Impacto femoroacetabular: uma revisão baseada em evidências para o médico generalista
DOI:
https://doi.org/10.34019/1982-8047.2017.v43.2700Abstract
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.
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BARDAKOS, N.V.; VILLAR, R.N. Predictors of progression of osteoarthritis in femoroacetabular impingement: A radiological study with a minimum of ten years follow-up. The Journal of Bone and Joint Surgery British, v. 91, n. 2, p. 162-169, feb. 2009.
BECK, M. et al. Anterior femoroacetabular impingement: part II. Midterm results of surgical treatment. Clinical Orthopedics and Related Research, v. 418, p. 67-73, jan. 2004.
BECK, M.; Ganz, R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. The Journal of Bone and Joint Surgery British, v. 87, p. 1012-1018, jul. 2005.
CLOHISY, J.C. et al. Radiographic evaluation of the hip has limited reliability. Clinical Orthopedics and Related Research; v. 467, n. 3, p. 666–675, mar. 2009.
COLLINS, J.A.; WARD, J.P.; YOUM, T. Is prophylactic surgery for femoroacetabular impingement indicated? A systematic review. American Journal of Sports and Medicine, v. 42, n. 12, p. 3009-3015, dec. 2014.
CRESTANI, M.V. et al. Impacto femoroacetabular: uma das condições precursoras da osteoartrose do quadril. Revista Brasileira de Ortopedia, v. 41, n.8, p. 285-293, ago. 2006.
DAIVAJNA, S. et al. Outcome of arthroscopy in patients with advanced osteoarthritis of the hip. PLoS One, v. 10, n.1, e0113970, jan. 2015.
DIAMOND, L.E. et al. Physical impairments and activity limitations in people with femoroacetabular impingement: a systematic review. British Journal of Sports Medicine, v. 49, p. 230–242, feb. 2014.
DOOLEY, P.J. Femoroacetabular impingement syndrome: Nonarthritic hip pain in young adults. Canadian Family Physician Medecin de famille Canadien, v.54, n. 1, p. 42-47, jan. 2008.
EMARY, P. Femoroacetabular impingement syndrome: a narrative review for the chiropractor. The Journal of the Canadian Chiropractic Association, v. 54, n. 3, p. 164-176, sep. 2010.
GANZ, R. et al. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clinical Orthopedic and Related Research, v. 417, p. 112-120, dec. 2003.
GANZ, R. et al. The etiology of osteoarthritis of the hip: an integrated mechanical concept. Clinical Orthopedic and Related Research, V. 466, p. 264-272, feb. 2008.
GRIFFIN, D.R. et al. Hip arthroscopy versus Best conservative care for treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomized controlled trial. Lancet. v. 391, n. 10136, p. 2225-2235, jun. 2018.
JÄGER, M. et al. Femoroacetabular impingement caused by a femoral osseous head-neck bump deformity: Clinical, radiological, and experimental results. Journal of Orthopaedic Science, v. 9, n. 3, p. 256-263, may. 2004
JOHNSTON, T.L. et al. Relationship between offset angle alpha, hip chondral injury in femoroacetabular impingement. Arthroscopy, v. 24, n. 6, p. 669-675, jun. 2008.
KELLY, B.T. et al. Arthroscopic labral repair in the hip: surgical technique, review of the literature. Arthroscopy, v. 21, n. 12, p. 1496-1504, dec. 2005.
KEMP, J.L. et al. The Pshyiostherapy for Femoroacetabular Impingement rehabilitation Study (physioFIRST): A Pilot Randomized controlled trial. Journal of Orthopedics Sports Physical Therapy. v. 48, n. 4, p. 307-315, apr. 2018.
KONAN, S. et al. Validation of the classification system for acetabular chondral lesions identified at arthroscopy in patients with femuroacetabular impingement. The Journal of Bone and Joint Surgery British, v. 93, n. 3, p. 332-336, mar. 2011.
KUHNS, B.D. et al. A four-phase physical therapy regimen for returning athletes to sport following hip arthroscopy for femoroacetabular impingement with routine capsular closure. International Journal of Sports Physical Therapy. v. 12, n. 4, p.683-696, aug. 2017
LARSON, C.M. et al. Arthroscopic hip revision surgery for residual femoroacetabular impingement (FAI): Surgical outcomes compared with a matched cohort after primary arthroscopic FAI correction. American Journal of Sports Medicine. V.42, n. 8, p.1785-1790. Aug. 2014.
LEUNIG, M.; BEAULÉ, P.E.; GANZ, R. The concept of femoroacetabular impingement: current status and future perspectives. Clinical Orthopedic and Related Research, v. 467, n. 3, p. 616-622, mar. 2009
LEQUESNE, M. Osteoarthritis of the Hip. Rev Prat. v. 52, n. 6, p. 605-610, mar. 2002.
LINCOLN, M. et al. Combined arthroscopic, modified open approach for cam femoroacetabular impingement a preliminary experience. Arthroscopic, v. 25, n. 4, p. 392-399, apr. 2009.
McCARTHY, J.C. The diagnosis and treatment of labral and chondral injuries. Instructional Course Lectures, v. 53, p.573-577, 2004.
MYERS, S.R.; EIJER, H.; GANZ R. Anterior femoroacetabular impingement after periacetabular osteotomy. Clinical Orthopedic and Related Research, v. 363, p. 93-99, jun. 1999.
PHILIPPON, M.J. et al. Hip arthroscopy for femoroacetabular impingement in patients aged 50 years or older. Arthroscopy, v. 28, n. 1, p. 59-65, jan. 2012.
PHILLIPPON MJ, et al. Early outcomes after hip arthroscopy for femoroacetabular impingement in the athletic adolescent patient: A preliminary report. Journal of Pediatric Orthopedic, v. 28, n. 7, p. 705-710, oct./nov. 2008.
PHILIPPON, M.J., SCHRODER E SOUZA, B.G., BRIGGS, K. K. Hip arthroscopy and labral treatment in patients with femoroacetabular impingement. Minerva Ortophedic Trauma, v.60, n. 4, p. 293-302, aug. 2009.
PHILLIPPON MJ, et al. Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two year follow up. The Journal of Bone and Joint Surgery British, v. 91, n. 1, p. 16-23. jan. 2009.
PHILLIPPON, M.J.; SCHENKER, M.L. Arthroscopy for the treatment of femoroacetabular impingement in the athete. Clinical Sport Medicine. v. 25, n. 2, p. 299-308, apr. 2006.
RYLANDER. L. et al. Femoroacetabular Impingement and Acetabular Labral Tears. Orthopedics. v. 33, n. 5, p. :342-352. may. 2010
SAUPE, N. et al. Pain, other side effects after MR arthrography prospective evaluation in 1085 patients. Radiology. v. 250, n. 3, p. 830-838. mar. 2009.
SIEBENROCK, K. A. et al. Anterior femoro-acetabular impingement due to acetabular retroversion. Treatment with periacetabular osteotomy. The Journal of Bone Joint Surgery American, v. 85, n. 2, p.278- 286. feb. 2003.
SKENDZEL, J. G. et al. The effect of joint space on midterm outcomes after arthroscopic hip surgery for femoroacetabular impingement. American Journal of Sports Medicine, v. 42, n. 5, p. 1127-1133, may. 2014.
SMITH-PETERSEN, M. N. Treatment of malum coxae senilis, old slipped upper femoral epiphysis, intrapelvic protrusion of the acetabulum, and coxa plana by means of acetabuloplasty. Journal of Bone Joint Surgery, v. 18, p. 869-890, mar. 1936.
SOUZA, B. G. S. et al. Impacto femoroacetabular misto associado an impacto subespinhal: reconhecimento do impacto femoropelvico trifocal, Revista Brasileira de Ortopedia, v. 53, n. 3, p. 389-394 may./jun. 2018.
SPENCER, J. M. et al. Genetic background increases the risk of hip osteoarthritis. Clinical Orthopedic and Related Research, v.431, p. 134–137, feb. 2005.
STEPPACHER, S. D. et al. Eighty percent of patients with surgical hip dislocation for femoracetabular impingement have a good clinical result without osteoarthritis progression at 10 years. Clinical Orthopedic and Related Research, v. 473, p. 1333-1341, apr 2015.
SUNDBERG, T. P.; TOOMAYAN, G. A.; MAYOR, N. M. Evaluation of the acetabular labrum at 3.0-T MR imaging compared with 1.5-T MR arthrography: preliminary experience. Radiology, v. 238, n. 2, p. 706-711, feb. 2006.
WALL, P.D.H. et al. Conservative treatment for femoroacetabular impingement syndrome: personalised hip therapy and the FASHIoN trial. British of Journal of Sports Medicine, v. 50, p. 1217–1223, 2016.
ZALTZ, I. et al. Surgical treatment of femoroacetabular impingement: what are the limits of hip arthroscopy? Arthroscopy. v. 30, n. 1, p. 99-110, jan. 2014.
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- Sifa No Pubmed (Português (Brasil))
- Relação entre origem da dor e possíveis causas (Português (Brasil))
- Incidências radiográficas comumente solicitadas para investigação da SIFA e achados possíveis. (Português (Brasil))
- Folha de Rosto (Português (Brasil))
- Impacto femoroacetabular: uma revisão baseada em evidências para o médico generalista (Português (Brasil))
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