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Vol. 41. Issue 149.
Pages 31-33 (January 2006)
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Vol. 41. Issue 149.
Pages 31-33 (January 2006)
Colze de tennis (tendinosi epicondília externa): tractament esclerosant ecoguiat amb polidocanol. A propòsit de dos casos
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Guillermo Álvarez Reya, Ignacio Álvarez Reyb, G. Álvarez Bustosc
a Centre VIMAC. Alavi Medisport. Màlaga.
b Hospital Clínic Universitari Virgen de la Victoria. Màlaga.
c Hospital Carlos Haya. Màlaga. Espanya.
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Dos pacients (2 homes de 42 i 55 anys) amb tendinosi epicondília externa dolorosa van ser tractats mitjançant un tractament innovador que es basa en l'esclerosi amb Polidocanol, un agent esclerosant, ecoguiada amb Power Color (PC) mitjançant Doppler color de polidocanol, un agent esclerosant. Després del tractament va haver-hi una marcada reducció del dolor recollida mitjançant una escala analògica visual (VAS) i desaparició i disminució de la vascularització en cada cas, respectivament. El cas 1 era esportista i en l'última revisió es trobava en fase de readaptació esportiva, mentre que el cas 2 va reprendre la seva activitat laboral abandonada prèviament. L'esclerosi ecoguiada dels neovasos sembla un tractament efectiu per a la tendinopatia epicondília externa dolorosa crònica, i suggereix que els neovasos exerceixen un paper important en l'origen del dolor crònic del tendó.
Palabras clave:
Tendinosi
"Power Color"
Neovasos
Esclerosi
Two patients (two men aged 42 and 55 years old) with chronic lateral epicondyle tendinosis were treated with a new therapy based on color Doppler ultrasound-guided injection of a sclerosing agent, polidocanol. There was a marked reduction in pain during activity (reported on a visual analogue scale [VAS]) and total disappearance and decrease in neovessels in each case, respectively. Case 1 participated in sports and at the last visit was in the readaptation phase, while case 2 returned to work after having previously abandoned it. Sclerosing neovessels appears to be an effective treatment for painful chronic lateral epicondyle tendinosis, suggesting that neovessels play a key role in causing chronic tendon pain.
Keywords:
Tendinosis
"Power-Colour"
Neovessels
Sclerosis

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