Última revisão: 3 Nov 2021
Última atualização: 03 Dez 2019

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • lesão no joelho por conta de carga repetitiva em valgo excessiva do ligamento colateral medial
  • dor no joelho medial
  • derrame articular
  • sensibilidade
  • frouxidão no teste de estresse em valgo

Outros fatores diagnósticos

  • equimose
  • estalo audível ou sensação de rasgo no momento da lesão
  • dificuldade de andar
  • sintomas de instabilidade do joelho
  • sintomas mecânicos do joelho
  • deformidade do joelho
  • teste de gaveta anterior positivo
  • teste de gaveta posterior positivo
  • teste de Lachman positivo
  • teste do ressalto (pivot shift) positivo
  • sensibilidade na interlinha articular
  • dor crônica

Fatores de risco

  • participação em atividades que envolvem estresse em valgo na articulação do joelho
  • idade entre 20 e 35 anos
  • idade entre 55 e 70 anos
  • músculos fracos que cruzam a região medial do joelho

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • radiografias simples do joelho
  • radiografias sob estresse do joelho

Novos exames

  • ultrassonografia diagnóstica

Algoritmo de tratamento

Colaboradores

Autores

Sanjeev Bhatia, MD
Sanjeev Bhatia

Co-Director, Hip & Knee Joint Preservation Center

Northwestern Medicine Central DuPage Hospital

Northwestern University Feinberg School of Medicine

Warrenville

IL

Declarações

SB receives royalties from the following Nova publication: Ligamentous Injuries of the Knee. SB has stock ownership in Vericel and Joint Preservation Innovations, LLC.

Nikhil N. Verma, MD
Nikhil N. Verma

Professor

Department of Orthopedic Surgery

Section of Sports Medicine

Rush University Medical Center

Chicago

IL

Declarações

NNV declares the following competing interests: American Orthopaedic Society for Sports Medicine: board or committee member; American Shoulder and Elbow Surgeons: board or committee member; Arthrex, Inc.: research support; Arthroscopy: publishing royalties, financial or material support; Arthroscopy Association of North America: board or committee member; Breg: research support; Cymedica: stock or stock options; Knee: editorial or governing board; Minivasive: paid consultant, stock or stock options; Omeros: stock or stock options; Orthospace: paid consultant; Ossur: research support; SLACK Incorporated: editorial or governing board; Smith & Nephew: IP royalties, research support; Vindico Medical-Orthopedics Hyperguide: publishing royalties, financial or material support; Wright Medical Technology, Inc.: research support. 

Revisores

Daniel J. Solomon, MD

Co-director of Orthopedic Sports and Shoulder Service

Department of Orthopedic Surgery

Naval Medical Center San Diego

San Diego

CA

Declarações

DJS declares that he has no competing interests.

Robert Werner, MD

Professor

Chief of Physical Medicine and Rehabilitation

Ann Arbor VA Medical Center

Ann Arbor

MI

Declarações

RW has been reimbursed by the University of Michigan for attending several conferences and has been paid an honorarium for speaking at the American Association of Neuromuscular and Electrodiagnostic Medicine national meeting. RW has been paid by the National Institute for Occupational Safety and Health, the American Dental Association, and SmartHealth as a consultant and has received grant funding from the UAW/GM Health and Safety Board (over US$1 million).

Matthew T. Provencher, MD

Assistant Director

Orthopaedic Shoulder and Sports Surgery

Naval Medical Center San Diego

San Diego

CA

Declarações

MTP declares that he has no competing interests.

Philip H. Cohen, MD

Clinical Assistant Professor of Medicine

Robert Wood Johnson Medical School

University of Medicine and Dentistry of New Jersey

Piscataway

NJ

Declarações

PHC declares that he has no competing interests.

Jung-Ro Yoon, MD

Orthopedic Surgeon

Department of Orthopedic Surgery

Seoul Veterans Hospital

Seoul

South Korea

Declarações

JRY declares that she has no competing interests.

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