<transcript><audio_31> Muchas veces ya solo con la historia clínica ya nos va a orientar a esa artrosis de cadera más que a una sobrecarga o una lesión de aductores. En la exploración física ya casi siempre nos queda muy claro porque se va a cortar un poquito la rotación interna.</transcript><transcript><audio_32> ...cuando forzamos esa rotación interna... ...porque aunque sean gente joven y grados leves... ...siempre va a haber una diferencia en las rotaciones... ...y después para confirmarlo habitualmente...</transcript><transcript><audio_33> una diapositiva de una cadera sana y a su lado un</transcript><caption><image_34>The image shows a man and a woman sitting in a waiting room with a large screen in front of them. The woman is sitting on a blue armchair and is holding a clipboard, while the man is sitting in an armchair. They are facing each other and appear to be engaged in a conversation. On the screen, there is an image of a pair of glasses and some text. The room has a blue wall with a patterned wallpaper and a logo on the right side. The overall atmosphere of the room appears to be professional and modern.</caption><transcript><audio_35> claro, el hueso se va desgastando. Sí, el cartílago articular, la enfermedad degenerativa que es, que suele ser casi siempre por un sobreuso o a veces hay alguna alteración anatómica, lo que se va desgastando es</transcript><caption><image_36>The image shows two views of the hip joint, with the left side showing the anterior view of the bones and the right side showing a posterior view. The bones are shown in a light beige color and are arranged in a way that they are facing each other.

The image is labeled with the text "Cadera Sana" which translates to "Cadaña Sana" in English. The text is written in both English and Spanish. The image also mentions that the bones in the hip are labeled as "cartilage" and "artrosis".

There is also a red arrow pointing to the left and right side of the image, which is likely indicating the location of the cartilage. This suggests that the image is meant to illustrate the difference between the two types of artrosis.</caption><transcript><audio_37> El cartílago, no el hueso. Eso mismo, se va desgastando el cartílago, que es la zona que recubre el hueso en la articulación. Entonces, por eso se ve de aquel lado todo lisito y de este lado se ven como irregularidades.</transcript><transcript><audio_38> zona más enrojece, enrojece, que están poniéndose el cartílago. Y cuando, bueno, pues la persona está con esos síntomas y ya sabe, ¿no?, que es una artrosis de cadera, ¿qué</transcript><transcript><audio_39> De forma aguda, siempre vamos a recurrir a algún analgésico, pero tenemos que llevar unas pautas y una predisposición a medio y largo plazo para que esa cadera sea nuestra al máximo tiempo posible, en cierto sentido.</transcript> complete medical history, which many times with the clinical history alone will guide us to hip osteoarthritis rather than overload, an adductor injury in the physical examination is almost always very clear to us because it is going to shorten a period of time.  The internal rotation usually hurts a little when we force that rotation because even if they are young people with slight degrees, there will always be a difference in the rotations and then to confirm it it usually takes a clear x-ray here we see a slide of a healthy hip and here at its  good side because a hip of course, what happens is that the bone wears out and the articular cartilage with the degenerative disease, which is almost always due to overuse or sometimes there is some anatomical alteration, what wears out is that cartilage, which is the cartilage.  Not the bone, that's what we see: the cartilage, which is the area that covers the bone in the joint, is wearing away, so that's why you see everything ready from that side and on this side they look like irregularities.  In that area, more reddish to reddish, what they are putting is the cartilage and when, well, the person has those symptoms and already knows what osteoarthritis of the hip is, what they can do to improve these acutely painful symptoms, we will always resort to it. to some analgesic but we have to follow some guidelines and a medium-long-term predisposition so that this race is ours in the maximum possible time.
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