{"id":6077,"date":"2016-09-19T07:25:52","date_gmt":"2016-09-19T07:25:52","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/ca\/?p=6077"},"modified":"2016-10-18T08:13:20","modified_gmt":"2016-10-18T08:13:20","slug":"la-braquimetatarsia","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/ca\/la-braquimetatarsia\/","title":{"rendered":"La braquimetat\u00e0rsia"},"content":{"rendered":"

La braquimetat\u00e0rsia, tamb\u00e9 anomenada metatars hipopl\u00e0sic, es caracteritza per un escur\u00e7ament anormal d’un o diversos metatarsos. Visualment s’observa un o m\u00e9s dits m\u00e9s curts que la resta dels altres i poden presentar una elevaci\u00f3 d’aquests respecte als altres dits.<\/span><\/p>\n

Sol ser molt m\u00e9s freq\u00fcent en dones que en homes i les seves causes s\u00f3n cong\u00e8nites, associades a s\u00edndromes tals com la s\u00edndrome d\u2019Apert, la s\u00edndrome de Turner, la s\u00edndrome d\u2019Aarskog-Scott, o adquirides (traum\u00e0tiques en per\u00edode de desenvolupament o iatrog\u00e8niques).<\/span><\/p>\n

B\u00e0sicament la causa \u00e9s gen\u00e8tica causada pel tancament del nucli de creixement de l’os abans d’hora.<\/span><\/p>\n

Afecta majorit\u00e0riament el quart dit i de forma bilateral (en tots dos peus). Quan l’escur\u00e7ament afecta m\u00e9s d’un dit es denomina braquimetap\u00f2dia.<\/span><\/p>\n

La braquimetat\u00e0rsia comporta tres problem\u00e0tiques b\u00e0sicament:<\/span><\/p>\n

1. A certes persones, l’aspecte est\u00e8tic els condiciona algun tipus d’activitat o l’\u00fas de cal\u00e7ats oberts a l’estiu per angoixa al rebuig social.<\/span><\/p>\n

2. Matatars\u00e0lgies per l’escur\u00e7ament anormal d’un metatarsi\u00e0 respecte als altres pot possibilitar una transfer\u00e8ncia de c\u00e0rregues cap a a la resta dels metatarsians i provocar, aix\u00ed, dolors plantars per mal suport.<\/span><\/p>\n

3. Dolor en el dors del dit afecte a causa de la pressi\u00f3 contra el cal\u00e7at per la seva posici\u00f3 m\u00e9s elevada respecte a la resta de d\u00edgits.<\/span><\/p>\n

Els tractaments conservadors solen ser els m\u00e9s usuals en les braquimetat\u00e0rsi<\/span>e<\/span>s. Aquests tractaments es basen en cal\u00e7ats anat\u00f2mics i plantilles ortop<\/span>\u00e8dique<\/span>s amb la finalitat de reequilibrar les c\u00e0rregues plant<\/span>ar<\/span>s i la biomec\u00e0nica del peu.<\/span><\/p>\n

En pacients joves es pot valorar el tractament quir\u00fargic <\/span>amb <\/span>l\u2019objectiu <\/span>de<\/span> retornar la longitud adequada al metatarsi<\/span>\u00e0<\/span> mitjan\u00e7ant un a<\/span>uto<\/span>empelt ossi o artificial. Altres t\u00e8cniques quir\u00fargiques utilitzen fixacions externes o internes que elong<\/span>ue<\/span>n l’os progressivament en un per\u00edode determinat de temps.<\/span><\/p>\n

 <\/p>\n

\"La

Braquimetat\u00e0rsia de quart dit bilateral<\/p><\/div>\n

\"La

Detall de petjada plantar afecta de braquimetat\u00e0rsia<\/p><\/div>\n

\"La

Braquimetat\u00e0rsia de segon dit.<\/p><\/div>\n

\"La

Braquimetat\u00e0rsia de quart dit. Peu pedi\u00e0tric.<\/p><\/div>\n

\"La

Braquimetat\u00e0rsia de tercer dit.<\/p><\/div>\n

\"La

Braquimetat\u00e0rsia de quart dit en c\u00e0rrega.<\/p><\/div>\n

\"La

Braquimetat\u00e0rsia de quart dit<\/p><\/div>\n

\"La

Braquimetat\u00e0rsia de segon dit en c\u00e0rrega.<\/p><\/div>\n

\"La

Braquimetat\u00e0rsia de quart dit.<\/p><\/div>\n

\"La

Braquimetat\u00e0rsia de quart dit.<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

La braquimetat\u00e0rsia, tamb\u00e9 anomenada metatars hipopl\u00e0sic, es caracteritza per un escur\u00e7ament anormal d’un o diversos metatarsos. Visualment s’observa un o m\u00e9s dits m\u00e9s curts que la resta dels altres i poden presentar una elevaci\u00f3 d’aquests respecte als altres dits. Sol ser molt m\u00e9s freq\u00fcent en dones que en homes i les seves causes s\u00f3n cong\u00e8nites, […]<\/p>\n","protected":false},"author":3,"featured_media":6072,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[346,297,306],"tags":[],"class_list":["post-6077","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-icp-ca","category-noticies","category-patologia-ca"],"yoast_head":"\nLa braquimetat\u00e0rsia - 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=\"La braquimetat\u00e0rsia - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"La braquimetat\u00e0rsia, tamb\u00e9 anomenada metatars hipopl\u00e0sic, es caracteritza per un escur\u00e7ament anormal d’un o diversos metatarsos. Visualment s’observa un o m\u00e9s dits m\u00e9s curts que la resta dels altres i poden presentar una elevaci\u00f3 d’aquests respecte als altres dits. 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