{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T01:35:36Z","timestamp":1786239336349,"version":"build-2736575974"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T00:00:00Z","timestamp":1618790400000},"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":[[2022,2]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>Um tenista adolescente tinha dor cr\u00f4nica no bra\u00e7o dominante durante os treinos de t\u00eanis. A resson\u00e2ncia magn\u00e9tica (RM) sugeriu les\u00e3o por estresse na di\u00e1fise do \u00famero. Depois de 4 semanas, ele se tornou assintom\u00e1tico e voltou a jogar. No entanto, houve recidiva da dor ap\u00f3s 3 dias. A nova RM revelou fratura diafis\u00e1ria n\u00e3o desviada do \u00famero e edema significativo da medula \u00f3ssea. O paciente ficou em repouso por 4 semanas. Depois disso, exerc\u00edcios de fortalecimento foram introduzidos e o retorno aos treinamentos foi permitido ap\u00f3s 12 semanas. Mesmo que assintom\u00e1ticos, sugerimos que esses pacientes n\u00e3o voltem a jogar antes das 12 semanas, dependendo dos exames f\u00edsicos e dos achados por imagem.<\/jats:p>","DOI":"10.1055\/s-0040-1721837","type":"journal-article","created":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T23:00:45Z","timestamp":1618873245000},"page":"175-179","source":"Crossref","is-referenced-by-count":1,"title":["Fratura por estresse diafis\u00e1ria do \u00famero em atleta de t\u00eanis adolescente: Relato de caso"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2785-8261","authenticated-orcid":false,"given":"M\u00e1rcio","family":"Schiefer","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil"},{"name":"Centro de Cirurgia do Ombro e Cotovelo, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1294-6544","authenticated-orcid":false,"given":"Francisco","family":"Nanci","sequence":"additional","affiliation":[{"name":"Hospital Central da Pol\u00edcia Militar, Rio de Janeiro, RJ, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4946-8790","authenticated-orcid":false,"given":"Luiz Eduardo","family":"Ab\u00edlio","sequence":"additional","affiliation":[{"name":"Estagi\u00e1rio de Ombro e Cotovelo, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5273-0847","authenticated-orcid":false,"given":"Yonder Archanjo","family":"Ching San Junior","sequence":"additional","affiliation":[{"name":"Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5187-2787","authenticated-orcid":false,"given":"Geraldo","family":"Motta Filho","sequence":"additional","affiliation":[{"name":"Centro de Cirurgia do Ombro e Cotovelo, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"crossref","first-page":"2325967118799262","DOI":"10.1177\/2325967118799262","article-title":"Stress Fractures of the Elbow in the Throwing Athlete: A Systematic Review","volume":"6","author":"S R Smith","year":"2018","journal-title":"Orthop J Sports Med"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/j.csm.2006.02.006","article-title":"Imaging of upper extremity stress fractures in the athlete","volume":"25","author":"M W Anderson","year":"2006","journal-title":"Clin Sports Med"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1136\/bjsm.2005.023465","article-title":"The incidence and distribution of stress fractures in elite tennis players","volume":"40","author":"J Maquirriain","year":"2006","journal-title":"Br J Sports Med"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"966","DOI":"10.4085\/1062-6050-52.8.01","article-title":"The epidemiology of stress fractures in collegiate student-athletes, 2004\u20132005 through 2013\u20132014 academic years","volume":"52","author":"K H Rizzone","year":"2017","journal-title":"J Athl Train"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1177\/0363546514562739","article-title":"Epidemiology of stress fracture injuries among US high school athletes, 2005-2006 through 2012-2013","volume":"43","author":"B G Changstrom","year":"2015","journal-title":"Am J Sports Med"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1097\/00005131-199509040-00020","article-title":"Upper extremity injuries in the athlete","volume":"9","author":"P Gregory","year":"1995","journal-title":"J Orthop Trauma"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.csm.2005.08.008","article-title":"Upper extremity stress fractures","volume":"25","author":"G L Jones","year":"2006","journal-title":"Clin Sports Med"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/s10776-002-0632-5","article-title":"Stress fractures in athletes: review of 196 cases","volume":"8","author":"J Iwamoto","year":"2003","journal-title":"J Orthop Sci"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1302\/0301-620X.76B1.8300674","article-title":"Youth is a risk factor for stress fracture. A study of 783 infantry recruits","volume":"76","author":"C Milgrom","year":"1994","journal-title":"J Bone Joint Surg Br"},{"issue":"08","key":"ref10","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1136\/bjsm.2005.021386","article-title":"When physiology becomes pathology: the role of magnetic resonance imaging in evaluating bone marrow oedema in the humerus in elite tennis players with an upper limb pain syndrome","volume":"40","author":"G Hoy","year":"2006","journal-title":"Br J Sports Med"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1721837.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,19]],"date-time":"2022-02-19T01:38:37Z","timestamp":1645234717000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1721837"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,19]]},"references-count":10,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,2,18]]},"published-print":{"date-parts":[[2022,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1721837","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"value":"0102-3616","type":"print"},{"value":"1982-4378","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,19]]}}}