Diseño de protocolo mediante la utilización de resonancia magnética en rodilla traumática
Fecha
2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Tecnología Médica
Resumen
El propósito del presente trabajo es dar a conocer un protocolo adecuado para determinar lesiones traumáticas en la articulación de la rodilla, en vista de la necesidad de implementar un protocolo con la técnica apropiada necesaria en el nuevo departamento de Resonancia Magnética del Hospital del IESS de Babahoyo, previa la verificación de su utilidad en el Departamento de Imagen del Hospital Abel Gilbert Pontón de la ciudad de Guayaquil. Teniendo en cuenta que la población mundial en los últimos años se ve afectada por múltiples traumatismos causados por accidentes, excesos en el desarrollo de deportes o actividades cotidianas que afectan articulaciones tan importantes como es la rodilla, se ha considerado muy importante la realización del presente estudio, Se sabe que al ejercer fuerzas violentas sobre la articulación la energía actúa en varo o en valgo y estas cargas axiales producen lesiones. Existen diversos factores que intervienen tales como la dirección y magnitud de la fuerza generada, la edad del paciente, la calidad del hueso y el momento del impacto determinan el grado de lesión o fractura, que puede ir acompañada de desplazamiento. La inmovilidad o movilidad anormal es el signo patognomónico, es importante auscultar la sensibilidad para verificar si existe lesión vascular o nerviosa asociada. Estas lesiones deben ser identificadas y tratadas para evitar complicaciones que pueden causar discapacidad a los pacientes. La Imagenología, es una rama de la Medicina que utiliza tecnologías de última generación que permiten detectar lesiones traumáticas en la articulación de la rodilla, o en cualquier otro sitio en que se necesite determinar si existe lesión, con lo cual se asegura el diagnóstico oportuno y el tratamiento adecuado para mejorar la calidad e vida de los pacientes. Finalmente de las conclusiones obtenidas permiten realizar recomendaciones para utilizar en forma correcta y eficaz esta herramienta de diagnóstico en lesiones de la articulación de la rodilla.
The purpose of this paper is to present an adequate protocol to determine traumatic injuries in the knee joint, in view of the need to implement a protocol with the appropriate technique needed in the new department of Magnetic Resonance of the IESS Hospital of Babahoyo , after verification of its usefulness in the Image Department of the Abel Gilbert Pontón Hospital in the city of Guayaquil. Taking into account that the world population in recent years is affected by multiple injuries caused by accidents, excesses in the development of sports or daily activities that affect joints as important as the knee, it has been considered very important to carry out this study It is known that when exercising violent forces on the joint, the energy acts in varus or in valgus and these axial loads produce injuries. There are several factors involved such as the direction and magnitude of the force generated, the age of the patient, the quality of the bone and the moment of impact determine the degree of injury or fracture, which may be accompanied by displacement. The immobility or abnormal mobility is the pathognomonic sign, it is important to auscultate the sensitivity to verify if there is vascular or nervous injury associated. These injuries must be identified and treated to avoid complications that can cause disability to patients. Imaging is a branch of medicine that uses state-of-the-art technologies to detect traumatic injuries in the knee joint, or in any other place where it is necessary to determine if there is an injury, which ensures timely diagnosis and the appropriate treatment to improve the quality of life of patients. Finally, the conclusions obtained allow us to make recommendations to correctly and effectively use this diagnostic tool in knee joint injuries.
The purpose of this paper is to present an adequate protocol to determine traumatic injuries in the knee joint, in view of the need to implement a protocol with the appropriate technique needed in the new department of Magnetic Resonance of the IESS Hospital of Babahoyo , after verification of its usefulness in the Image Department of the Abel Gilbert Pontón Hospital in the city of Guayaquil. Taking into account that the world population in recent years is affected by multiple injuries caused by accidents, excesses in the development of sports or daily activities that affect joints as important as the knee, it has been considered very important to carry out this study It is known that when exercising violent forces on the joint, the energy acts in varus or in valgus and these axial loads produce injuries. There are several factors involved such as the direction and magnitude of the force generated, the age of the patient, the quality of the bone and the moment of impact determine the degree of injury or fracture, which may be accompanied by displacement. The immobility or abnormal mobility is the pathognomonic sign, it is important to auscultate the sensitivity to verify if there is vascular or nervous injury associated. These injuries must be identified and treated to avoid complications that can cause disability to patients. Imaging is a branch of medicine that uses state-of-the-art technologies to detect traumatic injuries in the knee joint, or in any other place where it is necessary to determine if there is an injury, which ensures timely diagnosis and the appropriate treatment to improve the quality of life of patients. Finally, the conclusions obtained allow us to make recommendations to correctly and effectively use this diagnostic tool in knee joint injuries.
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PROTOCOLOS, ESPECTROSCOPIA DE RESONANCIA MAGNETICA, HERIDAS Y TRAUMATISMOS, RODILLA, HOSPITAL DE ESPECIALIDADES GUAYAQUIL DR. ABEL GILBERT PONTON, CANTON GUAYAQUIL, ECUADOR