{"id":433,"date":"2009-08-26T11:10:36","date_gmt":"2009-08-26T12:10:36","guid":{"rendered":"https:\/\/turanuslu.net\/?p=433"},"modified":"2022-01-16T21:10:45","modified_gmt":"2022-01-16T21:10:45","slug":"rotator-manson-yirtiklari","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/es\/rotator-manson-yirtiklari\/","title":{"rendered":"Rotator Man\u015fon Y\u0131rt\u0131klar\u0131"},"content":{"rendered":"

Rotator Man\u015fon Y\u0131rt\u0131klar\u0131<\/h2>\n

\"\" \"\"<\/p>\n


\n\"\" \"\"<\/p>\n

Omuz anatomik olarak \u00e7ok geni\u015f hareket a\u00e7\u0131kl\u0131\u011f\u0131, zay\u0131f eklem temas\u0131, bu zay\u0131f temas\u0131 desteklemek ve hareket a\u00e7\u0131kl\u0131\u011f\u0131n\u0131 sa\u011flamak i\u00e7in yer alan k\u0131k\u0131rdak ve tendon destekleriyle vucudun en karma\u015f\u0131k eklemidir. Bu eklem ileri y\u00fcklenmelere maruz kal\u0131r.<\/div>\n

\"\"<\/p>\n

40 ya\u015f \u00fczerinde omuz a\u011fr\u0131s\u0131 sebeplerinin en \u00f6nemli sebeplerinden biri rotator cuff y\u0131rt\u0131klar\u0131d\u0131r. Rotator cuff, humerus (\u00fcst kol kemi\u011fi) kemi\u011finin \u00fcst ucundaki omuz eklemini yapan ba\u015f k\u0131sm\u0131n\u0131 \u00e7epe\u00e7evre saran adale-tendon bir yap\u0131d\u0131r. Omuz eklemini yerinde tutar ve omuzun i\u00e7e-d\u0131\u015fa d\u00f6n\u00fc\u015f hareketlerini yapt\u0131r\u0131r. Omuzda 4 adet rotator kas vard\u0131r, supraspinatus, infraspinatur, teres minor, subskapularis.<\/div>\n
Rotator man\u015fon y\u0131rt\u0131\u011f\u0131 gen\u00e7lerde ve sporcularda ani bir harekette olu\u015fan yaralanma ile olu\u015fabilece\u011fi gibi, zaman i\u00e7inde tekrarlay\u0131c\u0131, kolun ba\u015f seviyesinin \u00fczerindeki hareketlerde geli\u015febilir.<\/div>\n

Belirti ve bulgular<\/strong><\/p>\n

    \n
  • Ba\u015f \u00fcst\u00fc hareketlerde daha fazla olmak \u00fczere tekrarlay\u0131c\u0131, devaml\u0131 omuz a\u011fr\u0131s\u0131.<\/li>\n
  • Gece a\u011fr\u0131s\u0131. Bu a\u011fr\u0131 a\u011fr\u0131yan taraf \u00fczerine yatmay\u0131 engeller.<\/li>\n
  • Kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc. \u00d6zellikle kolu kald\u0131rmaya \u00e7al\u0131\u015f\u0131rken hissedilir.<\/li>\n
  • Omuz hareketleri s\u0131ras\u0131nda t\u0131k\u0131rt\u0131lar, klik sesleri gelmesi.<\/li>\n
  • Omuz hareketlerinde k\u0131s\u0131tl\u0131l\u0131k. Genellikle hastan\u0131n sa\u011f kolunda olur.<\/li>\n
  • Hastalar rahats\u0131zl\u0131\u011f\u0131n ba\u015flamas\u0131na sebep oldu\u011funu d\u00fc\u015f\u00fcnd\u00fckleri bir olay tarif ederler.<\/li>\n<\/ul>\n

    Risk fakt\u00f6rleri<\/strong><\/p>\n\n\n\n
    \n
      \n
    • Tekrarlay\u0131c\u0131 ba\u015f \u00fczeri hareketler. F\u0131rlatma sporlar\u0131, tavan boyama, kartonpiyer i\u015f\u00e7ileri<\/li>\n
    • A\u015f\u0131r\u0131 g\u00fc\u00e7 kullanma, d\u00fc\u015fme gibi<\/li>\n
    • Ya\u015flanmaya ba\u011fl\u0131 dejenerasyon.<\/li>\n
    • Rotator man\u015fonun bulundu\u011fu aral\u0131kta daralma<\/li>\n
    • Rotator man\u015fonun akromion denilen \u00e7\u0131k\u0131nt\u0131n\u0131n alt\u0131ndaki y\u00fczey taraf\u0131ndan zedelenmesi\n
        \n
      • \n
          \n
        • \n
            \n
          • Dinlenme; y\u0131rt\u0131k tam de\u011fil ve a\u015f\u0131r\u0131 kullanma sebebiyle geli\u015fmi\u015fse yard\u0131mc\u0131 olabilir.<\/li>\n
          • \u0130la\u00e7; (a\u011fr\u0131 ve \u00f6dem giderici ila\u00e7lar) a\u011fr\u0131n\u0131n kontrol\u00fcnde yard\u0131mc\u0131d\u0131r.<\/li>\n
          • Kuvvetlendirme ve germe egzersizleri; fizyoterapinin ana unsurlar\u0131ndan biridir ve yap\u0131lmas\u0131 \u00f6nerilir.<\/li>\n
          • Kortikosteroid enjeksiyonu; a\u011fr\u0131n\u0131n giderilmesinde yard\u0131mc\u0131d\u0131r. Fakat \u00e7ok s\u0131k tekrarlanmas\u0131 tendonu zay\u0131flat\u0131p tam y\u0131rt\u0131\u011fa sebep olabilir.<\/li>\n
          • Ultrason ; lokal ila\u00e7 uygulamas\u0131 ve derin \u0131s\u0131 verme \u00f6zellikleri sebebiyle iyile\u015fme s\u00fcrecine yararl\u0131d\u0131r.<\/li>\n<\/ul>\n
              \n
            • Artroskopi; yakla\u015f\u0131k 1 cm lik kesilerden omuz eklemi ve \u00e7evre dokulara ait g\u00f6r\u00fcnt\u00fclerin bir kamera arac\u0131l\u0131\u011f\u0131yla monit\u00f6re aktar\u0131lmas\u0131 ve yine mini aletlerle g\u00f6r\u00fcnt\u00fc kullan\u0131larak hastal\u0131\u011f\u0131n ameliyat\u0131n\u0131n yap\u0131lmas\u0131 prensibine dayan\u0131r. Omuzda kemik \u00e7\u0131k\u0131nt\u0131lar\u0131n\u0131n kald\u0131r\u0131lmas\u0131 adale ve tendondaki k\u00fc\u00e7\u00fck y\u0131rt\u0131klar\u0131n tedavisinde tek ba\u015f\u0131na yeterli olabilir.<\/li>\n
            • Mini-a\u00e7\u0131k tamir; artroskopi ile birlikte kullan\u0131larak bir ka\u00e7 santimetrelik k\u00fc\u00e7\u00fck kesilerden tam y\u0131rt\u0131klar\u0131n tedavisine imkan verir.<\/li>\n
            • A\u00e7\u0131k tamir; yaralanman\u0131n \u00e7ok ciddi oldu\u011fu vakalarda uygulan\u0131r. Burada doku transferi, tendon grefti uygulamalar\u0131 yap\u0131labilir.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

              Y\u0131rt\u0131\u011f\u0131n tesbiti<\/strong><\/p>\n

              R\u00f6ntgen incelemesi kemik kaynakl\u0131 bulgular\u0131n tespitinde yararl\u0131d\u0131r. Ancak rotator man\u015fonun direkt izlenebildi\u011fi MR ve ultrasonografi gibi tetkikler genellikle kesin tan\u0131 ve tedavinin planlanmas\u0131 i\u00e7in gereklidir.<\/div>\n
              Rotator man\u015fon y\u0131rt\u0131klar\u0131 parsiyel (tam olmayan) veya tam y\u0131rt\u0131k bi\u00e7iminde olabilir. Tendonun b\u00fct\u00fcn kal\u0131nl\u0131\u011f\u0131nca olmayan k\u0131smi y\u0131rt\u0131klar t\u0131bbi tedaviye iyi cevap verirler. Cerrahi olamayan tedaviye cevap vermeyen k\u0131smi y\u0131rt\u0131klar ve tam y\u0131rt\u0131klarda cerrahi tedavi gerekir.<\/div>\n

              Tedavi se\u00e7enekleri<\/strong><\/p>\n

              Doktorunuz y\u0131rt\u0131k tam de\u011filse (parsiyel y\u0131rt\u0131k) a\u015fa\u011f\u0131daki cerrahi olmayan tedavi se\u00e7eneklerini \u00f6nerebilir;<\/div>\n
              Yukar\u0131daki y\u00f6ntemlere cevap al\u0131namayan parsiyel y\u0131rt\u0131klar veya tam y\u0131rt\u0131klar i\u00e7in \u00e7e\u015fitli cerrahi tedavi se\u00e7enekleri vard\u0131r. A\u015fa\u011f\u0131da tan\u0131mlanan y\u00f6ntemler modern omuz cerrahisi teknikleridir. Burada hangi tekni\u011fin se\u00e7ilece\u011fine rotator man\u015fondaki yaralanman\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fc, yeri, sebebine ba\u011fl\u0131 olarak karar verilir. Artroskopik m\u00fcdahale s\u0131ras\u0131nda omuzdaki tesbit edilen di\u011fer patolojilerinde d\u00fczeltilmesi \u015fans\u0131 vard\u0131r.<\/div>\n

              Cerrahi sonras\u0131 rehabilitasyon (fizyoterapi)<\/strong>
              \n\"\"<\/p>\n

              T\u00fcm omuz hastal\u0131klar\u0131nda oldu\u011fu gibi rotator man\u015fon yaralanmalar\u0131 ard\u0131ndan normal fonksiyonlara d\u00f6n\u00fc\u015f zaman al\u0131r. Cerrahi tedaviler sonras\u0131 bu zaman 6 ay veya daha uzun olabilir. Temel prensip eklem hareketlerini artt\u0131r\u0131c\u0131 ve adale g\u00fcc\u00fcn\u00fc geli\u015ftirici hareketlerin yap\u0131lmas\u0131d\u0131r. Doktorunuzun verece\u011fi program\u0131 uygulamak nihai sonu\u00e7ta operasyon kalitesi kadar belirleyicidir. \u0130yi ellerde yap\u0131lan cerrahi ve iyi bir fizyoterapi program\u0131 sonras\u0131 % 90 civar\u0131nda tatmin edici sonu\u00e7lar al\u0131nabilmektedir.<\/div>\n

              Egzersiz 1:<\/strong><\/p>\n

              Bir masadan tutularak \u00f6ne do\u011fru e\u011filinir. Hasta omuz-kol d\u00fcz bir \u015fekilde salland\u0131r\u0131l\u0131r. Hasta kolla havada serbest bir \u015fekilde k\u00fc\u00e7\u00fckten b\u00fcy\u00fc\u011fe do\u011fru daireler \u00e7izilir. G\u00fcnde 10 defa tekrarlan\u0131r.<\/strong><\/div>\n

              Egzersiz 2:<\/strong><\/p>\n

              Bu egzersiz i\u00e7in lastik bir bant kullan\u0131l\u0131r. Kapal\u0131 bir kap\u0131n\u0131n koluna lastik bant ba\u011flan\u0131r. Dirsek v\u00fccuda yap\u0131\u015f\u0131k tutulur. Lastik bant 90 derece bir a\u00e7\u0131kl\u0131kta \u015fekildeki gibi hareket ettirilir.<\/strong><\/div>\n

              Egzersiz 3:<\/strong><\/p>\n

              Sa\u011flam taraf \u00fczerine yan yat\u0131l\u0131r. Dirsek v\u00fccuda biti\u015fik tutulur. Ele a\u011f\u0131rl\u0131k al\u0131narak a\u015fa\u011f\u0131 indirilip kald\u0131r\u0131l\u0131r.<\/strong><\/div>\n

              Egzersiz 4:<\/strong><\/p>\n

              Bir masa yada yatakta y\u00fcz\u00fcst\u00fc yat\u0131l\u0131r. Ele bir a\u011f\u0131rl\u0131k al\u0131narak salland\u0131r\u0131l\u0131r ve omuz hizas\u0131na kadar kald\u0131r\u0131l\u0131r. 10 defa tekrar edilir.<\/strong><\/div>\n

              Egzersiz 5:<\/strong><\/p>\n

              Egzersiz yap\u0131lacak yan tarafa yat\u0131l\u0131r. Kol masa yada yata\u011fa istirahat pozisyonunda yat\u0131r\u0131l\u0131r. Dirsek 90 derece b\u00fck\u00fcl\u00fcr eldeki a\u011f\u0131rl\u0131k g\u00f6\u011f\u00fcse kadar kald\u0131r\u0131l\u0131r. 10 kez tekrarlan\u0131r.<\/strong><\/div>\n

              Egzersiz 6 :<\/strong><\/p>\n

              Ayakta heriki ele a\u011f\u0131rl\u0131k al\u0131n\u0131r. Dirsekler b\u00fck\u00fclmeden 45 derece kadar kollar kald\u0131r\u0131l\u0131r.<\/strong><\/div>\n

               <\/p>\n

              B\u00fct\u00fcn bu egzersizler yap\u0131l\u0131rken, k\u00fc\u00e7\u00fck a\u011f\u0131rl\u0131klar al\u0131nmal\u0131 ve a\u011fr\u0131 olu\u015fturmayacak \u015fekilde tedricen artt\u0131r\u0131lmal\u0131d\u0131r.<\/strong><\/div>\n

               <\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>","protected":false},"excerpt":{"rendered":"

              Rotator Man\u015fon Y\u0131rt\u0131klar\u0131<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[314],"tags":[325,326,327,328,329],"class_list":["post-433","post","type-post","status-publish","format-standard","hentry","category-omuz-agrilari","tag-rotator-manson","tag-rotator-manson-tedavisi","tag-rotator-manson-tendiniti","tag-rotator-manson-yirtigi","tag-rotator-manson-yirtiklari"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/433","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/comments?post=433"}],"version-history":[{"count":1,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/433\/revisions"}],"predecessor-version":[{"id":10776,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/433\/revisions\/10776"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/media?parent=433"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/categories?post=433"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/tags?post=433"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}