{"id":347,"date":"2022-05-01T10:21:31","date_gmt":"2022-05-01T10:21:31","guid":{"rendered":"http:\/\/www.rehape.cz\/?page_id=347"},"modified":"2026-01-25T14:48:35","modified_gmt":"2026-01-25T14:48:35","slug":"golfovy-loket","status":"publish","type":"page","link":"https:\/\/www.rehape.cz\/index.php\/golfovy-loket\/","title":{"rendered":"Golfov\u00fd loket"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"717\" height=\"578\" src=\"http:\/\/www.rehape.cz\/wp-content\/uploads\/2021\/05\/Loket.jpg\" alt=\"\" class=\"wp-image-155\" style=\"width:334px;height:auto\" srcset=\"https:\/\/www.rehape.cz\/wp-content\/uploads\/2021\/05\/Loket.jpg 717w, https:\/\/www.rehape.cz\/wp-content\/uploads\/2021\/05\/Loket-300x242.jpg 300w\" sizes=\"(max-width: 717px) 100vw, 717px\" \/><\/figure>\n\n\n\n<p>Golfov\u00fd loket, zn\u00e1m\u00fd tak\u00e9 jako\u00a0<strong>medi\u00e1ln\u00ed epikondylitida<\/strong>, se objevuje v d\u016fsledku opakovan\u00e9ho nam\u00e1h\u00e1n\u00ed a p\u0159et\u011b\u017eov\u00e1n\u00ed \u0161lach, kter\u00e9 se up\u00ednaj\u00ed na vnit\u0159n\u00ed stranu loketn\u00edho kloubu. Hlav\u00edm p\u0159\u00edznakemm je bolestivost na medi\u00e1ln\u00ed stran\u011b lokte, kter\u00e1 se zhor\u0161uje p\u0159i pronaci a flexi v\u00a0z\u00e1p\u011bst\u00ed proti odporu. Pro pacienta je bolestiv\u00e9 jak ohnut\u00ed prst\u016f, tak i z\u00e1p\u011bst\u00ed v\u010detn\u011b vnit\u0159n\u00ed rotace v\u00a0z\u00e1p\u011bst\u00ed (odemyk\u00e1n\u00ed dve\u0159\u00ed, to\u010den\u00ed volantem, pr\u00e1ce se\u00a0\u0161roubov\u00e1kem, pr\u00e1ce s my\u0161\u00ed). Je v\u00fdznamn\u011b omezena svalov\u00e1 s\u00edla a omezen\u00fd stisk dlan\u011b do p\u011bsti. V\u00a0oblasti loketn\u00edho kloubu m\u016f\u017ee doch\u00e1zet tak\u00e9 k\u00a0\u00fatlaku loketn\u00edho nervu, pacient pak vedle bolestivosti lokte ud\u00e1v\u00e1 tak\u00e9 brn\u011bn\u00ed nebo vyst\u0159elov\u00e1n\u00ed bolesti do 4. a 5. prstu ruky.<\/p>\n\n\n\n<p><strong>P\u0159\u00ed\u010diny vzniku golfov\u00e9ho lokte<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>P\u0159et\u00ed\u017een\u00ed sval\u016f s vazivov\u00fdmi za\u010d\u00e1tky v\u00a0bl\u00edzkosti nebo p\u0159\u00edmo na medi\u00e1ln\u00edm epikondylu humeru = flexory (entezopatie).<\/li>\n\n\n\n<li>Radi\u00e1ln\u00ed epikondylitidu n\u011bkdy imituj\u00ed bolesti od nerv\u016f (n. ulnaris proch\u00e1z\u00ed za med. epikondylem a inervuje fl. carpi ulnaris).<\/li>\n<\/ul>\n\n\n\n<p><strong>Co sledujeme<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Bolest na vnit\u0159n\u00ed stran\u011b lokte<\/strong>: Bolest se objevuje v oblasti vnit\u0159n\u00edho epikondylu a m\u016f\u017ee se zhor\u0161ovat p\u0159i oh\u00fdb\u00e1n\u00ed z\u00e1p\u011bst\u00ed nebo sev\u0159en\u00ed ruky v p\u011bst.<\/li>\n\n\n\n<li><strong>\u0160\u00ed\u0159en\u00ed bolesti<\/strong>: Bolest m\u016f\u017ee p\u0159ech\u00e1zet sm\u011brem dol\u016f do p\u0159edlokt\u00ed a z\u00e1p\u011bst\u00ed.<\/li>\n\n\n\n<li><strong>Omezen\u00e1 s\u00edla a \u00fanava<\/strong>: Sn\u00ed\u017een\u00e1 s\u00edla v p\u0159edlokt\u00ed a omezen\u00e1 mo\u017enost prov\u00e1d\u011bt b\u011b\u017en\u00e9 \u010dinnosti, jako je dr\u017een\u00ed t\u011b\u017e\u0161\u00edch p\u0159edm\u011bt\u016f.<\/li>\n\n\n\n<li><strong>Tup\u00e1 bolest p\u0159i dotyku<\/strong>: V n\u011bkter\u00fdch p\u0159\u00edpadech je posti\u017een\u00e1 oblast citliv\u00e1 na dotek a bolest se zhor\u0161uje p\u0159i natahov\u00e1n\u00ed z\u00e1p\u011bst\u00ed.<\/li>\n<\/ul>\n\n\n\n<p><strong>Diagnostika<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vy\u0161et\u0159en\u00e1 kr\u010dn\u00ed p\u00e1te\u0159e, ramen, lokte a z\u00e1p\u011bst\u00ed. Pacienti s medi\u00e1ln\u00ed epikondylalgi\u00ed maj\u00ed citlivost na za\u010d\u00e1tku spole\u010dn\u00e9 \u0161lachy flexor\u016f a prona\u010dn\u00edch sval\u016f p\u0159edlokt\u00ed, v m\u00edst\u011b medi\u00e1ln\u00edho epikondylu nebo t\u011bsn\u011b vedle n\u011bj.<\/li>\n\n\n\n<li>Dors\u00e1ln\u00ed flexe z\u00e1p\u011bst\u00ed + okam\u017eit\u00e1 extenze lokte \u2013 test je pozitivn\u00ed, kdy\u017e vznikne n\u00e1hl\u00e1 bolest u med. epikondylu).<\/li>\n\n\n\n<li>Nejv\u00edce posti\u017een\u00fd b\u00fdv\u00e1 m. pronator teres (zv\u00fd\u0161en\u00e9 nap\u011bt\u00ed tohoto svalu m\u016f\u017ee zp\u016fsobovat \u00fa\u017einov\u00fd syndrom n. medianus).<\/li>\n\n\n\n<li>A druh\u00fd sval m. flexor carpi radilalis.<\/li>\n<\/ul>\n\n\n\n<p><strong>Orientace na ruce<\/strong><\/p>\n\n\n\n<p>P\u0159ilo\u017e\u00edme\u00a0 st\u0159ed dlan\u011b ruky na medi\u00e1ln\u00ed epykondyl a pr\u016fb\u011bh prst\u016f n\u00e1m orienta\u010dn\u011b ukazuje pr\u016fb\u011bh sval\u016f:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>palec \u2013 m. pronator teres<\/li>\n\n\n\n<li>ukazov\u00e1k \u2013 m- flexor radialis<\/li>\n\n\n\n<li>prsten\u00ed\u010dek \u2013 m. palmaris longus<\/li>\n\n\n\n<li>prost\u0159edn\u00edk \u2013m. flexor carpi ulnaris \u2013 m\u016f\u017ee b\u00fdt \u010dasto komprimovan\u00fd (stla\u010den\u00fd)<\/li>\n<\/ul>\n\n\n\n<p><strong>Terapie<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Konzervativn\u00ed l\u00e9\u010dba zahrnuje v akutn\u00ed f\u00e1zi nep\u0159et\u011b\u017eov\u00e1n\u00ed kon\u010detiny a omezen\u00ed jej\u00ed hybnosti p\u0159ilo\u017een\u00edm vysok\u00e9 fixace od kone\u010dk\u016f prst\u016f a\u017e na pa\u017ei v&nbsp;d\u00e9lce 4-6 t\u00fddn\u016f.<\/li>\n\n\n\n<li>Ti\u0161en\u00ed bolesti pomoc\u00ed lok\u00e1ln\u00edch nebo peror\u00e1ln\u00edch nesteroidn\u00edch antirevmatik \u010di aplikace obst\u0159ik\u016f s kombinac\u00ed kortikoidu a mesokainu.<\/li>\n\n\n\n<li>Lok\u00e1ln\u00ed kryoterapie<\/li>\n\n\n\n<li>Sn\u00ed\u017een\u00ed p\u0159it\u011b\u017euj\u00edc\u00ed \u010dinnosti s vysok\u00fdm a rychl\u00fdm zat\u00ed\u017een\u00edm (hlavn\u00edm d\u016fvodem je p\u0159et\u00ed\u017een\u00ed \u0161lach vysok\u00e9 a rychl\u00e9 z\u00e1t\u011b\u017eov\u00e9 aktivity, co\u017e znamen\u00e1, \u017ee \u0161lacha mus\u00ed rychle ukl\u00e1dat a uvol\u0148ovat energii, proto se tak\u00e9 golfov\u00fd loket \u010dasto vyskytuje u sportovc\u016f, kte\u0159\u00ed se v\u011bnuj\u00ed raketov\u00fdm sport\u016fm, p\u0159i nich\u017e se vyu\u017e\u00edv\u00e1 elastick\u00e9 \u010dinnosti \u0161lach v lokti a z\u00e1p\u011bst\u00ed p\u0159i h\u00e1zen\u00ed nebo \u00faderu m\u00ed\u010dkem).<\/li>\n\n\n\n<li>Doporu\u010duje se sn\u00ed\u017eit objem &#8211; tedy bu\u010f frekvenci, d\u00e9lku trv\u00e1n\u00ed, nebo po\u010det opakov\u00e1n\u00ed a intenzitu &#8211; na takovou \u00farove\u0148, aby se pacientovo zhor\u0161en\u00ed bolesti ust\u00e1lilo do 24 hodin po ukon\u010den\u00ed aktivity.<\/li>\n\n\n\n<li>Tlakov\u00e1 mas\u00e1\u017e<\/li>\n\n\n\n<li>Fyzik\u00e1ln\u00ed l\u00e9\u010dba (elektrol\u00e9\u010dba, polarizovan\u00e9 sv\u011btlo).<\/li>\n\n\n\n<li>U chronick\u00e9ho stadia se zam\u011b\u0159ujeme na o\u0161et\u0159en\u00ed Trps, techniku m\u011bkk\u00fdch tk\u00e1n\u00ed, PIR, centraci horn\u00ed kon\u010detiny, mobilizaci C\/Th p\u0159echodu, mobilizaci \u017eeber, lopatky, ramenn\u00edho kloubu a loketn\u00edho kloubu, \u0161kolu zad.<\/li>\n<\/ul>\n\n\n\n<p>Pokud selhaly konzervativn\u00ed metody, lze prov\u00e9st chirurgick\u00e9 o\u0161et\u0159en\u00ed.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Golfov\u00fd loket, zn\u00e1m\u00fd tak\u00e9 jako\u00a0medi\u00e1ln\u00ed epikondylitida, se objevuje v d\u016fsledku opakovan\u00e9ho nam\u00e1h\u00e1n\u00ed a p\u0159et\u011b\u017eov\u00e1n\u00ed \u0161lach, kter\u00e9 se up\u00ednaj\u00ed na vnit\u0159n\u00ed stranu loketn\u00edho kloubu. Hlav\u00edm p\u0159\u00edznakemm je bolestivost na medi\u00e1ln\u00ed stran\u011b lokte, kter\u00e1 se zhor\u0161uje p\u0159i pronaci a flexi v\u00a0z\u00e1p\u011bst\u00ed proti odporu. Pro pacienta je bolestiv\u00e9 jak ohnut\u00ed prst\u016f, tak i z\u00e1p\u011bst\u00ed v\u010detn\u011b vnit\u0159n\u00ed rotace v\u00a0z\u00e1p\u011bst\u00ed &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.rehape.cz\/index.php\/golfovy-loket\/\" class=\"more-link\">Pokra\u010dovat ve \u010dten\u00ed<span class=\"screen-reader-text\"> &#8222;Golfov\u00fd loket&#8220;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-347","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/pages\/347"}],"collection":[{"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/comments?post=347"}],"version-history":[{"count":8,"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/pages\/347\/revisions"}],"predecessor-version":[{"id":896,"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/pages\/347\/revisions\/896"}],"wp:attachment":[{"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/media?parent=347"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}