diplomsko delo
Katja Lenarčič (Author), Alan Kacin (Reviewer), Renata Vauhnik (Mentor)

Abstract

Uvod: Izpah pogačice je ena izmed najpogostejših poškodb kolenskega sklepa, pri kateri kost pogačice zdrsne iz stegneničnega žleba. Najpogostejši je lateralni izpah pogačice, ki lahko povzroči rupturo medialnega patelofemoralnega ligamenta. Izpah pogačice predstavlja 2–3 % vseh poškodb kolena in je glavni vzrok za hemoartrozo kolena. Izpah pogačice je pogosta poškodba kolena pri mladih, aktivnih posameznikih in ženskah. Mišično neravnovesje, predvsem šibka mišica vastus medialis, igra pomembno vlogo pri nestabilnosti pogačice. Namen: Na podlagi pregleda literature je namen diplomskega dela predstaviti potek konzervativnega in kirurškega zdravljenja pri izpahu pogačice. Metode dela: Iskanje literature je potekalo po elektronski zbirki PubMed. V iskanju smo uporabili vključitvene kriterije. To so: tematska ustreznost članka, randomizirana kontrolirana raziskava (RCT), prosto dostopno celotno besedilo, članki, objavljeni v angleškem jeziku, in časovni okvir pet let. Rezultati: Za rezultate je bilo pregledanih 71 raziskav, od tega je bilo na podlagi vključitvenih in izključitvenih kriterijev izbranih pet raziskav. Raziskave so primerjale konzervativno in operativno zdravljenje pri izpahu pogačice. Ob prvem izpahu je zdravljenje običajno konzervativno. Kirurško zdravljenje prinese boljše rezultate pri stabilnosti pogačice, ponavljajočih patelofemoralnih nestabilnosti ni. Začetek zdravljenja se začne z imobilizacijo kolena, ki traja od 3–6 tednov skupaj z omejitvijo gibljivosti. Bolečina se blaži z nesteroidnimi zdravili. Zelo pomemben je čim hitrejši začetek s fizioterapijo, ki temelji na krepitvi mišice kvadricepsa. Razprava in zaključek: V vseh petih raziskavah so primerjali operativno in konzervativno zdravljenje pri izpahu pogačice, vendar do zaključka, kdaj je katero zdravljenje bolje uporabiti, niso prišli. Po operativnem izpahu so se ponovni izpahi pojavili manjkrat in kasneje v primerjavi s konzervativnim zdravljenjem.

Keywords

diplomska dela;fizioterapija;izpah pogačice;operativno zdravljenje;konzervativno zdravljenje;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [K. Lenarčič]
UDC: 615.8
COBISS: 111980803 Link will open in a new window
Views: 64
Downloads: 34
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Other data

Secondary language: English
Secondary title: Operative and conservative treatment in patellar dislocation - literature review
Secondary abstract: Introduction: Dislocation of the patella is one of the most common knee joint injuries, where the patellar bone is removed from the patellofemoral joint. The most common is lateral patellar dislocation, which can cause the rupture of the medial patelofemoral ligament. Dislocation of the patella represents 2-3 % of all knee injuries and is the main cause of knee hemoarthrosis. Dislocation of the patella is a common knee injury for young, active individuals and women. Muscle imbalance, especially a weak vastus medialis muscle, plays an important role in patellar instability. Purpose: Based on a literature review, our thesis aims the conservative and surgical treatment of patellar dislocation. Methods of work: The literature search was conducted using the electronic database PubMed. We used the following inclusion criteria: thematic relevance of the article, randomized controlled trial (RCT), freely accessible full text, articles published in English and a period of five years. Results: 71 studies were reviewed for the results, of which five were selected, based on the inclusion and exclusion criteria. The studies have compared conservative and operative treatments for patellar dislocation. At the first dislocation, treatment is usually conservative. Surgical treatment brings better results on the stability of the patella, there are no recurrent patellofemoral instabilities. The treatment begins with knee immobilization, which lasts from 3 to 6 weeks including limited mobility. The pain is controlled with nonsteroidal medications. It is very important to start physiotherapy as soon as possible, focused on strengthening the quadriceps muscle. Discussion and conclusion: In all five studies, the operative and conservative treatments for patellar dislocation were compared. The studies did not provide conclusive results as to which treatment is better to use. After the surgical procedure, re-dislocations were less frequent than after conservative treatment.
Secondary keywords: diploma theses;physiotherapy;patellar dislocation;surgical treatment;conservative treatment;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Pages: 25 str.
ID: 15664316