{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:36:45Z","timestamp":1740148605820,"version":"3.37.3"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"S 02","license":[{"start":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T00:00:00Z","timestamp":1735257600000},"content-version":"vor","delay-in-days":56,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>A paralisia do nervo fibular comum (NFC) \u00e9 a mononeuropatia mais comum no membro inferior, e v\u00e1rias etiologias s\u00e3o descritas. O NFC \u00e9 a divis\u00e3o menor e lateral do nervo ci\u00e1tico; ele se origina da divis\u00e3o sacral lombar, e muitos riscos de compress\u00e3o foram descritos: o comportamento de cruzar e agachar as pernas, compress\u00f5es extra e intraneural, traumas locais e perda de peso v\u00eam aparecendo como causas importantes de serem lembradas. O tratamento \u00e9 baseado na gravidade da condi\u00e7\u00e3o do nervo. No caso de os preju\u00edzos neurol\u00f3gicos serem persistentes, a descompress\u00e3o cir\u00fargica \u00e9 indicada. Quando se trata de uma paralisia n\u00e3o traum\u00e1tica, a compress\u00e3o do pesco\u00e7o fibular \u00e9 a causa mais importante. Este artigo apresenta o caso de um ciclista amador de 39 anos que foi submetido a cirurgia bari\u00e1trica e perdeu mais de 30% da massa corporal inicial. Onze meses ap\u00f3s a cirurgia, ele fez uma sess\u00e3o de exerc\u00edcio extenuante na bicicleta e evoluiu com parestesia no p\u00e9 esquerdo dorsal e comprometimento da dorsiflex\u00e3o. O exame eletromiogr\u00e1fico mostrou paralisia do NFC. Ele foi submetido a descompress\u00e3o cir\u00fargica do nervo, com bons resultados at\u00e9 dez meses de seguimento. Atividade f\u00edsica extenuante ap\u00f3s cirurgia bari\u00e1trica com perda substancial de peso pode evoluir com paralisia de NFC. Esta etiologia deve ser considerada no racioc\u00ednio cl\u00ednico em tal apresenta\u00e7\u00e3o cl\u00ednica.<\/jats:p>","DOI":"10.1055\/s-0042-1757964","type":"journal-article","created":{"date-parts":[[2024,12,28]],"date-time":"2024-12-28T00:05:21Z","timestamp":1735344321000},"page":"e176-e179","source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Paralisia do nervo fibular comum em um ciclista ap\u00f3s cirurgia bari\u00e1trica \u2013 Relato de caso"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4780-827X","authenticated-orcid":false,"given":"Jo\u00e3o Carlos","family":"Nakamoto","sequence":"additional","affiliation":[{"name":"Instituto Vita, S\u00e3o Paulo, S\u00e3o Paulo, Brasil"},{"name":"Hospital de Cl\u00ednicas, Universidade Estadual de Campinas (Unicamp), Campinas, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9190-7833","authenticated-orcid":false,"given":"Bernardo Figueira","family":"Althoff","sequence":"additional","affiliation":[{"name":"Instituto Vita, S\u00e3o Paulo, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9017-982X","authenticated-orcid":false,"given":"Ricardo Boso","family":"Escudero","sequence":"additional","affiliation":[{"name":"Instituto Vita, S\u00e3o Paulo, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6572-1771","authenticated-orcid":false,"given":"Mauro Cesar Mattos e","family":"Dinato","sequence":"additional","affiliation":[{"name":"Instituto Vita, S\u00e3o Paulo, S\u00e3o Paulo, Brasil"},{"name":"Hospital de Cl\u00ednicas, Universidade Estadual de Campinas (Unicamp), Campinas, S\u00e3o Paulo, 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