Revisión de conceptos actuales: síndrome doloroso del espacio peritrocantérico
DOI:
https://doi.org/10.1016/S0120-8845(13)70004-XPalabras clave:
articulación de la cadera, cadera/anatomía, síndrome, dolor/diagnóstico, bursitis, traumatismos de los tendones, nivel de evidencia: IVResumen
El dolor lateral de la cadera frecuentemente se convierte en un reto diagnóstico y en un problema terapéutico debido a la amplitud de diagnósticos diferenciales que deben ser tenidos en cuenta, esto implica que hay un grupo de signos y síntomas relacionados con el dolor peritrocantérico, y puede ser más complejo que una inflamación simple de las bursas peritrocantéricas. El 2,5 % de las lesiones deportivas comprometen la cadera y la incidencia de dolor en el trocánter mayor se ha estimado en 1.8 pacientes por 1000 por cada año. Esta patología se presenta en el adulto, con mayor prevalencia entre la cuarta y la sexta década de la vida. Las alteraciones específicas del espacio peritrocantérico son la bursitis trocantérica, la cadera en resorte externo (coxa saltans externa) y las rupturas de los tendones del glúteo medio y menor. Se presenta una revisión de la literatura científica que permita al lector realizar un adecuado diagnóstico diferencial entre las patologías del espacio peritrocantérico mencionadas.
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