{"id":4346,"date":"2022-12-19T20:10:14","date_gmt":"2022-12-19T20:10:14","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/understanding-red-flags-in-patellofemoral-pain-it\/"},"modified":"2022-12-22T14:28:50","modified_gmt":"2022-12-22T14:28:50","slug":"understanding-red-flags-in-patellofemoral-pain-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/understanding-red-flags-in-patellofemoral-pain-it\/","title":{"rendered":"Comprendere le bandiere rosse nel dolore femoro-rotuleo"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>Redattrice principale<\/b> &#8211; <a href=\"\/User:Carin_Hunter\" title=\"User:Carin Hunter\">Carin Hunter<\/a> sulla base del corso di <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/claire-robertson\/\/\">Claire Robertson<\/a><br \/>\n<b>Collaboratori principali<\/b> : <a href=\"\/User:Carin_Hunter\" class=\"mw-userlink\" title=\"User:Carin Hunter\"><bdi>Carin Hunter<\/bdi><\/a> , <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a> e <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenuti<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduzione<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Non-Traumatic_Masquerading_Conditions\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Condizioni mascherate non traumatiche<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Osgood-Schlatter_Disease_.28OSD.29\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Morbo di Osgood-Schlatter (OSD)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Sinding_Larsen_Johansson_Syndrome\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">Sindrome di Sinding Larsen Johansson<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Knee_Effusion\"><span class=\"tocnumber\">2.3<\/span> <span class=\"toctext\">Versamento al ginocchio<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Osteochondritis_Dissecans.2FOsteochondral_Defect\"><span class=\"tocnumber\">2.4<\/span> <span class=\"toctext\">Osteocondrite Dissecante\/Difetto Osteocondrale<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Slipped_Capital_Femoral_Epiphysis\"><span class=\"tocnumber\">2.5<\/span> <span class=\"toctext\">Epifisiolisi della testa femorale<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Others\"><span class=\"tocnumber\">2.6<\/span> <span class=\"toctext\">Altre condizioni<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Conditions_That_Can_Occur_in_the_Adult_Population\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Condizioni che possono presentarsi nella popolazione adulta<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Posterior_Cruciate_Ligament_Rupture\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">Rottura del legamento crociato posteriore<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Synovial_Plica\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">Plica sinoviale<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Patellar_Tendinopathy\"><span class=\"tocnumber\">3.3<\/span> <span class=\"toctext\">Tendinopatia rotulea<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-13\"><a href=\"#Femoroacetabular_Impingement\"><span class=\"tocnumber\">3.4<\/span> <span class=\"toctext\">Impingement (conflitto) femoro-acetabolare<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#Assessment_Tools\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Strumenti di valutazione<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-15\"><a href=\"#References\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Introduction\">Introduzione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Lo screening delle bandiere rosse \u00e8 una parte importante del processo di valutazione, ma spesso viene trascurato nei pazienti con dolore al ginocchio. \u00c8 importante avere una buona comprensione delle bandiere rosse per la sicurezza del paziente e per garantire che vengano effettuati rinvii appropriati e tempestivi quando necessario. Se c&#8217;\u00e8 stato un trauma al ginocchio, \u00e8 necessario assicurarsi che siano stati eseguiti tutti gli accertamenti del caso. Per ulteriori informazioni sulle bandiere rosse, si prega di consultare questa pagina: <a href=\"\/An_Introduction_to_Red_Flags_in_Serious_Pathology\" title=\"An Introduction to Red Flags in Serious Pathology\">Un&#8217;introduzione alle bandiere rosse nelle patologie gravi<\/a>.<\/p>\n<h2><span class=\"mw-headline\" id=\"Non-Traumatic_Masquerading_Conditions\">Condizioni mascherate non traumatiche<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Non-Traumatic Masquerading Conditions\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=2\" title=\"Edit section: Non-Traumatic Masquerading Conditions\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Ci sono alcune condizioni che possono avere uno schema del dolore simile a quello femoro-rotuleo, e queste dovrebbero essere considerate in una diagnosi differenziale. Le seguenti condizioni non traumatiche si presentano nella popolazione in et\u00e0 adolescenziale (cio\u00e8 preadolescenti e adolescenti).<sup id=\"cite_ref-:6_1-0\" class=\"reference\"><a href=\"#cite_note-:6-1\">(1)<\/a><\/sup><\/p>\n<h4><span id=\"Osgood-Schlatter_Disease_(OSD)\"><\/span><span class=\"mw-headline\" id=\"Osgood-Schlatter_Disease_.28OSD.29\">Morbo di Osgood-Schlatter (OSD)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Osgood-Schlatter Disease (OSD)\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=3\" title=\"Edit section: Osgood-Schlatter Disease (OSD)\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:Osgood_Schlatters.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/81\/Osgood_Schlatters.jpg\/400px-Osgood_Schlatters.jpg\" decoding=\"async\" width=\"400\" height=\"223\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/81\/Osgood_Schlatters.jpg\/600px-Osgood_Schlatters.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/8\/81\/Osgood_Schlatters.jpg 2x\"><\/a><\/div>\n<p><b><u>Segni e sintomi:<\/u><\/b><\/p>\n<ul>\n<li>Questa condizione \u00e8 comune negli adolescenti di et\u00e0 compresa tra gli 11 e i 15 anni<sup id=\"cite_ref-:0_2-0\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<li>\u00c8 prevalente nei bambini che praticano sport a dominanza del quadricipite, ossia corsa e attivit\u00e0 sportive che prevedono calci e salti<sup id=\"cite_ref-:0_2-1\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<li>I pazienti presentano un&#8217;evidente protuberanza in corrispondenza del tubercolo tibiale<sup id=\"cite_ref-:1_3-0\" class=\"reference\"><a href=\"#cite_note-:1-3\">(3)<\/a><\/sup><\/li>\n<li>Il dolore \u00e8 specifico del tubercolo tibiale<\/li>\n<li>Nella tuberosit\u00e0 tibiale sono presenti infiammazione ed elevazione delle cartilagini di accrescimento<\/li>\n<li>Una risonanza magnetica che mostri il livello di infiammazione pu\u00f2 essere utilizzata come conferma, ma non cambier\u00e0 il piano di trattamento<\/li>\n<li>Se non viene trattato, il dolore pu\u00f2 raggiungere un livello tale da impedire la partecipazione allo sport<\/li>\n<\/ul>\n<p><b><u>Trattamento:<\/u><\/b><\/p>\n<ul>\n<li>Educazione<\/li>\n<li>Modifica dell&#8217;attivit\u00e0:<sup id=\"cite_ref-:6_1-1\" class=\"reference\"><a href=\"#cite_note-:6-1\">(1)<\/a><\/sup><sup id=\"cite_ref-:0_2-2\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><sup id=\"cite_ref-:1_3-1\" class=\"reference\"><a href=\"#cite_note-:1-3\">(3)<\/a><\/sup>\n<ul>\n<li>Cercare di eliminare lo sport meno amato dal paziente, oppure<\/li>\n<li>Cambiare la posizione di gioco per una posizione meno attiva per ridurre il carico<\/li>\n<\/ul>\n<\/li>\n<li>FANS (antinfiammatori non steroidei)<\/li>\n<li>Massaggio con ghiaccio &#8211; fornisce un sollievo dai sintomi<\/li>\n<li>Indirizzare il sovraccarico:\n<ul>\n<li>Fattori estrinseci:\n<ul>\n<li>Gestione del carico dello sport<sup id=\"cite_ref-:0_2-3\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<li>Calzature<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup><\/li>\n<li>Tecnica di atterraggio<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Fattori intrinseci:\n<ul>\n<li>Lunghezza muscolare<sup id=\"cite_ref-:0_2-4\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<li>Forza muscolare<sup id=\"cite_ref-:0_2-5\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Per ulteriori informazioni, si prega di consultare la pagina <a href=\"\/Osgood-Schlatter_Disease\" title=\"Osgood-Schlatter Disease\">Morbo di Osgood-Schlatter<\/a>.<\/p>\n<h4><span class=\"mw-headline\" id=\"Sinding_Larsen_Johansson_Syndrome\">Sindrome di Sinding Larsen Johansson<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Sinding Larsen Johansson Syndrome\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=4\" title=\"Edit section: Sinding Larsen Johansson Syndrome\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0c\/Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg\/300px-Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg\" decoding=\"async\" width=\"300\" height=\"566\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0c\/Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg\/450px-Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0c\/Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg\/600px-Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg 2x\"><\/a><\/div>\n<p>La sindrome di Sinding Larsen Johansson (SLJS) \u00e8 un&#8217;osteocondrosi giovanile ed epifisite da trazione. Colpisce il meccanismo estensore del ginocchio, che disturba l&#8217;inserzione del tendine rotuleo sul polo inferiore della <a href=\"\/Patella\" title=\"Patella\">rotula<\/a>. \u00c8 presente un indolenzimento del polo inferiore della rotula. Questo solitamente \u00e8 accompagnato da un&#8217;evidenza radiografica di scheggiatura del polo in questione. La maggior parte dei pazienti con SLJS presenta anche delle calcificazioni a livello del polo inferiore della rotula.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/p>\n<p>La sindrome solitamente compare nell&#8217;adolescenza, durante uno scatto di crescita. \u00c8 associata a un dolore localizzato che peggiora con l&#8217;esercizio fisico. Di solito si osserva un indolenzimento localizzato e un gonfiore dei tessuti molli. Anche i muscoli circostanti potrebbero essere rigidi, in particolare il <a href=\"\/Rectus_Femoris\" title=\"Rectus Femoris\">quadricipite<\/a>, gli <a href=\"\/Hamstrings\" title=\"Ischiocrurali\">ischiocrurali<\/a> e il <a href=\"\/Gastrocnemius\" title=\"Gastrocnemio\">gastrocnemio<\/a>. Questa rigidit\u00e0 di solito si traduce in una rigidit\u00e0 dell&#8217;<a href=\"\/Knee\" title=\"Ginocchio\">articolazione del ginocchio<\/a>, che altera lo stress applicato attraverso l&#8217;<a href=\"\/Patellofemoral_Joint\" title=\"Patellofemoral Joint\">articolazione femoro-rotulea<\/a>.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<p><b><u>Segni e sintomi:<\/u><\/b><\/p>\n<ul>\n<li>Infiammazione a livello della cartilagine di accrescimento del polo distale della rotula<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/li>\n<li>Questa condizione \u00e8 pi\u00f9 probabile che si manifesti durante gli scatti di crescita<\/li>\n<li>Il trattamento primario si concentra sul monitoraggio della crescita per modificare l&#8217;attivit\u00e0 durante la fase di crescita<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/li>\n<li>Il dolore pu\u00f2 raggiungere un livello tale da impedire la partecipazione allo sport<\/li>\n<\/ul>\n<p><b><u>Trattamento:<\/u><\/b><\/p>\n<ul>\n<li>Educazione<\/li>\n<li>Modifica dell&#8217;attivit\u00e0:<sup id=\"cite_ref-:6_1-2\" class=\"reference\"><a href=\"#cite_note-:6-1\">(1)<\/a><\/sup>\n<ul>\n<li>Cercare di eliminare lo sport meno amato dal paziente, oppure<\/li>\n<li>Cambiare la posizione di gioco per una posizione meno attiva per ridurre il carico<\/li>\n<\/ul>\n<\/li>\n<li>FANS (antinfiammatori non steroidei)<\/li>\n<li>Massaggio con ghiaccio &#8211; fornisce un sollievo dai sintomi<\/li>\n<li>Indirizzare il sovraccarico:\n<ul>\n<li>Fattori estrinseci:\n<ul>\n<li>Gestione del carico dello sport<\/li>\n<li>Calzature<\/li>\n<li>Tecnica di atterraggio<\/li>\n<\/ul>\n<\/li>\n<li>Fattori intrinseci:\n<ul>\n<li>Lunghezza muscolare<\/li>\n<li>Forza muscolare<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Per ulteriori informazioni, si prega di consultare <a href=\"\/Sinding_Larsen_Johansson_Syndrome\" title=\"Sinding Larsen Johansson Syndrome\">Sindrome di Sinding-Larsen-Johansson<\/a>.<\/p>\n<h4><span class=\"mw-headline\" id=\"Knee_Effusion\">Versamento al ginocchio<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Effusione al ginocchio\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=5\" title=\"Modificare la sezione: Effusione al ginocchio\">fonte di modifica<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:Osteochondritis_Dissecans.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/2b\/Osteochondritis_Dissecans.jpg\/300px-Osteochondritis_Dissecans.jpg\" decoding=\"async\" width=\"300\" height=\"337\" srcset=\"https:\/\/www.physio-pedia.com\/images\/2\/2b\/Osteochondritis_Dissecans.jpg 1.5x\"><\/a><\/div>\n<p>Non esistono casi in cui un bambino possa avere un versamento al ginocchio senza una causa. Pertanto, qualsiasi versamento in assenza di trauma dovrebbe essere sempre indagato. Un versamento al ginocchio spesso pu\u00f2 portare a un dolore femoro-rotuleo.<\/p>\n<p><b><u>Possibili cause di versamento:<\/u><\/b><\/p>\n<ul>\n<li>Malattia sistemica autoimmune (ad esempio, <a href=\"\/Juvenile_Rheumatoid_Arthritis\" class=\"mw-redirect\" title=\"Juvenile Rheumatoid Arthritis\">artrosi giovanile<\/a>)<\/li>\n<li><a href=\"\/Septic_(Infectious)_Arthritis\" title=\"Artrite settica (infettiva)\">Artrite infettiva<\/a><\/li>\n<li>Osteocondrite dissecante<\/li>\n<\/ul>\n<p><b><u>Le bandiere rosse per le malattie autoimmuni:<\/u><\/b><\/p>\n<ul>\n<li>Coinvolgimento di molteplici articolazioni<\/li>\n<li>Rigidit\u00e0 dell&#8217;articolazione al risveglio<\/li>\n<li>Fatica<\/li>\n<\/ul>\n<p><b><u>Bandiere rosse per l&#8217;artrite infettiva:<\/u><\/b><\/p>\n<ul>\n<li>Temperatura<\/li>\n<li>Malattia recente<\/li>\n<\/ul>\n<h4><span id=\"Osteochondritis_Dissecans\/Osteochondral_Defect\"><\/span><span class=\"mw-headline\" id=\"Osteochondritis_Dissecans.2FOsteochondral_Defect\">Osteocondrite dissecante\/difetto osteocondrale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Osteocondrite Dissecante\/Difetto Osteocondrale\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=6\" title=\"Modificare la sezione: Osteocondrite Dissecante\/Difetto Osteocondrale\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:OD.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a5\/OD.jpg\/300px-OD.jpg\" decoding=\"async\" width=\"300\" height=\"344\" srcset=\"https:\/\/www.physio-pedia.com\/images\/a\/a5\/OD.jpg 1.5x\"><\/a><\/div>\n<p>L&#8217;<a href=\"\/Osteochondritis_Dissecans_of_the_Knee\" title=\"Osteochondritis Dissecans of the Knee\">osteocondrite dissecante<\/a> (OCD) \u00e8 definita come una patologia infiammatoria dell&#8217;osso e della cartilagine. Ci\u00f2 pu\u00f2 provocare una necrosi localizzata e una frammentazione dell&#8217;osso e della cartilagine.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup> La cartilagine e l&#8217;osso subcondrale possono staccarsi e galleggiare nell&#8217;articolazione. Questo irrita la sinovia, il che provoca un versamento.<\/p>\n<p><b><u>Trattamento dell&#8217;osteocondrite dissecante:<\/u><\/b><\/p>\n<ul>\n<li>Gestire conservativamente le lesioni stabili<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/li>\n<li>Possibile debridement \/ wash out del ginocchio<\/li>\n<li>Possibile resezione chirurgica (resecare fino a un margine stabile)<\/li>\n<li>Esaminare i difetti osteocondrali con una RM<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup> &#8211; verificare la stabilit\u00e0 dei margini del difetto osteocondrale e se la sede \u00e8 una zona di carico del peso corporeo (WB)<\/li>\n<li>Monitorare l&#8217;edema osseo intorno a un difetto &#8211; l&#8217;edema dovrebbe diminuire quando viene monitorato in modo seriale<\/li>\n<li>Consulenza fisioterapica: gestione del carico\n<ul>\n<li>In presenza di un difetto osteocondrale della troclea nell&#8217;articolazione femoro-rotulea, ricordarsi di evitare l&#8217;eccessiva flessione profonda sotto carico<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Per ulteriori informazioni, si prega di consultare le pagine <a href=\"\/Osteochondritis_Dissecans\" class=\"mw-redirect\" title=\"Osteochondritis Dissecans\">Osteocondrite dissecante<\/a> e <a href=\"\/Osteochondritis_Dissecans_of_the_Knee\" title=\"Osteochondritis Dissecans of the Knee\">Osteocondrite dissecante del ginocchio<\/a>.<\/p>\n<h4><span class=\"mw-headline\" id=\"Slipped_Capital_Femoral_Epiphysis\">Epifisiolisi della testa femorale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Epifisi femorale capitale slittata\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=7\" title=\"Modificare la sezione: Epifisi femorale capitale slittata\">fonte di modifica<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:SCFE.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4b\/SCFE.jpg\/300px-SCFE.jpg\" decoding=\"async\" width=\"300\" height=\"164\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4b\/SCFE.jpg\/450px-SCFE.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4b\/SCFE.jpg\/600px-SCFE.jpg 2x\"><\/a><\/div>\n<p>L&#8217;epifiolisi della testa femorale non \u00e8 comune. Tuttavia, deve essere considerata come una diagnosi differenziale<sup id=\"cite_ref-:2_13-0\" class=\"reference\"><a href=\"#cite_note-:2-13\">(13)<\/a><\/sup> in quanto pu\u00f2 riferire il dolore al ginocchio antero-mediale. Una patologia lieve diagnosticata precocemente ha un outcome migliore, poich\u00e9 la condizione progredisce fino alla fusione dell&#8217;epifisi.<sup id=\"cite_ref-:2_13-1\" class=\"reference\"><a href=\"#cite_note-:2-13\">(13)<\/a><\/sup><\/p>\n<p>Per ulteriori informazioni, si prega di consultare la pagina <a href=\"\/Slipped_Capital_Femoral_Epiphysis\" title=\"Slipped Capital Femoral Epiphysis\">Epifisiolisi della testa femorale<\/a>.<\/p>\n<h4><span class=\"mw-headline\" id=\"Others\">Altre condizioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Others\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=8\" title=\"Edit section: Others\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Meno comuni ma pi\u00f9 gravi:<\/p>\n<ul>\n<li>Malattia sistemica autoimmune<\/li>\n<li>Epifisiolisi dell&#8217;epifisi<\/li>\n<li><a href=\"\/Femoroacetabular_Impingement\" title=\"Il conflitto femoro-acetabolare\">Impingement (conflitto) femoro-acetabolare (FAI)<\/a><\/li>\n<li>Leucemia<\/li>\n<li><a href=\"\/Neuroblastoma\" title=\"Neuroblastoma\">Neuroblastoma<\/a> metastatico<\/li>\n<li>Tumore osseo primario<\/li>\n<li>Bandiere rosse\n<ul>\n<li>Dolore notturno<\/li>\n<li>Perdita di peso<\/li>\n<li>Malessere<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Conditions_That_Can_Occur_in_the_Adult_Population\">Condizioni che possono presentarsi nella popolazione adulta<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Conditions That Can Occur in the Adult Population\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=9\" title=\"Edit section: Conditions That Can Occur in the Adult Population\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le seguenti condizioni dovrebbero essere considerate nella diagnosi differenziale degli adulti che presentano sintomi di dolore femoro-rotuleo.<\/p>\n<h3><span class=\"mw-headline\" id=\"Posterior_Cruciate_Ligament_Rupture\">Rottura del legamento crociato posteriore<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Posterior Cruciate Ligament Rupture\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=10\" title=\"Edit section: Posterior Cruciate Ligament Rupture\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:PCL_Rupture.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/08\/PCL_Rupture.jpg\/400px-PCL_Rupture.jpg\" decoding=\"async\" width=\"400\" height=\"220\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/08\/PCL_Rupture.jpg\/600px-PCL_Rupture.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/08\/PCL_Rupture.jpg\/800px-PCL_Rupture.jpg 2x\"><\/a><\/div>\n<p>La rottura del legamento crociato posteriore (PCL) pu\u00f2 essere causata da un colpo alla parte anteriore del ginocchio.<sup id=\"cite_ref-:3_14-0\" class=\"reference\"><a href=\"#cite_note-:3-14\">(14)<\/a><\/sup> Per alcuni pazienti, l&#8217;unico sintomo riferito \u00e8 il dolore all&#8217;articolazione femoro-rotulea. \u00c8 quindi consigliabile valutare tutti i legamenti per verificare se \u00e8 necessario un intervento chirurgico.<sup id=\"cite_ref-:3_14-1\" class=\"reference\"><a href=\"#cite_note-:3-14\">(14)<\/a><\/sup> La fisioterapia per una lesione del PCL spesso si concentra sulla riabilitazione del quadricipite.<\/p>\n<p>Per ulteriori informazioni, si prega di consultare questa pagina: <a href=\"\/PCL_Reconstruction\" title=\"PCL Reconstruction\">Ricostruzione del PCL<\/a>.<\/p>\n<h3><span class=\"mw-headline\" id=\"Synovial_Plica\">Plica sinoviale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Synovial Plica\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=11\" title=\"Edit section: Synovial Plica\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:Synovial_Plica.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Synovial_Plica.jpg\/300px-Synovial_Plica.jpg\" decoding=\"async\" width=\"300\" height=\"338\" srcset=\"https:\/\/www.physio-pedia.com\/images\/a\/a6\/Synovial_Plica.jpg 1.5x\"><\/a><\/div>\n<p>Una plica \u00e8 una piega nella membrana sinoviale. Sono comuni e normalmente asintomatiche. Una plica spesso pu\u00f2 essere palpata antero-medialmente, vicino alla met\u00e0 superiore della rotula. A volte possono rimanere intrappolate nell&#8217;articolazione femoro-rotulea e diventare compresse o infiammate e doloranti.<sup id=\"cite_ref-:4_15-0\" class=\"reference\"><a href=\"#cite_note-:4-15\">(15)<\/a><\/sup><\/p>\n<p><b><u>Diagnosi<\/u>:<\/b><\/p>\n<ul>\n<li>Iniettare anestetico locale per alleviare i sintomi. Se questo funziona, ci\u00f2 indica fortemente una plica sinoviale infiammata.<\/li>\n<\/ul>\n<p><b><u>Trattamento<\/u>:<\/b><\/p>\n<ul>\n<li>Iniezioni di steroidi per ridurre l&#8217;infiammazione<\/li>\n<li>Resezione della plica<\/li>\n<li>Riabilitazione<sup id=\"cite_ref-:4_15-1\" class=\"reference\"><a href=\"#cite_note-:4-15\">(15)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Patellar_Tendinopathy\">Tendinopatia rotulea<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Patellar Tendinopathy\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=12\" title=\"Edit section: Patellar Tendinopathy\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:Patella_Tendinopathy.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/ab\/Patella_Tendinopathy.jpg\/350px-Patella_Tendinopathy.jpg\" decoding=\"async\" width=\"350\" height=\"194\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/ab\/Patella_Tendinopathy.jpg\/525px-Patella_Tendinopathy.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/a\/ab\/Patella_Tendinopathy.jpg\/700px-Patella_Tendinopathy.jpg 2x\"><\/a><\/div>\n<p>La tendinopatia \u00e8 un processo di guarigione del tendine fallito, con proliferazione casuale dei tenociti, anomalie intracellulari nei tenociti, alterazione delle fibre <a href=\"\/Collagen\" title=\"Collagen\">collagene<\/a> e conseguente aumento della matrice non collagena.<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup> Il termine tendinopatia \u00e8 un descrittore generico delle condizioni cliniche (sia dolore che caratteristiche patologiche) associate all&#8217;overuse dei <a href=\"\/Tendon_Anatomy\" title=\"Tendon Anatomy\">tendini<\/a> e di ci\u00f2 che li circonda.<sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/p>\n<p><b><u>Trattamento:<\/u><\/b><\/p>\n<ul>\n<li>Esercizi di resistenza con carichi pesanti<\/li>\n<li>Esercizi eccentrici<sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup> con carico in fase di discesa<\/li>\n<\/ul>\n<table class=\"wikitable\">\n<caption>\n<\/caption>\n<tbody>\n<tr>\n<th><\/th>\n<th>Tendinopatia rotulea<\/th>\n<th>Dolore femoro-rotuleo<\/th>\n<\/tr>\n<tr>\n<td>Fattori aggravanti<\/td>\n<td>Stare fermi<sup id=\"cite_ref-:5_21-0\" class=\"reference\"><a href=\"#cite_note-:5-21\">(21)<\/a><\/sup><\/p>\n<p>Mattina presto<\/td>\n<td>Stare fermi se il ginocchio si trova alla fine del range di movimento in flessione<\/td>\n<\/tr>\n<tr>\n<td>Descrizione del dolore<\/td>\n<td>Viene indicato il tendine prossimale<sup id=\"cite_ref-:5_21-1\" class=\"reference\"><a href=\"#cite_note-:5-21\">(21)<\/a><\/sup><\/td>\n<td>Vago<\/td>\n<\/tr>\n<tr>\n<td>Effetto dell&#8217;esercizio fisico<\/td>\n<td>Il dolore diminuisce con il riscaldamento del tendine<sup id=\"cite_ref-:5_21-2\" class=\"reference\"><a href=\"#cite_note-:5-21\">(21)<\/a><\/sup><\/td>\n<td>Peggiora con il carico ripetitivo<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Per ulteriori informazioni, si prega di consultare la pagina <a href=\"\/Patellar_Tendinopathy\" title=\"Tendinopatia rotulea\">Tendinopatia rotulea<\/a>.<\/p>\n<h3><span class=\"mw-headline\" id=\"Femoroacetabular_Impingement\">Impingement (conflitto) femoro-acetabolare<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Femoroacetabular Impingement\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=13\" title=\"Edit section: Femoroacetabular Impingement\">fonte di modifica<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:Femoral_AI.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7b\/Femoral_AI.jpg\/300px-Femoral_AI.jpg\" decoding=\"async\" width=\"300\" height=\"165\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7b\/Femoral_AI.jpg\/450px-Femoral_AI.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7b\/Femoral_AI.jpg\/600px-Femoral_AI.jpg 2x\"><\/a><\/div>\n<p>Sebbene il conflitto femoro-acetabolare (FAI) non sia frequente, pu\u00f2 riferire dolore al ginocchio antero-mediale. Questo dolore riferito potrebbe essere confuso con il dolore femoro-rotuleo. Uno dei segni clinici pi\u00f9 comunemente riconosciuti per il FAI \u00e8 il dolore con la flessione, l&#8217;adduzione e la rotazione interna dell&#8217;anca,<sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup> per cui pu\u00f2 essere utile eseguire il <a href=\"\/Hip_Quadrant_Test\" title=\"Hip Quadrant Test\">test del quadrante<\/a>. In relazione al dolore femoro-rotuleo, si dovr\u00e0 verificare se il dolore <i>al ginocchio<\/i> del paziente viene riprodotto dai test.<\/p>\n<p>Per ulteriori informazioni, si prega di consultare la pagina <a href=\"\/Femoroacetabular_Impingement\" title=\"Il conflitto femoro-acetabolare\">Conflitto femoro-acetabolare<\/a>.<\/p>\n<h2><span class=\"mw-headline\" id=\"Assessment_Tools\">Strumenti di valutazione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Assessment Tools\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=14\" title=\"Edit section: Assessment Tools\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Quando si incoraggia un individuo a modificare i propri livelli di attivit\u00e0, pu\u00f2 essere utile stampare\/fornire una tabella che gli consenta di tenere traccia in modo accurato del volume di esercizio svolto in una settimana (si veda la figura seguente). Assicuratevi di incoraggiare il vostro paziente a compilare il modulo in maniera accurata, in modo da poter offrire la consulenza pi\u00f9 pertinente. \u00c8 inoltre consigliabile registrare correttamente la durata e l&#8217;intensit\u00e0 di ogni attivit\u00e0.<\/p>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:552px;\"><a href=\"https:\/\/www.physio-pedia.com\/File:Load_Assessment_Table.jpg\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/ec\/Load_Assessment_Table.jpg\/550px-Load_Assessment_Table.jpg\" decoding=\"async\" width=\"550\" height=\"298\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/ec\/Load_Assessment_Table.jpg\/825px-Load_Assessment_Table.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/e\/ec\/Load_Assessment_Table.jpg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Load_Assessment_Table.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Tabella di valutazione del carico per il monitoraggio della crescita.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"References\">Citazioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=15\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=15\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-:6-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:6_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:6_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:6_1-2\">1.2<\/a><\/sup><\/span> <span class=\"reference-text\">Robertson C. Understanding Red Flags in Patellofemoral Pain Course. Plus. 2022.<\/span><\/li>\n<li id=\"cite_note-:0-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-1\">2.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-2\">2.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-3\">2.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-4\">2.4<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-5\">2.5<\/a><\/sup><\/span> <span class=\"reference-text\">Neuhaus C, Appenzeller-Herzog C, Faude O. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1466853X2100047X\">A systematic review on conservative treatment options for OSGOOD-Schlatter disease.<\/a> Physical Therapy in Sport. 2021 May 1;49:178-87.<\/span><\/li>\n<li id=\"cite_note-:1-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_3-1\">3.1<\/a><\/sup><\/span> <span class=\"reference-text\">Corbi F, Matas S, \u00c1lvarez-Herms J, Sitko S, Baiget E, Reverter-Masia J, L\u00f3pez-Laval I. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.mdpi.com\/2227-9032\/10\/6\/1011\">Osgood-Schlatter Disease: Appearance, Diagnosis and Treatment: A Narrative Review.<\/a> InHealthcare 2022 May 30 (Vol. 10, No. 6, p. 1011). MDPI.<\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">O\u2019Sullivan IC, Crossley KM, Kamper SJ, van Middelkoop M, Vicenzino B, Franettovich Smith MM, Menz HB, Smith AJ, Tucker K, O\u2019Leary KT, Costa N. HAPPi Kneecaps! <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1002\/tsm2.252\">A double-blind, randomised, parallel group superiority trial investigating the effects of sHoe inserts for adolescents with patellofemoral PaIn<\/a>: phase II feasibility study. Journal of Foot and Ankle Research. 2021 Dec;14(1):1-1.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Gaulrapp H, N\u00fchrenb\u00f6rger C. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s00264-021-05178-z\">The Osgood-Schlatter disease: A large clinical series with evaluation of risk factors, natural course, and outcomes.<\/a> International Orthopaedics. 2022 Feb;46(2):197-204.<\/span><\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Medlar RC, Lyne ED. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/2325967121S00503\">Sinding-Larsen-Johansson disease. Its etiology and natural history.<\/a> The Journal of Bone and Joint surgery. 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Journal of Athletic Training. 2021 Oct 1.<\/span><\/li>\n<li id=\"cite_note-22\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-22\">\u2191<\/a><\/span> <span class=\"reference-text\">Hale RF, Melugin HP, Zhou J, LaPrade MD, Bernard C, Leland D, Levy BA, Krych AJ. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/full\/10.1177\/0363546520970914\">Incidence of femoroacetabular impingement and surgical management trends over time.<\/a> The American journal of sports medicine. 2021 Jan;49(1):35-41.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20221214183943 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.112 seconds Real time usage: 0.123 seconds Preprocessor visited node count: 380\/1000000 Post\u2010expand include size: 72\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 3420\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 10.165 1 Special:Contributors\/Understanding_Red_Flags_in_Patellofemoral_Pain 100.00% 10.165 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Redattrice principale &#8211; Carin Hunter sulla base del corso di Claire Robertson Collaboratori principali : Carin Hunter , Jess Bell e Kim Jackson Contenuti 1 Introduzione 2 Condizioni mascherate non traumatiche 2.1 Morbo di Osgood-Schlatter (OSD) 2.2 Sindrome di Sinding Larsen Johansson 2.3 Versamento al ginocchio 2.4 Osteocondrite Dissecante\/Difetto Osteocondrale 2.5 Epifisiolisi della testa femorale [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4346","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4346","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/comments?post=4346"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4346\/revisions"}],"predecessor-version":[{"id":4361,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4346\/revisions\/4361"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=4346"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}