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3 REVISÃO DA LITERATURA

PROTOCOLO DE FRATURAS POR ESTRESSE

Nome: ________________________________ Telefone: ___________ e-mail: ________________________________ Idade: _______ anos Sexo: ( ) Masculino ( ) Feminino

Esporte: _____________________ Posição/categoria: _____________ Treino: ____________ horas/semana

____________ Km/semana

Local da dor: ___________________ Início dos sintomas: _____________ Característica da dor: ( ) em repouso

( ) atividades de vida diária

( ) em atividade física: ( ) somente no início ( ) ao final

( ) toda a atividade ( ) interrompe atividade

Alterações menstruais: ( ) amenorréia ( ) oligorréia

Exame Físico: Peso: _____ Kg Altura: _____ cm Pés: ( ) planos ( ) normais ( ) cavos

Geno: ( ) varo ( ) valgo ( ) bom alinhamento Encurtamento: ( ) Quadríceps

( ) Cadeia posterior ( ) ambos

Comprimento MID: _____ cm MIE: _____ cm Local da dor: ( ) edema

( ) dor à palpação ( ) calosidade

RESSONÂNCIA MAGNÉTICA (Clasificação de Fredericson)

Classificação segundo Fredericson: (_____)

CINTILOGRAFIA (Classificação de Zwas)

Cortical Alongada Larga Transcortical Mal definida Bem definida Fusiforme

Corticomedular Classificação segundo Zwas: (_____)

HIPERCAPTAÇÃO RELATIVA: _________________

TEMPO DE AFASTAMENTO: ____________ 1 Edema periosteal leve a moderado em T2

Medular normal em T1 e T2

2 Edema periosteal moderado/intenso em T2 Edema medular em T2, T1 normal 3 Edema periosteal intenso em T2

Edema medular em T1 e T2 4 Edema medular em T1 e T2

ANEXO 1

PROTOCOLO DE FRATURAS POR ESTRESSE

Nome: ________________________________ Telefone: ___________ e-mail: ________________________________ Idade: _______ anos Sexo: ( ) Masculino ( ) Feminino

Esporte: _____________________ Posição/categoria: _____________ Treino: ____________ horas/semana

____________ Km/semana

Local da dor: ___________________ Início dos sintomas: _____________ Característica da dor: ( ) em repouso

( ) atividades de vida diária

( ) em atividade física: ( ) somente no início ( ) ao final

( ) toda a atividade ( ) interrompe atividade

Alterações menstruais: ( ) amenorréia ( ) oligorréia

Exame Físico: Peso: _____ Kg Altura: _____ cm Pés: ( ) planos ( ) normais ( ) cavos

Geno: ( ) varo ( ) valgo ( ) bom alinhamento Encurtamento: ( ) Quadríceps

( ) Cadeia posterior ( ) ambos

Comprimento MID: _____ cm MIE: _____ cm Local da dor: ( ) edema

( ) dor à palpação ( ) calosidade

RESSONÂNCIA MAGNÉTICA (Clasificação de Fredericson)

Classificação segundo Fredericson: (_____)

CINTILOGRAFIA (Classificação de Zwas)

Cortical Alongada Larga Transcortical Mal definida Bem definida Fusiforme

Corticomedular Classificação segundo Zwas: (_____)

HIPERCAPTAÇÃO RELATIVA: _________________

TEMPO DE AFASTAMENTO: ____________ 1 Edema periosteal leve a moderado em T2

Medular normal em T1 e T2

2 Edema periosteal moderado/intenso em T2 Edema medular em T2, T1 normal 3 Edema periosteal intenso em T2

Edema medular em T1 e T2 4 Edema medular em T1 e T2

9.

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iniciais (anos) Sexo Lado Esporte Idade (horas/semana) RM Treinamento

Classificação de

Fredericson Cintilo-grafia captação Hiper- Tempo Seguimento (meses)

GHL 26 M ESQ handebol 7,0 + 1 + 1,600 4 12

GMC 33 M ESQ corrida 5,5 + 1 + 1,800 5 13

MSC 38 F ESQ corrida 2,5 + 1 + 1,800 6 12

RW 22 M DIR triatlo 2,5 + 1 + 2,300 4 18

MTP 26 F DIR corrida 3,0 + 2 + 1,800 6 6

JES 37 M DIR corrida 5,0 + 2 + 1,900 5 9

GZ 23 M DIR basquete 5,0 + 2 + 1,900 5 7 CT 23 F DIR corrida 3,5 + 2 + 2,000 5 8 CB 34 M DIR corrida 4,0 + 2 + 2,100 6 10 SMB 28 F ESQ corrida 5,0 + 2 + 2,200 6 12 DM 27 M ESQ corrida 3,0 + 2 + 2,300 4 15 JS 28 F DIR saltos 6,0 + 2 + 2,400 3 9 AM 52 M ESQ corrida 3,0 + 2 + 2,600 8 24 GL 25 M DIR handebol 7,0 + 3 + 2,100 6 22

ACM 28 F ESQ corrida 4,0 + 3 + 2,200 8 7

MC 44 M ESQ corrida 3,5 + 3 + 2,800 10 18

PAE 26 M DIR corrida 4,0 + 3 + 3,200 8 22

MLV 26 F ESQ Futebol 3,5 + 3 + 3,500 7 12 JO 36 M DIR corrida 3,5 + 3 + 3,900 6 21 SND 26 M ESQ triatlo 3,5 + 4 + 4,300 16 15 SB 56 F DIR corrida 5,0 + 4 + 4,700 20 20 Media 31,62 4,24 2,54 7,05 13,38 Desvio padrão 9,39 1,34 0,88 4,04 6,26 Minimo 22,00 2,50 1,60 3,00 6,00

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