{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T01:52:44Z","timestamp":1762825964426,"version":"build-2065373602"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":99,"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":[[2025,6]]},"abstract":"<jats:title>Resumo<\/jats:title>\n                  <jats:p>As les\u00f5es do complexo dos m\u00fasculos isquiotibiais proximais s\u00e3o frequentes em atletas e variam de distens\u00f5es a avuls\u00f5es tend\u00edneas e \u00f3sseas. O mecanismo de les\u00e3o geralmente envolve contra\u00e7\u00e3o exc\u00eantrica dos isquiotibiais durante hiperflex\u00e3o abrupta do quadril com o joelho estendido. Les\u00f5es de baixa velocidade ocorrem em chutes altos e espacates, ao passo que avuls\u00f5es tend\u00edneas s\u00e3o comuns em atividades de alta velocidade, como corrida e bal\u00e9. Clinicamente, os pacientes apresentam dor, hematoma subcut\u00e2neo e, em alguns casos, defeito palp\u00e1vel. Sinais adicionais incluem limita\u00e7\u00e3o na extens\u00e3o do joelho e comprometimento do nervo ci\u00e1tico. O diagn\u00f3stico \u00e9 feito por ultrassonografia, resson\u00e2ncia magn\u00e9tica (RM) e radiografia, sendo a RM o exame padr\u00e3o. O tratamento cir\u00fargico \u00e9 indicado para avuls\u00f5es completas, especialmente em atletas, e visa evitar perda de for\u00e7a e dificuldades no retorno ao esporte. A t\u00e9cnica cir\u00fargica aqui descrita utiliza uma ou duas incis\u00f5es transversais na prega gl\u00fatea, dependendo da retra\u00e7\u00e3o do tend\u00e3o, com fixa\u00e7\u00e3o por \u00e2ncoras met\u00e1licas. O p\u00f3s-operat\u00f3rio inclui restri\u00e7\u00e3o inicial, seguida de reabilita\u00e7\u00e3o acelerada para retorno ao esporte a partir da d\u00e9cima segunda semana. Desde 2019, a t\u00e9cnica foi aplicada em 13 pacientes, e demonstrou bons resultados sem rerrupturas, com pontua\u00e7\u00e3o p\u00f3s-operat\u00f3ria no escore de Tegner semelhante \u00e0 do pr\u00e9-operat\u00f3rio.<\/jats:p>","DOI":"10.1055\/s-0045-1810039","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T23:09:26Z","timestamp":1757372966000},"page":"001-006","source":"Crossref","is-referenced-by-count":0,"title":["Reparo cir\u00fargico da avuls\u00e3o tend\u00ednea proximal dos isquiotibiais"],"prefix":"10.1055","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4189-574X","authenticated-orcid":false,"given":"Guilherme Guadagnini","family":"Falotico","sequence":"additional","affiliation":[{"name":"Grupo do Quadril, Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3151-5619","authenticated-orcid":false,"given":"Bruno Francesco","family":"Scatigna","sequence":"additional","affiliation":[{"name":"Grupo do Quadril, Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1055\/s-0030-1268011","article-title":"An anatomical study of the proximal hamstring muscle complex to elucidate muscle strains in this region","volume":"32","author":"N Battermann","year":"2011","journal-title":"Int J Sports Med"},{"issue":"04","key":"ref2","doi-asserted-by":"publisher","first-page":"677","DOI":"10.1016\/j.mric.2005.08.002","article-title":"Hamstring injuries of the 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