{"id":8618,"date":"2019-07-25T07:38:48","date_gmt":"2019-07-25T08:38:48","guid":{"rendered":"https:\/\/turanuslu.net\/?p=8618"},"modified":"2025-01-06T19:21:31","modified_gmt":"2025-01-06T19:21:31","slug":"diz-onu-agrisi-patellofemoral-agri","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/es\/diz-onu-agrisi-patellofemoral-agri\/","title":{"rendered":"Dolor en la parte delantera de la rodilla (dolor patelofemoral)"},"content":{"rendered":"<h1>Diz \u00d6n\u00fc A\u011fr\u0131s\u0131 (Patellofemoral A\u011fr\u0131) ve Tedavi Y\u00f6ntemleri<\/h1>\n<p><strong>Diz \u00f6n\u00fc a\u011fr\u0131s\u0131<\/strong>, patellofemoral eklemden kaynaklanan a\u011fr\u0131n\u0131n basit bir tan\u0131m\u0131 olup, \u00e7evre yumu\u015fak dokular\u0131n ve diz \u00e7evresindeki di\u011fer patolojilerin neden oldu\u011fu rahats\u0131zl\u0131klarla ili\u015fkilendirilebilir. G\u00fcnl\u00fck ya\u015famda diz a\u011fr\u0131s\u0131 ile kendini g\u00f6steren bu durum, sportif aktiviteleri zorla\u015ft\u0131r\u0131r ve do\u011fru tan\u0131 ile tedavi edilmesi olduk\u00e7a zordur.<\/p>\n<p>Ge\u00e7mi\u015fte bu rahats\u0131zl\u0131k, patellar kondromalaziye (patellan\u0131n artik\u00fcler y\u00fcz\u00fcn\u00fcn yumu\u015famas\u0131) ba\u011flanm\u0131\u015f olsa da g\u00fcn\u00fcm\u00fczde, peripatellar retinakulumun a\u015f\u0131r\u0131 gerilmesine ba\u011fl\u0131 olarak geli\u015fti\u011fi d\u00fc\u015f\u00fcn\u00fclmektedir.<\/p>\n<h2>Anatomi<\/h2>\n<p>Patellofemoral eklem, diz ekleminin \u00f6n k\u0131sm\u0131n\u0131 koruyan ve kuadriseps kas\u0131na mekanik destek sa\u011flayan \u00f6nemli bir yap\u0131d\u0131r. Patellan\u0131n stabilizasyonu, medial ve lateral destek yap\u0131lar\u0131 taraf\u0131ndan sa\u011flan\u0131r. Bu destekler aras\u0131nda:<\/p>\n<ul>\n<li><strong>Vastus Medialis Oblikus (VMO):<\/strong> Patellaya medyal destek sa\u011flar.<\/li>\n<li><strong>Vastus Lateralis Oblikus (VLO):<\/strong> Patellaya lateral destek sa\u011flar.<\/li>\n<li><strong>\u0130liotibial Bant:<\/strong> Uyluk lateralinde dinamik-statik stabiliteyi sa\u011flar ve femurun lateralinden tibiaya uzan\u0131r.<\/li>\n<\/ul>\n<p>Patellan\u0131n dizdeki hareket ekseni, kuadrisepsin olu\u015fturdu\u011fu Q a\u00e7\u0131s\u0131 ile belirlenir. Kad\u0131nlarda bu a\u00e7\u0131 11\u00b0-20\u00b0, erkeklerde ise 8\u00b0-14\u00b0 aras\u0131nda olmal\u0131d\u0131r. Normalden b\u00fcy\u00fck a\u00e7\u0131lar, diz \u00f6n\u00fc a\u011fr\u0131s\u0131na neden olabilir.<\/p>\n<h2>Patellofemoral Eklem Hastal\u0131klar\u0131n\u0131n S\u0131n\u0131fland\u0131r\u0131lmas\u0131<\/h2>\n<p>Patellofemoral eklem rahats\u0131zl\u0131klar\u0131 genellikle a\u015fa\u011f\u0131daki s\u0131n\u0131fland\u0131rmalara g\u00f6re de\u011ferlendirilir:<\/p>\n<ul>\n<li><strong>Travma Sonras\u0131 Sorunlar:<\/strong> K\u0131k\u0131rdak yaralanmalar\u0131, dizde s\u0131v\u0131 birikimi.<\/li>\n<li><strong>Patellofemoral Displazi:<\/strong> Eklem uyumsuzlu\u011fu.<\/li>\n<li><strong>\u0130dyopatik Kondromalazi:<\/strong> Nedeni bilinmeyen k\u0131k\u0131rdak hasarlar\u0131.<\/li>\n<li><strong>Osteokondritis Dissekans:<\/strong> K\u0131k\u0131rdak ve kemi\u011fin bir k\u0131sm\u0131n\u0131n \u00f6l\u00fcm\u00fc.<\/li>\n<li><strong>Sinovyal Plika Sendromu:<\/strong> Kal\u0131nla\u015fm\u0131\u015f plikalar\u0131n neden oldu\u011fu sorunlar.<\/li>\n<\/ul>\n<h2>Klinik Bulgular ve Semptomlar<\/h2>\n<h3>Dolor<\/h3>\n<p>Diz \u00f6n\u00fc a\u011fr\u0131s\u0131 genellikle s\u0131z\u0131 \u015feklinde, k\u00fcnt veya zonklay\u0131c\u0131 olabilir. \u00d6zellikle merdiven inip \u00e7\u0131karken veya uzun s\u00fcre otururken belirginle\u015fir.<\/p>\n<h3>Krepitasyon<\/h3>\n<p>Dizden gelen s\u00fcrt\u00fcnme sesleri, patellofemoral artrite i\u015faret edebilir ancak her zaman tipik bir bulgu de\u011fildir.<\/p>\n<h3>Kilitlenme ve \u015ei\u015flik<\/h3>\n<p>Diz a\u011f\u0131rl\u0131k alt\u0131ndayken patellar sorunlardan kaynaklanan kilitlenme g\u00f6r\u00fclebilir. \u015ei\u015flik ise daha \u00e7ok k\u0131k\u0131rdak patolojilerinde ve travmalarda ortaya \u00e7\u0131kar.<\/p>\n<h2>Tan\u0131 ve Radyolojik \u0130ncelemeler<\/h2>\n<p>Patellofemoral a\u011fr\u0131n\u0131n te\u015fhisinde \u00f6yk\u00fc ve fizik muayene b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r. Hasta ayakta, otururken ve yatarken muayene edilmelidir. Radyolojik incelemelerde:<\/p>\n<ul>\n<li><strong>Aksiyel Grafiler:<\/strong> Patellan\u0131n femur trokleas\u0131na uyumu de\u011ferlendirilir.<\/li>\n<li><strong>BT:<\/strong> Patellar tilt ve subluksasyon tespitinde kullan\u0131l\u0131r.<\/li>\n<li><strong>MRG:<\/strong> K\u0131k\u0131rdak patolojilerini ortaya koyar.<\/li>\n<\/ul>\n<h2>Konservatif Tedavi<\/h2>\n<p>Patellofemoral a\u011fr\u0131 tedavisinde ilk yakla\u015f\u0131m konservatif olmal\u0131d\u0131r. Tedavi y\u00f6ntemleri \u015funlard\u0131r:<\/p>\n<ul>\n<li>Nonsteroid Anti-inflamatuvar \u0130la\u00e7lar (NSA\u0130): A\u011fr\u0131y\u0131 azalt\u0131r.<\/li>\n<li>Buz Uygulamas\u0131: Enflamasyonu azalt\u0131r.<\/li>\n<li>Bantlama ve Braysleme: Patellar tilt ve subluksasyonu \u00f6nler.<\/li>\n<li>Egzersiz Programlar\u0131: Kuadriseps g\u00fc\u00e7lendirme ve germe egzersizleri.<\/li>\n<\/ul>\n<h2>Cerrahi Tedavi<\/h2>\n<p>Konservatif tedaviye yan\u0131t vermeyen hastalarda cerrahi se\u00e7enekler de\u011ferlendirilir:<\/p>\n<ul>\n<li><strong>Artroskopik Debritman:<\/strong> K\u0131k\u0131rdak lezyonlar\u0131n\u0131n temizlenmesi.<\/li>\n<li><strong>Lateral Retinak\u00fcler Gev\u015fetme (LRG):<\/strong> Patellan\u0131n eksen bozuklu\u011funda uygulan\u0131r.<\/li>\n<li><strong>Patellektomi veya Patellofemoral Protez:<\/strong> \u0130leri dejenerasyonda son \u00e7are olarak uygulan\u0131r.<\/li>\n<\/ul>\n<h2>Kad\u0131k\u00f6y A\u011fr\u0131 Merkezi\u2019nde Tedavi \u0130mkanlar\u0131<\/h2>\n<p><strong>Centro del Dolor Kadikoy<\/strong> olarak diz \u00f6n\u00fc a\u011fr\u0131s\u0131 ve patellofemoral eklem problemlerinde uzman ekibimizle size \u00f6zel tedavi y\u00f6ntemleri sunuyoruz. Fizik tedavi ve rehabilitasyon hizmetlerimizle a\u011fr\u0131lar\u0131n\u0131zdan kurtulabilirsiniz.<\/p>\n<p><strong>Randevu ve detayl\u0131 bilgi i\u00e7in:<\/strong> <a href=\"tel:+905303437499\">90 530 343 7499<\/a><\/p>\n<div>\n  <a href=\"https:\/\/www.youtube.com\/channel\/UC-EH3FtNo45g8-ja6zGzfTA\" target=\"_blank\" rel=\"noopener\"><br \/>\n    <img decoding=\"async\" class=\"lazyload wp-image-2466 size-full alignleft\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27300%27%20height%3D%27150%27%20viewBox%3D%270%200%20300%20150%27%3E%3Crect%20width%3D%27300%27%20height%3D%27150%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/abone-olun.jpg\" alt=\"YouTube Kanal\u0131na Abone Ol\" width=\"300\" height=\"150\" \/><br \/>\n  <\/a><br \/>\n  <a href=\"http:\/\/turanuslu.net\/es\/randevu\/\"><br \/>\n    <img decoding=\"async\" class=\"lazyload alignleft wp-image-2465 size-full\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27300%27%20height%3D%27150%27%20viewBox%3D%270%200%20300%20150%27%3E%3Crect%20width%3D%27300%27%20height%3D%27150%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/randevu-alin.jpg\" alt=\"Kad\u0131k\u00f6y A\u011fr\u0131 Merkezi Randevu\" width=\"300\" height=\"150\" \/><br \/>\n  <\/a>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Diz \u00d6n\u00fc A\u011fr\u0131s\u0131 (Patellofemoral A\u011fr\u0131) ve Tedavi Y\u00f6ntemleri Diz \u00f6n\u00fc [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8619,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[3],"tags":[4,1628,1629],"class_list":["post-8618","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diz-agrilari","tag-diz-agrilari","tag-diz-agrilari-fizik-tedavi","tag-diz-onu-agrisi"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/diz-onu-agrisi.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/8618","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=8618"}],"version-history":[{"count":3,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/8618\/revisions"}],"predecessor-version":[{"id":11067,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/8618\/revisions\/11067"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/media\/8619"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/media?parent=8618"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/categories?post=8618"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/tags?post=8618"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}