Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20200179
Brazilian Journal of Pain
Original Article

Relationship of anteversion of the femoral neck with patellofemoral pain syndrome in young women not practicing regular physical activity

Relação entre a anteversão de colo do fêmur e a síndrome da dor patelofemoral em mulheres jovens não praticantes de atividade física regular

Alexandre Otilio Pinto-Junior; Yuri Rafael dos Santos Franco; Quiteria Maria Wanderley Rocha

Downloads: 0
Views: 219

Abstract

BACKGROUND AND OBJECTIVES: Patellofemoral pain syndrome is an anterior knee pain (or retropatellar), associated to knee joint stress. The risk factors include musculoskeletal disorders that affect the distribution of forces acting on the knee joint, as in the femoral anteversion. The objective of this study was to verify the relationship between the femoral anteversion angle and the patellofemoral pain syndrome in young women who do not practice regular physical activity.

METHODS: This is a cross-sectional, case-control study. The sample includes 100 women (G1, n=50 - anterior knee pain; G2, n=50 - control group). The instruments applied were the Anterior Knee Pain Score, numerical pain scale, and Craig’s test. The groups were compared using the Student’s t-test, p<0.05 for significant results (GraphPad Prism 8).

RESULTS: The mean age was 21.5±3.45 and 20.9±2.85 years old for G1 and G2, respectively. Mean pain intensity was 4.6±1.97 for G1, with no pain recorded in G2 (p=0.0001). The mean anteversion angle of the femoral neck was 16.2±4.85 degrees in G1 and 15.6±4.87 degrees in G2 (p= 0.566). The average score obtained with the Anterior Knee Pain Score was 81.4±10.46 and 94.8±5.41 points for groups 1 and 2, respectively (p=0.0001).

CONCLUSION: No relationship was found between angulation of the femoral neck and the presence of anterior knee pain, however, a greater functional loss in the group with pain was observed.

Keywords

Bone anteversion, Bone malalignment, Femur neck, Pain, Patellofemoral pain syndrome

Resumo

JUSTIFICATIVA E OBJETIVOS: A síndrome da dor patelofemoral se manifesta com dor anterior no joelho ou retropatelar, relacionada ao aumento do “stress” articular. Os fatores de risco incluem disfunções musculoesqueléticas que afetem a distribuição de forças na articulação do joelho, como ocorre na anteversão femoral. O objetivo deste estudo foi verificar a relação do ângulo de anteversão femoral com a dor anterior no joelho de mulheres jovens não praticantes de atividade física regular.

MÉTODOS: Estudo transversal, caso-controle. A amostra foi composta por 100 mulheres divididas nos grupos dor anterior no joelho (G1) e controle (G2) cada um com 50 indivíduos. Os instrumentos aplicados foram: o Anterior Knee Pain Score, a escala numérica da dor, e teste de Craig. Os grupos foram comparados entre si pelo teste t de Student, adotando-se p<0,05 para resultados significativos (GraphPad Prism 8).

RESULTADOS: A média de idade foi de 21,5±3,45 e 20,9±2,85 anos para G1 e G2, respectivamente. A intensidade média da dor foi 4,6±1,97 para o G1, não havendo registro de dor no G2 (p=0,0001). A angulação média de anteversão do colo femoral foi de 16,2±4,85 graus no G1 e 15,6±4,87 graus no G2 (p=0,566). Por fim, o escore médio obtido com o Anterior Knee Pain Score foi de 81,4±10,46 e 94,8±5,41 pontos para os grupos 1 e 2, respectivamente (p=0,0001).

CONCLUSÃO: Não foi encontrada relação entre angulação do colo femoral com a presença de dor anterior do joelho, no entanto, observou-se no grupo com dor havia maior perda funcional.

Palavras-chave

Anteversão óssea, Colo do fêmur, Dor, Mau alinhamento ósseo, Síndrome da dor patelofemoral

References

Kunene SH, Ramklass S, Taukobong NP. The impact of anterior knee pain on the quality of life among runners in under-resourced communities in Ekurhuleni, Gauteng, South Africa. S Afr J Sports Med. 2018;30(1):1-6.

Lima KMM, Flôr JS, Barbosa RI, Marcolino AM, Almeida MG, Silva DC. Effects of a 12-week hip abduction exercise program on the electromyographic activity of hip and knee muscles of women with patellofemoral pain: a pilot study. Motriz. 2020;26(1).

Arrebola LS, Carvalho RT, Lima VCO, Percivale KAN, Oliveira VGC, Pinfildi CE. Influence of body mass index on patellofemoral pain. Fisioter Mov. 2020;33.

Franco BAFM, Sadigursky D, Daltro GC. Caracterização por estudo anatomorradiográfico da posição patelar em pacientes portadores de síndrome femoropatelar. Rev Bras Ortop. 2018;53(4):410-4.

Uota S, Morikita I, Shimokochi Y. Validity and clinical significance of a clinical method to measure femoral anteversion. J Sports Med Phys Fitness. 2019;59(11):1908-14.

Patro BP, Behera S, Das SS, Das G, Patra SK, Prabhat V. Estimation of femoral neck anteversion in adults: a comparison between clinical method, radiography, and computed tomography at a tertiary-care center in Eastern India. Cureus. 2019;11(4).

Romancini JLH, Guariglia D, Nardo Jr N, Herold P, Pimentel GGA, Pupulin ART. Níveis de atividade física e alterações metabólicas em pessoas vivendo com HIV/AIDS. Rev Bras Med Esporte. 2012;18(6):356-60.

Fukuda TY, Melo WP, Zaffalon BM, Rossetto FM, Magalhães E, Bryk FF. Hip posterolateral musculature strengthening in sedentary women with patellofemoral pain syndrome: a randomized controlled clinical trial with 1-year follow-up. J Orthop Sports Phys Ther. 2012;42(10):823-30.

dos-Santos GK, Silva NC, Alfieri FM. Effects of cold versus hot compress on pain in university students with primary dysmenorrhea. BrJP. 2020;3(1):25-8.

Uota S, Nguyen AD, Aminaka N, Shimokochi Y. Relationship of knee motions with static leg alignments and hip motions in frontal and transverse planes during double-leg landing in healthy athletes. J Sport Rehabil. 2017;26(5):396-405.

Kujawa M, Goerlitz A, Rutherford D, Kernozek TW. Patellofemoral joint stress during running with added load in females. Int J Sports Med. 2020;41(6):412-8.

Barbosa-Silva TG, Bielemann RM, Gonzalez MC, Menezes AM. Prevalence of sarcopenia among community-dwelling elderly of a medium-sized south American city: results of the COMO VAI? study. J Cachexia Sarcopenia Muscle. 2016;7(2):136-43.

Nguyen AD, Shultz SJ, Schmitz RJ. Landing biomechanics in participants with different static lower extremity alignment profiles. J Athl Train. 2015;50(5):498-507.

Kujala UM, Jaakkola LH, Koskinen SK, Taimela S, Hurme M, Nelimarkka O. Scoring of patellofemoral disorders. Arthroscopy. 1993;9(2):159-63.


Submitted date:
03/28/2020

Accepted date:
05/11/2020

5f6a57550e8825f9099fefc6 brjp Articles

BrJP

Share this page
Page Sections