Atualização em instabilidade patelar

Nilson Roberto Severino; Fabrício Roberto Severino; Osmar Pedro Arbix de Camargo; Luiz Gabriel Betoni Guglielmetti; Victor Marques de Oliveira; Ricardo de Paula Leite Cury

doi:10.1055/s-0040-1713389

Revista Brasileira de Ortopedia, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(02): 147-153
DOI: 10.1055/s-0040-1713389

Artigo de Atualização

Joelho

Atualização em instabilidade patelar

Artikel in mehreren Sprachen: português | English

Autoren

Nilson Roberto Severino

¹Grupo de Joelho, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, Santa Casa de São Paulo, São Paulo, Brasil
Fabrício Roberto Severino

¹Grupo de Joelho, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, Santa Casa de São Paulo, São Paulo, Brasil
Osmar Pedro Arbix de Camargo

¹Grupo de Joelho, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, Santa Casa de São Paulo, São Paulo, Brasil
Luiz Gabriel Betoni Guglielmetti

¹Grupo de Joelho, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, Santa Casa de São Paulo, São Paulo, Brasil
Victor Marques de Oliveira

¹Grupo de Joelho, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, Santa Casa de São Paulo, São Paulo, Brasil
Ricardo de Paula Leite Cury

¹Grupo de Joelho, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, Santa Casa de São Paulo, São Paulo, Brasil

Abstract

Resumo

A instabilidade patelar é uma condição clínica multifatorial, que acomete um número expressivo de pacientes, ocorrendo devido a variações anatômicas, morfológicas da articulação e do alinhamento patelofemoral. O presente estudo de revisão e atualização da literatura teve como objetivos identificar e sumarizar os conceitos atuais sobre instabilidade patelar em relação aos fatores de risco associados, os critérios diagnósticos e os benefícios e riscos dos tratamentos conservador e cirúrgico. Para tanto, foi realizado um levantamento nas bases de dados eletrônicas MEDLINE (via Pubmed), LILACS e Cochrane Library. Conclui-se que o diagnóstico preciso depende da avaliação clínica detalhada, incluindo o histórico e possíveis fatores de risco individuais, além de exames de imagem. O tratamento inicial da instabilidade patelar é ainda controverso, e requer a combinação de intervenções conservadoras e cirúrgicas, levando em consideração tanto os tecidos moles quanto as estruturas ósseas, sendo estas últimas a razão mais comum para a escolha do tratamento cirúrgico, principalmente instabilidade patelar lateral.

Palavras-chave

patela - articulação patelofemoral - instabilidade articular - luxação patelar

Volltext

Referenzen

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