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Pesquisa : C10.668.829.500.700.800 [Categoria DeCS]
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[PMID]:28467569
[Au] Autor:Kuran B; Aydog T; Erçalik C; Arda P; Yilmaz F; Dogu B; Öncü J; Durlanik G
[Ad] Endereço:Deparmemt of Physiotherapy and Rehabilitation, Istanbul Yeni Yuzyil University Faculty of Health Sciences, Istanbul, Turkey. banukuran@gmail.com.
[Ti] Título:Medial calcaneal neuropathy: A rare cause of prolonged heel pain.
[So] Source:Agri;29(1):43-46, 2017 Jan.
[Is] ISSN:1300-0012
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:Pain heel constitutes 15% of foot pain. Pain may be caused by plantar fasciitis, calcaneal fractures, calcaneal apophysitis, heel pad atrophy, inflammatory diseases or related with nerve involvement. Tibial, plantar and/or medial nerve entrapment are the neural causes of pain. Most of the heel soft tissue sensation is provided by medial calcaneal nerve. Diagnosis of heel pain due to neural causes depends on history and a careful examination. Surgery should not be undertaken before excluding other causes of heel pain. Diagnosis should be reconsidered following conservative therapy.
[Mh] Termos MeSH primário: Fasciíte Plantar/diagnóstico
Calcanhar
Síndrome do Túnel do Tarso/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Calcâneo/inervação
Diagnóstico Diferencial
Fasciíte Plantar/complicações
Fasciíte Plantar/diagnóstico por imagem
Fasciíte Plantar/reabilitação
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Dor Intratável/etiologia
Modalidades de Fisioterapia
Síndrome do Túnel do Tarso/complicações
Síndrome do Túnel do Tarso/diagnóstico por imagem
Síndrome do Túnel do Tarso/reabilitação
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/agri.2015.13540


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[PMID]:28394682
[Au] Autor:Trignano E; Fallico N; Zingone G; Rubino C; Santanelli di Pompeo F; Campus GV
[Ti] Título:Combined Treatment of Diabetic Foot Ulcer with Tarsal Tunnel Release and Perilesional Injections of Peripheral Blood Mononuclear Cells.
[So] Source:J Am Podiatr Med Assoc;107(2):171-174, 2017 03.
[Is] ISSN:1930-8264
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Pé Diabético
Leucócitos Mononucleares
[Mh] Termos MeSH secundário:
Seres Humanos
Síndrome do Túnel do Tarso
Nervo Tibial
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170411
[St] Status:MEDLINE
[do] DOI:10.7547/15-098


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[PMID]:27989351
[Au] Autor:Prasad N; Amrami KK; Yangi K; Spinner RJ
[Ad] Endereço:Research Fellow, Department of Neurologic Surgery, Mayo Clinic, Rochester, MN.
[Ti] Título:Occult Isolated Articular Branch Cyst of the Lateral Plantar Nerve.
[So] Source:J Foot Ankle Surg;56(1):78-81, 2017 Jan - Feb.
[Is] ISSN:1542-2224
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We present the first known case of cyst fluid localized to an articular branch without involvement of the larger parent nerve. During a routine tarsal tunnel decompression in a patient with fluctuating plantar foot symptoms and "normal" magnetic resonance imaging findings, we identified cyst fluid within an articular branch of the lateral plantar nerve to the subtalar joint. Our incidental intraoperative discovery was corroborated by retrospective review of the magnetic resonance images. Although we do not know whether this cyst was responsible for the patient's complaints, we believe this finding represents a snapshot into the life cycle of intraneural ganglion cysts: either the "birth" of an ultra-early one or the remnant of a once larger one. Both interpretations are consistent with the unifying articular theory and add further insight into the dynamic phases of the progression of intraneural ganglion cysts.
[Mh] Termos MeSH primário: Cistos Glanglionares/cirurgia
Achados Incidentais
Síndrome do Túnel do Tarso/diagnóstico por imagem
Síndrome do Túnel do Tarso/cirurgia
Nervo Tibial/cirurgia
[Mh] Termos MeSH secundário: Eletromiografia/métodos
Feminino
Seguimentos
Cistos Glanglionares/diagnóstico por imagem
Seres Humanos
Complicações Intraoperatórias/diagnóstico por imagem
Complicações Intraoperatórias/cirurgia
Imagem por Ressonância Magnética/métodos
Meia-Idade
Cuidados Pré-Operatórios
Medição de Risco
Articulação Talocalcânea/diagnóstico por imagem
Articulação Talocalcânea/cirurgia
Nervo Tibial/diagnóstico por imagem
Resultado do Tratamento
Ultrassonografia Doppler/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161220
[St] Status:MEDLINE


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[PMID]:27283154
[Au] Autor:Cody EA; Greditzer HG; MacMahon A; Burket JC; Sofka CM; Ellis SJ
[Ad] Endereço:Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA codye@hss.edu.
[Ti] Título:Effects on the Tarsal Tunnel Following Malerba Z-type Osteotomy Compared to Standard Lateralizing Calcaneal Osteotomy.
[So] Source:Foot Ankle Int;37(9):1017-22, 2016 Sep.
[Is] ISSN:1944-7876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Tarsal tunnel syndrome is a known complication of lateralizing calcaneal osteotomy. A Malerba Z-type osteotomy may preserve more tarsal tunnel volume (TTV) and decrease risk of neurovascular injury. We investigated 2 effects on the tarsal tunnel of the Malerba osteotomy compared to a standard lateralizing osteotomy using a cadaveric model: (1) the effect on TTV as measured by magnetic resonance imaging (MRI) and (2) the proximity of the osteotomy saw cuts to the tibial nerve. METHODS: Ten above-knee paired cadaveric specimens underwent MRI of the ankle to obtain a baseline measurement of TTV. One foot in each pair received a standard lateralizing calcaneal osteotomy, with the other foot receiving a Malerba osteotomy. MRIs were performed after each of 3 increasing amounts of lateral displacement, which were accompanied by increasing amounts of wedge resection in the Malerba osteotomy group. TTV was measured on MRI using previously described and validated parameters. Differences in TTV with osteotomy type, displacement, and their interaction were assessed with generalized estimating equations. After all MRIs were completed, each specimen was dissected and the nearest distance of tibial nerve branches to the osteotomy site was measured. RESULTS: Baseline TTV averaged 13 229 ± 2354 mm(3) and did not differ between groups (P = .386). TTV decreased on average by 7% after the first translation, 14% after the second, and 27% after the third (P < .005 for each). The magnitude of the decrease in TTV did not differ between those specimens with standard osteotomies versus those with Malerba osteotomies (P = .578). At least one of the major branches of the tibial nerve crossed the osteotomy site in 5 of 5 specimens that received the Malerba osteotomy versus 2 of 5 that received a standard osteotomy. CONCLUSION: Regardless of osteotomy type, lateralizing calcaneal osteotomy decreased TTV. In all specimens, the osteotomy was at the level of branches of the tibial nerve. CLINICAL RELEVANCE: Our results demonstrate that lateralizing calcaneal osteotomies must be performed with care to avoid excessive lateral translation as well as direct nerve injury on the nonvisualized medial side of the calcaneus.
[Mh] Termos MeSH primário: Articulação do Tornozelo/fisiopatologia
/inervação
Articulação do Joelho/fisiopatologia
Osteotomia/métodos
Síndrome do Túnel do Tarso/etiologia
Nervo Tibial/anatomia & histologia
[Mh] Termos MeSH secundário: Cadáver
Calcâneo
Seres Humanos
Imagem por Ressonância Magnética
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170825
[Lr] Data última revisão:
170825
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160611
[St] Status:MEDLINE
[do] DOI:10.1177/1071100716651966


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[PMID]:27150642
[Au] Autor:Kokubo R; Kim K; Isu T; Morimoto D; Iwamoto N; Kobayashi S; Morita A
[Ad] Endereço:Department of Neurosurgery, Chiba Hokuso Hospital, Nippon Medical School, Kamagari, Inzai, Chiba, Japan. Electronic address: rin-ko927@nms.ac.jp.
[Ti] Título:The Impact of Tarsal Tunnel Syndrome on Cold Sensation in the Pedal Extremities.
[So] Source:World Neurosurg;92:249-54, 2016 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Tarsal tunnel syndrome (TTS) is an entrapment neuropathy of the posterior tibial nerve in the tarsal tunnel. It is not known whether vascular or neuropathic factors are implicated in the cause of a cold sensation experienced by patients. Therefore, we studied the cold sensation in the pedal extremities of patients who did or did not undergo TTS surgery. METHODS: Our study population comprised 20 patients with TTS (38 feet); 1 foot was affected in 2 patients and both feet in 18 patients. We acquired the toe-brachial pressure index to evaluate perfusion of the sole and toe perfusion under 4 conditions: the at-rest position (condition 1); the at-rest position with compression of the foot dorsal artery (condition 2); the Kinoshita foot position (condition 3); and the Kinoshita foot position with foot dorsal artery compression (condition 4). Patients who reported abatement in the cold sensation during surgery underwent intraoperative reocclusion of the tibial artery to check for the return of the cold sensation. RESULTS: The toe-brachial pressure index for conditions 1 and 3 averaged 0.82 ± 0.09 and 0.81 ± 0.11, respectively; for conditions 2 and 4, it averaged 0.70 ± 0.11 and 0.71 ± 0.09, respectively. Among the 16 operated patients, the cold sensation in 7 feet improved intraoperatively; transient reocclusion of the tibial artery did not result in the reappearance of the cold sensation. CONCLUSIONS: Our findings suggest that the cold sensation in the feet of our patients with TTS was associated with neuropathic rather than vascular factors.
[Mh] Termos MeSH primário: Temperatura Baixa
/fisiopatologia
Síndrome do Túnel do Tarso
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Síndrome do Túnel do Tarso/patologia
Síndrome do Túnel do Tarso/fisiopatologia
Síndrome do Túnel do Tarso/cirurgia
Artérias da Tíbia/cirurgia
Nervo Tibial/cirurgia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160507
[St] Status:MEDLINE


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[PMID]:27093282
[Au] Autor:Sobey JH; Franklin A
[Ad] Endereço:Department of Pediatric Anesthesiology Monroe Carell Jr Children's Hospital at Vanderbilt Nashville, TN.
[Ti] Título:Ultrasound-Guided Tibial Nerve Block for Definitive Treatment of Tarsal Tunnel Syndrome in a Pediatric Patient.
[So] Source:Reg Anesth Pain Med;41(3):415-6, 2016 May-Jun.
[Is] ISSN:1532-8651
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Bloqueio Nervoso/métodos
Síndrome do Túnel do Tarso/terapia
Nervo Tibial/efeitos dos fármacos
Ultrassonografia de Intervenção
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Síndrome do Túnel do Tarso/diagnóstico
Síndrome do Túnel do Tarso/fisiopatologia
Nervo Tibial/diagnóstico por imagem
Nervo Tibial/fisiopatologia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; LETTER
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170117
[Lr] Data última revisão:
170117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160420
[St] Status:MEDLINE
[do] DOI:10.1097/AAP.0000000000000384


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[PMID]:27079305
[Au] Autor:Willis AR; Samad AA; Prado GT; Gabisan GG
[Ad] Endereço:Orthopaedic Surgery Resident, Department of Orthopaedic Surgery, Monmouth Medical Center, Long Branch, NJ. Electronic address: AXRWillis@gmail.com.
[Ti] Título:Heterotopic Ossification and Entrapment of the Tibial Nerve Within the Tarsal Tunnel: A Case Report.
[So] Source:J Foot Ankle Surg;55(5):1106-9, 2016 Sep-Oct.
[Is] ISSN:1542-2224
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Heterotopic ossification has been reported to occur after musculoskeletal trauma (including orthopedic procedures). This has been known to cause nerve entrapment syndromes and persistent pain, limiting joint mobility. We present a case of a 19-year old female collegiate athlete who had previously undergone ankle arthroscopy and arthrotomy to remove 2 ossicles. At approximately 1 year postoperatively, the patient developed pain when planting and pivoting her foot. Imaging revealed a radiodense lesion at the posteromedial ankle consistent with heterotopic ossification and entrapment of the tibial nerve within the tarsal tunnel. The patient underwent surgical resection and postoperative indomethacin prophylaxis. At the 1-year follow-up visit, the patient remained asymptomatic, without evidence of recurrence of the heterotopic ossification. In our review of the published data, we found no previously reported cases of heterotopic ossification causing entrapment of the tibial nerve within the tarsal tunnel. In the present case report, we describe this rare case and the postulated etiologies and pathophysiology of this disease process. In addition, we discuss the clinical signs and symptoms and recommended imaging modalities and treatment.
[Mh] Termos MeSH primário: Traumatismos do Tornozelo/cirurgia
Artroscopia/efeitos adversos
Indometacina/uso terapêutico
Ossificação Heterotópica/cirurgia
Síndrome do Túnel do Tarso/cirurgia
[Mh] Termos MeSH secundário: Traumatismos do Tornozelo/diagnóstico por imagem
Artroscopia/métodos
Traumatismos em Atletas/diagnóstico por imagem
Traumatismos em Atletas/cirurgia
Biópsia por Agulha
Descompressão Cirúrgica
Feminino
Seguimentos
Seres Humanos
Imuno-Histoquímica
Imagem por Ressonância Magnética/métodos
Ossificação Heterotópica/diagnóstico por imagem
Ossificação Heterotópica/etiologia
Cuidados Pós-Operatórios/métodos
Doenças Raras
Recuperação de Função Fisiológica
Síndrome do Túnel do Tarso/diagnóstico por imagem
Nervo Tibial/diagnóstico por imagem
Nervo Tibial/patologia
Nervo Tibial/cirurgia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
XXE1CET956 (Indomethacin)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160416
[St] Status:MEDLINE


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[PMID]:27013419
[Au] Autor:Barrett SL
[Ad] Endereço:Arizona School of Podiatric Medicine, Midwestern University College of Health Sciences, Glendale, AZ, USA. Electronic address: slbarrettpod@me.com.
[Ti] Título:Case Study: Osseous Pathology with Peripheral Nerve Entrapment and Neuromata.
[So] Source:Clin Podiatr Med Surg;33(2):293-7, 2016 Apr.
[Is] ISSN:1558-2302
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This case illustrates the complexity and interrelationship of osseous pathology with peripheral nerve entrapment and neuromata. She had an iatrogenic nerve injury of a branch of the medial dorsal cutaneous nerve causing her painful scar. Secondarily, she developed an injury to her common peroneal nerve from the cast immobilization, resulting in palsy/drop foot. The tarsal tunnel entrapment was likely a sequela of the cast immobilization and chronic swelling. Her postoperative chronic pain was compounded by the failure to use grommets with the polymeric silicon (Silastic) implant at the initial surgery, leading to a breakdown of the implant with subsequent detritic synovitis.
[Mh] Termos MeSH primário: Articulação Metatarsofalângica
Síndromes de Compressão Nervosa/etiologia
Ossificação Heterotópica/etiologia
Dor Pós-Operatória/etiologia
Nervo Fibular
Síndrome do Túnel do Tarso/etiologia
[Mh] Termos MeSH secundário: Adulto
Artroplastia de Substituição/efeitos adversos
Feminino
Seres Humanos
Prótese Articular/efeitos adversos
Síndromes de Compressão Nervosa/diagnóstico
Síndromes de Compressão Nervosa/cirurgia
Ossificação Heterotópica/diagnóstico
Ossificação Heterotópica/cirurgia
Dor Pós-Operatória/diagnóstico
Dor Pós-Operatória/terapia
Falha de Prótese/efeitos adversos
Síndrome do Túnel do Tarso/diagnóstico
Síndrome do Túnel do Tarso/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170104
[Lr] Data última revisão:
170104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160326
[St] Status:MEDLINE


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[PMID]:26984918
[Au] Autor:Manske MC; McKeon KE; McCormick JJ; Johnson JE; Klein SE
[Ad] Endereço:Department of Orthopaedic Sports Medicine, University of Washington, Seattle, Washington Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri mclairemanske@gmail.com.
[Ti] Título:Arterial Anatomy of the Posterior Tibial Nerve in the Tarsal Tunnel.
[So] Source:J Bone Joint Surg Am;98(6):499-504, 2016 Mar 16.
[Is] ISSN:1535-1386
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Both vascular and compression etiologies have been proposed as the source of neurologic symptoms in tarsal tunnel syndrome. Advancing the understanding of the arterial anatomy supplying the posterior tibial nerve (PTN) and its branches may provide insight into the cause of tarsal tunnel symptoms. The purpose of this study was to describe the arterial anatomy of the PTN and its branches. METHODS: Sixty adult cadaveric lower extremities (thirty previously frozen and thirty fresh specimens) were amputated distal to the knee. The vascular supply to the PTN and its branches was identified, measured, and described macroscopically (the thirty previously frozen specimens, prepared using a formerly described debridement technique) and microscopically (the thirty fresh specimens, processed using the Spälteholz technique). RESULTS: On both macroscopic and microscopic evaluation, the PTN and the medial and lateral plantar nerves were observed to have multiple entering vessels within the tarsal tunnel. On microscopic evaluation, a vessel was observed to enter the nerve at the bifurcation of the PTN into the medial and lateral plantar nerves in twenty-two (73%) of the thirty specimens. There was a significant difference (p < 0.05) in vascular density between the PTN and each of its branches. CONCLUSIONS: The abundant blood supply to the PTN and its branches identified in this study is consistent with observations of other peripheral nerves. This rich vascular network may render the PTN and its branches susceptible to nerve compression related to vascular congestion. The combination of vascular and structural compression may also elicit neurologic symptoms. CLINICAL RELEVANCE: Advancing the understanding of the arterial anatomy supplying the PTN and its branches may provide insight into the cause and treatment of tarsal tunnel syndrome.
[Mh] Termos MeSH primário: Articulação do Tornozelo/irrigação sanguínea
Síndrome do Túnel do Tarso/fisiopatologia
Nervo Tibial/irrigação sanguínea
[Mh] Termos MeSH secundário: Articulação do Tornozelo/anatomia & histologia
Cadáver
Dissecação
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160317
[Lr] Data última revisão:
160317
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160318
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.15.00787


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[PMID]:26752776
[Au] Autor:Doral MN; Huri G; Bohacek I; Turhan E; Bojanic I
[Ad] Endereço:*Orthopaedics and Traumatology Department, Hacettepe University School of Medicine, Ankara, Turkey †Department of Orthopaedic Surgery, University Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia.
[Ti] Título:Extra-Articular Endoscopy.
[So] Source:Sports Med Arthrosc;24(1):29-33, 2016 Mar.
[Is] ISSN:1538-1951
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:With the advent of endoscopy in the last 2 decades, a number of procedures, and modifications to them, have been developed and have advanced exponentially. The list of indications was extended over time because of several reasons: better understanding of the pathophysiology, better diagnostics, and advances in endoscopic technology. In this review article, we summarize the most frequently performed extra-articular endoscopic procedures on the extremities. As there are several methods, some have been described briefly, whereas others have been described in greater detail, such as suprascapular nerve entrapment syndrome and Achilles tendon disorders, as they present our area of interest and subspecialty domain. Recent advances in the treatment of versatile pathologic entities have been described, together with new methods, which currently lack sufficient clinical data but still represent promising techniques for the future.
[Mh] Termos MeSH primário: Endoscopia
Extremidade Inferior/cirurgia
Extremidade Superior/cirurgia
[Mh] Termos MeSH secundário: Doença de De Quervain
Descompressão Cirúrgica/métodos
Seres Humanos
Neuropatia Mediana/cirurgia
Síndrome do Túnel do Tarso/cirurgia
Tendões/cirurgia
Neuropatias Ulnares/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160112
[St] Status:MEDLINE
[do] DOI:10.1097/JSA.0000000000000102



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