Femoroacetabular Impingement and Acetabular Labral Tears – Part 2: Clinical Diagnosis, Physical Examination and Imaging

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Citações na Scopus
3
Tipo de produção
article
Data de publicação
2020
DOI
SciELO
Scopus
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
Sociedade Brasileira de Ortopedia e Traumatologia
Autores
POLESELLO, Giancarlo Cavalli
QUEIROZ, Marcelo C.
RUDELLI, Marco
RICIOLI JUNIOR, Walter
Citação
REVISTA BRASILEIRA DE ORTOPEDIA, v.55, n.5, p.523-531, 2020
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Abstract The clinical diagnosis of femoral acetabular impingement (FAI) continues to evolve as the understanding of normal and pathological hips progresses. Femoral acetabular impingement is currently defined as a syndrome in which the diagnosis consists of the combination of a previously-obtained comprehensive clinical history, followed by a consistent and standardized physical examination with specific orthopedic maneuvers. Additionally, radiographic and tomographic examinations are used for the morphological evaluation of the hip, and to ascertain the existence of sequelae of childhood hip diseases and the presence of osteoarthritis. The understanding of the femoral and acetabular morphologies and versions associated with images of labral and osteochondral lesions obtained through magnetic resonance imaging (MRI) contributes to the confirmation of this syndrome in symptomatic patients, and helps in the exclusion of differential diagnoses such as iliopsoas tendon snaps, subspine impingement, ischiofemoral impingement, and other hip joint pathologies.
Resumo O diagnóstico clínico do impacto femoroacetabular continua a evoluir conforme o entendimento dos quadris normal e patológico progride. Impacto femoroacetabular é atualmente definido como uma síndrome na qual o diagnóstico se baseia no somatório de uma história clínica abrangente obtida previamente, seguida de um exame físico coerente e padronizado com manobras ortopédicas específicas. Além disso, exames radiográficos e tomográficos são usados para a avaliação morfológica do quadril, e para verificar a existência de sequelas de doenças do quadril da infância e a presença de osteoartrose. O entendimento da morfologia e versão femoral e acetabular associado às imagens de lesões labrais e osteocondrais obtidas com a ressonância magnética contribuem para a confirmação da síndrome nos pacientes sintomáticos, além de auxiliar na exclusão de diagnósticos diferenciais, como ressalto do tendão do músculo iliopsoas, impacto subespinhal, impacto isquiofemoral, e outras patologias da articulação do quadril.
Palavras-chave
diagnosis, hip, radiography, femoroacetabular impingement, diagnóstico, quadril, radiografia, impacto femoroacetabular
URI
https://observatorio.fm.usp.br/handle/OPI/39667
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Coleções
Artigos e Materiais de Revistas Científicas - HC/IOT
Artigos e Materiais de Revistas Científicas - LIM/41