RESUMO
The tissue deep to the iliotibial band (ITB) and its relationship to the lateral knee joint capsule was studied anatomically and the histopathology of this tissue in chronic iliotibial band friction syndrome (ITBFS) was examined. Findings show that the tissue under the ITB consists of a synovium that is a lateral extension and invagination of the actual knee joint capsule and is not a separate bursa as described in the literature. Additionally, in cases of chronic ITBFS seen in young elite athletes, synovial tissue taken from this lateral synovial recess reveals histological evidence of inflammation and hyperplasia that suggests its involvement in the pathological process.
Assuntos
Bolsa Sinovial/patologia , Transtornos Traumáticos Cumulativos/patologia , Traumatismos do Joelho/patologia , Articulação do Joelho/patologia , Adolescente , Adulto , Idoso , Artroplastia , Artroscopia , Traumatismos em Atletas/patologia , Traumatismos em Atletas/cirurgia , Bolsa Sinovial/anatomia & histologia , Bolsa Sinovial/cirurgia , Doença Crônica , Transtornos Traumáticos Cumulativos/cirurgia , Humanos , Traumatismos do Joelho/cirurgia , Articulação do Joelho/anatomia & histologia , Articulação do Joelho/cirurgia , Pessoa de Meia-Idade , Membrana Sinovial/patologiaRESUMO
Preparticipation physical examinations are a prerequisite for competition at most levels of sports. This article discusses the unique opportunity that the health care team has to participate in the provision of sports assessment and screening services to a wide variety of individuals. In addition, this article reviews the purpose of the examination, organizational consideration, components of the examination, and special considerations that should be included.
