{"id":1296,"date":"2016-11-07T00:00:00","date_gmt":"2016-11-07T07:00:00","guid":{"rendered":"https:\/\/www.vailhealth.org\/ask-a-sports-doc-does-a-broken-collarbone-require-surgery\/"},"modified":"2016-11-07T00:00:00","modified_gmt":"2016-11-07T07:00:00","slug":"un-collarin-roto-requiere-cirugia","status":"publish","type":"post","link":"https:\/\/www.vailhealth.org\/es\/news\/ask-a-sports-doc-does-a-broken-collarbone-require-surgery\/","title":{"rendered":"Preg\u00fantale al Doctor Deportivo: \u00bfRequiere cirug\u00eda una fractura de clav\u00edcula?"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><em>El Dr. Rick Cunningham es especialista en medicina deportiva de rodilla y hombro en Vail-Summit Orthopaedics y m\u00e9dico del equipo de esqu\u00ed de EE. UU. Para obtener m\u00e1s informaci\u00f3n sobre Vail-Summit Orthopaedics, visite <a href=\"https:\/\/www.vsortho.com\/\" target=\"_blank\">www.vsortho.com<\/a>.<\/em><\/p>\n\n\n<p class=\"wp-block-paragraph\"><strong>Pregunta:<\/strong> Me romp\u00ed la clav\u00edcula haciendo ciclismo de monta\u00f1a. \u00bfNecesitar\u00e9 cirug\u00eda?<\/p>\n\n\n<p class=\"wp-block-paragraph\"><strong>Respuesta:<\/strong> Las fracturas de clav\u00edcula son lesiones comunes que representan alrededor del 3 por ciento de todas las fracturas observadas en adultos. El ochenta por ciento de estas fracturas ocurren en la parte media de la clav\u00edcula y se denominan fracturas de di\u00e1fisis. En las lesiones de esqu\u00ed o bicicleta, estas fracturas suelen tener m\u00faltiples fragmentos fracturados.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Tradicionalmente, las fracturas de clav\u00edcula se trataban sin cirug\u00eda. Los pacientes se colocaban en un cabestrillo para mayor comodidad y los cirujanos ortop\u00e9dicos les indicaban que el hueso deb\u00eda sanar. Sin embargo, a medida que los ortopedistas analizaron m\u00e1s cr\u00edticamente los resultados, una serie de estudios mostraron que en fracturas de alta energ\u00eda, donde los extremos del hueso est\u00e1n separados o se superponen significativamente, los resultados no siempre son excelentes.<\/p>\n\n\n<p class=\"wp-block-paragraph\">La clav\u00edcula tiene una funci\u00f3n importante. Sirve como un puntal que conecta tu brazo con la pared tor\u00e1cica. El movimiento de tu esc\u00e1pula depende de una alineaci\u00f3n normal. Al levantar el brazo, la clav\u00edcula se eleva, rota y retrae. Por lo tanto, si tu clav\u00edcula se fractura y sana acortada, puede causar un movimiento anormal de la esc\u00e1pula y posiblemente dolor y debilidad en el hombro. La clav\u00edcula tambi\u00e9n protege el tejido pulmonar y los nervios. La clav\u00edcula es el \u00faltimo hueso de nuestro cuerpo en dejar de crecer, con su placa de crecimiento fusion\u00e1ndose alrededor de los 23 a\u00f1os.<\/p>\n\n\n<p class=\"wp-block-paragraph\">El noventa por ciento de las veces, las personas se fracturan la clav\u00edcula como resultado de una ca\u00edda sobre el hombro o un golpe directo en \u00e9l. Raramente nos fracturamos la clav\u00edcula al caer sobre una mano extendida. Los extremos fracturados de la clav\u00edcula rara vez atraviesan la piel. Los pacientes experimentan dolor, hinchaz\u00f3n y hematomas inmediatos. Las fracturas de clav\u00edcula son muy dolorosas, ya que es dif\u00edcil inmovilizarlas. Por lo tanto, peque\u00f1os movimientos como toser causan dolor intenso. A diferencia de algunas fracturas, no hay forma de \"reducir\" o alinear la fractura. Por lo tanto, no manipulo el brazo ni el hombro, ya que los huesos no se mantendr\u00e1n alineados. Las radiograf\u00edas me dicen qu\u00e9 tan desplazada est\u00e1 la fractura. No hay raz\u00f3n para realizar estudios adicionales como una tomograf\u00eda computarizada o una resonancia magn\u00e9tica, a menos que se sospeche de otras lesiones.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Por ejemplo, la semana pasada me llamaron para ver a un hombre en la sala de emergencias que ten\u00eda una fractura de clav\u00edcula, pero tambi\u00e9n dificultad para respirar. Sus radiograf\u00edas y una tomograf\u00eda computarizada posterior mostraron que tambi\u00e9n ten\u00eda m\u00faltiples fracturas de costilla y un pulm\u00f3n perforado.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u00bfC\u00f3mo trato actualmente las fracturas de clav\u00edcula en adultos? Obtengo diferentes vistas de rayos X y eval\u00fao varias cosas. Primero, mido qu\u00e9 tan desplazados est\u00e1n los extremos rotos. En segundo lugar, mido si los extremos fracturados est\u00e1n superpuestos o acortados. Si la fractura de clav\u00edcula est\u00e1 desplazada m\u00e1s de 15 mm (en ni\u00f1os se puede aceptar un mayor desplazamiento ya que todav\u00eda est\u00e1n creciendo), entonces recomiendo que la fractura se trate quir\u00fargicamente, ya que los resultados cl\u00ednicos son mejores que permitir que la fractura sane en una posici\u00f3n desplazada. En cirug\u00eda, los fragmentos de clav\u00edcula se unen como un rompecabezas y los fragmentos \u00f3seos se mantienen en esta posici\u00f3n con material dise\u00f1ado para ajustarse a la curvatura normal de la clav\u00edcula. Despu\u00e9s de la cirug\u00eda, el paciente se coloca en un cabestrillo durante 4 a 6 semanas, momento en el cual el hueso ha sanado lo suficiente como para suspenderlo y comenzar la fisioterapia. Si la fractura est\u00e1 m\u00ednimamente desplazada, no se requiere cirug\u00eda y la fractura debe sanar con un cabestrillo. No coloco a los pacientes en un vendaje en ocho, ya que no hay diferencia en la curaci\u00f3n general con estos y la mayor\u00eda de los pacientes informan mayor incomodidad.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Si un paciente decide no someterse a cirug\u00eda para una fractura significativamente desplazada, le aconsejo que existe un mayor riesgo de falta de uni\u00f3n (el hueso no sana y luego es m\u00e1s dif\u00edcil de corregir) o de mala uni\u00f3n (el hueso sana torcido, lo que puede provocar dolor y debilidad). El principal beneficio de reparar una fractura de clav\u00edcula con cirug\u00eda es que el paciente tiene un tiempo de curaci\u00f3n m\u00e1s corto. En un estudio reciente de m\u00e1s de 100 pacientes con fracturas desplazadas de la di\u00e1fisis de la clav\u00edcula, el grupo no quir\u00fargico san\u00f3 en un promedio de 28 semanas, mientras que el grupo quir\u00fargico san\u00f3 en un promedio de 16 semanas.<\/p>","protected":false},"excerpt":{"rendered":"<p>Dr. Rick Cunningham is a knee and shoulder sports medicine specialist with Vail-Summit Orthopaedics and a physician for the U.S. Ski Team. For more information about Vail-Summit Orthopaedics visit www.vsortho.com. Question: I broke my collarbone mountain biking. Will I need surgery? Answer: Broken collarbones or fractured clavicles are common injuries accounting for about 3 percent&#8230;<\/p>","protected":false},"author":0,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1296","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ask A Sports Doc: Does a Broken Collarbone Require Surgery? - Vail Health<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ask A Sports Doc: Does a Broken Collarbone Require Surgery? - Vail Health\" \/>\n<meta property=\"og:description\" content=\"Dr. Rick Cunningham is a knee and shoulder sports medicine specialist with Vail-Summit Orthopaedics and a physician for the U.S. Ski Team. 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