From: "Salvo pelo Windows Internet Explorer 8" Subject: =?Windows-1252?Q?Folha.com_-_Equil=EDbrio_e_Sa=FAde_-_Crescem_les=F5es_de?= =?Windows-1252?Q?_joelho_em_crian=E7as;_n=FAmero_est=E1_acima_da_m=E9dia_?= =?Windows-1252?Q?internacional_-_26/08/2010?= Date: Fri, 27 Aug 2010 11:17:30 -0300 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01CB45D9.70498FC0" X-MimeOLE: Produced By Microsoft MimeOLE V6.0.6001.18416 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01CB45D9.70498FC0 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: http://www1.folha.uol.com.br/equilibrioesaude/789161-crescem-lesoes-de-joelho-em-criancas-numero-esta-acima-da-media-internacional.shtml
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JULIANA VINES
COLABORA=C7=C3O PARA A FOLHA =
Aumentam os casos de les=F5es de joelho entre crian=E7as e = adolescentes. Segundo=20 o Instituto do Joelho do Hospital do Cora=E7=E3o (HCor), o n=FAmero de = fraturas e=20 tor=E7=F5es nesse p=FAblico subiu 15% ao ano na =FAltima d=E9cada.
O levantamento do hospital mostra problemas nas cartilagens e nos = ligamentos=20 da articula=E7=E3o, o que preocupa os especialistas, porque esse tipo de = les=E3o pode=20 comprometer o crescimento.
Segundo o chefe do Instituto do Joelho e ortopedista Rene Abdalla, a = alta nas=20 les=F5es entre crian=E7as est=E1 acima da m=E9dia registrada na = literatura=20 internacional. O m=E9dico afirma que os garotos est=E3o se tornando = "atletas de fim=20 de semana".
Para ele, a combina=E7=E3o de rotina sedent=E1ria com atividades de = impacto=20 eventuais =E9 a principal causa de les=F5es. "A pr=E1tica =E9 menos = frequente e, ao=20 mesmo tempo, mais competitiva."
As principais modalidades vil=E3s do joelho s=E3o futebol, v=F4lei, = basquete e=20 skate. "Envolvem mudan=E7a brusca de movimento e saltos. O futebol tem = as duas=20 coisas", diz o chefe de medicina esportiva do IOT (Instituto de = Ortopedia e=20 Traumatologia do Hospital das Cl=EDnicas de S=E3o Paulo), Arnaldo = Hernandez.
Outro agravante, de acordo com o presidente da Sociedade Brasileira = de=20 Ortopedia e Traumatologia, Claudio Santili, =E9 o fato de as crian=E7as = praticarem=20 apenas um tipo de atividade, o que sobrecarrega um grupo muscular.
"O certo seria alternar um esporte de impacto com outros que = estimulem o=20 alongamento, como futebol com nata=E7=E3o ou v=F4lei com alguma arte = marcial", explica=20 Santili.
Com o esporte fora da rotina, um descuido pode acabar em tor=E7=E3o = ou fratura. O=20 mais comum =E9 o descolamento da chamada cartilagem do crescimento, que = fica na=20 t=EDbia e no f=EAmur. "Les=F5es nessa placa podem causar diferen=E7a no = desenvolvimento=20 dos membros", diz Hernandez.
Os casos costumam ser t=E3o s=E9rios que quase sempre acabam na mesa = de cirurgia.=20 Mesmo assim, a recupera=E7=E3o nem sempre =E9 satisfat=F3ria.
"A pr=F3pria cirurgia pode interferir no crescimento", completa o = chefe do IOT.=20
Uma forma de fugir das les=F5es seria evitar esportes de = competi=E7=E3o antes dos=20 12 anos e investir em diversidade. "As crian=E7as devem fazer atividades = adequadas=20 para sua faixa et=E1ria sem pensar em resultados", diz Santili.
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FALTA DE ROTINA
Em mulheres, o n=FAmero de les=F5es de joelho tamb=E9m vem = aumentando: 30% ao ano.=20 A principal causa =E9 a falta de regularidade na academia, na corrida ou = na=20 caminhada.
"As mulheres n=E3o mant=EAm a atividade e t=EAm bastante = altera=E7=E3o no peso", afirma=20 Abdalla. Isso sobrecarrega o joelho, o que a m=E9dio prazo causa = tendinites e=20 desgaste progressivo das cartilagens.
A evolu=E7=E3o desse quadro pode causar artrite e at=E9 levar =E0 = implanta=E7=E3o de=20 pr=F3tese. Para evitar as les=F5es, Abdalla recomenda manter um ritmo de = exerc=EDcios.=20
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