Conceptos Actuales en el Manejo del Síndrome de Dolor Patelofemoral
DOI:
https://doi.org/10.1016/j.rccot.2022.04.008Palabras clave:
síndrome de dolor patelofemoral, terapia física, ortesis de pie, artroscopiaResumen
Introducción: El síndrome de dolor patelofemoral (SDPF) es una de las principales causas de dolor de rodilla y se presenta con actividades diarias de la vida cotidiana. Este estudio presenta una revisión de la literatura acerca de las modalidades de tratamiento actual para el SDPF.
Materiales y métodos: Revisión estado del arte acerca del tratamiento del SDPF con grados de recomendación según la evidencia. Se revisan las intervenciones conservadoras activas y pasivas, así mismo las alternativas quirúrgicas.
Resultados: El fortalecimiento de los músculos de la cadera y del miembro inferior, así como el estiramiento, son intervenciones activas que ofrecen beneficios en el largo plazo para el SDPF. Las intervenciones pasivas como las rodilleras, el kinesiotaping y las ortesis para los pies, ofrecen alivio rápido pero de corta duración. El tratamiento quirúrgico solamente se recomienda en un subgrupo de pacientes que no han respondido a otros tratamientos y que tienen ciertas anormalidades anatómicas específicas que alteran la articulación patelofemoral.
Discusión: El tratamiento conservador continúa siendo la piedra angular en el tratamiento del síndrome de dolor patelofemoral,
Nivel de evidencia: IV, Revisión Clínica.
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