{"id":23037,"date":"2026-05-03T15:53:48","date_gmt":"2026-05-03T12:53:48","guid":{"rendered":"https:\/\/www.drfatihvolkantercan.com\/?p=23037"},"modified":"2026-05-03T15:53:48","modified_gmt":"2026-05-03T12:53:48","slug":"impingement-sendromu","status":"publish","type":"post","link":"https:\/\/tugysoft.com.tr\/fvtercan\/impingement-sendromu\/","title":{"rendered":"Impingement Sendromu"},"content":{"rendered":"<h2 data-section-id=\"1to4yb8\" data-start=\"0\" data-end=\"30\"><a href=\"https:\/\/tugysoft.com.tr\/fvtercan\/impingement-sendromu\/\"><span style=\"color: #000000;\">Impingement Sendromu Nedir?<\/span><\/a><\/h2>\n<p data-start=\"32\" data-end=\"376\"><span style=\"color: #000000;\">\u0130mpingement sendromu, eklem hareketi s\u0131ras\u0131nda kemik yap\u0131lar ile yumu\u015fak dokular (tendon, labrum, bursa) aras\u0131nda tekrarlayan mekanik s\u0131k\u0131\u015fma ve s\u00fcrt\u00fcnme sonucu geli\u015fen, ilerleyici karaktere sahip bir ortopedik patolojidir. En s\u0131k omuz ve kal\u00e7a eklemlerinde g\u00f6r\u00fcl\u00fcr ve temel problem \u201chareket alan\u0131 ile anatomik bo\u015fluk aras\u0131ndaki uyumsuzluk\u201dtur.<\/span><\/p>\n<p data-start=\"378\" data-end=\"598\"><span style=\"color: #000000;\">Omuzda bu durum rotator man\u015fet tendonlar\u0131n\u0131n akromion alt\u0131nda s\u0131k\u0131\u015fmas\u0131 \u015feklinde ortaya \u00e7\u0131kar. Kal\u00e7ada ise femur ba\u015f\u0131-boyun bile\u015fkesi ile asetabulum aras\u0131ndaki anormal temas sonucu labrum ve k\u0131k\u0131rdak yap\u0131lar hasar g\u00f6r\u00fcr.<\/span><\/p>\n<p data-start=\"600\" data-end=\"775\"><span style=\"color: #000000;\">Uzun s\u00fcre devam eden mekanik s\u0131k\u0131\u015fma, sadece a\u011fr\u0131ya de\u011fil, tendon dejenerasyonu, labral y\u0131rt\u0131klar ve erken kire\u00e7lenmeye kadar ilerleyebilen yap\u0131sal bozulmalara neden olabilir.<\/span><\/p>\n<h2 data-section-id=\"1dkm0kp\" data-start=\"782\" data-end=\"815\"><span style=\"color: #000000;\">Impingement Sendromu Ne Demek?<\/span><\/h2>\n<p data-start=\"817\" data-end=\"987\"><span style=\"color: #000000;\">\u0130mpingement, \u201cs\u0131k\u0131\u015fma\u201d anlam\u0131na gelir. Ortopedik olarak bu terim, eklem hareketi s\u0131ras\u0131nda yumu\u015fak dokular\u0131n kemik yap\u0131lar aras\u0131nda dar bir alanda s\u0131k\u0131\u015fmas\u0131n\u0131 ifade eder.<\/span><\/p>\n<p data-start=\"989\" data-end=\"1028\"><span style=\"color: #000000;\">Bu durum iki ana klinik tabloyu kapsar:<\/span><\/p>\n<ul data-start=\"1030\" data-end=\"1262\">\n<li data-section-id=\"1m5jgsz\" data-start=\"1030\" data-end=\"1144\"><span style=\"color: #000000;\"><strong data-start=\"1032\" data-end=\"1084\">Omuz s\u0131k\u0131\u015fma sendromu (subakromial impingement):<\/strong> Rotator man\u015fet tendonlar\u0131 ve subakromial bursa etkilenir.<\/span><\/li>\n<li data-section-id=\"p34c4v\" data-start=\"1145\" data-end=\"1262\"><span style=\"color: #000000;\"><strong data-start=\"1147\" data-end=\"1211\">Kal\u00e7a s\u0131k\u0131\u015fma sendromu (femoroasetabular impingement \u2013 FAI):<\/strong> Femur ve asetabulum aras\u0131nda uyumsuz temas olu\u015fur.<\/span><\/li>\n<\/ul>\n<p data-start=\"1264\" data-end=\"1343\"><span style=\"color: #000000;\">Her iki durumda da problem sadece \u201ca\u011fr\u0131\u201d de\u011fil, eklem mekani\u011finin bozulmas\u0131d\u0131r.<\/span><\/p>\n<h3 data-section-id=\"1rdb3j6\" data-start=\"1350\" data-end=\"1394\"><span style=\"color: #000000;\">Impingement Sendromu Nas\u0131l Te\u015fhis Edilir?<\/span><\/h3>\n<p data-start=\"1396\" data-end=\"1505\"><span style=\"color: #000000;\">Tan\u0131; hastan\u0131n \u015fikayetleri, klinik muayene ve g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerinin birlikte de\u011ferlendirilmesi ile konur.<\/span><\/p>\n<h3 data-section-id=\"kj0n82\" data-start=\"1507\" data-end=\"1532\"><span style=\"color: #000000;\">Omuz de\u011ferlendirmesi:<\/span><\/h3>\n<ul data-start=\"1533\" data-end=\"1800\">\n<li data-section-id=\"1hjnzr1\" data-start=\"1533\" data-end=\"1572\"><span style=\"color: #000000;\">Neer testi ve Hawkins-Kennedy testi<\/span><\/li>\n<li data-section-id=\"1pin4ry\" data-start=\"1573\" data-end=\"1626\"><span style=\"color: #000000;\">Kol kald\u0131rma s\u0131ras\u0131nda a\u011fr\u0131l\u0131 ark de\u011ferlendirmesi<\/span><\/li>\n<li data-section-id=\"iw45i5\" data-start=\"1627\" data-end=\"1675\"><span style=\"color: #000000;\">Kas g\u00fcc\u00fc ve rotator man\u015fet fonksiyon analizi<\/span><\/li>\n<li data-section-id=\"b32f0d\" data-start=\"1676\" data-end=\"1740\"><span style=\"color: #000000;\">R\u00f6ntgen ile akromion \u015fekli ve kemik \u00e7\u0131k\u0131nt\u0131lar\u0131n incelenmesi<\/span><\/li>\n<li data-section-id=\"im29n8\" data-start=\"1741\" data-end=\"1800\"><span style=\"color: #000000;\">MR ile tendon y\u0131rt\u0131\u011f\u0131, bursit ve \u00f6dem de\u011ferlendirilmesi<\/span><\/li>\n<\/ul>\n<h3 data-section-id=\"yt92an\" data-start=\"1802\" data-end=\"1828\"><span style=\"color: #000000;\">Kal\u00e7a de\u011ferlendirmesi:<\/span><\/h3>\n<ul data-start=\"1829\" data-end=\"2067\">\n<li data-section-id=\"1clngp5\" data-start=\"1829\" data-end=\"1882\"><span style=\"color: #000000;\">FADIR (flexion-adduction-internal rotation) testi<\/span><\/li>\n<li data-section-id=\"ihqnd1\" data-start=\"1883\" data-end=\"1898\"><span style=\"color: #000000;\">FABER testi<\/span><\/li>\n<li data-section-id=\"15f1tu2\" data-start=\"1899\" data-end=\"1936\"><span style=\"color: #000000;\">Kal\u00e7a hareket a\u00e7\u0131kl\u0131\u011f\u0131n\u0131n analizi<\/span><\/li>\n<li data-section-id=\"qq0nxz\" data-start=\"1937\" data-end=\"2001\"><span style=\"color: #000000;\">R\u00f6ntgen ile CAM ve Pincer deformitelerinin de\u011ferlendirilmesi<\/span><\/li>\n<li data-section-id=\"qhi10x\" data-start=\"2002\" data-end=\"2067\"><span style=\"color: #000000;\">MR\/MR artrografi ile labrum ve k\u0131k\u0131rdak hasar\u0131n\u0131n incelenmesi<\/span><\/li>\n<\/ul>\n<p data-start=\"2069\" data-end=\"2152\"><span style=\"color: #000000;\">Erken tan\u0131, eklemde geri d\u00f6n\u00fc\u015f\u00fc olmayan hasar olu\u015fmadan m\u00fcdahale edilmesini sa\u011flar.<\/span><\/p>\n<h3 data-section-id=\"1lbe3cd\" data-start=\"2159\" data-end=\"2210\"><span style=\"color: #000000;\">Impingement Sendromu Hangi \u015eikayetlere Yol A\u00e7ar?<\/span><\/h3>\n<p data-start=\"2212\" data-end=\"2295\"><span style=\"color: #000000;\">\u0130mpingement sendromu hem omuz hem kal\u00e7ada benzer mekanik a\u011fr\u0131 paternleri olu\u015fturur:<\/span><\/p>\n<h3 data-section-id=\"oq38\" data-start=\"2297\" data-end=\"2308\"><span style=\"color: #000000;\">Omuzda:<\/span><\/h3>\n<ul data-start=\"2309\" data-end=\"2522\">\n<li data-section-id=\"90th5f\" data-start=\"2309\" data-end=\"2345\"><span style=\"color: #000000;\">Kol kald\u0131r\u0131rken keskinle\u015fen a\u011fr\u0131<\/span><\/li>\n<li data-section-id=\"41nkse\" data-start=\"2346\" data-end=\"2381\"><span style=\"color: #000000;\">Gece a\u011fr\u0131s\u0131 ve \u00fczerine yatamama<\/span><\/li>\n<li data-section-id=\"3afnmw\" data-start=\"2382\" data-end=\"2436\"><span style=\"color: #000000;\">Raflara uzanma, giyinme gibi hareketlerde zorlanma<\/span><\/li>\n<li data-section-id=\"lt3s4\" data-start=\"2437\" data-end=\"2474\"><span style=\"color: #000000;\">Omuzda g\u00fc\u00e7 kayb\u0131 ve \u00e7abuk yorulma<\/span><\/li>\n<li data-section-id=\"17dlmb\" data-start=\"2475\" data-end=\"2522\"><span style=\"color: #000000;\">Hareket s\u0131ras\u0131nda s\u00fcrt\u00fcnme ve tak\u0131lma hissi<\/span><\/li>\n<\/ul>\n<h3 data-section-id=\"15wmyjd\" data-start=\"2524\" data-end=\"2536\"><span style=\"color: #000000;\">Kal\u00e7ada:<\/span><\/h3>\n<ul data-start=\"2537\" data-end=\"2740\">\n<li data-section-id=\"1upaaku\" data-start=\"2537\" data-end=\"2569\"><span style=\"color: #000000;\">Kas\u0131k b\u00f6lgesine yay\u0131lan a\u011fr\u0131<\/span><\/li>\n<li data-section-id=\"12tw850\" data-start=\"2570\" data-end=\"2613\"><span style=\"color: #000000;\">Uzun s\u00fcre oturma sonras\u0131 kalkarken a\u011fr\u0131<\/span><\/li>\n<li data-section-id=\"1094o7o\" data-start=\"2614\" data-end=\"2654\"><span style=\"color: #000000;\">Merdiven \u00e7\u0131kma ve \u00e7\u00f6melmede zorlanma<\/span><\/li>\n<li data-section-id=\"mos2w8\" data-start=\"2655\" data-end=\"2695\"><span style=\"color: #000000;\">Spor s\u0131ras\u0131nda kal\u00e7ada s\u0131k\u0131\u015fma hissi<\/span><\/li>\n<li data-section-id=\"1gfkj7s\" data-start=\"2696\" data-end=\"2740\"><span style=\"color: #000000;\">Hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 ve performans d\u00fc\u015f\u00fc\u015f\u00fc<\/span><\/li>\n<\/ul>\n<h3 data-section-id=\"1phhik9\" data-start=\"2747\" data-end=\"2782\"><span style=\"color: #000000;\">\u0130mpingement Sendromu Belirtileri<\/span><\/h3>\n<ul data-start=\"2784\" data-end=\"3004\">\n<li data-section-id=\"1jp2q22\" data-start=\"2784\" data-end=\"2819\"><span style=\"color: #000000;\">Aktivite ile artan mekanik a\u011fr\u0131<\/span><\/li>\n<li data-section-id=\"i0w4qr\" data-start=\"2820\" data-end=\"2862\"><span style=\"color: #000000;\">Eklem i\u00e7inde s\u0131k\u0131\u015fma veya blokaj hissi<\/span><\/li>\n<li data-section-id=\"4zxjw2\" data-start=\"2863\" data-end=\"2893\"><span style=\"color: #000000;\">Hareket a\u00e7\u0131kl\u0131\u011f\u0131nda azalma<\/span><\/li>\n<li data-section-id=\"a3ke55\" data-start=\"2894\" data-end=\"2927\"><span style=\"color: #000000;\">\u0130leri evrede istirahat a\u011fr\u0131s\u0131<\/span><\/li>\n<li data-section-id=\"1bbdewm\" data-start=\"2928\" data-end=\"2965\"><span style=\"color: #000000;\">Kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc ve fonksiyon kayb\u0131<\/span><\/li>\n<li data-section-id=\"ot2439\" data-start=\"2966\" data-end=\"3004\"><span style=\"color: #000000;\">Spor performans\u0131nda belirgin d\u00fc\u015f\u00fc\u015f<\/span><\/li>\n<\/ul>\n<h3 data-section-id=\"1u67cf2\" data-start=\"3011\" data-end=\"3040\"><span style=\"color: #000000;\">Omuz S\u0131k\u0131\u015fmas\u0131 Neden Olur?<\/span><\/h3>\n<p data-start=\"3042\" data-end=\"3115\"><span style=\"color: #000000;\">Omuz s\u0131k\u0131\u015fmas\u0131 genellikle subakromial bo\u015flu\u011fun daralmas\u0131na ba\u011fl\u0131 geli\u015fir:<\/span><\/p>\n<ul data-start=\"3117\" data-end=\"3414\">\n<li data-section-id=\"hfwm1q\" data-start=\"3117\" data-end=\"3177\"><span style=\"color: #000000;\">Akromionun anatomik olarak kavisli veya \u00e7\u0131k\u0131nt\u0131l\u0131 olmas\u0131<\/span><\/li>\n<li data-section-id=\"tzsc5v\" data-start=\"3178\" data-end=\"3237\"><span style=\"color: #000000;\">Rotator man\u015fet tendonlar\u0131nda kal\u0131nla\u015fma ve dejenerasyon<\/span><\/li>\n<li data-section-id=\"8wv79n\" data-start=\"3238\" data-end=\"3273\"><span style=\"color: #000000;\">Subakromial bursada inflamasyon<\/span><\/li>\n<li data-section-id=\"hryf0x\" data-start=\"3274\" data-end=\"3310\"><span style=\"color: #000000;\">Tekrarlayan ba\u015f \u00fcst\u00fc aktiviteler<\/span><\/li>\n<li data-section-id=\"6mz6di\" data-start=\"3311\" data-end=\"3370\"><span style=\"color: #000000;\">Skapular hareket bozuklu\u011fu (k\u00fcrek kemi\u011fi disfonksiyonu)<\/span><\/li>\n<li data-section-id=\"d07a1r\" data-start=\"3371\" data-end=\"3414\"><span style=\"color: #000000;\">Kas dengesizlikleri ve post\u00fcr bozuklu\u011fu<\/span><\/li>\n<\/ul>\n<h3 data-section-id=\"238l1v\" data-start=\"3421\" data-end=\"3451\"><span style=\"color: #000000;\">Kal\u00e7a S\u0131k\u0131\u015fmas\u0131 Neden Olur?<\/span><\/h3>\n<p data-start=\"3453\" data-end=\"3529\"><span style=\"color: #000000;\">Kal\u00e7a s\u0131k\u0131\u015fmas\u0131 femur ve asetabulum aras\u0131ndaki uyumsuz temastan kaynaklan\u0131r:<\/span><\/p>\n<ul data-start=\"3531\" data-end=\"3815\">\n<li data-section-id=\"3tdkdb\" data-start=\"3531\" data-end=\"3590\"><span style=\"color: #000000;\">CAM deformitesi (femur ba\u015f\u0131-boyun birle\u015fiminde \u00e7\u0131k\u0131nt\u0131)<\/span><\/li>\n<li data-section-id=\"1ykt22x\" data-start=\"3591\" data-end=\"3645\"><span style=\"color: #000000;\">Pincer deformitesi (asetabulumun a\u015f\u0131r\u0131 \u00f6rt\u00fcc\u00fcl\u00fc\u011f\u00fc)<\/span><\/li>\n<li data-section-id=\"z0omc8\" data-start=\"3646\" data-end=\"3672\"><span style=\"color: #000000;\">Kombine tip s\u0131k\u0131\u015fmalar<\/span><\/li>\n<li data-section-id=\"izpzit\" data-start=\"3673\" data-end=\"3739\"><span style=\"color: #000000;\">Yo\u011fun spor y\u00fcklenmesi (\u00f6zellikle futbol, dans, d\u00f6v\u00fc\u015f sporlar\u0131)<\/span><\/li>\n<li data-section-id=\"1wp4ugn\" data-start=\"3740\" data-end=\"3776\"><span style=\"color: #000000;\">Genetik ve anatomik varyasyonlar<\/span><\/li>\n<li data-section-id=\"1qy2dan\" data-start=\"3777\" data-end=\"3815\"><span style=\"color: #000000;\">Tekrarlayan derin kal\u00e7a fleksiyonu<\/span><\/li>\n<\/ul>\n<h3 data-section-id=\"m9x8hi\" data-start=\"3822\" data-end=\"3857\"><span style=\"color: #000000;\">Omuz S\u0131k\u0131\u015fmas\u0131 Kimlerde G\u00f6r\u00fcl\u00fcr?<\/span><\/h3>\n<ul data-start=\"3859\" data-end=\"4061\">\n<li data-section-id=\"e9t8db\" data-start=\"3859\" data-end=\"3895\"><span style=\"color: #000000;\">Ba\u015f \u00fcst\u00fc \u00e7al\u0131\u015fan meslek gruplar\u0131<\/span><\/li>\n<li data-section-id=\"u13k1s\" data-start=\"3896\" data-end=\"3937\"><span style=\"color: #000000;\">Y\u00fczme, tenis, voleybol gibi sporcular<\/span><\/li>\n<li data-section-id=\"gc1nfx\" data-start=\"3938\" data-end=\"3963\"><span style=\"color: #000000;\">40 ya\u015f \u00fczeri bireyler<\/span><\/li>\n<li data-section-id=\"l6wwg2\" data-start=\"3964\" data-end=\"3995\"><span style=\"color: #000000;\">Omuz kas g\u00fcc\u00fc zay\u0131f ki\u015filer<\/span><\/li>\n<li data-section-id=\"y2itms\" data-start=\"3996\" data-end=\"4061\"><span style=\"color: #000000;\">Uzun s\u00fcre masa ba\u015f\u0131nda \u00e7al\u0131\u015fanlar ve post\u00fcr bozuklu\u011fu olanlar<\/span><\/li>\n<\/ul>\n<h3 data-section-id=\"1n2jg3f\" data-start=\"4068\" data-end=\"4104\"><span style=\"color: #000000;\">Kal\u00e7a S\u0131k\u0131\u015fmas\u0131 Kimlerde G\u00f6r\u00fcl\u00fcr?<\/span><\/h3>\n<ul data-start=\"4106\" data-end=\"4328\">\n<li data-section-id=\"12v8t6e\" data-start=\"4106\" data-end=\"4133\"><span style=\"color: #000000;\">Gen\u00e7 ve aktif sporcular<\/span><\/li>\n<li data-section-id=\"fgh52a\" data-start=\"4134\" data-end=\"4187\"><span style=\"color: #000000;\">Futbol, basketbol, dans gibi sporlarla u\u011fra\u015fanlar<\/span><\/li>\n<li data-section-id=\"1yrwenn\" data-start=\"4188\" data-end=\"4235\"><span style=\"color: #000000;\">Kal\u00e7a fleksiyonu yo\u011fun aktiviteler yapanlar<\/span><\/li>\n<li data-section-id=\"16825zq\" data-start=\"4236\" data-end=\"4289\"><span style=\"color: #000000;\">Anatomik olarak dar kal\u00e7a yap\u0131s\u0131na sahip bireyler<\/span><\/li>\n<li data-section-id=\"fhlg4l\" data-start=\"4290\" data-end=\"4328\"><span style=\"color: #000000;\">Uzun s\u00fcre oturarak \u00e7al\u0131\u015fan ki\u015filer<\/span><\/li>\n<\/ul>\n<h3 data-section-id=\"1m9y2yj\" data-start=\"4335\" data-end=\"4387\"><span style=\"color: #000000;\">\u0130mpingement Sendromu Tedavi Se\u00e7enekleri Nelerdir?<\/span><\/h3>\n<p data-start=\"4389\" data-end=\"4559\"><span style=\"color: #000000;\">Tedavi, hastal\u0131\u011f\u0131n evresine ve yap\u0131sal bozuklu\u011fun derecesine g\u00f6re planlan\u0131r. Temel ama\u00e7 a\u011fr\u0131y\u0131 azaltmak de\u011fil, s\u0131k\u0131\u015fmaya neden olan mekanik problemi ortadan kald\u0131rmakt\u0131r.<\/span><\/p>\n<h3 data-section-id=\"1epu4uo\" data-start=\"4561\" data-end=\"4586\"><span style=\"color: #000000;\">1. Konservatif tedavi<\/span><\/h3>\n<ul data-start=\"4587\" data-end=\"4814\">\n<li data-section-id=\"ongzod\" data-start=\"4587\" data-end=\"4650\"><span style=\"color: #000000;\">Aktivite modifikasyonu (zorlay\u0131c\u0131 hareketlerin azalt\u0131lmas\u0131)<\/span><\/li>\n<li data-section-id=\"18swypb\" data-start=\"4651\" data-end=\"4680\"><span style=\"color: #000000;\">Anti-inflamatuvar ila\u00e7lar<\/span><\/li>\n<li data-section-id=\"1j6qioy\" data-start=\"4681\" data-end=\"4716\"><span style=\"color: #000000;\">Buz uygulamas\u0131 ve \u00f6dem kontrol\u00fc<\/span><\/li>\n<li data-section-id=\"s7um2k\" data-start=\"4717\" data-end=\"4766\"><span style=\"color: #000000;\">Kas dengesini d\u00fczeltmeye y\u00f6nelik fizik tedavi<\/span><\/li>\n<li data-section-id=\"1tusru7\" data-start=\"4767\" data-end=\"4814\"><span style=\"color: #000000;\">Skapula ve kal\u00e7a stabilizasyon egzersizleri<\/span><\/li>\n<\/ul>\n<h3 data-section-id=\"gmp8em\" data-start=\"4816\" data-end=\"4849\"><span style=\"color: #000000;\">2. Rehabilitasyon programlar\u0131<\/span><\/h3>\n<ul data-start=\"4850\" data-end=\"5025\">\n<li data-section-id=\"v3k2x1\" data-start=\"4850\" data-end=\"4887\"><span style=\"color: #000000;\">Rotator man\u015fet g\u00fc\u00e7lendirme (omuz)<\/span><\/li>\n<li data-section-id=\"2xcvk4\" data-start=\"4888\" data-end=\"4921\"><span style=\"color: #000000;\">Kal\u00e7a \u00e7evresi kas g\u00fc\u00e7lendirme<\/span><\/li>\n<li data-section-id=\"1o1jsx5\" data-start=\"4922\" data-end=\"4956\"><span style=\"color: #000000;\">Post\u00fcr ve biyomekanik d\u00fczeltme<\/span><\/li>\n<li data-section-id=\"1g8fzeg\" data-start=\"4957\" data-end=\"4993\"><span style=\"color: #000000;\">Esneklik ve mobilite \u00e7al\u0131\u015fmalar\u0131<\/span><\/li>\n<li data-section-id=\"lbptoh\" data-start=\"4994\" data-end=\"5025\"><span style=\"color: #000000;\">Fonksiyonel hareket e\u011fitimi<\/span><\/li>\n<\/ul>\n<h3 data-section-id=\"1wkzw6n\" data-start=\"5027\" data-end=\"5055\"><span style=\"color: #000000;\">3. Enjeksiyon tedavileri<\/span><\/h3>\n<ul data-start=\"5056\" data-end=\"5212\">\n<li data-section-id=\"1ixrnzh\" data-start=\"5056\" data-end=\"5102\"><span style=\"color: #000000;\">Subakromial kortizon enjeksiyonlar\u0131 (omuz)<\/span><\/li>\n<li data-section-id=\"nggwam\" data-start=\"5103\" data-end=\"5157\"><span style=\"color: #000000;\">Kal\u00e7a eklem i\u00e7i enjeksiyonlar (se\u00e7ilmi\u015f vakalarda)<\/span><\/li>\n<li data-section-id=\"96o09g\" data-start=\"5158\" data-end=\"5212\"><span style=\"color: #000000;\">PRP gibi biyolojik tedaviler (destekleyici ama\u00e7l\u0131)<\/span><\/li>\n<\/ul>\n<h3 data-section-id=\"j1veb5\" data-start=\"5214\" data-end=\"5235\"><span style=\"color: #000000;\">Cerrahi tedavi<\/span><\/h3>\n<p data-start=\"5236\" data-end=\"5321\"><span style=\"color: #000000;\">Konservatif tedaviye yan\u0131t al\u0131namayan ve yap\u0131sal s\u0131k\u0131\u015fmas\u0131 olan hastalarda uygulan\u0131r:<\/span><\/p>\n<ul data-start=\"5323\" data-end=\"5484\">\n<li data-section-id=\"1ettd0h\" data-start=\"5323\" data-end=\"5370\"><span style=\"color: #000000;\"><a href=\"https:\/\/tugysoft.com.tr\/fvtercan\/omuz-artroskopisi\/\"><strong>Omuzda artroskopik<\/strong><\/a> subakromial dekompresyon<\/span><\/li>\n<li data-section-id=\"49nz4o\" data-start=\"5371\" data-end=\"5428\"><span style=\"color: #000000;\"><a href=\"https:\/\/tugysoft.com.tr\/fvtercan\/kalca-artroskopisi\/\"><strong>Kal\u00e7ada artroskopik<\/strong><\/a> femoroasetabular s\u0131k\u0131\u015fma d\u00fczeltme<\/span><\/li>\n<li data-section-id=\"bq7sqv\" data-start=\"5429\" data-end=\"5446\"><span style=\"color: #000000;\">Labrum tamiri<\/span><\/li>\n<li data-section-id=\"1mreme5\" data-start=\"5447\" data-end=\"5484\"><span style=\"color: #000000;\">Kemik \u015fekillendirme (osteoplasti)<\/span><\/li>\n<\/ul>\n<p data-start=\"5486\" data-end=\"5583\"><span style=\"color: #000000;\">Cerrahi yakla\u015f\u0131m kapal\u0131 y\u00f6ntemlerle yap\u0131l\u0131r ve hedef eklem mekani\u011fini yeniden normalle\u015ftirmektir.<\/span><\/p>\n<h4 data-section-id=\"13hzyee\" data-start=\"5590\" data-end=\"5656\"><span style=\"color: #000000;\">Op. Dr. Fatih Volkan Tercan\u2019\u0131n \u0130mpingement Sendromuna Yakla\u015f\u0131m\u0131<\/span><\/h4>\n<p data-start=\"5658\" data-end=\"5881\"><span style=\"color: #000000;\">\u0130mpingement sendromu, hem omuz hem kal\u00e7ada do\u011fru analiz edilmedi\u011finde yaln\u0131zca a\u011fr\u0131 tedavisi ile y\u00f6netilmeye \u00e7al\u0131\u015f\u0131lan ancak altta yatan mekanik bozukluk devam etti\u011fi i\u00e7in tekrarlayan \u015fikayetlere neden olan bir hastal\u0131kt\u0131r.<\/span><\/p>\n<p data-start=\"5883\" data-end=\"5934\"><span style=\"color: #000000;\">Op. Dr. Fatih Volkan Tercan\u2019\u0131n yakla\u015f\u0131m\u0131nda:<\/span><\/p>\n<ul data-start=\"5936\" data-end=\"6320\">\n<li data-section-id=\"1x90w5u\" data-start=\"5936\" data-end=\"6017\"><span style=\"color: #000000;\">Her hastada detayl\u0131 fizik muayene ve g\u00f6r\u00fcnt\u00fcleme ile do\u011fru evreleme yap\u0131lmas\u0131<\/span><\/li>\n<li data-section-id=\"j33yff\" data-start=\"6018\" data-end=\"6083\"><span style=\"color: #000000;\">A\u011fr\u0131ya de\u011fil, a\u011fr\u0131y\u0131 olu\u015fturan mekanik probleme odaklan\u0131lmas\u0131<\/span><\/li>\n<li data-section-id=\"1lqu6yb\" data-start=\"6084\" data-end=\"6163\"><span style=\"color: #000000;\">\u00d6nceli\u011fin her zaman konservatif tedavi ve fonksiyonel rehabilitasyon olmas\u0131<\/span><\/li>\n<li data-section-id=\"18llxh5\" data-start=\"6164\" data-end=\"6247\"><span style=\"color: #000000;\">Sporcularda performans kayb\u0131n\u0131 \u00f6nleyecek \u015fekilde ki\u015fiye \u00f6zel planlama yap\u0131lmas\u0131<\/span><\/li>\n<li data-section-id=\"4ewlcp\" data-start=\"6248\" data-end=\"6320\"><span style=\"color: #000000;\">\u0130leri vakalarda <a style=\"color: #000000;\" href=\"https:\/\/tugysoft.com.tr\/fvtercan\/artroskopi\/\"><strong>artroskopik cerrahi<\/strong><\/a> ile anatomik d\u00fczeltme sa\u011flanmas\u0131<\/span><\/li>\n<\/ul>\n<p data-start=\"6322\" data-end=\"6485\"><span style=\"color: #000000;\">Bu yakla\u015f\u0131m hem erken evrede ameliyats\u0131z iyile\u015fme \u015fans\u0131n\u0131 art\u0131r\u0131r hem de cerrahi gereken hastalarda daha \u00f6ng\u00f6r\u00fclebilir ve kal\u0131c\u0131 sonu\u00e7lar elde edilmesini hedefler.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Impingement Sendromu Nedir? \u0130mpingement sendromu, eklem hareketi s\u0131ras\u0131nda kemik yap\u0131lar ile yumu\u015fak dokular (tendon, labrum, bursa) aras\u0131nda tekrarlayan mekanik s\u0131k\u0131\u015fma ve s\u00fcrt\u00fcnme sonucu geli\u015fen, ilerleyici karaktere sahip bir ortopedik patolojidir. En s\u0131k omuz ve kal\u00e7a eklemlerinde g\u00f6r\u00fcl\u00fcr ve temel problem \u201chareket alan\u0131 ile anatomik bo\u015fluk aras\u0131ndaki uyumsuzluk\u201dtur. Omuzda bu durum rotator man\u015fet tendonlar\u0131n\u0131n akromion alt\u0131nda [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":23041,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[63],"tags":[1029,711,1030,1031,1032],"class_list":["post-23037","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-impingement-sendromu-hangi-sinir","tag-impingement-sendromu-ne-kadar-surer","tag-kalca-sikismasi","tag-omuz-impingement-sendromu-ameliyat","tag-omuz-sikismasi-tedavi-edilmezse-ne-olur"],"_links":{"self":[{"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/posts\/23037","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/comments?post=23037"}],"version-history":[{"count":0,"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/posts\/23037\/revisions"}],"wp:attachment":[{"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/media?parent=23037"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/categories?post=23037"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/tags?post=23037"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}