{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T08:01:46Z","timestamp":1779177706999,"version":"3.51.4"},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Einstein (S\u00e3o Paulo)"],"abstract":"<jats:p>A s\u00edndrome do impacto \u00e9 definida pela colis\u00e3o dos tend\u00f5es dos m\u00fasculos que formam o manguito rotador contra o arco coracoacromial. V\u00e1rios fatores concorrem para essa doen\u00e7a e s\u00e3o classificados como estruturais ou funcionais. Os primeiros s\u00e3o altera\u00e7\u00f5es do arco coracoacromial, \u00famero, bursa e manguito rotador; os fatores funcionais est\u00e3o relacionados com o mecanismo de eleva\u00e7\u00e3o do membro superior, por meio da atividade sincronizada e equilibrada entre o manguito rotador e os m\u00fasculos da cintura escapular. Os autores relatam aqui, o caso de um lipoma parosteal do \u00famero proximal, situado entre os ventres musculares do deltoide, redondo menor e infraespinhal ocasionando os sinais cl\u00ednicos da s\u00edndrome do impacto. Trata-se de uma ocorr\u00eancia rara, caracterizada como uma causa estrutural para o desencadeamento dessa sintomatologia.<\/jats:p>","DOI":"10.1590\/s1679-45082014rc2934","type":"journal-article","created":{"date-parts":[[2014,8,23]],"date-time":"2014-08-23T18:15:20Z","timestamp":1408817720000},"page":"351-354","source":"Crossref","is-referenced-by-count":4,"title":["Lipoma subdelto\u00eddeo como causa de s\u00edndrome do impacto no ombro \u2013 um relato de caso"],"prefix":"10.1590","volume":"12","author":[{"given":"Mario","family":"Lenza","sequence":"first","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel Vicente","family":"Lenza","sequence":"additional","affiliation":[{"name":"Hospital Nove de Julho,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo da Frota","family":"Carrerra","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Ferretti","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2014,8,21]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"1644","DOI":"10.1016\/j.ejca.2004.04.004","article-title":"Changing concepts in the pathological basis of soft tissue and bone sarcoma treatment","volume":"40","author":"Hogendoorn PC","year":"2004","journal-title":"Eur J Cancer"},{"key":"ref2","series-title":"Campbell\u2019s. 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