{"id":18820,"date":"2024-09-06T15:57:07","date_gmt":"2024-09-06T13:57:07","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/?p=18820"},"modified":"2024-09-06T15:57:10","modified_gmt":"2024-09-06T13:57:10","slug":"quist-sinovial-o-ganglio-causes-simptomes-i-tractament","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/ca\/quist-sinovial-o-ganglio-causes-simptomes-i-tractament\/","title":{"rendered":"Quist sinovial o gangli\u00f3: causes, s\u00edmptomes i tractament."},"content":{"rendered":"\n

Definim el quist sinovial, tamb\u00e9 conegut com a gangli\u00f3, com una massa arrodonida definida situada pr\u00f2xima a una articulaci\u00f3. S\u00f3n tumoracions benignes rodones o ovalades l’interior de les quals cont\u00e9 un l\u00edquid mucoide gelatin\u00f3s. Solen ser asimptom\u00e0tics i de grand\u00e0ria variable. Poden augmentar en el temps pel moviment de l’articulaci\u00f3 adjacent.<\/p>\n\n\n\n

Els pacients poden presentar dolor, sensibilitat, feblesa (exacerbades amb el moviment) i incomoditat a nivell est\u00e8tic. La simptomatologia apareix quan el gangli\u00f3 pressiona un nervi lim\u00edtrof o altres estructures, presentant aix\u00ed entumiment, formigueig, dolor o feblesa muscular.<\/p>\n\n\n\n

Encara que l’etiologia de l’aparici\u00f3 del quist sinovial \u00e9s desconeguda, es creu que sorgeixen de microtraumatismes repetitius que donen lloc a la degeneraci\u00f3 mucinosa del teixit connectiu del revestiment d’un tend\u00f3 o d\u2019una articulaci\u00f3. Aix\u00f2 ocorre ja que aquestes lesions repetitives en les estructures capsulars i lligamentoses de suport semblen estimular els fibroblasts perqu\u00e8 produeixin \u00e0cid hialur\u00f2nic, que s’acumula per a produir el material “gelatin\u00f3s” de mucina esmentat.<\/p>\n\n\n\n

Els quistos ganglionars representen entre el 60% i el 70% de les masses de teixits tous que es troben a la m\u00e0 i al canell. Tamb\u00e9 els localitzem en genolls i peus. Encara que poden formar-se a qualsevol edat, es troben amb major freq\u00fc\u00e8ncia en dones d’entre 20 i 50 anys. Les dones tenen tres vegades m\u00e9s probabilitats de desenvolupar un quist ganglionar que els homes. Aquests quistos tamb\u00e9 es troben amb freq\u00fc\u00e8ncia entre els gimnastes, probablement secundaris a traumatismes repetitius i estr\u00e8s de l’articulaci\u00f3 del canell.<\/p>\n\n\n\n

Entre els possibles factors de risc cal destacar la incid\u00e8ncia en persones amb osteoartritis per desgast en les articulacions, sobretot dels dits, aix\u00ed com articulacions o tendons que han sofert una lesi\u00f3.<\/p>\n\n\n\n

Les proves per imatge tals com ecografies, resson\u00e0ncies magn\u00e8tiques o radiografia ens ajuden a confirmar el diagn\u00f2stic i descartar altres patologies de caracter\u00edstiques similars.<\/p>\n\n\n\n

Com hem comentat, els quistos sinovials no solen requerir tractament, de fet poden remetre espont\u00e0niament, per\u00f2 en els casos en els quals hi hagi augment de la grand\u00e0ria, dolor o una altra simptomatologia s’iniciar\u00e0 tractament conservador, \u00e9s a dir la immobilitzaci\u00f3 mitjan\u00e7ant f\u00e8rules o guix de l’articulaci\u00f3 de durada determinada per a la reducci\u00f3 del gangli\u00f3. Si aix\u00f2 no funciona, realitzarem tractament invasiu drenant el contingut de l’interior del quist mitjan\u00e7ant punci\u00f3. En alguns casos pot haver-hi recidives.<\/p>\n\n\n\n

Per tant, l’escissi\u00f3 quir\u00fargica del quist sinovial sol ser el tractament d’elecci\u00f3 per\u00f2 per a aix\u00f2 \u00e9s crucial con\u00e8ixer en profunditat l’anatomia subjacent per a evitar lesionar les estructures neurovasculars pr\u00f2ximes al quist. Cap tractament garanteix que no torni a apar\u00e8ixer.<\/p>\n\n\n\n

\"Quist<\/figure>\n\n\n\n
\"Quist<\/figure>\n\n\n\n
\"Quist<\/figure>\n\n\n\n
\"Quist<\/figure>\n\n\n\n
\"Quist
OLYMPUS DIGITAL CAMERA<\/figcaption><\/figure>\n\n\n\n
\"Quist
OLYMPUS DIGITAL CAMERA<\/figcaption><\/figure>\n\n\n\n
\"Quist
OLYMPUS DIGITAL CAMERA<\/figcaption><\/figure>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Definim el quist sinovial, tamb\u00e9 conegut com a gangli\u00f3, com una massa arrodonida definida situada pr\u00f2xima a una articulaci\u00f3. S\u00f3n tumoracions benignes rodones o ovalades l’interior de les quals cont\u00e9 un l\u00edquid mucoide gelatin\u00f3s. Solen ser asimptom\u00e0tics i de grand\u00e0ria variable. Poden augmentar en el temps pel moviment de l’articulaci\u00f3 adjacent. Els pacients poden presentar […]<\/p>\n","protected":false},"author":3,"featured_media":18811,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[276,346,306],"tags":[],"class_list":["post-18820","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alteracions-dermatologiques","category-icp-ca","category-patologia-ca"],"yoast_head":"\nQuist sinovial o gangli\u00f3: causes, s\u00edmptomes i tractament. - Institut Catal\u00e0 del Peu<\/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=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Quist sinovial o gangli\u00f3: causes, s\u00edmptomes i tractament. - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"Definim el quist sinovial, tamb\u00e9 conegut com a gangli\u00f3, com una massa arrodonida definida situada pr\u00f2xima a una articulaci\u00f3. S\u00f3n tumoracions benignes rodones o ovalades l’interior de les quals cont\u00e9 un l\u00edquid mucoide gelatin\u00f3s. Solen ser asimptom\u00e0tics i de grand\u00e0ria variable. Poden augmentar en el temps pel moviment de l’articulaci\u00f3 adjacent. 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S\u00f3n tumoracions benignes rodones o ovalades l’interior de les quals cont\u00e9 un l\u00edquid mucoide gelatin\u00f3s. Solen ser asimptom\u00e0tics i de grand\u00e0ria variable. Poden augmentar en el temps pel moviment de l’articulaci\u00f3 adjacent. 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