{"id":4267,"date":"2023-06-01T10:11:30","date_gmt":"2023-06-01T08:11:30","guid":{"rendered":"https:\/\/doctorfernandopifarre.com\/?p=4267"},"modified":"2023-07-07T12:21:34","modified_gmt":"2023-07-07T10:21:34","slug":"heloma-de-pulpejo-por-cirugia-mis","status":"publish","type":"post","link":"https:\/\/doctorfernandopifarre.com\/es\/heloma-de-pulpejo-por-cirugia-mis\/","title":{"rendered":"Heloma de pulpejo por cirugia MIS"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Tabla de contenidos<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabla de contenidos\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorfernandopifarre.com\/es\/heloma-de-pulpejo-por-cirugia-mis\/#Concepto_de_Heloma_pulpejo\" >Concepto de Heloma pulpejo<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorfernandopifarre.com\/es\/heloma-de-pulpejo-por-cirugia-mis\/#Porque_se_producen\" >Porque se producen<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorfernandopifarre.com\/es\/heloma-de-pulpejo-por-cirugia-mis\/#Caso_que_presentamos\" >Caso que presentamos<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorfernandopifarre.com\/es\/heloma-de-pulpejo-por-cirugia-mis\/#Caracteristicas\" >Caracter\u00edsticas<\/a><\/li><\/ul><\/nav><\/div>\n<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><p>[vc_row css_animation=\u00bb\u00bb row_type=\u00bbrow\u00bb use_row_as_full_screen_section=\u00bbno\u00bb type=\u00bbfull_width\u00bb angled_section=\u00bbno\u00bb text_align=\u00bbleft\u00bb background_image_as_pattern=\u00bbwithout_pattern\u00bb][vc_column][vc_column_text]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Concepto_de_Heloma_pulpejo\"><\/span>Concepto de Heloma pulpejo<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h4>Es una alteraci\u00f3n d\u00e9rmica de tipo querat\u00f3sico con un n\u00facleo central muy doloroso en el pulpejo de un dedo del pie. Generalmente suele existir una falange distal m\u00e1s larga e hipertrofiada. De entrada, el tratamiento es incruento, mediante quiropodias, pero si la recidiva es frecuente, puede solucionarse de forma definitiva con anestesia local y cirugia MIS o percut\u00e1nea.<\/h4>\n<h4>En alg\u00fan post anterior ya hemos explicado lo que es la <a href=\"https:\/\/doctorfernandopifarre.com\/34lk\" target=\"_blank\" rel=\"noopener\">cirurgia MIS<\/a>.<\/h4>\n<p>&nbsp;<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Porque_se_producen\"><\/span>Porque se producen<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h4>Siempre existe una falange distal m\u00e1s larga o hipertrofiada que combinado con microtraumatismos continuos con la punta del calzado genera esta lesi\u00f3n tan dolorosa. Suele aparecer en el dedo m\u00e1s largo del pie o a veces en un dedo en mazo o martillo.<\/h4>\n<p>[\/vc_column_text][vc_empty_space][vc_row_inner row_type=\u00bbrow\u00bb type=\u00bbfull_width\u00bb text_align=\u00bbcenter\u00bb css_animation=\u00bb\u00bb][vc_column_inner width=\u00bb1\/2&#8243;][vc_single_image image=\u00bb4248&#8243; img_size=\u00bblarge\u00bb add_caption=\u00bbyes\u00bb alignment=\u00bbcenter\u00bb onclick=\u00bblink_image\u00bb qode_css_animation=\u00bb\u00bb][vc_empty_space][\/vc_column_inner][vc_column_inner width=\u00bb1\/2&#8243;][vc_single_image image=\u00bb4250&#8243; img_size=\u00bblarge\u00bb add_caption=\u00bbyes\u00bb alignment=\u00bbcenter\u00bb onclick=\u00bblink_image\u00bb qode_css_animation=\u00bb\u00bb][vc_empty_space][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n<h4>Si tenemos el caso que el dedo solo es largo, pero no presenta un dedo en martillo la soluci\u00f3n por cirug\u00eda de m\u00ednima incisi\u00f3n podr\u00edamos decir que es la indicaci\u00f3n de entrada e incluso me atrevo a decir que se tiene que hacer de elecci\u00f3n en la primera consulta. Este concepto de cirug\u00eda, actualmente se conoce como quirocirugia resolutiva. T\u00e9rmino introducido por pod\u00f3logos de prestigio como Jaime del Moral, Martin Redon, Paqui Duran\u2026<\/h4>\n<p>&nbsp;<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Caso_que_presentamos\"><\/span>Caso que presentamos<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h4>Paciente de 47 a\u00f1os, operado de pie cavo a los 17 a\u00f1os. Se le han realizado varias cirug\u00edas complejas y ahora solo presenta un heloma de pulpejo por tener un dedo m\u00e1s largo.<\/h4>\n<p>[\/vc_column_text][vc_empty_space][vc_text_separator title=\u00bbIndicaci\u00f3n de entrada de QUIROCIRUGIA RESOLUTIVA: OSTEOTRIPSIA\u00bb border=\u00bbno\u00bb][vc_empty_space][vc_column_text]<\/p>\n<div id=\"attachment_4254\" style=\"width: 361px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Falange-distal-3-dit-molt-llarg.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4254\" class=\"size-full wp-image-4253\" src=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Falange-distal-3-dit-molt-llarg.jpg\" alt=\"Falange distal 3 dit molt llarg\" width=\"351\" height=\"468\" srcset=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Falange-distal-3-dit-molt-llarg.jpg 351w, https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Falange-distal-3-dit-molt-llarg-225x300.jpg 225w\" sizes=\"auto, (max-width: 351px) 100vw, 351px\" \/><\/a><p id=\"caption-attachment-4254\" class=\"wp-caption-text\">Falange distal 3 dedo muy larga<\/p><\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_4256\" style=\"width: 510px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Heloma-de-polpeig-tercer-dit.png\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4256\" class=\"size-full wp-image-4255\" src=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Heloma-de-polpeig-tercer-dit.png\" alt=\"Heloma de polpeig tercer dit\" width=\"500\" height=\"375\" srcset=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Heloma-de-polpeig-tercer-dit.png 500w, https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Heloma-de-polpeig-tercer-dit-300x225.png 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/a><p id=\"caption-attachment-4256\" class=\"wp-caption-text\">Heloma de pulpejo tercer dedo<\/p><\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_4258\" style=\"width: 374px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Osteotripsia-de-part-falange-distal.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4258\" class=\"size-full wp-image-4257\" src=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Osteotripsia-de-part-falange-distal.jpg\" alt=\"Osteotripsia de part falange distal\" width=\"364\" height=\"273\" srcset=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Osteotripsia-de-part-falange-distal.jpg 364w, https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Osteotripsia-de-part-falange-distal-300x225.jpg 300w\" sizes=\"auto, (max-width: 364px) 100vw, 364px\" \/><\/a><p id=\"caption-attachment-4258\" class=\"wp-caption-text\">Osteotripsia de parte falange distal<\/p><\/div>\n<p>&nbsp;<\/p>\n<div id=\"attachment_4261\" style=\"width: 275px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Escurcament-de-la-falange-3er-dit.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4261\" class=\"size-full wp-image-4260\" src=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Escurcament-de-la-falange-3er-dit.jpg\" alt=\"Escurc\u0327ament de la falange 3er dit\" width=\"265\" height=\"353\" srcset=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Escurcament-de-la-falange-3er-dit.jpg 265w, https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/Escurcament-de-la-falange-3er-dit-225x300.jpg 225w\" sizes=\"auto, (max-width: 265px) 100vw, 265px\" \/><\/a><p id=\"caption-attachment-4261\" class=\"wp-caption-text\">Acrtamiento de la falange 3er dedo<\/p><\/div>\n<p>&nbsp;<\/p>\n<h4>Control radiol\u00f3gico posterior donde vemos que la falange distal est\u00e1 acortada sin ning\u00fan relieve \u00f3seo<\/h4>\n<p>&nbsp;<\/p>\n<div id=\"attachment_4263\" style=\"width: 667px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/sutura-cirurgia-MIS.png\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4263\" class=\"size-full wp-image-4262\" src=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/sutura-cirurgia-MIS.png\" alt=\"sutura cirurgia MIS\" width=\"657\" height=\"493\" srcset=\"https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/sutura-cirurgia-MIS.png 657w, https:\/\/doctorfernandopifarre.com\/wp-content\/uploads\/2023\/04\/sutura-cirurgia-MIS-300x225.png 300w\" sizes=\"auto, (max-width: 657px) 100vw, 657px\" \/><\/a><p id=\"caption-attachment-4263\" class=\"wp-caption-text\">sutura cirurgia MIS<\/p><\/div>\n<p>&nbsp;<\/p>\n<h4>Se puede suturar o no<\/h4>\n<p>&nbsp;<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Caracteristicas\"><\/span>Caracter\u00edsticas<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h4><strong>ANESTESIA LOCAL<\/strong><\/h4>\n<h4><strong>INDOLORO<\/strong><\/h4>\n<h4><strong>SOLUCI\u00d3N DEFINITIVA<\/strong><\/h4>\n<p>&nbsp;<\/p>\n<h4>En nuestra cl\u00ednica, disponemos de esta tecnolog\u00eda. Se puede consultar la web docxtorfernandopifarre.com<\/h4>\n<p>[\/vc_column_text][vc_empty_space][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css_animation=\u00bb\u00bb row_type=\u00bbrow\u00bb use_row_as_full_screen_section=\u00bbno\u00bb type=\u00bbfull_width\u00bb angled_section=\u00bbno\u00bb text_align=\u00bbleft\u00bb background_image_as_pattern=\u00bbwithout_pattern\u00bb][vc_column][vc_column_text] Concepto de Heloma pulpejo Es una alteraci\u00f3n d\u00e9rmica de tipo querat\u00f3sico con un n\u00facleo central muy doloroso en el pulpejo de un dedo del pie. Generalmente suele existir una falange distal m\u00e1s larga e hipertrofiada. De entrada,&#8230;<\/p>\n","protected":false},"author":1,"featured_media":4258,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[50],"tags":[226,159,80,200,170],"class_list":["post-4267","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias","tag-cirurgia-minima-incisio-es","tag-cirurgia-percutania-es","tag-doctor-fernando-pifarre","tag-heloma-polpeig-es","tag-osteotripsia-es"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Heloma de pulpejo por cirugia MIS - Doctor Fernando Pifarr\u00e9<\/title>\n<meta name=\"description\" content=\"Es una alteraci\u00f3n d\u00e9rmica de tipo querat\u00f3sico con un n\u00facleo central muy doloroso en el pulpejo de un dedo del pie. 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