Impacts of coxa valga and coxa vara on the musculoskeletal system: An integrative review
Impactos de la coxa valga y coxa vara en el sistema musculoesquelético: Una revisión integradora
Impacto da coxa valga e da coxa vara no sistema músculo-esquelético: Uma revisão integrativa
Resumo (pt)
Coxa valga (CVl) and coxa vara (CVr) are morphological alterations related to the collodiaphyseal angle, which represents the angulation between the femoral neck and the femoral diaphysis. The angle considered normal is 120° to 135°. When the angle is less than 120°, it is called CVr, and when it is greater than 135°, it is called CVl. These alterations affect the musculoskeletal system, impacting the quality of life of those affected. This article aims to highlight the main functional impairments in the skeletal, muscular, and articular systems caused by CVl and CVr. Articles were collected from the MEDLINE and BVS databases, using the descriptors ("coxa valga" OR "coxa vara") in September 2022. Eleven articles were included in the review, with the main results summarized in a PRISMA flowchart. This review highlights the various adverse consequences in the locomotor system associated with the presence of CVl and CVr in affected individuals.
Resumo (es)
La coxa valga (CVl) y la coxa vara (CVr) son alteraciones morfológicas relacionadas con el ángulo colodiafisario, que representa la angulación entre el cuello del fémur y la diáfisis del fémur. O ángulo considerado normal es 120° a 135°. Cuando el ángulo es inferior a 120°, se denomina CVr, y cuando es superior a 135°, se denomina CVl. Estas alteraciones afectan el sistema musculoesquelético, impactando en la calidad de vida de los afectados. Este artículo tiene como objetivo destacar los principales compromisos funcionales en los sistemas esquelético, muscular y articular causados por la CVl y CVr. Se recopilaron artículos en las bases de datos MEDLINE y BVS, con los descriptores ("coxa valga" O "coxa vara") en septiembre de 2022. Se incluyeron once artículos en la revisión, con los principales resultados resumidos en un diagrama PRISMA. Esta revisión resalta las diversas consecuencias adversas en el sistema locomotor asociadas a la presencia de la CVl y CVr en individuos afectados
Referências
Dial, B. L.,Larl, R. K. (2018). Fraturas pediátricas do fêmur proximal. Revista de ortopedia, 15(2) 529-535.
https://doi.org/10.1016/j.jor.2018.03.039
Faghani, M. et al. (2021). Avaliação da geometria femoral proximal e sua relação com o índice de massa corporal em iranianos: um estudo transversal. Revista Internacional
de Queimaduras e Traumas, 11(6), 463-471. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8784741/
Farcetta, F., Matos, A. C., Nascimento, G. de P., & Nogueira, M. P. (2018). Osteotomia valgizante de fêmur proximal para coxa vara do desenvolvimento. São Paulo, 4. https://tecnicasemortopedia.com.br/revista/article/view/187
Gautam, D., & Rao, V. K. P. (2019). Classification of diaphysis based on the mechanical response of femur bone. Vibroengineering PROCEDIA, 29, 182–188. https://doi.org/10.21595/vp.2019.21133
Iyidobi, E. C., Obande, B. O., Eyichukwu, G. O., Nwadinigwe, C. U., Ekwunife, R. T., Ede, O., & Lasebikan, O. A. (2020). Assessment of the Femoral Neck-shaft Angles of Adults in Nigeria: Establishing an Age and Gender Stratified Reference Values. Asian Journal of Orthopaedic Research, 8, 80-86. https://journalajorr.com/index.php/AJORR/article/view/46
Kani, K. K., Porrino, J. A., Mulcahy, H., & Chew, F. S. (2019). Fragility fractures of the proximal femur: Review and update for radiologists. Skeletal Radiology, 48(1), 29–45. https://doi.org/10.1007/s00256-018-3008-3
Kim, D.-K., & Kim, T. H. (2021). Femoral neck shaft angle in relation to the location of femoral stress fracture in young military recruits: Femoral head versus femoral neck stress fracture. Skeletal Radiology, 50(6), 1163–1168. https://doi.org/10.1007/s00256-020-03661-z
Mendes, K.D.S., Silveira, R.C.C.P., Galvão, C.M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto e
Contexto - enfermagem. 17(4), 758-764. https://doi.org/10.1590/S0104-07072008000400018
Murerwa, M., Mulimba, J. A. O., & Gakuya, E. M. (2021). Assessing the accuracy of presumptive distal femoral cuts in the conduct of conventional total knee replacement in kenyan patients with end stage osteoarthritis of the knee. East African Orthopaedic Journal, 15(2), 71-78. https://www.ajol.info/index.php/eaoj/article/view/216206
Page, M.J; et al. (2020). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. https://doi.org/10.1136/bmj.n71
Palmer, E. (2021). Coxa Vara. Conselho de Operações de Reabilitação; Sharon Richman. https://www.ebsco.com/sites/g/files/nabnos191/files/acquiadam-assets/Rehabilitation- Reference-Center-Clinical-Review-Coxa-Vara.pdf
Popat, R., Lee, S., George, D. A., Amiras, D., & Sarraf, K. M. (2020). Assessment of the young adult hip joint using plain radiographs. Musculoskeletal Surgery, 104(3), 245–255. https://doi.org/10.1007/s12306-020-00650-2
Sharma, V., Kumar, K., Kalia, V., & Soni, P. (2018). Evaluation of femoral neck-shaft angle in subHimalayan population of North West India using digital radiography and dry bone measurements. Journal of the Scientific Society, 45(1), 3-7. https://doi.org/10.4103/jss.JSS_34_17
Souza, M.T., Silva, M.D., Carvalho, R. (2010). Revisão integrativa: o que é e como fazer.
Einstein, 8(1),102-106. https://doi.org/10.1590/S1679-45082010RW1134
Thielemann, F., Postler, A., Druschel, C., Günther, K., & Goronzy, J. (2020). Fehlstellungen der Hüfte. Monatsschrift Kinderheilkunde, 168(10), 892–901. https://doi.org/10.1007/s00112-020-00991-z
Tian, S., Liu, M., Zhang, J., Zhang, L., & Peng, A. (2021). Intertrochanteric valgus osteotomy for post-traumatic coxa vara after proximal femur fractures: A retrospective study.
Medicine, 100(45), 41-49. https://doi.org/10.1097/MD.0000000000026829
Varda, J., Valčić, V., & Blagojević, V. (2022). Morphometric parameters of the proximal femoral epiphysis and their effect on the hip joint. Medicinski Podmladak, 73(2), 28–33. https://doi.org/10.5937/mp73-33453
Zhang, B., Sun, J., Du, Y., Shen, J., Li, T., & Zhou, Y. (2021). Treatment of Osteoarthritis Secondary to Severe Coxa Vara with Modular Total Hip Arthroplasty. Therapeutics and Clinical Risk Management, 17, 1199–1207. https://doi.org/10.2147/TCRM.S335015
Zhang, Y., Su, Q., Zhang, Y., Ge, H., Wei, W., & Cheng, B. (2021). Multivariate analysis of the relationship between gluteal muscle contracture and coxa valga. BMC Musculoskeletal Disorders, 22(1), 561-568.
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