Una paciente de 70 años es evaluada en la consulta externa debido a un dolor de cadera izquierda de 3 años de duración que ha ido empeorando a pesar del tratamiento médico optimizado en consultas anteriores. Esto está afectando gravemente a su calidad de vida.
En la exploración física, la movilización activa y pasiva de la cadera izquierda está muy limitada debido a la rigidez y el dolor. La radiografía muestra estrechamiento del espacio articular, esclerosis subcondral y osteofitos.
Objetivos de aprendizaje
Evaluación de la progresión de la coxartrosis
Tratamiento en función de la evaluación clínica y radiológica
Fases
Derivación a tratamiento quirúrgico
Medicación clave
Fármacos sintomáticos de acción lenta para la OA (SYSADOAs)
Paracetamol
Antiinflamatorios no esteroideos (AINE)
Corticosteroides
Duloxetina
Opiáceos
Referencias
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