{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T16:23:23Z","timestamp":1783009403125,"version":"3.54.5"},"reference-count":42,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2020,4,2]],"date-time":"2020-04-02T00:00:00Z","timestamp":1585785600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>A s\u00edndrome compartimental cr\u00f4nica \u00e9 uma condi\u00e7\u00e3o comum e frequentemente subdiagnosticada, induzida pelo exerc\u00edcio, que corresponde em m\u00e9dia a um quarto dos casos de dor cr\u00f4nica na perna relacionada ao exerc\u00edcio, e que perde em frequ\u00eancia apenas para o espectro fratura\/rea\u00e7\u00e3o ao estresse tibial. Tradicionalmente ocorre em jovens atletas corredores, embora estudos mais recentes tenham demonstrado uma preval\u00eancia consider\u00e1vel em praticantes de atividade f\u00edsica de baixo rendimento, mesmo em pacientes de meia-idade ou idosos. A lista de diagn\u00f3sticos diferenciais \u00e9 extensa, e por vezes \u00e9 dif\u00edcil fazer a distin\u00e7\u00e3o apenas pelos dados cl\u00ednicos, sendo necess\u00e1rios exames subsidi\u00e1rios.<\/jats:p><jats:p>Classicamente, o diagn\u00f3stico \u00e9 feito pelo quadro cl\u00ednico, pela exclus\u00e3o dos diferenciais, e pela medida press\u00f3rica intracompartimental. Embora a manometria por agulha seja considerada o padr\u00e3o-ouro no diagn\u00f3stico, seu uso n\u00e3o \u00e9 universalmente aceito, visto que existem algumas limita\u00e7\u00f5es importantes, al\u00e9m da disponibilidade restrita do equipamento com agulha no Brasil. Recentemente, novos protocolos de manometria t\u00eam sido propostos a fim suplantar a defici\u00eancia dos tradicionais, com algum deles inclusive recomendando o uso sistem\u00e1tico da resson\u00e2ncia magn\u00e9tica (RM) na exclus\u00e3o dos diagn\u00f3sticos diferenciais. O uso de sequ\u00eancias de RM sens\u00edveis a l\u00edquido p\u00f3s-esfor\u00e7o \u00e9 uma \u00f3tima op\u00e7\u00e3o n\u00e3o invasiva \u00e0 manometria por agulha no diagn\u00f3stico da s\u00edndrome compartimental cr\u00f4nica, uma vez que o aumento da intensidade de sinal p\u00f3s-exerc\u00edcio \u00e9 estatisticamente relevante quando comparados os valores press\u00f3ricos de manometria em pacientes com a s\u00edndrome e assintom\u00e1ticos; portanto, o exame pode ser usado no crit\u00e9rio diagn\u00f3stico. O tratamento definitivo \u00e9 a fasciotomia, embora existam alternativas menos eficazes.<\/jats:p>","DOI":"10.1055\/s-0040-1702961","type":"journal-article","created":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T00:40:31Z","timestamp":1585874431000},"page":"673-680","source":"Crossref","is-referenced-by-count":7,"title":["O papel da resson\u00e2ncia magn\u00e9tica no diagn\u00f3stico da s\u00edndrome compartimental cr\u00f4nica do exerc\u00edcio"],"prefix":"10.1055","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3350-2395","authenticated-orcid":false,"given":"Marcelo Astolfi Caetano","family":"Nico","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Radiologia do sistema Musculoesquel\u00e9tico, Fleury Medicina & Sa\u00fade, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3798-2007","authenticated-orcid":false,"given":"Bruno Cerretti","family":"Carneiro","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Radiologia do sistema Musculoesquel\u00e9tico, Fleury Medicina & Sa\u00fade, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0167-6980","authenticated-orcid":false,"given":"Fernando Ometto","family":"Zorzenoni","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Radiologia do sistema Musculoesquel\u00e9tico, Fleury Medicina & Sa\u00fade, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6458-3642","authenticated-orcid":false,"given":"Al\u00edpio Gomes","family":"Ormond Filho","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Radiologia do sistema Musculoesquel\u00e9tico, Fleury Medicina & Sa\u00fade, S\u00e3o Paulo, SP, 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