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Síndrome da dor patelofemoral

  • Overview
  • Theory
  • Diagnosis
  • Management
  • Follow up
  • Resources
Última revisión: 13 Sep 2025
Última actualización: 10 Mar 2023

Resumen

Definition

History and exam

Key diagnostic factors

  • 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
Full details

Risk factors

  • 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
Full details

Diagnostic investigations

1st investigations to order

  • nenhum exame inicial
Full details

Investigations to consider

  • radiografia do joelho
  • RNM
  • RNM cinemática ou tomografia computadorizada (TC)
Full details

Treatment algorithm

INITIAL

dor aguda

ACUTE

mecânica anormal da articulação patelofemoral

problemas na cadeia cinética inferior

uso excessivo em atletas

ONGOING

tratamento pós-inicial e da fase de reativação

Contributors

Authors

Michael Fredericson, MD, FACSM
Michael Fredericson

Associate Professor and Director

Physical Medicine & Rehabilitation Clinics

Stanford University

Stanford

CA

Disclosures

MF declares that he has no competing interests.

Acknowledgements

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.

Peer reviewers

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

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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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