Síndrome do impacto do tornozelo na ressonância magnética: ensaio iconográfico

Lima, Cláudio Márcio Amaral de Oliveira; Ribeiro, Érica Barreiros; Coutinho, Elisa Pompeu Dias; Vianna, Evandro Miguelote; Domingues, R. C.; Júnior, Antônio Carlos Coutinho

doi:10.1590/s0100-39842010000100013

Cited by 10 publications

(9 citation statements)

References 6 publications

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“…Articular pain may become a limiting factor and even a cause of disability in the patient's life, and may affect any joint in the human body (46,47) . The literature presents discordant information on the actual causes of pain in osteoarthritis patients, but recent multicentric studies, such as MOST (28,30) , have demonstrated the association between bone attrition and pain.…”

Section: Discussionmentioning

confidence: 99%

Fadiga óssea: causa de dor em joelhos na osteoartrite

et al. 2012

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Knee pain is the most frequent symptom in osteoarthritis, a condition that is the leading cause of chronic disability in the elderly and one of the main sources of morbidity attributable to osteoarthritis in general. The causes of knee pain in individuals with osteoarthritis cannot be easily understood, and the knowledge of such causes is critical for determining future specific interventions. Bone attrition represents remodelling of the subchondral bone envelope in osteoarthritis, leading to a consequential change in bone shape and/or bone loss. However, bone attrition is not a feature that can be easily read, since it is hardly detected in the absence of clear defects of cortical bone integrity and because of overlap of bone structures at radiography. Bone attrition is associated not only with knee pain, but also with stiffness and disability. If attrition occurs prior to advanced osteoarthritis, this would suggest that changes in subchondral bone occur concurrently with cartilage loss and that treatments targeting cartilage loss alone are unlikely to be effective. Association with edemalike bone marrow lesions may be observed and constitute predictive factors for subchondral bone attrition. The present study was aimed at reviewing the literature, demonstrating the relevance of bone attrition and explaining how to diagnose this entity on imaging studies. Keywords: Magnetic resonance imaging; Osteoarthritis; Knee pain; Bone attrition; Subchondral bone; Diagnosis.A dor no joelho é o sintoma mais comum na osteoartrite, sendo a principal causa de incapacidade crônica em idosos e uma das principais fontes de morbidade atribuível à osteoartrite em geral. As causas de dor no joelho em pessoas com osteoartrite não são facilmente entendidas e o conhecimento sobre as causas da dor é fundamental para que futuramente sejam realizadas intervenções específicas. A fadiga óssea representa o remodelamento do osso subcondral na osteoartrite, levando a uma consequente alteração na forma do osso e/ou perda óssea. No entanto, a fadiga óssea não é algo facilmente interpretado, pois é de difícil detecção na ausência de defeitos claros da cortical e pela sobreposição de estruturas ósseas nas radiografias convencionais. A fadiga óssea está associada não apenas a dor no joelho, mas também a rigidez e incapacidade. Se a fadiga ocorre antes da osteoartrite avançada, isso sugere que alterações no osso subcondral podem ocorrer simultaneamente a alterações da cartilagem e que tratamentos visando sua preservação podem não ser eficazes. Lesões com padrão de edema ósseo estão associadas e são fatores preditivos para fadiga óssea. Este trabalho tem por objetivo rever a literatura mostrando a importância da fadiga óssea e de como diagnosticar esta alteração nos exames de imagem. Unitermos: Ressonância magnética; Osteoartrite; Dor nos joelhos; Fadiga óssea; Osso subcondral; Diagnóstico. AbstractResumo

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Section: Discussionmentioning

confidence: 99%

Fadiga óssea: causa de dor em joelhos na osteoartrite

et al. 2012

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“…MRI findings are not pathognomonic, but capsular thickening, soft tissue thickening surrounding the ligaments, and generally low signal intensity in all pulse sequences, indicating fibrous tissue with distortion of the ankle gutters, is highly suspicious. [63][64][65] Pseudo-meniscoid lesions can be depicted with MRI. MR arthrography is helpful in doubtful cases.…”

Section: Osteochondral Lesionsmentioning

confidence: 99%

Ankle Instability Update

Cerezal,

Ocampo,

Llopis

et al. 2023

Semin Musculoskelet Radiol

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Sprains are the most frequent injuries of the ankle, especially in sports. Up to 85% of cases affect the lateral ligament complex. Multi-ligament injuries with associated lesions of the external complex, deltoid, syndesmosis, and sinus tarsi ligaments are also common. Most ankle sprains respond to conservative treatment. However, up to 20 to 30% of patients can develop chronic ankle pain and instability.New concepts have been recently developed, based on arthroscopic advances, such as microinstability and rotatory ankle instability. These entities could be precursors of mechanical ankle instability and at the origin of frequently associated ankle injuries, such as peroneus tendon lesions, impingement syndromes, or osteochondral lesions.Imaging methods, especially magnetic resonance (MR) imaging and MR arthrography, are key in precisely diagnosing ligament lesions and associated injuries, facilitating an adequate therapeutic approach.

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“…Similar relationships were found for the risk of depression and mood disorders in patients with persistent pain 3 . Pain may become a limiting and even disabling factor for patients and may affect any joint 4,5 . Several mechanisms and effects may be influenced by physiotherapy cognitive, physical and behavioral artifices, thus cooperating for the treatment of such patients 6 .…”

Section: Introductionmentioning

confidence: 99%

Tratamento fisioterapêutico das artralgias

Miotto¹,

Kayser²,

Molin³

et al. 2013

Rev. dor

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BACKGROUND AND OBJECTIVES: Aging is a dynamic, progressive and unavoidable process bringing several physical and emotional changes. Arthralgia is one of the most limiting factors with regard to elderly people's functionality. This study aimed at reviewing the literature in search of possible non-pharmacological treatments which may contribute to improve the quality of life (QL) of arthralgia patients. CONTENTS: LILACS, Medline, Pubmed, Bireme and Scielo databases were queried from 1998 to 2012. Among intervention methods to rehabilitate arthralgias in the elderly there are kinesiotherapy, thermotherapy, electrotherapy and hydrotherapy. CONCLUSION: Hydrotherapy associated to kinesiotherapy may bring significantly positive results to the treatment of rheumatoid arthritis, osteoarthritis and osteoporosis.

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Síndrome do impacto do tornozelo na ressonância magnética: ensaio iconográfico

Cited by 10 publications

References 6 publications

Fadiga óssea: causa de dor em joelhos na osteoartrite

Fadiga óssea: causa de dor em joelhos na osteoartrite

Ankle Instability Update

Tratamento fisioterapêutico das artralgias

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