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Síndrome da dor patelofemoral

  • Обзор
  • Теория
  • Диагноз
  • Лечение
  • Последующее наблюдение
  • Источники
Последний просмотренный: 12 Oct 2025
Last updated: 10 Mar 2023

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • dor mal definida
  • dor agravada por força compressiva
  • Ângulo Q
  • dor à palpação do retináculo patelar
  • teste da inclinação patelar
  • teste de deslize médio-lateral
  • teste da mobilidade patelar
  • teste de apreensão patelar
  • teste de mau ajuste patelar
  • diminuição da flexibilidade muscular
  • fraqueza muscular
Полная информация

Факторы риска

  • anormalidades estruturais e ósseas
  • contratura da banda iliotibial
  • mobilidade patelar anormal
  • fraqueza muscular no quadríceps
  • pronação da articulação subtalar
  • rotação interna do quadril
  • desvios de marcha
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • nenhum exame inicial
Полная информация

Исследования, проведение которых нужно рассмотреть

  • radiografia do joelho
  • RNM
  • RNM cinemática ou tomografia computadorizada (TC)
Полная информация

Алгоритм лечения

Начальные

dor aguda

Острый

mecânica anormal da articulação patelofemoral

problemas na cadeia cinética inferior

uso excessivo em atletas

ПРОДОЛЖЕНИЕ

tratamento pós-inicial e da fase de reativação

Составители

Авторы

Michael Fredericson, MD, FACSM
Michael Fredericson

Associate Professor and Director

Physical Medicine & Rehabilitation Clinics

Stanford University

Stanford

CA

Раскрытие информации

MF declares that he has no competing interests.

Выражение благодарностей

Dr Michael Fredericson would like to gratefully acknowledge Dr Jong In Lee and Dr Julia Arroyo, previous contributors to this topic. JIL and JA declare that they have no competing interests.

Рецензенты

John Cianca, MD

Clinical Associate Professor

Department of Physical Medicine & Rehabilitation

Baylor College of Medicine

Houston

TX

Раскрытие информации

JC declares that he has no competing interests.

John Halperin, MD

Physician

Sharp Rees-Stealy Medical Group

La Mesa

San Diego

CA

Раскрытие информации

JH declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Fredericson M, Powers CM. Practical management of patellofemoral pain. Clin J Sport Med. 2002;12:36-38. Аннотация

Earl JE, Vetter CS. Patellofemoral pain. Phys Med Rehabil Clin N Am. 2007;18:439-458,viii. Аннотация

Fredericson M, Yoon K. Physical examination and patellofemoral pain syndrome: a review. Am J Phys Med Rehabil. 2006;85:234-243. Аннотация

American College of Radiology. ACR Appropriateness Criteria. Chronic knee pain. 2018 [internet publication].Полный текст

Collins NJ, Bisset LM, Crossley KM, et al. Efficacy of nonsurgical interventions for anterior knee pain: systematic review and meta-analysis of randomized trials. Sports Med. 2012;42:31-49. Аннотация

Статьи, указанные как источники

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