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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(05): 518-522
DOI: 10.1055/s-0040-1702964
Artigo de Atualização
Quadril

Impacto femoroacetabular e lesão do lábio acetabular - Parte 1: Fisiopatologia e biomecânic[a]

Article in several languages: português | English
Leandro Ejnisman 
1   Grupo de Quadril, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
,
Walter Ricioli Júnior 
2   Grupo de Quadril, Faculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP, Brasil
,
Marcelo Cavalheiro Queiroz 
1   Grupo de Quadril, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
,
Jose Ricardo Negreiros Vicente 
1   Grupo de Quadril, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
,
Alberto Tesconi Croci 
1   Grupo de Quadril, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
,
Giancarlo Cavalli Polesello 
2   Grupo de Quadril, Faculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP, Brasil
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Resumo

O impacto femoroacetabular (IFA) é uma importante causa de dor no quadril, e a principal etiologia da osteoartrose do quadril no jovem. O IFA é caracterizado por alterações sutis da anatomia do acetábulo e do fêmur proximal que podem causar lesões do complexo condrolabial. O lábio é uma estrutura fibrocartilaginosa essencial na estabilidade articular. Três tipos de IFA são descritos: came (onde há uma anesfericidade da cabeça femoral), pincer (onde há uma sobrecobertura acetabular) e misto (que apresenta características de ambos). A etiologia do IFA está relacionada com características genéticas e ambientais. O conhecimento desta doença e sua fisiopatologia é essencial para o tratamento de pacientes que apresentam dor no quadril.

Palavras-chave

quadril - impacto femoroacetabular - lábio acetabular - medicina esportiva - artroscopia de quadril

Considerações Finais

O IFA é uma síndrome caracterizada por dor no quadril associada a alterações sutis na anatomia da articulação coxo-femoral. O IFA é uma causa importante de lesão do lábio acetabular, que é uma estrutura essencial na biomecânica do quadril. O conhecimento desta doença é de suma importância para o ortopedista que trata pacientes com dor no quadril.




Publication History

Received: 29 September 2019

Accepted: 12 November 2019

Article published online:
02 April 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil

 

  • Referências

  • 1 Smith-Petersen MN. Treatment of malum coxae senilis, old slipped upper femoral epiphysis, intrapelvic protrusion of the acetabulum, and coxa plana by means of acetabuloplasty. J Bone Joint Surg Am 1936; 18: 869-880
    Google Scholar
  • 2 Carlioz H, Pous JG, Rey JC. [Upper femoral epiphysiolysis]. Rev Chir Orthop Repar Appar Mot 1968; 54 (05) 387-491
    Google Scholar
  • 3 Stulberg SD, Cordell LD, Harris WH, Ramsey PL, MacEwan GD. Unrecognized childhood hip disease: a major cause of idiopathic osteoarthritis of the hip. In: The Hip. Proceedings of The Third Meeting of the Hip Society. St. Louis, MO: C.V. Mosby; 1975
    Google Scholar
  • 4 Klaue K, Durnin CW, Ganz R. The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg Br 1991; 73 (03) 423-429
    CrossrefPubMedGoogle Scholar
  • 5 Reynolds D, Lucas J, Klaue K. Retroversion of the acetabulum. A cause of hip pain. J Bone Joint Surg Br 1999; 81 (02) 281-288
    CrossrefPubMedGoogle Scholar
  • 6 Myers SR, Eijer H, Ganz R. Anterior femoroacetabular impingement after periacetabular osteotomy. Clin Orthop Relat Res 1999; (363) 93-99
    PubMedGoogle Scholar
  • 7 Ganz R, Parvizi J, Beck M, Leunig M, Nötzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res 2003; (417) 112-120
    CrossrefPubMedGoogle Scholar
  • 8 Crawford MJ, Dy CJ, Alexander JW. et al. The 2007 Frank Stinchfield Award. The biomechanics of the hip labrum and the stability of the hip. Clin Orthop Relat Res 2007; 465 (465) 16-22
    CrossrefPubMedGoogle Scholar
  • 9 Ferguson SJ, Bryant JT, Ganz R, Ito K. The acetabular labrum seal: a poroelastic finite element model. Clin Biomech (Bristol, Avon) 2000; 15 (06) 463-468
    CrossrefPubMedGoogle Scholar
  • 10 Ferguson SJ, Bryant JT, Ganz R, Ito K. An in vitro investigation of the acetabular labral seal in hip joint mechanics. J Biomech 2003; 36 (02) 171-178
    CrossrefPubMedGoogle Scholar
  • 11 Bsat S, Frei H, Beaulé PE. The acetabular labrum: a review of its function. Bone Joint J 2016; 98-B (06) 730-735
    CrossrefPubMedGoogle Scholar
  • 12 Konrath GA, Hamel AJ, Olson SA, Bay B, Sharkey NA. The role of the acetabular labrum and the transverse acetabular ligament in load transmission in the hip. J Bone Joint Surg Am 1998; 80 (12) 1781-1788
    CrossrefPubMedGoogle Scholar
  • 13 Henak CR, Ellis BJ, Harris MD, Anderson AE, Peters CL, Weiss JA. Role of the acetabular labrum in load support across the hip joint. J Biomech 2011; 44 (12) 2201-2206
    CrossrefPubMedGoogle Scholar
  • 14 Myers CA, Register BC, Lertwanich P. et al. Role of the acetabular labrum and the iliofemoral ligament in hip stability: an in vitro biplane fluoroscopy study. Am J Sports Med 2011; 39 (Suppl): 85S-91S
    CrossrefPubMedGoogle Scholar
  • 15 Lavigne M, Parvizi J, Beck M, Siebenrock KA, Ganz R, Leunig M. Anterior femoroacetabular impingement: part I. Techniques of joint preserving surgery. Clin Orthop Relat Res 2004; (418) 61-66
    CrossrefPubMedGoogle Scholar
  • 16 Philippon MJ, Briggs KK, Yen YM, Kuppersmith DA. Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two-year follow-up. J Bone Joint Surg Br 2009; 91 (01) 16-23
    CrossrefPubMedGoogle Scholar
  • 17 Seldes RM, Tan V, Hunt J, Katz M, Winiarsky R, Fitzgerald Jr RH. Anatomy, histologic features, and vascularity of the adult acetabular labrum. Clin Orthop Relat Res 2001; (382) 232-240
    CrossrefPubMedGoogle Scholar
  • 18 Ejnisman L, Domb BG, Souza F, Junqueira C, Vicente JRN, Croci AT. Are femoroacetabular impingement tomographic angles associated with the histological assessment of labral tears? A cadaveric study. PLoS One 2018; 13 (06) e0199352
    CrossrefPubMedGoogle Scholar
  • 19 Pollard TC, Villar RN, Norton MR. et al. Genetic influences in the aetiology of femoroacetabular impingement: a sibling study. J Bone Joint Surg Br 2010; 92 (02) 209-216
    CrossrefPubMedGoogle Scholar
  • 20 Sekimoto T, Kurogi S, Funamoto T. et al. Possible association of single nucleotide polymorphisms in the 3′ untranslated region of HOXB9 with acetabular overcoverage. Bone Joint Res 2015; 4 (04) 50-55
    CrossrefPubMedGoogle Scholar
  • 21 Siebenrock KA, Wahab KH, Werlen S, Kalhor M, Leunig M, Ganz R. Abnormal extension of the femoral head epiphysis as a cause of cam impingement. Clin Orthop Relat Res 2004; (418) 54-60
    CrossrefPubMedGoogle Scholar
  • 22 Murray RO, Duncan C. Athletic activity in adolescence as an etiological factor in degenerative hip disease. J Bone Joint Surg Br 1971; 53 (03) 406-419
    CrossrefPubMedGoogle Scholar
  • 23 Siebenrock KA, Ferner F, Noble PC, Santore RF, Werlen S, Mamisch TC. The cam-type deformity of the proximal femur arises in childhood in response to vigorous sporting activity. Clin Orthop Relat Res 2011; 469 (11) 3229-3240
    CrossrefPubMedGoogle Scholar
  • 24 Agricola R, Heijboer MP, Ginai AZ. et al. A cam deformity is gradually acquired during skeletal maturation in adolescent and young male soccer players: a prospective study with minimum 2-year follow-up. Am J Sports Med 2014; 42 (04) 798-806
    CrossrefPubMedGoogle Scholar
  • 25 de Silva V, Swain M, Broderick C, McKay D. Does high level youth sports participation increase the risk of femoroacetabular impingement? A review of the current literature. Pediatr Rheumatol Online J 2016; 14 (01) 16
    CrossrefPubMedGoogle Scholar
  • 26 Griffin DR, Dickenson EJ, O'Donnell J. et al. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Br J Sports Med 2016; 50 (19) 1169-1176
    CrossrefPubMedGoogle Scholar
  • 27 Frank JM, Harris JD, Erickson BJ. et al. Prevalence of Femoroacetabular Impingement Imaging Findings in Asymptomatic Volunteers: A Systematic Review. Arthroscopy 2015; 31 (06) 1199-1204
    CrossrefPubMedGoogle Scholar
  • 28 Keogh MJ, Batt ME. A review of femoroacetabular impingement in athletes. Sports Med 2008; 38 (10) 863-878
    CrossrefPubMedGoogle Scholar
  • 29 Prather H, Colorado B, Hunt D. Managing hip pain in the athlete. Phys Med Rehabil Clin N Am 2014; 25 (04) 789-812
    CrossrefPubMedGoogle Scholar
  • 30 Kerbel YE, Smith CM, Prodromo JP, Nzeogu MI, Mulcahey MK. Epidemiology of Hip and Groin Injuries in Collegiate Athletes in the United States. Orthop J Sports Med 2018; 6 (05) 2325967118771676
    Google Scholar
  • 31 Feeley BT, Powell JW, Muller MS, Barnes RP, Warren RF, Kelly BT. Hip injuries and labral tears in the national football league. Am J Sports Med 2008; 36 (11) 2187-2195
    CrossrefPubMedGoogle Scholar
  • 32 Mehran N, Photopoulos CD, Narvy SJ, Romano R, Gamradt SC, Tibone JE. Epidemiology of Operative Procedures in an NCAA Division I Football Team Over 10 Seasons. Orthop J Sports Med 2016; 4 (07) 2325967116657530
    Google Scholar
  • 33 Nho SJ, Kymes SM, Callaghan JJ, Felson DT. The burden of hip osteoarthritis in the United States: epidemiologic and economic considerations. J Am Acad Orthop Surg 2013; 21 (Suppl. 01) S1-S6
    CrossrefPubMedGoogle Scholar
  • 34 Agricola R, Heijboer MP, Bierma-Zeinstra SM, Verhaar JA, Weinans H, Waarsing JH. Cam impingement causes osteoarthritis of the hip: a nationwide prospective cohort study (CHECK). Ann Rheum Dis 2013; 72 (06) 918-923
    CrossrefPubMedGoogle Scholar
  • 35 Thomas GE, Palmer AJ, Batra RN. et al. Subclinical deformities of the hip are significant predictors of radiographic osteoarthritis and joint replacement in women. A 20 year longitudinal cohort study. Osteoarthritis Cartilage 2014; 22 (10) 1504-1510
    CrossrefPubMedGoogle Scholar
  • 36 Agricola R, Heijboer MP, Roze RH. et al. Pincer deformity does not lead to osteoarthritis of the hip whereas acetabular dysplasia does: acetabular coverage and development of osteoarthritis in a nationwide prospective cohort study (CHECK). Osteoarthritis Cartilage 2013; 21 (10) 1514-1521
    CrossrefPubMedGoogle Scholar
  • 37 Gosvig KK, Jacobsen S, Sonne-Holm S, Palm H, Troelsen A. Prevalence of malformations of the hip joint and their relationship to sex, groin pain, and risk of osteoarthritis: a population-based survey. J Bone Joint Surg Am 2010; 92 (05) 1162-1169
    CrossrefPubMedGoogle Scholar
  • 38 Kim WY, Hutchinson CE, Andrew JG, Allen PD. The relationship between acetabular retroversion and osteoarthritis of the hip. J Bone Joint Surg Br 2006; 88 (06) 727-729
    CrossrefPubMedGoogle Scholar
  • 39 Giori NJ, Trousdale RT. Acetabular retroversion is associated with osteoarthritis of the hip. Clin Orthop Relat Res 2003; (417) 263-269
    CrossrefPubMedGoogle Scholar