rendered":"https:\/\/www.utkuerdemozer.com\/leziuni-ale-articulatiei-sternoclaviculare\/"},"modified":"2026-04-01T02:22:38","modified_gmt":"2026-03-31T23:22:38","slug":"leziuni-ale-articulatiei-sternoclaviculare","status":"publish","type":"post","link":"https:\/\/www.utkuerdemozer.com\/ro\/leziuni-ale-articulatiei-sternoclaviculare\/","title":{"rendered":"Leziuni ale articula\u021biei sternoclaviculare"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Articula\u021bia sternoclavicular\u0103 este situat\u0103 \u00eentre <a href=\"https:\/\/www.utkuerdemozer.com\/ro\/fractura-de-clavicula\/\">clavicul\u0103<\/a> \u0219i stern (sternum), \u0219i este singura articula\u021bie care conecteaz\u0103 bra\u021bul de trunchi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aceasta permite centurii scapulare s\u0103 se mi\u0219te \u00een coordonare cu corpul.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen ciuda dimensiunii sale reduse, articula\u021bia este de o importan\u021b\u0103 critic\u0103 pentru func\u021biile membrului superior.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Imediat \u00een spatele articula\u021biei sternoclaviculare se afl\u0103 traheea, esofagul \u0219i vasele de s\u00e2nge majore care duc la cap \u0219i g\u00e2t.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Din acest motiv, \u00een cazurile \u00een care articula\u021bia sternoclavicular\u0103 se disloc\u0103 posterior (disloca\u021bie posterioar\u0103), nu numai c\u0103 mi\u0219c\u0103rile um\u0103rului sunt restric\u021bionate, dar pot ap\u0103rea \u0219i riscuri care pun via\u021ba \u00een pericol, cum ar fi probleme de respira\u021bie, degluti\u021bie sau circula\u021bie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Disloca\u021biile acute ale articula\u021biei sternoclaviculare sunt reduse \u00eentr-un cadru spitalicesc.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dac\u0103 se dezvolt\u0103 o instabilitate permanent\u0103 la nivelul articula\u021biei, poate fi necesar\u0103 interven\u021bia chirurgical\u0103.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen acest caz, interven\u021bia chirurgical\u0103 implic\u0103 de obicei o procedur\u0103 de reconstruc\u021bie \u00een care ligamentele sunt ref\u0103cute.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Similar cu o <a href=\"https:\/\/www.utkuerdemozer.com\/ro\/chirurgie-de-revizie-a-ligamentului-cruciat-anterior-lca\/\">reconstruc\u021bie de ligament \u00eencruci\u0219at anterior (LIA)<\/a> la genunchi, unul dintre <a href=\"https:\/\/www.utkuerdemozer.com\/ro\/tratamentul-rupturii-musculare-a-ischiogambierilor\/\">tendoanele ischiogambierilor<\/a> pacientului (cel mai frecvent gracilisul) este recoltat \u0219i utilizat ca gref\u0103 pentru a restabili stabilitatea articula\u021biei.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ce este articula\u021bia sternoclavicular\u0103?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Articula\u021bia sternoclavicular\u0103 (ASC) formeaz\u0103 leg\u0103tura dintre clavicul\u0103 \u0219i stern (sternum).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Fiind singura articula\u021bie care leag\u0103 centura scapular\u0103 de trunchi, este indispensabil\u0103 pentru sus\u021binerea greut\u0103\u021bii, mi\u0219c\u0103rile bra\u021bului \u0219i mi\u0219carea sincronizat\u0103 cu trunchiul.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Capsula \u0219i ligamentele care \u00eenconjoar\u0103 articula\u021bia asigur\u0103 at\u00e2t mobilitate, c\u00e2t \u0219i stabilitate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cu toate acestea, atunci c\u00e2nd sunt expuse la traumatisme, aceste structuri pot fi deteriorate, duc\u00e2nd la <a href=\"https:\/\/www.utkuerdemozer.com\/ro\/luxatia-umarului-si-chirurgia\/\">dislocare sau instabilitate<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">De\u0219i disloca\u021biile sunt rare, disloca\u021biile posterioare \u00een special pot prezenta riscuri care pun via\u021ba \u00een pericol.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ce sunt leziunile articula\u021biei sternoclaviculare?<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img fetchpriority=\"high\" decoding=\"async\" width=\"780\" height=\"582\" src=\"https:\/\/www.utkuerdemozer.com\/wp-content\/uploads\/2025\/06\/f7cce4_7a58d4e29a614fe3b2fbe2179b94013emv2-9.jpg\" alt=\"Sternoklavik\u00fcler Eklem Yaralanmalar\u0131\" class=\"wp-image-23130\" style=\"width:780px;height:auto\" srcset=\"https:\/\/www.utkuerdemozer.com\/wp-content\/uploads\/2025\/06\/f7cce4_7a58d4e29a614fe3b2fbe2179b94013emv2-9.jpg 780w, https:\/\/www.utkuerdemozer.com\/wp-content\/uploads\/2025\/06\/f7cce4_7a58d4e29a614fe3b2fbe2179b94013emv2-9-600x448.jpg 600w, https:\/\/www.utkuerdemozer.com\/wp-content\/uploads\/2025\/06\/f7cce4_7a58d4e29a614fe3b2fbe2179b94013emv2-9-300x224.jpg 300w, https:\/\/www.utkuerdemozer.com\/wp-content\/uploads\/2025\/06\/f7cce4_7a58d4e29a614fe3b2fbe2179b94013emv2-9-768x573.jpg 768w\" sizes=\"(max-width: 780px) 100vw, 780px\" \/><figcaption class=\"wp-element-caption\">Leziuni ale articula\u021biei sternoclaviculare<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Leziunile articula\u021biei sternoclaviculare apar de obicei ca urmare a unui traumatism.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aceste leziuni se pot prezenta ca o disloca\u021bie sau o subluxa\u021bie (disloca\u021bie par\u021bial\u0103).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Direc\u021bia disloca\u021biei este important\u0103, deoarece dac\u0103 clavicula este deplasat\u0103 anterior (\u00een fa\u021b\u0103) sau posterior (\u00een spate) modific\u0103 at\u00e2t simptomele, c\u00e2t \u0219i riscurile.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Disloca\u021bia anterioar\u0103 (deplasarea claviculei \u00een fa\u021b\u0103) este mai frecvent\u0103. De obicei, se prezint\u0103 cu umfl\u0103turi \u0219i deform\u0103ri evidente.<\/li>\n\n\n\n<li>Disloca\u021bia posterioar\u0103 este mai pu\u021bin frecvent\u0103, dar mult mai grav\u0103. Deoarece imediat \u00een spatele articula\u021biei sternoclaviculare se afl\u0103 vase de s\u00e2nge majore care duc la inim\u0103 \u0219i pl\u0103m\u00e2ni, precum \u0219i esofagul \u0219i traheea, disloca\u021biile posterioare pot comprima aceste structuri \u0219i pot provoca probleme respiratorii \u0219i circulatorii.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Disloca\u021biile traumatice rezult\u0103, \u00een general, din leziuni de \u00eenalt\u0103 energie, cum ar fi accidentele de circula\u021bie sau <a href=\"https:\/\/www.utkuerdemozer.com\/ro\/chirurgie-sportiva-si-artroscopie-de-ce-este-importanta\/\">sporturile de contact<\/a> (de exemplu, fotbal, rugby).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La pacien\u021bii cu v\u00e2rsta sub 20-25 de ani, disloca\u021bia sternoclavicular\u0103 poate fi confundat\u0103 cu o separare a claviculei de placa de cre\u0219tere (epifiz\u0103), deoarece la aceast\u0103 grup\u0103 de v\u00e2rst\u0103 epifiza nu s-a \u00eenchis \u00eenc\u0103 complet \u0219i poate ap\u0103rea similar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La unele persoane, pot ap\u0103rea subluxa\u021bii spontane f\u0103r\u0103 traumatism atunci c\u00e2nd bra\u021bul este ridicat.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aceste episoade sunt adesea observate la pacien\u021bii mai tineri \u0219i sunt asociate cu <a href=\"https:\/\/www.utkuerdemozer.com\/ro\/luxatia-umarului-si-chirurgia\/\">laxitate ligamentar\u0103<\/a> (sl\u0103birea ligamentelor).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Subluxa\u021bia se rezolv\u0103 de obicei spontan atunci c\u00e2nd bra\u021bul este cobor\u00e2t.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen astfel de cazuri, interven\u021bia chirurgical\u0103 este de obicei inutil\u0103; reasigurarea pacientului \u0219i tratamentul simptomelor locale sunt suficiente.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Simptomele leziunilor articula\u021biei sternoclaviculare<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Simptomele leziunilor articula\u021biei sternoclaviculare variaz\u0103 \u00een func\u021bie de direc\u021bia disloca\u021biei \u0219i de dezvoltarea unei instabilit\u0103\u021bi cronice.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pacien\u021bii se prezint\u0103 de obicei cu durere \u00een jurul claviculei, mi\u0219c\u0103ri restric\u021bionate ale um\u0103rului \u0219i o senza\u021bie de mobilitate anormal\u0103 a osului.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Simptomele disloca\u021biei articula\u021biei sternoclaviculare (disloca\u021bie acut\u0103)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Disloca\u021biile articula\u021biei sternoclaviculare care apar dup\u0103 un traumatism se prezint\u0103 cu simptome bru\u0219te. Cele mai frecvente constat\u0103ri sunt:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Disloca\u021bie anterioar\u0103 (deplasare \u00een fa\u021b\u0103):<\/strong> O proeminen\u021b\u0103 osoas\u0103 vizibil\u0103 este vizibil\u0103 sub piele. La palpare apar sensibilitate \u0219i umfl\u0103turi. Mi\u0219c\u0103rile um\u0103rului sunt dureroase.<\/li>\n\n\n\n<li><strong>Disloca\u021bie posterioar\u0103 (deplasare \u00een spate):<\/strong> O deformare vizibil\u0103 poate s\u0103 nu fie \u00eentotdeauna prezent\u0103. Cu toate acestea, pot ap\u0103rea dificult\u0103\u021bi la \u00eenghi\u021bire, dificult\u0103\u021bi de respira\u021bie, presiune toracic\u0103 sau r\u0103gu\u0219eal\u0103. Deoarece disloca\u021biile posterioare comprim\u0103 vasele \u0219i organele vitale din spatele sternului, ele necesit\u0103 interven\u021bie de urgen\u021b\u0103.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Simptomele instabilit\u0103\u021bii cronice a articula\u021biei sternoclaviculare<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La unii pacien\u021bi, articula\u021bia \u00ee\u0219i pierde stabilitatea dup\u0103 traumatismul ini\u021bial, duc\u00e2nd la instabilitate sternoclavicular\u0103 cronic\u0103. Aceasta poate afecta semnificativ calitatea vie\u021bii, \u00een special la persoanele active.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Simptomele comune ale instabilit\u0103\u021bii cronice includ:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mi\u0219carea \u00eenainte-\u00eenapoi a claviculei peste stern \u00een timpul mi\u0219c\u0103rii um\u0103rului<\/li>\n\n\n\n<li>O senza\u021bie de deplasare sau un sunet de clic \u00een peretele toracic anterior<\/li>\n\n\n\n<li>Disconfort crescut \u0219i pierderea \u00eencrederii la ridicarea bra\u021bului<\/li>\n\n\n\n<li>Durere sau presiune recurent\u0103 la mi\u0219c\u0103rile zilnice<\/li>\n\n\n\n<li>Deformare cosmetic\u0103 sau asimetrie la nivelul um\u0103rului<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Instabilitatea articula\u021biei sternoclaviculare este adesea trecut\u0103 cu vederea la prima vedere.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cu toate acestea, la pacien\u021bii cu simptome pe termen lung \u0219i o senza\u021bie de mi\u0219care anormal\u0103 la nivelul claviculei \u00een timpul activit\u0103\u021bii, trebuie stabilit diagnosticul corect \u0219i, dac\u0103 este necesar, trebuie luat\u0103 \u00een considerare planificarea chirurgical\u0103.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cum sunt diagnosticate leziunile articula\u021biei sternoclaviculare?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diagnosticul precis al disloca\u021biilor \u0219i instabilit\u0103\u021bilor articula\u021biei sternoclaviculare este esen\u021bial pentru planificarea eficient\u0103 a tratamentului.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Disloca\u021biile posterioare \u0219i instabilitatea cronic\u0103, \u00een special, pot s\u0103 nu fie evidente doar la examenul fizic. Din acest motiv, trebuie utilizate at\u00e2t evaluarea clinic\u0103, c\u00e2t \u0219i metodele imagistice.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Examenul fizic<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen timpul examenului fizic, medicul poate detecta:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Umfl\u0103turi, sensibilitate sau deformare la nivelul claviculei<\/li>\n\n\n\n<li>Durere sau mi\u0219care anormal\u0103 la mi\u0219c\u0103rile bra\u021bului<\/li>\n\n\n\n<li>\u00cen cazul unei disloca\u021bii posterioare suspectate: dificult\u0103\u021bi la \u00eenghi\u021bire sau probleme respiratorii<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Cu toate acestea, disloca\u021biile posterioare pot fi omise la examenul fizic. Prin urmare, imagistica este crucial\u0103.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Metode de imagistic\u0103<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">Radiografie<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Radiografiile standard anteroposterioare sunt de obicei solicitate mai \u00eent\u00e2i.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cu toate acestea, deoarece articula\u021bia sternoclavicular\u0103 se suprapune cu alte structuri osoase, direc\u021bia exact\u0103 a disloca\u021biei nu este \u00eentotdeauna clar\u0103 pe radiografiile simple.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Tomografie Computerizat\u0103 (CT)<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">CT-ul este cea mai valoroas\u0103 metod\u0103 imagistic\u0103 pentru diagnosticarea leziunilor articula\u021biei sternoclaviculare.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Permite evaluarea tridimensional\u0103 \u0219i este esen\u021bial\u0103 pentru determinarea direc\u021biei disloca\u021biei (anterioar\u0103 vs. posterioar\u0103).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CT-ul ofer\u0103, de asemenea, informa\u021bii detaliate despre fracturile suprafe\u021bei articulare, semnele de instabilitate \u0219i rela\u021biile cu structurile anatomice adiacente.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen disloca\u021biile posterioare, CT-ul este vital pentru evaluarea distan\u021bei p\u00e2n\u0103 la organele mediastinale \u0219i a oric\u0103rei compresii asupra acestora. Din acest motiv, CT-ul trebuie efectuat \u00eentotdeauna \u00een cazurile de disloca\u021bii posterioare suspectate.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Imagistic\u0103 prin Rezonan\u021b\u0103 Magnetic\u0103 (IRM)<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">IRM-ul ofer\u0103 informa\u021bii despre capsula articular\u0103, ligamente \u0219i \u021besuturile moi \u00eenconjur\u0103toare.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cu toate acestea, CT-ul r\u0103m\u00e2ne instrumentul de diagnostic de prim\u0103 linie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IRM-ul este mai util pentru planificarea tratamentului sau \u00een cazurile de instabilitate cronic\u0103 suspectat\u0103.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Metode de tratament pentru leziunile articula\u021biei sternoclaviculare<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Planul de tratament pentru leziunile articula\u021biei sternoclaviculare depinde de direc\u021bia disloca\u021biei, de leziunile structurale asociate \u0219i de dezvoltarea unei instabilit\u0103\u021bi permanente.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Disloca\u021bia acut\u0103 a articula\u021biei sternoclaviculare este o urgen\u021b\u0103!<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen special disloca\u021biile posterioare prezint\u0103 riscul de a comprima organele vitale \u0219i, prin urmare, necesit\u0103 interven\u021bie de urgen\u021b\u0103.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen astfel de cazuri, sub monitorizare spitaliceasc\u0103, articula\u021bia este redus\u0103 (reducere \u00eenchis\u0103 sau deschis\u0103) de c\u0103tre speciali\u0219ti experimenta\u021bi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Disloca\u021biile anterioare sunt de obicei mai pu\u021bin riscante \u0219i nu prezint\u0103 un pericol imediat pentru via\u021b\u0103.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cu toate acestea, aceste disloca\u021bii pot provoca \u00een continuare leziuni severe capsulei articulare \u0219i pot duce la instabilitate \u00een timp.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Tratamentul instabilit\u0103\u021bii cronice a articula\u021biei sternoclaviculare<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Dac\u0103 capsula articular\u0103 \u0219i ligamentele nu se vindec\u0103 corespunz\u0103tor dup\u0103 traumatismul ini\u021bial, se poate dezvolta instabilitate sternoclavicular\u0103 cronic\u0103.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aceast\u0103 afec\u021biune poate provoca o pierdere func\u021bional\u0103 semnificativ\u0103 \u0219i o calitate redus\u0103 a vie\u021bii, \u00een special la persoanele active.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">O clavicul\u0103 constant instabil\u0103 creeaz\u0103 disconfort at\u00e2t fizic, c\u00e2t \u0219i psihologic.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dac\u0103 simptomele datorate instabilit\u0103\u021bii sunt u\u0219oare, <a href=\"https:\/\/www.utkuerdemozer.com\/ro\/\/\">fizioterapia<\/a> \u0219i exerci\u021biile de \u00eent\u0103rire pentru centura scapular\u0103 pot fi \u00eencercate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cu toate acestea, la mul\u021bi pacien\u021bi, aceste metode sunt insuficiente.<\/p>\n\n\n<p><!-- \/wp:post-content --><\/p>\n<p><!-- wp:heading --><\/p>\n<h2 class=\"wp-block-heading\">Cine necesit\u0103 interven\u021bie chirurgical\u0103 pentru instabilitatea cronic\u0103 a articula\u021biei sternoclaviculare?<\/h2>\n<p><!-- \/wp:heading --><\/p>\n<p><!-- wp:image {\"id\":26514,\"width\":\"824px\",\"height\":\"auto\",\"sizeSlug\":\"full\",\"linkDestination\":\"none\"} --><!-- wp:image {\"id\":26514,\"width\":\"824px\",\"height\":\"auto\",\"sizeSlug\":\"full\",\"linkDestination\":\"none\"} --><\/p>\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"866\" height=\"540\" class=\"wp-image-26514\" src=\"https:\/\/www.utkuerdemozer.com\/wp-content\/uploads\/2023\/12\/image-2.png\" alt=\"Sternoklavik\u00fcler Eklem Rekonstr\u00fcksiyon Ameliyat\u0131\" srcset=\"https:\/\/www.utkuerdemozer.com\/wp-content\/uploads\/2023\/12\/image-2.png 866w, https:\/\/www.utkuerdemozer.com\/wp-content\/uploads\/2023\/12\/image-2-600x374.png 600w, https:\/\/www.utkuerdemozer.com\/wp-content\/uploads\/2023\/12\/image-2-300x187.png 300w, https:\/\/www.utkuerdemozer.com\/wp-content\/uploads\/2023\/12\/image-2-768x479.png 768w\" sizes=\"(max-width: 866px) 100vw, 866px\" \/><\/figure>\n<p><!-- \/wp:image --><br \/><!--AUTOWPML_PROTECTED_1--><br \/><!-- \/wp:image --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Interven\u021bia chirurgical\u0103 este necesar\u0103 \u00een instabilitatea cronic\u0103 sternoclavicular\u0103, \u00een special \u00een urm\u0103toarele situa\u021bii:<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:list --><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Luxa\u021bii recurente sau laxitate articular\u0103 marcat\u0103<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- wp:list-item --><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\">\n<li>Durere \u0219i instabilitate care interfereaz\u0103 cu activit\u0103\u021bile zilnice<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- wp:list-item --><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\">\n<li>Limitare func\u021bional\u0103 la pacien\u021bii activi<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- wp:list-item --><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\">\n<li>Instabilitate cronic\u0103 posterioar\u0103 care provoac\u0103 simptome ce pun via\u021ba \u00een pericol, cum ar fi dificult\u0103\u021bi de \u00eenghi\u021bire sau probleme respiratorii<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- \/wp:list --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>\u00cen chirurgia de reconstruc\u021bie, se utilizeaz\u0103 o gref\u0103 de tendon pentru a \u00eenlocui ligamentele deteriorate.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Cel mai frecvent, se prefer\u0103 tendonul gracilis recoltat din ischiogambierii pacientului.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Grefa este trecut\u0103 prin tuneluri create \u00eentre clavicul\u0103 \u0219i stern, reconstruind ligamentele \u0219i restabilind stabilitatea articula\u021biei.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Rata de succes dup\u0103 interven\u021bia chirurgical\u0103 este ridicat\u0103, iar atunci c\u00e2nd este efectuat\u0103 corect, majoritatea pacien\u021bilor pot reveni \u00een siguran\u021b\u0103 la activit\u0103\u021bile zilnice \u0219i sportive.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:heading --><\/p>\n<h2 class=\"wp-block-heading\">Chirurgia de Reconstruc\u021bie a Articula\u021biei Sternoclaviculare<\/h2>\n<p><!-- \/wp:heading --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Solu\u021bia permanent\u0103 pentru instabilitatea cronic\u0103 a articula\u021biei sternoclaviculare este reconstruc\u021bia chirurgical\u0103.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Scopul acestei proceduri este de a restabili stabilitatea articular\u0103 prin \u00eenlocuirea ligamentelor sl\u0103bite sau rupte cu o gref\u0103.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Tendonul gracilis din grupul ischiogambierilor pacientului este de obicei utilizat ca gref\u0103.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Acest tendon este plasat \u00eentre clavicul\u0103 \u0219i stern prin tehnici speciale.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Trecut\u0103 prin tuneluri forate \u00een oase, grefa este fixat\u0103 \u00eentr-un mod care reproduce func\u021bia ligamentelor originale.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Astfel, articula\u021bia sternoclavicular\u0103 este stabilizat\u0103 \u0219i echilibrat\u0103 din nou.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>\u00cen instabilit\u0103\u021bile posterioare, pozi\u021bionarea grefei este planificat\u0103 cu aten\u021bie \u00een raport cu structurile vitale.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Dac\u0103 este necesar, reconstruc\u021bia se realizeaz\u0103 printr-o tehnic\u0103 chirurgical\u0103 deschis\u0103.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:list --><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Stabilitatea articular\u0103 este restabilit\u0103,<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- wp:list-item --><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\">\n<li>Senza\u021bia anormal\u0103 de sl\u0103biciune dispare,<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- wp:list-item --><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\">\n<li>Durerea cronic\u0103, dificult\u0103\u021bile de \u00eenghi\u021bire sau de respira\u021bie sunt \u00eembun\u0103t\u0103\u021bite semnificativ,<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- wp:list-item --><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\">\n<li>Pacien\u021bii pot reveni \u00een siguran\u021b\u0103 la via\u021ba cotidian\u0103 \u0219i la sport.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- \/wp:list --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Atunci c\u00e2nd este efectuat\u0103 cu tehnica corect\u0103 de c\u0103tre un <a href=\"https:\/\/www.utkuerdemozer.com\/ro\/despre\/\">chirurg experimentat<\/a>, chirurgia de reconstruc\u021bie are o rat\u0103 de succes ridicat\u0103.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:heading --><\/p>\n<h2 class=\"wp-block-heading\">Procesul Postoperator \u0219i Reabilitarea<\/h2>\n<p><!-- \/wp:heading --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Procesul de recuperare dup\u0103 chirurgia de reconstruc\u021bie a articula\u021biei sternoclaviculare progreseaz\u0103 pas cu pas \u0219i \u00eentr-un mod controlat.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Reabilitarea este crucial\u0103 pentru a proteja succesul interven\u021biei chirurgicale \u0219i pentru a asigura vindecarea corect\u0103 a grefei.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:heading {\"level\":3} --><\/p>\n<h3 class=\"wp-block-heading\">Primele 4 S\u0103pt\u0103m\u00e2ni: Faza de Imobilizare<\/h3>\n<p><!-- \/wp:heading --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Bra\u021bul este men\u021binut imobilizat cu o e\u0219arf\u0103 de um\u0103r timp de cel pu\u021bin 4 s\u0103pt\u0103m\u00e2ni pentru a restric\u021biona mi\u0219carea.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Sunt permise doar exerci\u021bii pasive \u0219i sigure, cum ar fi mi\u0219c\u0103rile de pendul.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Scopul este de a permite \u021besuturilor moi s\u0103 se vindece f\u0103r\u0103 stres excesiv asupra articula\u021biei.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:heading {\"level\":3} --><\/p>\n<h3 class=\"wp-block-heading\">Dup\u0103 4 S\u0103pt\u0103m\u00e2ni: Amplitudinea Mi\u0219c\u0103rii \u0219i \u00cent\u0103rirea<\/h3>\n<p><!-- \/wp:heading --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>\u00cencep\u00e2nd cu a patra s\u0103pt\u0103m\u00e2n\u0103, pacien\u021bii \u00eencep exerci\u021bii active-asistate.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Ini\u021bial, abduc\u021bia um\u0103rului (ridicarea bra\u021bului lateral) este limitat\u0103 la 90 de grade.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>\u00cen func\u021bie de progresul clinic, amplitudinea mi\u0219c\u0103rii este crescut\u0103 treptat.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Exerci\u021biile de \u00eenc\u0103rcare \u0219i de \u00eent\u0103rire sunt introduse pas cu pas sub supravegherea chirurgului \u0219i a fizioterapeutului.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:heading {\"level\":3} --><\/p>\n<h3 class=\"wp-block-heading\">Dup\u0103 12 S\u0103pt\u0103m\u00e2ni: Activit\u0103\u021bi Zilnice \u0219i Revenirea la Sport<\/h3>\n<p><!-- \/wp:heading --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Revenirea la activit\u0103\u021bi fizice de nivel \u00eenalt sau la sport este de obicei luat\u0103 \u00een considerare nu mai devreme de 12 s\u0103pt\u0103m\u00e2ni postoperator.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Aceast\u0103 perioad\u0103 este individualizat\u0103 \u00een func\u021bie de stabilitatea articular\u0103 a pacientului, mobilitatea f\u0103r\u0103 durere \u0219i for\u021ba muscular\u0103.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:heading --><\/p>\n<h2 class=\"wp-block-heading\">\u00centreb\u0103ri Frecvente Despre Luxa\u021bia Articula\u021biei Sternoclaviculare<\/h2>\n<p><!-- \/wp:heading --><\/p>\n<p><!-- wp:rank-math\/faq-block {\"questions\":[{\"id\":\"faq-question-1\",\"title\":\"Ce Este Articula\u021bia Sternoclavicular\u0103 \u0219i Ce Rol Are?\",\"content\":\"Articula\u021bia sternoclavicular\u0103 este situat\u0103 \u00eentre clavicul\u0103 \u0219i stern. Este singura articula\u021bie care conecteaz\u0103 bra\u021bul de trunchi \u0219i permite centurii scapulare s\u0103 se mi\u0219te \u00een coordonare cu corpul.\",\"visible\":true},{\"id\":\"faq-question-2\",\"title\":\"Este Periculoas\u0103 Luxa\u021bia Articula\u021biei Sternoclaviculare?\",\"content\":\"Da, \u00een special luxa\u021biile posterioare sunt periculoase. Acestea pot comprima traheea, esofagul \u0219i vasele de s\u00e2nge majore, duc\u00e2nd la probleme respiratorii sau circulatorii.\",\"visible\":true},{\"id\":\"faq-question-3\",\"title\":\"Care Este Diferen\u021ba Dintre Luxa\u021biile Posterioare \u0219i Anterioare?\",\"content\":\"\u00centr-o luxa\u021bie anterioar\u0103, clavicula se deplaseaz\u0103 \u00eenainte \u0219i, de obicei, nu prezint\u0103 un risc vital. \u00centr-o luxa\u021bie posterioar\u0103, clavicula se deplaseaz\u0103 spre cavitatea toracic\u0103 \u0219i poate ap\u0103sa pe structuri vitale, ceea ce poate pune via\u021ba \u00een pericol.\",\"visible\":true},{\"id\":\"faq-question-4\",\"title\":\"Cum Poate Fi Recunoscut\u0103 Instabilitatea Cronic\u0103 a Articula\u021biei Sternoclaviculare?\",\"content\":\"Semnele tipice includ mi\u0219carea \u00eenainte-\u00eenapoi a claviculei \u00een timpul mi\u0219c\u0103rii um\u0103rului, senza\u021bii de clic sau pocnituri, durere recurent\u0103 \u0219i o senza\u021bie de instabilitate \u00een jurul um\u0103rului.\",\"visible\":true},{\"id\":\"faq-question-5\",\"title\":\"Ce Se \u00cent\u00e2mpl\u0103 Dac\u0103 Instabilitatea Cronic\u0103 Nu Este Tratat\u0103?\",\"content\":\"Durerea se poate agrava \u00een timp, se poate dezvolta o restric\u021bie de mi\u0219care, iar \u00een instabilitatea posterioar\u0103, pot ap\u0103rea simptome precum dificult\u0103\u021bi de \u00eenghi\u021bire sau de respira\u021bie. Pe termen lung, calitatea vie\u021bii este redus\u0103 semnificativ.\",\"visible\":true},{\"id\":\"faq-question-6\",\"title\":\"C\u00e2nd Este Necesara Interven\u021bia Chirurgical\u0103?\",\"content\":\"Interven\u021bia chirurgical\u0103 este necesar\u0103 \u00een cazurile de luxa\u021bii recurente sau laxitate marcat\u0103, durere sau instabilitate care interfereaz\u0103 cu via\u021ba cotidian\u0103 \u0219i instabilitate posterioar\u0103 asociat\u0103 cu simptome ce pun via\u021ba \u00een pericol.\",\"visible\":true},{\"id\":\"faq-question-7\",\"title\":\"Cum Se Realizeaz\u0103 Chirurgia Articula\u021biei Sternoclaviculare?\",\"content\":\"Se realizeaz\u0103 o procedur\u0103 de reconstruc\u021bie, \u00een care o gref\u0103 (de obicei tendonul gracilis din ischiogambierii pacientului) este plasat\u0103 \u00eentre clavicul\u0103 \u0219i stern pentru a restabili stabilitatea.\",\"visible\":true},{\"id\":\"faq-question-8\",\"title\":\"C\u00e2t Timp Trebuie S\u0103 R\u0103m\u00e2n\u0103 Bra\u021bul \u00centr-o E\u0219arf\u0103 Dup\u0103 Opera\u021bie?\",\"content\":\"Bra\u021bul este, \u00een general, imobilizat \u00eentr-o e\u0219arf\u0103 timp de aproximativ 4 s\u0103pt\u0103m\u00e2ni. Doar exerci\u021biile pasive, cum ar fi mi\u0219c\u0103rile de pendul, sunt permise \u00een aceast\u0103 perioad\u0103.\",\"visible\":true},{\"id\":\"faq-question-9\",\"title\":\"C\u00e2nd Pot Reveni Pacien\u021bii la Sport sau la Munc\u0103 Fizic\u0103 Grele?\",\"content\":\"Revenirea la activit\u0103\u021bi fizice solicitante este de obicei luat\u0103 \u00een considerare la 12 s\u0103pt\u0103m\u00e2ni dup\u0103 interven\u021bia chirurgical\u0103, \u00een func\u021bie de recuperarea individual\u0103.\",\"visible\":true},{\"id\":\"faq-question-10\",\"title\":\"Care Este Rata de Succes a Acestei Interven\u021bii Chirurgicale?\",\"content\":\"Atunci c\u00e2nd este efectuat\u0103 cu tehnica corect\u0103 de c\u0103tre chirurgi experimenta\u021bi, rata de succes este ridicat\u0103. Majoritatea pacien\u021bilor revin la via\u021ba cotidian\u0103 cu un um\u0103r stabil \u0219i f\u0103r\u0103 durere.\",\"visible\":true}]} --><\/p>\n<div class=\"wp-block-rank-math-faq-block\">\n<div class=\"rank-math-faq-item\">\n<h3 class=\"rank-math-question\">Ce Este Articula\u021bia Sternoclavicular\u0103 \u0219i Ce Rol Are?<\/h3>\n<div class=\"rank-math-answer\">Articula\u021bia sternoclavicular\u0103 este situat\u0103 \u00eentre clavicul\u0103 \u0219i stern. Este singura articula\u021bie care conecteaz\u0103 bra\u021bul de trunchi \u0219i permite centurii scapulare s\u0103 se mi\u0219te \u00een coordonare cu corpul.<\/div>\n<\/div>\n<div class=\"rank-math-faq-item\">\n<h3 class=\"rank-math-question\">Este Periculoas\u0103 Luxa\u021bia Articula\u021biei Sternoclaviculare?<\/h3>\n<div class=\"rank-math-answer\">Da, \u00een special luxa\u021biile posterioare sunt periculoase. Acestea pot comprima traheea, esofagul \u0219i vasele de s\u00e2nge majore, duc\u00e2nd la probleme respiratorii sau circulatorii.<\/div>\n<\/div>\n<div class=\"rank-math-faq-item\">\n<h3 class=\"rank-math-question\">Care Este Diferen\u021ba Dintre Luxa\u021biile Posterioare \u0219i Anterioare?<\/h3>\n<div class=\"rank-math-answer\">\u00centr-o luxa\u021bie anterioar\u0103, clavicula se deplaseaz\u0103 \u00eenainte \u0219i, de obicei, nu prezint\u0103 un risc vital. \u00centr-o luxa\u021bie posterioar\u0103, clavicula se deplaseaz\u0103 spre cavitatea toracic\u0103 \u0219i poate ap\u0103sa pe structuri vitale, ceea ce poate pune via\u021ba \u00een pericol.<\/div>\n<\/div>\n<div class=\"rank-math-faq-item\">\n<h3 class=\"rank-math-question\">Cum Poate Fi Recunoscut\u0103 Instabilitatea Cronic\u0103 a Articula\u021biei Sternoclaviculare?<\/h3>\n<div class=\"rank-math-answer\">Semnele tipice includ mi\u0219carea \u00eenainte-\u00eenapoi a claviculei \u00een timpul mi\u0219c\u0103rii um\u0103rului, senza\u021bii de clic sau pocnituri, durere recurent\u0103 \u0219i o senza\u021bie de instabilitate \u00een jurul um\u0103rului.<\/div>\n<\/div>\n<div class=\"rank-math-faq-item\">\n<h3 class=\"rank-math-question\">Ce Se \u00cent\u00e2mpl\u0103 Dac\u0103 Instabilitatea Cronic\u0103 Nu Este Tratat\u0103?<\/h3>\n<div class=\"rank-math-answer\">Durerea se poate agrava \u00een timp, se poate dezvolta o restric\u021bie de mi\u0219care, iar \u00een instabilitatea posterioar\u0103, pot ap\u0103rea simptome precum dificult\u0103\u021bi de \u00eenghi\u021bire sau de respira\u021bie. Pe termen lung, calitatea vie\u021bii este redus\u0103 semnificativ.<\/div>\n<\/div>\n<div class=\"rank-math-faq-item\">\n<h3 class=\"rank-math-question\">C\u00e2nd Este Necesara Interven\u021bia Chirurgical\u0103?<\/h3>\n<div class=\"rank-math-answer\">Interven\u021bia chirurgical\u0103 este necesar\u0103 \u00een cazurile de luxa\u021bii recurente sau laxitate marcat\u0103, durere sau instabilitate care interfereaz\u0103 cu via\u021ba cotidian\u0103 \u0219i instabilitate posterioar\u0103 asociat\u0103 cu simptome ce pun via\u021ba \u00een pericol.<\/div>\n<\/div>\n<div class=\"rank-math-faq-item\">\n<h3 class=\"rank-math-question\">Cum Se Realizeaz\u0103 Chirurgia Articula\u021biei Sternoclaviculare?<\/h3>\n<div class=\"rank-math-answer\">Se realizeaz\u0103 o procedur\u0103 de reconstruc\u021bie, \u00een care o gref\u0103 (de obicei tendonul gracilis din ischiogambierii pacientului) este plasat\u0103 \u00eentre clavicul\u0103 \u0219i stern pentru a restabili stabilitatea.<\/div>\n<\/div>\n<div class=\"rank-math-faq-item\">\n<h3 class=\"rank-math-question\">C\u00e2t Timp Trebuie S\u0103 R\u0103m\u00e2n\u0103 Bra\u021bul \u00centr-o E\u0219arf\u0103 Dup\u0103 Opera\u021bie?<\/h3>\n<div class=\"rank-math-answer\">Bra\u021bul este, \u00een general, imobilizat \u00eentr-o e\u0219arf\u0103 timp de aproximativ 4 s\u0103pt\u0103m\u00e2ni. Doar exerci\u021biile pasive, cum ar fi mi\u0219c\u0103rile de pendul, sunt permise \u00een aceast\u0103 perioad\u0103.<\/div>\n<\/div>\n<div class=\"rank-math-faq-item\">\n<h3 class=\"rank-math-question\">C\u00e2nd Pot Reveni Pacien\u021bii la Sport sau la Munc\u0103 Fizic\u0103 Grele?<\/h3>\n<div class=\"rank-math-answer\">Revenirea la activit\u0103\u021bi fizice solicitante este de obicei luat\u0103 \u00een considerare la 12 s\u0103pt\u0103m\u00e2ni dup\u0103 interven\u021bia chirurgical\u0103, \u00een func\u021bie de recuperarea individual\u0103.<\/div>\n<\/div>\n<div class=\"rank-math-faq-item\">\n<h3 class=\"rank-math-question\">Care Este Rata de Succes a Acestei Interven\u021bii Chirurgicale?<\/h3>\n<div class=\"rank-math-answer\">Atunci c\u00e2nd este efectuat\u0103 cu tehnica corect\u0103 de c\u0103tre chirurgi experimenta\u021bi, rata de succes este ridicat\u0103. Majoritatea pacien\u021bilor revin la via\u021ba cotidian\u0103 cu un um\u0103r stabil \u0219i f\u0103r\u0103 durere.<\/div>\n<\/div>\n<\/div>\n<p><!-- \/wp:rank-math\/faq-block --><\/p>\n<p><!-- wp:heading --><\/p>\n<h2 class=\"wp-block-heading\">Concluzie<\/h2>\n<p><!-- \/wp:heading --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Leziunile articula\u021biei sternoclaviculare apar la articula\u021bia care conecteaz\u0103 clavicula de stern.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Luxa\u021biile posterioare dup\u0103 traumatisme sunt urgen\u021be deoarece pot comprima traheea \u0219i vasele majore, cre\u00e2nd riscuri ce pun via\u021ba \u00een pericol.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Luxa\u021biile anterioare, mai frecvente, cauzeaz\u0103 de obicei instabilitate cronic\u0103 \u0219i durere recurent\u0103, mai degrab\u0103 dec\u00e2t un pericol imediat.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Atunci c\u00e2nd leziunea ini\u021bial\u0103 nu se vindec\u0103 \u0219i se dezvolt\u0103 o instabilitate persistent\u0103, solu\u021bia definitiv\u0103 este reconstruc\u021bia chirurgical\u0103.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>\u00cen aceast\u0103 procedur\u0103, o gref\u0103 prelevat\u0103 din tendonul ischiogambierului pacientului restabile\u0219te stabilitatea, permi\u021b\u00e2nd pacientului s\u0103 revin\u0103 la via\u021ba cotidian\u0103 \u00een siguran\u021b\u0103 \u0219i f\u0103r\u0103 durere.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:heading --><\/p>\n<h2 class=\"wp-block-heading\">Recomand\u0103ri ale Exper\u021bilor<\/h2>\n<p><!-- \/wp:heading --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>\u00cen cazul unei luxa\u021bii sternoclaviculare suspectate, mai ales dup\u0103 un traumatism de \u00eenalt\u0103 energie, diagnosticul precis este critic.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Luxa\u021biile posterioare nu trebuie neglijate. Tomografia computerizat\u0103 (CT) este cea mai fiabil\u0103 metod\u0103 de imagistic\u0103.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Simptome precum dificult\u0103\u021bi de respira\u021bie, dificult\u0103\u021bi de \u00eenghi\u021bire sau r\u0103gu\u0219eal\u0103 necesit\u0103 \u00eengrijiri medicale de urgen\u021b\u0103 imediate.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Nu toate luxa\u021biile necesit\u0103 interven\u021bie chirurgical\u0103. Tratamentul chirurgical este luat \u00een considerare \u00een principal \u00een cazurile de instabilitate dureroas\u0103 persistent\u0103 care afecteaz\u0103 via\u021ba cotidian\u0103.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p>Rezultatele de succes depind nu doar de tehnica chirurgical\u0103, ci \u0219i de respectarea strict\u0103 a programului de reabilitare postoperatorie.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Pentru o evaluare personalizat\u0103 \u0219i pentru a determina cel mai adecvat tratament, \u00eel pute\u021bi contacta direct pe <a href=\"https:\/\/www.utkuerdemozer.com\/ro\/\">Utku Erdem \u00d6zer<\/a>.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Pentru mai multe detalii, v\u0103 rug\u0103m s\u0103 utiliza\u021bi canalele de <a href=\"https:\/\/www.utkuerdemozer.com\/ro\/contact\/\">contact<\/a> sau s\u0103 <a href=\"https:\/\/www.utkuerdemozer.com\/ro\/faceti-o-programare\/\">programa\u021bi o consulta\u021bie<\/a>.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p><!-- \/wp:paragraph --><\/p>","protected":false},"excerpt":{"rendered":"<p>Numeroase leziuni ale articula\u021biei sternoclaviculare apar \u00een timpul activit\u0103\u021bilor sportive \u0219i al c\u0103z\u0103turilor. O lovitur\u0103 contondent\u0103 \u00een zona um\u0103rului \u00eempinge um\u0103rul spre interior, provoc\u00e2nd leziuni la nivelul articula\u021biei SC.<\/p>\n","protected":false},"author":1,"featured_media":26512,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[137,133,14,19],"tags":[],"class_list":["post-31112","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chirurgie-sportiva-si-artroscopie","category-chirurgia-umarului","category-omuz-cerrahisi","category-spor-cerrahisi-ve-artroskopi"],"_links":{"self":[{"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/posts\/31112","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/comments?post=31112"}],"version-history":[{"count":2,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/posts\/31112\/revisions"}],"predecessor-version":[{"id":33009,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/posts\/31112\/revisions\/33009"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/media\/26512"}],"wp:attachment":[{"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/media?parent=31112"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/categories?post=31112"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/tags?post=31112"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}