{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T22:40:42Z","timestamp":1782168042466,"version":"3.54.5"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T00:00:00Z","timestamp":1617148800000},"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":[[2023,10]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>O presente estudo tem como objetivo relatar um caso raro de fratura por avuls\u00e3o da tuberosidade da t\u00edbia em adolescente. Um paciente de 14 anos, do sexo masculino, sofreu entorse de joelho esquerdo durante partida de futebol. No primeiro atendimento em pronto-socorro, ele apresentava dor no joelho esquerdo, edema 2\u2009+\/4\u2009+\u2009, incapacidade de deambula\u00e7\u00e3o e de flexo-extens\u00e3o do joelho acometido, sem altera\u00e7\u00f5es neurovasculares ou sinais de s\u00edndrome compartimental. Nas radiografias, identificou-se fratura fis\u00e1ria na t\u00edbia proximal esquerda, classificada por Ogden, Tross e Murphy, com modifica\u00e7\u00e3o por Ryu e Debenham, como tipo IV, e complementada por Aerts et al. como tipo IV-B. Foi realizada imobiliza\u00e7\u00e3o com tala gessada inguino-maleolar e analgesia, e o paciente submetido a cirurgia no dia seguinte, com redu\u00e7\u00e3o aberta e fixa\u00e7\u00e3o interna utilizando parafusos canulados 4,5\u2009mm. O paciente recebeu alta no dia seguinte \u00e0 cirurgia, sendo mantida a imobiliza\u00e7\u00e3o com tala gessada e a restri\u00e7\u00e3o de carga por quatro semanas, e apresentou consolida\u00e7\u00e3o \u00f3ssea confirmada por radiografia com tr\u00eas meses do p\u00f3s-operat\u00f3rio. O paciente evoluiu sem discrep\u00e2ncia de comprimento dos membros inferiores, arco de movimento igual ao do membro contralateral, e sem queixas no seguimento de um ano.<\/jats:p>","DOI":"10.1055\/s-0040-1722596","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T07:29:50Z","timestamp":1617262190000},"page":"e808-e812","source":"Crossref","is-referenced-by-count":1,"title":["Fratura por avuls\u00e3o da tuberosidade da t\u00edbia em adolescente: Relato de caso"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7867-7076","authenticated-orcid":false,"given":"Giovani Manhabusqui","family":"Pac\u00edfico J\u00fanior","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1398-2800","authenticated-orcid":false,"given":"Marcel Lobato","family":"Sauma","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7624-6678","authenticated-orcid":false,"given":"Lauro Augusto Veloso","family":"Costa","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6186-9592","authenticated-orcid":false,"given":"Luiz Fabiano Presente","family":"Taniguchi","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5272-7998","authenticated-orcid":false,"given":"Francesco Camara","family":"Blumetti","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,3,31]]},"reference":[{"issue":"07","key":"ref1","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1007\/s00256-004-0892-5","article-title":"Stress-induced Salter-Harris I growth plate injury of the proximal tibia: first report","volume":"34","author":"M Nanni","year":"2005","journal-title":"Skeletal Radiol"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1097\/00005131-200005000-00015","article-title":"Flexon-type Salter-Harris I injury of the proximal tibial epiphysis","volume":"14","author":"C S Mudgal","year":"2000","journal-title":"J Orthop Trauma"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/S0020-1383(99)00229-6","article-title":"Epiphyseal fractures of the proximal tibia","volume":"31","author":"S J Rhemrev","year":"2000","journal-title":"Injury"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1007\/s11832-008-0131-z","article-title":"Tibial tuberosity fractures in adolescents","volume":"2","author":"S Frey","year":"2008","journal-title":"J Child Orthop"},{"issue":"08","key":"ref5","doi-asserted-by":"crossref","first-page":"1680","DOI":"10.1016\/j.injury.2015.05.039","article-title":"Classification of proximal tibial epiphysis fractures in children: Four clinical cases","volume":"46","author":"B R Aerts","year":"2015","journal-title":"Injury"},{"key":"ref6","first-page":"4","volume-title":"The classic: \"Fractures and Joint Injuries\" by Sir Reginald Watson-Jones, taken from \"Fractures and Joint Injuries,\" by R. Watson-Jones","author":"R Watson-Jones","year":"1955","edition":"Vol. II, 4th ed"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"205","DOI":"10.2106\/00004623-198062020-00006","article-title":"Fractures of the tibial tuberosity in adolescents","volume":"62","author":"J A Ogden","year":"1980","journal-title":"J Bone Joint Surg Am"},{"issue":"194","key":"ref8","first-page":"181","article-title":"An unusual avulsion fracture of the proximal tibial epiphysis. Case report and proposed addition to the Watson-Jones classification","author":"R K Ryu","year":"1985","journal-title":"Clin Orthop Relat Res"},{"issue":"12","key":"ref9","doi-asserted-by":"crossref","first-page":"1953","DOI":"10.1016\/j.injury.2013.04.006","article-title":"Simultaneous bilateral tibial tuberosity avulsion fractures in adolescence: case report and review of 60 years of literature","volume":"44","author":"S P Roy","year":"2013","journal-title":"Injury"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1016\/j.rbo.2015.10.007","article-title":"Fratura-avuls\u00e3o tuberosidade anterior da t\u00edbia em adolescente \u2013 Relato de dois casos","volume":"51","author":"A T Silva J\u00fanior","year":"2016","journal-title":"Rev Bras Ortop"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1722596.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T01:12:18Z","timestamp":1722561138000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1722596"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,31]]},"references-count":10,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2023,10,30]]},"published-print":{"date-parts":[[2023,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1722596","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":[[2021,3,31]]}}}