La articulación acromioclavicular es una articulación sinovial plana que ancla la clavícula a la escápula, dándole estabilidad al miembro superior. Las lesiones de la articulación AC son unas de las más frecuentes en deportistas, siendo la más común la luxación o subluxación. Es más frecuente en hombres que en mujeres, muchas de ellas ocurren en sujetos jóvenes en la segunda década de vida y son más frecuentes las luxaciones incompletas.
Según la clasificación de Rockwood, se dividen en seis grados y su mecanismo lesional puede ser por un traumatismo directo sobre el hombro o un traumatismo indirecto por caída con la mano o el codo en extensión y aducción.
El grado III de inestabilidad AC se caracteriza por el desplazamiento de la parte lateral de la clavícula un diámetro clavicular o un centímetro en la radiografía anteroposterior. En esta lesión se rompen los ligamentos AC y los coracoclaviculares, causando un desplazamiento de la parte lateral de la clavícula y la aparición de la deformidad en forma de tecla entre clavícula y acromion.
Nos centramos en el grado III porque es en el grado donde abunda la discusión entre tratamiento conservador, utilizando técnicas fisioterápicas, o tratamiento quirúrgico.
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Tras la lectura de la bibliografía se deduce que la lesión de grado III puede rehabilitarse de una manera conservadora sin necesidad de intervención quirúrgica.
Entre los Objetivos propuestos en un programa de Rehabilitación de la articulación acromioclavicular se encuentran:
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- Obtener óptimos resultados finales que beneficien la reincorporación del paciente a la vida diaria y deportiva. Valorando el tiempo que tardan en reincorporarse al deporte estando al 100%.
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