{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T18:43:06Z","timestamp":1764873786757,"version":"3.37.3"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2020,9,25]],"date-time":"2020-09-25T00:00:00Z","timestamp":1600992000000},"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":[[2021,8]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003O objetivo do presente estudo foi determinar a exist\u00eancia de infiltra\u00e7\u00e3o gordurosa (IG) na massa muscular do b\u00edceps braquial ap\u00f3s a tenotomia ou tenodese para tratamento de les\u00e3o no tend\u00e3o da cabe\u00e7a longa do b\u00edceps e estabelecer uma rela\u00e7\u00e3o entre a IG e altera\u00e7\u00f5es no comprimento das fibras musculares.<\/jats:p><jats:p>\n          M\u00e9todos\u2003An\u00e1lise cl\u00ednica e de imagens de 2 grupos de pacientes (submetidos \u00e0 tenodese do b\u00edceps [16 indiv\u00edduos] ou tenotomia do b\u00edceps [15 indiv\u00edduos]). Nos dois grupos, os achados foram comparados \u00e0queles do lado contralateral de cada indiv\u00edduo (grupo controle). Todos os pacientes foram submetidos \u00e0 tenodese ou tenotomia unilateral do b\u00edceps, com acompanhamento p\u00f3s-operat\u00f3rio\u2009&gt;\u20091 ano. Exames de resson\u00e2ncia magn\u00e9tica (RM) foram realizados em ambos os bra\u00e7os de cada paciente de acordo com um protocolo espec\u00edfico. A for\u00e7a de flex\u00e3o do cotovelo foi medida com dinam\u00f4metro manual e os resultados foram submetidos \u00e0 an\u00e1lise estat\u00edstica.<\/jats:p><jats:p>\n          Resultados\u2003O per\u00edodo p\u00f3s-operat\u00f3rio m\u00e9dio antes da realiza\u00e7\u00e3o da RM foi de 5 anos, e nenhum caso de IG foi observado no compartimento anterior de ambos os bra\u00e7os dos pacientes avaliados. Sete pacientes apresentaram deformidade moderada ou grave no bra\u00e7o operado. N\u00e3o houve rela\u00e7\u00e3o significativa entre deformidade do bra\u00e7o (p\u2009=\u20090,077), percentual de for\u00e7a de flex\u00e3o (p\u2009=\u20090,07) ou dor \u00e0 palpa\u00e7\u00e3o do sulco bicipital (p\u2009=\u20090,103).<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003Nenhum dos pacientes avaliados apresentou evid\u00eancia de IG na massa muscular do compartimento anterior do bra\u00e7o ap\u00f3s os procedimentos. N\u00e3o foi poss\u00edvel estabelecer uma correla\u00e7\u00e3o entre a discrep\u00e2ncia do comprimento do m\u00fasculo b\u00edceps, medido \u00e0 RM, e a presen\u00e7a de IG no compartimento anterior do bra\u00e7o.<\/jats:p>","DOI":"10.1055\/s-0040-1714231","type":"journal-article","created":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T23:04:38Z","timestamp":1601507078000},"page":"497-503","source":"Crossref","is-referenced-by-count":1,"title":["Avalia\u00e7\u00e3o da tenotomia ou tenodese bicipital na infiltra\u00e7\u00e3o gordurosa do m\u00fasculo b\u00edceps"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1571-1855","authenticated-orcid":false,"given":"Jair","family":"Simmer Filho","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Hospital Estadual de Urg\u00eancia e Emerg\u00eancia, Vit\u00f3ria, ES, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1623-2071","authenticated-orcid":false,"given":"Paulo Henrique Schmidt","family":"Lara","sequence":"additional","affiliation":[{"name":"Centro de Traumatologia do Esporte, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juarez","family":"Leite J\u00fanior","sequence":"additional","affiliation":[{"name":"Departamento de Radiologia, Multiscan Diagn\u00f3stico, Vit\u00f3ria, ES, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4441-4742","authenticated-orcid":false,"given":"Paulo Santoro","family":"Belangero","sequence":"additional","affiliation":[{"name":"Centro de Traumatologia do Esporte, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3301-1457","authenticated-orcid":false,"given":"Benno","family":"Ejnisman","sequence":"additional","affiliation":[{"name":"Centro de Traumatologia do Esporte, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,9,25]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1177\/0363546510388158","article-title":"Patient-related factors and complications after arthroscopic tenotomy of the long head of the biceps tendon","volume":"39","author":"T K Lim","year":"2011","journal-title":"Am J Sports Med"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1177\/0363546516677254","article-title":"Muscle degeneration associated with rotator cuff tendon release and\/or denervation in sheep","volume":"45","author":"C Gerber","year":"2017","journal-title":"Am J Sports Med"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1111\/j.1600-0838.2004.00421.x","article-title":"Permanent disabilities in the displaced muscle from rupture of the long head tendon of the biceps","volume":"15","author":"S R Deutch","year":"2005","journal-title":"Scand J Med Sci Sports"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/j.arthro.2014.08.022","article-title":"Biceps muscle fatty infiltration and atrophy. 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