Abstract
Em agosto de 2003, foram estudados 151 indígenas (88 homens e 63 mulheres) da etnia Ticuna, que se localiza nas proximidades da cidade de Tabatinga, Amazonas. Foi determinada a ocorrência de lesão do ligamento cruzado anterior (LCA), mediante um protocolo de exame físico baseado no "International Knee Documentation Committee" - IKDC 2000. Cerca de 14% dos homens sofreu lesão do LCA, contra 3% das mulheres, e 88% da população examinada apresentou alinhamento dos joelhos em varo. O expressivo índice de lesão encontrado se deve a questões culturais, provavelmente à prática do futebol, sendo o isolamento geográfico o fator decisivo para a falta de diagnóstico e tratamento dos indígenas.
Highlights
IntroductionAnterior cruciate ligament (ACL) is the major anterior stabilizer of the knee[1] and its rupture is mainly associated to an indirect mechanism of trauma followed by hemarthrosis[2]
The authors believe that the expressive rate of Anterior cruciate ligament (ACL) injury in male Brazilian Indians was determined by cultural issues, probably because of soccer playing, with the isolation of the Ticuna village being critical for the lack of diagnosis and treatment
Anterior cruciate ligament (ACL) is the major anterior stabilizer of the knee[1] and its rupture is mainly associated to an indirect mechanism of trauma followed by hemarthrosis[2]
Summary
Anterior cruciate ligament (ACL) is the major anterior stabilizer of the knee[1] and its rupture is mainly associated to an indirect mechanism of trauma followed by hemarthrosis[2]. In the USA, the annual incidence is estimated as 0.35 ACL injury/ general population resident, resulting in approximately 75,000 injuries each year[7]. Healthcare challenges are even more impressive, as a result of the geographical isolation, the indigenous culture itself, as well as of the different languages turning medical care difficult to be provided. The objective of this study is to determine the incidence of ACL injury in an indigenous population village of the state of Amazonas, upon a physical examination protocol based on the “International Knee Documentation Committee” – IKDC 2000(10). This study is intended to: a) compare the differences found between genders, b) check for the association of ACL injuries with other ligament injuries, and c) check for the alignment of lower limbs, by gender and age
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