{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:36:55Z","timestamp":1740148615090,"version":"3.37.3"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T00:00:00Z","timestamp":1603929600000},"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":[[2023,8]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>A ap\u00f3fise supracondilar (ASC) \u00e9 uma proemin\u00eancia \u00f3ssea que tem origem na face anteromedial do \u00famero distal com proje\u00e7\u00e3o inferior e que, apesar de habitualmente assintom\u00e1tica, pela rela\u00e7\u00e3o com as estruturas adjacentes pode causar sintomatologia. Descrevemos o caso de uma mulher de 42 anos, com queixas \u00e1lgicas irradiadas do cotovelo \u00e0 m\u00e3o, com 6 meses de evolu\u00e7\u00e3o. Ao exame objetivo, a paciente apresentava um d\u00e9ficit sensorial no territ\u00f3rio do nervo mediano e diminui\u00e7\u00e3o da for\u00e7a de preens\u00e3o. Foram realizadas radiografias do \u00famero distal nas quais era vis\u00edvel uma esp\u00edcula \u00f3ssea, e na resson\u00e2ncia magn\u00e9tica era evidente o espessamento do epineuro do nervo mediano. A eletromiografia apresentou uma desmieliniza\u00e7\u00e3o axonal grave do nervo mediano proximal ao cotovelo. Foi diagnosticada uma compress\u00e3o do nervo mediano por uma ASC. A paciente foi submetida \u00e0 cirurgia e 1 ano p\u00f3s-operat\u00f3rio apresentou recupera\u00e7\u00e3o cl\u00ednica total. A ASC \u00e9 uma causa rara, mas poss\u00edvel e trat\u00e1vel da compress\u00e3o alta do nervo mediano.<\/jats:p>","DOI":"10.1055\/s-0040-1718509","type":"journal-article","created":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T00:36:21Z","timestamp":1604018181000},"page":"e659-e661","source":"Crossref","is-referenced-by-count":0,"title":["Ap\u00f3fise supracondilar do \u00famero: Causa rara de compress\u00e3o alta do nervo mediano"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8033-362X","authenticated-orcid":false,"given":"Lu\u00edsa","family":"Vital","sequence":"additional","affiliation":[{"name":"M\u00e9dicos Ortopedistas, Departamento de Ortopedia e Traumatologia, Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0725-3700","authenticated-orcid":false,"given":"Vitor","family":"Vidinha","sequence":"additional","affiliation":[{"name":"M\u00e9dicos Ortopedistas, Departamento de Ortopedia e Traumatologia, Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5413-435X","authenticated-orcid":false,"given":"Nuno","family":"Neves","sequence":"additional","affiliation":[{"name":"M\u00e9dicos Ortopedistas, Departamento de Ortopedia e Traumatologia, Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4962-0302","authenticated-orcid":false,"given":"Pedro","family":"Negr\u00e3o","sequence":"additional","affiliation":[{"name":"M\u00e9dicos Ortopedistas, Departamento de Ortopedia e Traumatologia, Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, Portugal"}]}],"member":"194","published-online":{"date-parts":[[2020,10,29]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1302\/0301-620X.48B4.765","article-title":"Supracondylar spur of the humerus","volume":"48","author":"L Kessel","year":"1966","journal-title":"J Bone Joint Surg Br"},{"issue":"01","key":"ref2","first-page":"1","article-title":"Morphological study of the supracondylar process of the humerus and its clinical implications","volume":"8","year":"2014","journal-title":"J Clin Diagn Res"},{"issue":"01","key":"ref3","first-page":"72","article-title":"Supracondylar process of the humerus","volume":"68","author":"M Subasi","year":"2002","journal-title":"Acta Orthop Belg"},{"key":"ref4","first-page":"171","article-title":"Nervalgia del nervo mediano da processo sopraepitrocleare","volume":"14","author":"S Solieri","year":"1929","journal-title":"Chir Organi Mov"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1590\/1413-785220172504168330","article-title":"Struthers' ligament and supracondylar humeral process: an anatomical study and clinical implications","volume":"25","author":"E B Caetano","year":"2017","journal-title":"Acta Ortop Bras"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/0072-968X(70)90028-8","article-title":"An unusual cause of ulnar nerve compression","volume":"2","author":"E G Fragiadakis","year":"1970","journal-title":"Hand"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"693","DOI":"10.3171\/jns.2000.92.4.0693","article-title":"Bilateral median nerve compression at the level of Struthers' ligament. 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