{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:30:30Z","timestamp":1787023830870,"version":"build-2736575974"},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"7-8","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Introdu\u00e7\u00e3o: O maior desafio no tratamento da entorse aguda do tornozelo \u00e9 a indefini\u00e7\u00e3o do progn\u00f3stico. As classifica\u00e7\u00f5es cl\u00e1ssicas t\u00eam v\u00e1rias interpreta\u00e7\u00f5es e pouca correla\u00e7\u00e3o com o progn\u00f3stico. Com este trabalho propomos uma nova classifica\u00e7\u00e3o baseada apenas em crit\u00e9rios cl\u00ednicos.Material e Me\u0301todos: Foram prospectivamente avaliados doentes entre os 18 e os 45 anos com entorse aguda do tornozelo, admitidos numa institui\u00e7\u00e3o durante 24 meses. O seguimento m\u00ednimo teve uma dura\u00e7\u00e3o de 12 meses. Estes doentes foram classificados nos primeiros dias ap\u00f3s a entorse (CASCaIS-Inicial) com base na valoriza\u00e7\u00e3o da capacidade de marcha aut\u00f3noma, inspe\u00e7\u00e3o do quadro inflamat\u00f3rio e palpa\u00e7\u00e3o. Passadas algumas semanas (CASCaIS-Diferida) complementou-se com a avalia\u00e7\u00e3o ligamentar pelo teste de pivot do tornozelo.Resultados: Dos 49 doentes que completaram o seguimento, nenhum dos que tinha um teste pivot-negativo evoluiu para instabilidade cr\u00f3nica do tornozelo (ICT). Nove dos 33 doentes (27%) com um pivot-positivo evolu\u00edram para ICT (p = 0,022). A avalia\u00e7\u00e3o da CASCaIS-Diferida demonstrou uma associa\u00e7\u00e3o com a ICT (p = 0,018).Conclus\u00e3o: Esta classifica\u00e7\u00e3o demonstrou ser uma ferramenta simples, n\u00e3o dispendiosa e fi\u00e1vel que os cl\u00ednicos poder\u00e3o usar para determinar o progn\u00f3stico da entorse.<\/jats:p>","DOI":"10.20344\/amp.13804","type":"journal-article","created":{"date-parts":[[2022,3,22]],"date-time":"2022-03-22T04:33:27Z","timestamp":1647923607000},"page":"566-577","source":"Crossref","is-referenced-by-count":1,"title":["Consecutive Ankle Sprain Classification and Injury Systematization (CASCaIS), Uma Nova Classifica\u00e7\u00e3o de Entorse Lateral do Tornozelo Baseada no Teste de Pivot: Estudo Prospetivo de Coorte"],"prefix":"10.20344","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6186-0229","authenticated-orcid":false,"given":"Francisco","family":"Guerra-Pinto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o","family":"Caetano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Al\u00e7ada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ant\u00f3nio","family":"Brito Camacho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e1come","family":"Pacheco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diogo","family":"Lacerda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1007-6570","authenticated-orcid":false,"given":"Teresa","family":"Alves-da-Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuno","family":"C\u00f4rte-Real","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Guimar\u00e3es Consci\u00eancia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8464","published-online":{"date-parts":[[2022,7,1]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/13804\/6553","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/13804\/6523","content-type":"video\/quicktime","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/13804\/6582","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,23]],"date-time":"2022-10-23T15:25:34Z","timestamp":1666538734000},"score":1,"resource":{"primary":{"URL":"https:\/\/actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/13804"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,1]]},"references-count":0,"journal-issue":{"issue":"7-8","published-online":{"date-parts":[[2022,7,1]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.13804","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7,1]]}}}