{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:36:43Z","timestamp":1740148603403,"version":"3.37.3"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"vor","delay-in-days":0,"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":[[2024,10]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>A s\u00edndrome compartimental cr\u00f4nica (SCC) pode ser definida como uma eleva\u00e7\u00e3o da press\u00e3o dentro de um espa\u00e7o fibro-\u00f3sseo n\u00e3o expans\u00edvel, que surge por meio de atividades f\u00edsicas cont\u00ednuas e intensas, com sintomas que geralmente melhoram com repouso ou redu\u00e7\u00e3o da atividade. \u00c9 uma causa importante de dor nos membros inferiores em atletas, sendo a segunda causa mais comum de dores nas pernas relacionada ao esfor\u00e7o, embora existam relatos menos comuns em compartimentos paravertebrais lombares, na m\u00e3o, no antebra\u00e7o, na coxa e no p\u00e9. \u00c9 mais frequentemente observada em corredores de longa dist\u00e2ncia; por\u00e9m, outros esportes tamb\u00e9m t\u00eam sido associados a essa entidade, como lacrosse, futebol, basquete, esqui e h\u00f3quei de campo. A tens\u00e3o muscular, c\u00e3ibras, piora dos sintomas com o exerc\u00edcio f\u00edsico, dor e redu\u00e7\u00e3o da sensibilidade na parte superior do p\u00e9 s\u00e3o os principais sintomas relacionados a essa s\u00edndrome, sendo o diagn\u00f3stico essencialmente cl\u00ednico. Embora controversa e com algumas limita\u00e7\u00f5es, a medi\u00e7\u00e3o da press\u00e3o intracompartimental ap\u00f3s o exerc\u00edcio tem sido utilizada para o diagn\u00f3stico da SCC. No entanto, novas ferramentas est\u00e3o sendo estudadas como alternativa, especialmente aquelas que s\u00e3o menos invasivas, como a imagem de resson\u00e2ncia magn\u00e9tica (RM) ap\u00f3s protocolo de exerc\u00edcio. A fasciotomia aberta foi por<\/jats:p><jats:p>v\u00e1rios anos o tratamento mais relevante para SCC em atletas, por\u00e9m novas t\u00e9cnicas cir\u00fargicas est\u00e3o ganhando import\u00e2ncia, como a fasciotomia minimamente invasiva e o procedimento endosc\u00f3pico. Alguns tratamentos conservadores s\u00e3o promissores como alternativas poss\u00edveis para aqueles que n\u00e3o desejam a cirurgia, mas ainda h\u00e1 falta de evid\u00eancias robustas para sustent\u00e1-los, especialmente para atletas.<\/jats:p>","DOI":"10.1055\/s-0044-1787766","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T22:57:11Z","timestamp":1721084231000},"page":"e650-e656","source":"Crossref","is-referenced-by-count":0,"title":["A s\u00edndrome compartimental cr\u00f4nica em atletas"],"prefix":"10.1055","volume":"59","author":[{"given":"Pedro Baches","family":"Jorge","sequence":"additional","affiliation":[{"name":"Grupo de Trauma do Esporte, Departamento de Ortopedia e Traumatologia, Irmandade de Miseric\u00f3rdia da Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"},{"name":"Grupo de Medicina do Esporte, Departamento de Ortopedia e Traumatologia, Irmandade de Miseric\u00f3rdia da Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, 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