{"id":220,"date":"2015-10-26T13:15:26","date_gmt":"2015-10-26T12:15:26","guid":{"rendered":"http:\/\/www.spotornofoundation.it\/website\/?page_id=220"},"modified":"2019-06-14T16:49:21","modified_gmt":"2019-06-14T14:49:21","slug":"rottura-della-cuffia-dei-rotatori","status":"publish","type":"page","link":"https:\/\/www.spotornofoundation.it\/website\/patologie\/spalla\/rottura-della-cuffia-dei-rotatori\/","title":{"rendered":"Rottura della cuffia dei rotatori"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row full_width=&#8221;&#8221; parallax=&#8221;&#8221; parallax_image=&#8221;&#8221; opn_row_id=&#8221;&#8221; opn_row_gutter=&#8221;&#8221; opn_enable_overlay=&#8221;off&#8221; opn_hide_navigation=&#8221;off&#8221; bg_type=&#8221;&#8221; parallax_style=&#8221;&#8221; bg_image_new=&#8221;&#8221; layer_image=&#8221;&#8221; bg_image_repeat=&#8221;&#8221; bg_image_size=&#8221;&#8221; bg_cstm_size=&#8221;&#8221; bg_img_attach=&#8221;&#8221; parallax_sense=&#8221;&#8221; bg_image_posiiton=&#8221;&#8221; animation_direction=&#8221;&#8221; animation_repeat=&#8221;&#8221; video_url=&#8221;&#8221; video_url_2=&#8221;&#8221; u_video_url=&#8221;&#8221; video_opts=&#8221;&#8221; video_poster=&#8221;&#8221; u_start_time=&#8221;&#8221; u_stop_time=&#8221;&#8221; viewport_vdo=&#8221;&#8221; enable_controls=&#8221;&#8221; bg_override=&#8221;&#8221; disable_on_mobile_img_parallax=&#8221;&#8221; parallax_content=&#8221;&#8221; parallax_content_sense=&#8221;&#8221; fadeout_row=&#8221;&#8221; fadeout_start_effect=&#8221;&#8221; enable_overlay=&#8221;&#8221; overlay_color=&#8221;&#8221; overlay_pattern=&#8221;&#8221; overlay_pattern_opacity=&#8221;&#8221; overlay_pattern_size=&#8221;&#8221; overlay_pattern_attachment=&#8221;&#8221; multi_color_overlay=&#8221;&#8221; multi_color_overlay_opacity=&#8221;&#8221; seperator_enable=&#8221;&#8221; seperator_type=&#8221;&#8221; seperator_position=&#8221;&#8221; seperator_shape_size=&#8221;&#8221; seperator_svg_height=&#8221;&#8221; seperator_shape_background=&#8221;&#8221; seperator_shape_border=&#8221;&#8221; seperator_shape_border_color=&#8221;&#8221; seperator_shape_border_width=&#8221;&#8221; icon_type=&#8221;&#8221; icon=&#8221;&#8221; icon_size=&#8221;&#8221; icon_color=&#8221;&#8221; icon_style=&#8221;&#8221; icon_color_bg=&#8221;&#8221; icon_border_style=&#8221;&#8221; icon_color_border=&#8221;&#8221; icon_border_size=&#8221;&#8221; icon_border_radius=&#8221;&#8221; icon_border_spacing=&#8221;&#8221; icon_img=&#8221;&#8221; img_width=&#8221;&#8221; ult_hide_row=&#8221;&#8221; ult_hide_row_large_screen=&#8221;&#8221; ult_hide_row_desktop=&#8221;&#8221; ult_hide_row_tablet=&#8221;&#8221; ult_hide_row_tablet_small=&#8221;&#8221; ult_hide_row_mobile=&#8221;&#8221; ult_hide_row_mobile_large=&#8221;&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text]Pu\u00f2 essere conseguente ad un trauma, pu\u00f2 verificarsi in\u00a0seguito ad una lesione pre &#8211; esistente in particolari tipi di pazienti che sollecitano\u00a0enormemente questa articolazione per attivit\u00e0 lavorativa o sportiva , oppure essere\u00a0conseguente ad un normale processo di degenerazione tendinea legata all\u2019et\u00e0 .<\/p>\n<p>La lesione pu\u00f2 essere completa o parziale e la tipologia di intervento chirurgico scelto\u00a0dipende da diversi fattori quali l\u2019et\u00e0 del paziente il tipo di lesione, l\u2019attivit\u00e0\u00a0lavorativa\/sportiva del paziente .<\/p>\n<p>Alcune malattie come il diabete, le malattie autoimmuni o le patologie metaboliche possono\u00a0provocare una alterazione nel metabolismo dei tendini accelerando la degenerazione\u00a0tendinea e la conseguente rottura anche per traumi a bassa energia.<\/p>\n<h5>Segni e sintomi<\/h5>\n<p>I sintomi riferiti dal paziente sono in genere dolore, perdita di forza progressiva , limitazione funzionale nelle normali attivit\u00e0 quotidiane , lavorative o sportive\u00a0 che comportano movimenti di abduzione ed elevazione contro resistenza.<\/p>\n<h5>Diagnosi<\/h5>\n<p>La diagnosi si avvale della visita medica e dell\u2019esame obiettivo . Le indagini strumentali da eseguire , sul consiglio dell\u2019ortopedico e in base al sospetto clinico si avvalgono dell\u2019ecografia\u00a0 e della Risonanza magnetica , quando deve essere pianificato un intervento chirurgico.<\/p>\n<h5>Trattamenti<\/h5>\n<p>In genere se la lesione non \u00e8 completa e non \u00e8 passato molto tempo dalla diagnosi si pu\u00f2\u00a0procedere al reinserimento della cuffia dei rotatori per via artroscopica. (<span style=\"color: #ff0000;\">Vedi informativa artroscopica spalla)<\/span>.<\/p>\n<p>In determinati casi si pu\u00f2 procedere a re-inserzione dei tendini a \u201ccielo aperto\u201d mediante una piccola incisione .<\/p>\n<p>Quando la lesione \u00e8 grave si possono eseguire interventi di transfer tendinei .<\/p>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_text_separator title=&#8221;Download Area&#8221; title_align=&#8221;separator_align_center&#8221; align=&#8221;align_center&#8221; color=&#8221;grey&#8221;][imedica_button button_size=&#8221;small&#8221; button_alignment=&#8221;left&#8221; btn_style=&#8221;color&#8221; border_size=&#8221;1&#8243; icon=&#8221;Defaults-file-pdf-o&#8221; icon_direction=&#8221;left&#8221; btn_link=&#8221;url:http%3A%2F%2Fwww.spotornofoundation.it%2Fwebsite%2Fwp-content%2Fuploads%2F2015%2F10%2FInformativa-editoriale-artroscopia-di-spalla.pdf||target:%20_blank&#8221; animation_style=&#8221;no_animation&#8221; title_font_size=&#8221;15&#8243; title_line_ht=&#8221;20&#8243;]Informativa editoriale Artroscopia di Spalla[\/imedica_button][vc_text_separator title=&#8221;Patologie Spalla&#8221; title_align=&#8221;separator_align_center&#8221; align=&#8221;align_center&#8221; color=&#8221;grey&#8221;][vc_wp_custommenu nav_menu=&#8221;6&#8243;][\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;&#8221; parallax=&#8221;&#8221; parallax_image=&#8221;&#8221; opn_row_id=&#8221;&#8221; opn_row_gutter=&#8221;&#8221; opn_enable_overlay=&#8221;off&#8221; opn_hide_navigation=&#8221;off&#8221; bg_type=&#8221;&#8221; parallax_style=&#8221;&#8221; bg_image_new=&#8221;&#8221; layer_image=&#8221;&#8221; bg_image_repeat=&#8221;&#8221; bg_image_size=&#8221;&#8221; bg_cstm_size=&#8221;&#8221; bg_img_attach=&#8221;&#8221; parallax_sense=&#8221;&#8221; bg_image_posiiton=&#8221;&#8221; animation_direction=&#8221;&#8221; animation_repeat=&#8221;&#8221; video_url=&#8221;&#8221; video_url_2=&#8221;&#8221; u_video_url=&#8221;&#8221; video_opts=&#8221;&#8221; video_poster=&#8221;&#8221; u_start_time=&#8221;&#8221; u_stop_time=&#8221;&#8221; viewport_vdo=&#8221;&#8221; enable_controls=&#8221;&#8221; bg_override=&#8221;&#8221; disable_on_mobile_img_parallax=&#8221;&#8221; parallax_content=&#8221;&#8221; parallax_content_sense=&#8221;&#8221; fadeout_row=&#8221;&#8221; fadeout_start_effect=&#8221;&#8221; enable_overlay=&#8221;&#8221; overlay_color=&#8221;&#8221; overlay_pattern=&#8221;&#8221; overlay_pattern_opacity=&#8221;&#8221; overlay_pattern_size=&#8221;&#8221; overlay_pattern_attachment=&#8221;&#8221; multi_color_overlay=&#8221;&#8221; multi_color_overlay_opacity=&#8221;&#8221; seperator_enable=&#8221;&#8221; seperator_type=&#8221;&#8221; seperator_position=&#8221;&#8221; seperator_shape_size=&#8221;&#8221; seperator_svg_height=&#8221;&#8221; seperator_shape_background=&#8221;&#8221; seperator_shape_border=&#8221;&#8221; seperator_shape_border_color=&#8221;&#8221; seperator_shape_border_width=&#8221;&#8221; icon_type=&#8221;&#8221; icon=&#8221;&#8221; icon_size=&#8221;&#8221;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":217,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/pages\/220"}],"collection":[{"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/comments?post=220"}],"version-history":[{"count":4,"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/pages\/220\/revisions"}],"predecessor-version":[{"id":426,"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/pages\/220\/revisions\/426"}],"up":[{"embeddable":true,"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/pages\/217"}],"wp:attachment":[{"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/media?parent=220"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}