{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T09:30:36Z","timestamp":1763458236726,"version":"3.37.3"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T00:00:00Z","timestamp":1687996800000},"content-version":"vor","delay-in-days":28,"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":[[2023,6]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003A libera\u00e7\u00e3o endosc\u00f3pica do nervo ulnar permite reproduzir uma libera\u00e7\u00e3o simples (in situ), mas atrav\u00e9s de incis\u00f5es menores e com menor les\u00e3o de partes moles e uma maior preserva\u00e7\u00e3o da vasculariza\u00e7\u00e3o do nervo. A visualiza\u00e7\u00e3o clara atrav\u00e9s da endoscopia permite observar todo o trajeto do nervo e das estruturas nobres circundantes, mostrando os sinais de compress\u00e3o, possibilitando realizar a libera\u00e7\u00e3o de forma segura em um trajeto de 10\u2009cm nos sentidos distal e proximal ao epic\u00f4ndilo medial.<\/jats:p><jats:p>\n          M\u00e9todo\u2003Foram encontrados, de forma retrospectiva, no per\u00edodo entre janeiro de 2016 e janeiro de 2020, 15 pacientes (sendo 1 com les\u00e3o bilateral) submetidos a libera\u00e7\u00e3o da compress\u00e3o do nervo ulnar no cotovelo pela t\u00e9cnica endosc\u00f3pica com equipamento de Agee (Micro-Aire Sugical Instruments, Charlottesville, VA, EUA).<\/jats:p><jats:p>\n          Resultados\u2003Todos os pacientes tiveram melhora dos sintomas de compress\u00e3o do nervo ulnar e o per\u00edodo de retorno ao trabalho foi de em m\u00e9dia 26,5 dias. N\u00e3o houve recidivas e n\u00e3o houve a necessidade de outro procedimento. Tamb\u00e9m n\u00e3o houve complica\u00e7\u00f5es graves decorrentes do procedimento, como infec\u00e7\u00e3o, les\u00e3o nervosa ou vascular. Em um paciente, houve parestesia transit\u00f3ria dos ramos sensitivos para o antebra\u00e7o, com retorno completo da fun\u00e7\u00e3o em 8 semanas.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003Os resultados mostram que a libera\u00e7\u00e3o endosc\u00f3pica do nervo ulnar no cotovelo com o equipamento de Agee \u00e9 uma t\u00e9cnica segura, confi\u00e1vel e com bons resultados.<\/jats:p>","DOI":"10.1055\/s-0042-1751023","type":"journal-article","created":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T22:33:38Z","timestamp":1688078018000},"page":"449-456","source":"Crossref","is-referenced-by-count":2,"title":["Libera\u00e7\u00e3o endosc\u00f3pica do nervo ulnar no cotovelo: Descri\u00e7\u00e3o da t\u00e9cnica e s\u00e9rie de casos"],"prefix":"10.1055","volume":"58","author":[{"given":"Ricardo Kaempf de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Hospital Santa Casa de Miseric\u00f3rdia de Porto Alegre, RS, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7521-3823","authenticated-orcid":false,"given":"Jo\u00e3o Pedro Farina","family":"Brunelli","sequence":"additional","affiliation":[{"name":"Hospital Santa Casa de Miseric\u00f3rdia de Porto Alegre, RS, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matheus Baldasso","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina do ABC, Santo Andr\u00e9, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rcio","family":"Aita","sequence":"additional","affiliation":[{"name":"Hospital Santa Casa de Miseric\u00f3rdia de Porto Alegre, RS, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicente","family":"Carratal\u00e1","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Uni\u00e3o de Mutuas, Valencia, Espanha"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro J.","family":"Delgado","sequence":"additional","affiliation":[{"name":"Unidade de Cirurgia de M\u00e3o, Hospital Universit\u00e1rio Madrid Montepr\u00edncipe, Universidade CEU San Pablo, Boadilla del Monte, Madri, Espanha"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,6,29]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.jhsa.2009.11.004","article-title":"Cubital tunnel syndrome","volume":"35","author":"B A Palmer","year":"2010","journal-title":"J Hand Surg Am"},{"issue":"06","key":"ref2","first-page":"465","article-title":"Transposi\u00e7\u00e3o anterior submuscular do nervo ulnar para o tratamento da s\u00edndrome do t\u00fanel cubital","volume":"33","author":"C H Fernandes","year":"1998","journal-title":"Rev Bras Ortop"},{"issue":"10","key":"ref3","doi-asserted-by":"crossref","first-page":"e215","DOI":"10.5435\/JAAOS-D-15-00261","article-title":"Cubital Tunnel Syndrome: Current Concepts","volume":"25","author":"J R Staples","year":"2017","journal-title":"J Am Acad Orthop Surg"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"1690","DOI":"10.1016\/j.jhsa.2010.07.030","article-title":"Endoscopic cubital tunnel release","volume":"35","author":"T K Cobb","year":"2010","journal-title":"J Hand Surg Am"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.jns.2005.02.010","article-title":"Incidence of ulnar neuropathy at the elbow in the province of Siena (Italy)","volume":"234","author":"M Mondelli","year":"2005","journal-title":"J Neurol Sci"},{"issue":"07","key":"ref6","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1016\/j.jhsa.2014.04.030","article-title":"An anatomical basis for endoscopic cubital tunnel release and associated clinical outcomes","volume":"39","author":"A Mirza","year":"2014","journal-title":"J Hand Surg Am"},{"issue":"12","key":"ref7","doi-asserted-by":"crossref","first-page":"2591","DOI":"10.2106\/JBJS.G.00183","article-title":"Anterior transposition compared with simple decompression for treatment of cubital tunnel syndrome. 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