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Para quem pratica atividade de alto impacto como, por exemplo, a corrida, o joelho é uma das regiões que mais sofrem lesões. A Síndrome de Hoffa (ou síndrome do impacto da gordura infrapatelar) é uma das mais comuns, porém seus sintomas ainda são desconhecidos pelos atletas.
A gordura de Hoffa fica abaixo da patela, contribuindo para a mecânica do movimento do joelho, sendo que alguns estudos mostram sua participação na nutrição e reparação das estruturas articulares. Por isso, a inflamação nessa gordura pode aumentar seu tamanho, sofrer hemorragias e fibrose, o que leva ao surgimento da Síndrome de Hoffa.
Microtraumas de repetição podem levar a alterações crônicas desta gordura, causando dor na face anterior do joelho. Com o tempo e a formação de fibrose, ela pode estar hipertrofiada e, consequentemente, o espaço articular diminui. Na corrida, a gordura de Hoffa sofre lesões quando o atleta apresenta hiperextensão do joelho (o joelho estica mais do que deveria), movimentos de rotação excessivos e contração inadequada do músculo anterior da coxa.
Há várias lesões que podem ser confundidas com a Síndrome de Hoffa, e por isso o diagnóstico deve ser minucioso para que seja iniciado um tratamento adequado e precoce.
Vale ressaltar que é importante tratar também a causa do problema para que a lesão não retorne. De forma geral, a recuperação inclui controle da hiperextensão do joelho; fortalecimento da musculatura do quadril e da coxa e alinhamento da patela.
O joelho é a maior articulação do corpo, portanto fique atento!
Por: Bruno Spíndola
CREF: 042341-G/SP
75 Comentários
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