Impacto femoroacetabular: uma revisão baseada em evidências para o médico generalista

Resumo

Este artigo objetiva fornecer os subsídios para a compreensão e reconhecimento da síndrome do impacto femoroacetabular (SIFA) aos médicos que fazem primeiros atendimentos de pacientes com queixas de dor na região inguinal. Foi realizada uma revisão bibliográfica na base de dados Medline com artigos de 1990 até 2018, utilizando a palavra-chave “femoroacetabular impingement” e suas variações. A SIFA é uma condição frequentemente negligenciada que afeta pessoas jovens e ativas, mas que pode ser identificada com conhecimento adequado da história clínica e dos achados no exame físico. Ela se caracteriza por um conflito anormal entre o rebordo do acetábulo e o colo do fêmur, sendo causa frequente de dor inguinal e fator precipitante de coxartrose. Os sintomas podem ser evitados ou reduzidos com intervenção cirúrgica precoce.  A expectativa é que, no futuro, possamos impedir ou atrasar o começo das mudanças degenerativas na articulação do quadril. Concluímos que pacientes com suspeita de síndrome do impacto femoroacetabular podem ser identificados por médicos não especialistas em ortopedia, colaborando com o encaminhamento precoce desses pacientes para tratamento adequado.

Biografia do Autor

Bruno Gonçalves Schroder e Souza, Universidade Federal de Juiz de Fora
Professor Assistente do Departamento de Cirurgia da UFJF

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Publicado
2018-10-15
Como Citar
1.
Souza BGS e, Lessa FJ, Miranda MB, Tabet CG. Impacto femoroacetabular: uma revisão baseada em evidências para o médico generalista. hu rev [Internet]. 15º de outubro de 2018 [citado 27º de setembro de 2020];43(3):269 -276. Disponível em: https://periodicos.ufjf.br/index.php/hurevista/article/view/2700
Seção
Artigos de Revisão da Literatura