Ciencias de la Salud
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Item ANÁLISIS CLÍNICO Y AVANCES EN EL TRATAMIENTO EN EL PINZAMIENTO FEMOROACETABULAR: REVISIÓN BIBLIOGRÁFICA(2025-06-19) Vizcaino Balseca, Kerly Celeste; Garay Villamar, Daniel Gustavo; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Carrera de MedicinaFemoroacetabular impingement (PFA) is a structural alteration of the hip characterized by abnormal contact between the femoral head and the acetabulum, causing pain and restriction of movement, with the risk of osteoarthritis, especially in young people and athletes. An electronic search was carried out for scientific articles published from January 2018 to 2024 in the PubMed, Scopus, Web of Science and ScieLO databases. The PFA is classified into CAM, Pincer and mixed. The CAM variant involves an irregular femoral head that generates friction; the Pinza, acetabular overcoverage that limits movement; and the mixed, the combination of both. Its diagnosis includes symptoms, physical examination and imaging studies, where MRI and x-ray are key. Initial treatment is conservative (physiotherapy and analgesia), but if symptoms persist or there is progression of damage, surgery is required. Hip arthroscopy is preferred for its lower morbidity and faster recovery compared to open surgery, although the choice depends on the structural damage and the experience of the surgeon. In conclusion, the treatment of AFP must be adapted to each patient. While conservative approaches control initial pain, surgery, especially arthroscopy, is the best option to restore functionality and avoid complications. In advanced cases it should be carefully evaluated, since the prognosis may be limited.Item Incidencia del Pinzamiento Primario de Hombro en Trabajadores de la Industria Metalúrgica en Cotopaxi(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Terapia Física, 2016-05-01) Benavides Mayo, Yajaira Nataly; Dra. Garcés Gordón, Lida CarmelinaThe present research was carried out to staff of the Metallurgical Industry Cotopaxi 'Cedal', which has as its principal objective to determine the incidence of the primary shoulder impingement, through the implementation of specific maneuvers to diagnose the injury rating study. PPH is the mechanical friction between the structures encountered in the subacromial space, it comes from 40, a kinetic joint disorder causing pain, swelling, functional disability and may even end up in surgery. Through the authorization of the enterprise the project was carried out in the population that meets the criteria of inclusion and exclusion, they were assessed through the Hawkins and Neer testing respectively to explore the primary shoulder impingement of the working staff. The present research corresponds to a qualitative approach because data and measurements will be obtained through words. It is transversal because the data is collected only once and descriptive-observational level, since the study is from epidemiological nature. In the present study 236 workers form part, through a convenient sampling obtained from qualified personnel according to the criteria of inclusion and exclusion, in which 36 people who were diagnosed with PPH through the Neer and Hawkins test. The investigation is completed showing that 92% of the total population, which corresponds to 33 individuals were diagnosed with PPH, presenting more affectation to the population of 46 years and a greater impact on the area Anodized with 45% due to working functions they perform daily.