Title Sindromi prenaprezanja u koljenu
Title (english) Overuse injuries in knee
Author Leona Novak
Mentor Željko Jeleč (mentor)
Committee member Manuela Filipec (predsjednik povjerenstva)
Committee member Željko Jeleč (član povjerenstva)
Committee member Anica Kuzmić (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Physiotherapy) Koprivnica
Defense date and country 2022-07-12, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Physical Medicine and Rehabilitation
Abstract Distalni dio femura i proksimalni dio tibije čine zglobne površine najvećeg zgloba u tijelu, koljena. Ono je neophodno za hod i svakodnevno kretanje te samim time i za sudjelovanje u većini sportova. Zahtjevnim opterećenjima kojima je koljenski zglob izložen u svakodnevnim situacijama i treninzima, može doći do preopterećenja mekih struktura te do razvoja sindroma prenaprezanja kroz svakodnevne mikrotraume zgloba. Mikrotraume koje pogađaju anteriorne strukture manifestiraju se u stanjima poput patelarne tendinopatije, patelofemoralnog bolnog sindroma, Morbus Osgood Schlattera, Hoffinog sindroma te Sinding-Larsen-Johanssonovog sindroma. Do prenaprezanja za anteriornu stranu koljena dolazi kod naglih ponavljanih kontrakcija m. quadricepsa ili kod nedovoljne usklađenosti ekstenzornog aparata, odnosno pretjerane napetosti m. quadricepsa. Očituje se u aktivnostima trčanja, skokova, sportovima kao što su košarka, nogomet, odbojka, biciklizam, skijanje i tenis. Osim anteriornih struktura u koljenu, sindromi prenaprezanja mogu zahvatiti i medijalne, odnosno lateralne strukture. Primjeri su sindrom iliotibijalnog traktusa, medial plica sindrom i Breaststrokerov sindrom. Dok sindrom iliotibijalnog traktusa predstavlja prenaprezanje tetive tensora fascie latae, medial plica sindrom se manifestira kao prekomjerno trenje medijalne plike o kondil femura, a Breaststrokerov sindrom se očituje prekomjerenim brzim silama koje opterećuju medijalni kolateralni ligament. Svaki od navedenih sindroma prenaprezanja imaju zajednički početak rehabilitacije, dakle što raniji prekid bolne aktivnosti radi odmora podraženih struktura. U kasnijim fazama bitno je diferencirati ove sindrome te sukladno dijagnozi prakticirati vježbe jačanja i fleksibilnosti ili u suprotnom provesti adekvatan operativni zahvat. Rano uočavanje i liječenje po postavljanju dijagnoze nužno je za što bolju prognozu kao i sprečavanje remisija.
Abstract (english) The distal part of the femur and the proximal part of the tibia form the articular surfaces of the largest joint in the body, the knee. Knee is necessary for walking and daily movement, and therefore for participation in most of the sports. Demanding loads to which the knee joint is exposed in everyday situations and trainings can lead to overloading of soft tissues and the development of overuse injurie due to daily microtraumas of the joint. Microtraumas affecting anterior structures are manifested in conditions such as patellar tendinopathy, patellofemoral pain syndrome, Osgood Schlatter’s disease, Hoff’s syndrome, and Sinding-Larsen-Johansson syndrome. Overuse of the anterior side of the knee occurs over repeated sudden contractions of the quadriceps, insufficient coordination of the extensor apparatus or excessive tension of the quadriceps. It manifests itself in running, jumping, sports such as basketball, football, volleyball, cycling, skiing and tennis. In addition to the anterior structures in the knee, overuse injuries can also affect the medial and lateral structures. Examples are iliotibial tract syndrome, medial plica syndrome and Breaststroker’s syndrome. While iliotibial tract syndrome causes strain on the tendon of the tensor fascia latae, medial plica syndrome manifests as excessive friction of the medial plica against the condyle of the femur and Breaststroker’s syndrome is manifested as excessive rapid forces loading on the medial collateral ligament. Each of the above-mentioned overuse injuries have a common beginning of rehabilitation, meaning stopping the painful activity in the earliest possible time in order to rest irritated structures. In the later stages, it is important to differentiate these syndromes and to practice strengthening and flexibility exercises in accordance with the diagnosis or otherwise perform adequate surgery. Early detection and treatment is necessary for a better prognosis and prevention of remissions.
Keywords
Koljeno
sindromi
prenaprezanje
mikrotraume
Keywords (english)
Knee
syndromes
overuse
microtraumas
Language croatian
URN:NBN urn:nbn:hr:122:013664
Study programme Title: physiotherapy Study programme type: professional Study level: undergraduate Academic / professional title: stručni/a prvostupnik/ prvostupnica (baccalaureus/ baccalaurea) fizioterapije (stručni/a prvostupnik/ prvostupnica (baccalaureus/ baccalaurea) fizioterapije)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2022-12-27 11:24:29