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Anais Do 31º Congresso Brasileiro De Medicina Do Exercício E Do Esporte

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Anais Do 31º Congresso Brasileiro De Medicina Do Exercício E Do Esporte ISSN 1517-8692 Impresso Especial 9912273897 - DR/SPM Sociedade Brasileira de Medicina do Esporte CORREIOS Revista Brasileira de Medicina do Esporte Brazilian Journal of Sports Medicine ANAIS DO 31º CONGREssO BRasILEIRO DE MEDICINA DO EXERCÍCIO E DO ESPORTE 2019 FECHAMENTO AUTORIZADO PODE SER ABERTO PELA ECT SUPLEMENTO - VOLUME 25 – NO 5 – SETEMBRO/OUTUBRO DE 2019 Indexada na Scielo, Web of Science (ISI), SCOPUS, Index Copernicus, Excerpta Medica-EMBASE, Physical Education Index, SIRC-Sportdiscus eW LILACS Editor Chefe Editor Científico Medicina do Esporte aplicada na Traumato-Ortopedia Medicina do Esporte aplicada na Traumato-Ortopedia André Pedrinelli Ricardo Munir Nahas Professor Livre Docente do Departamento de Ortopedia e Traumatologia da Faculdade de Departamento de Ortopedia do Hospital Ipiranga (UGA II). Secretária de Saúde do Governo do Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brasil. Estado de São Paulo, São Paulo, SP, Brasil. Hospital 9 de julho, São Paulo, SP, Brasil. Editores Associados Medicina do Esporte aplicada na Reabilitação Medicina do Esporte aplicada na Traumato-Ortopedia Julia Maria D’andrea Greve Tiago Lazzaretti Fernandes Professora Livre Docente do Instituto de Ortopedia e Traumatologia, Hospital das Clínicas da Faculdade Professor Colaborador do Grupo de Medicina do Esporte, Instituto de Ortopedia e Traumatologia, Hospital de Medicina da Universidade de São Paulo (IOT HC-FMUSP), São Paulo, SP, Brasil. Laboratório de Estudo das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT HC-FMUSP), São Paulo, SP, Brasil. do Movimento (LEM), São Paulo, SP, Brasil. Medicina do Esporte aplicada na Clínica Médica Ana Carolina Côrte Medicina do Esporte aplicada na Fisiologia do Exercício Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brasil. Paulo Sergio Martino Zogaib Médico da Disciplina de Medicina do Esporte e Atividade Física, Departamento de Ortopedia e Traumatologia Medicina do Esporte aplicada na Epidemiologia (DOT-EPM), Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil. Mateus Saito Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brasil. Medicina do Esporte aplicada na Cardiologia Medicina do Esporte aplicada no Esporte Adaptado Daniel Jogaib Daher Hésojy Gley Pereira Vital da Silva Instituto Dante Pazanezzi de Cardiologia, São Paulo, SP, Brasil. Faculdade de Ciências Médicas da Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brasil. Conselho Editorial Membros Nacionais Antônio Claudio Lucas da Nóbrega – Universidade Federal Fluminense. Niterói, RJ. • Arnaldo José Hernandez – Universidade de São Paulo. São Paulo, SP. • Claudio Aparício Silva Baptista - Secretaria Municipal de Esportes de São Paulo. São Paulo, SP. • Cláudio Gil Soares de Araújo – Universidade Gama Filho. Rio de Janeiro, RJ. • Edimar Favaro - Sociedade Paulista de Medicina do Exercício e do Esporte. São Paulo, SP. • Eduardo Henrique De Rose – Comitê Olímpico Brasileiro. Porto Alegre, RS. • Fernanda de Souza N. Sardinha Mendes – Universidade Federal Fluminense. Niterói, RJ. • Flavia Meyer – Universidade Federal do Rio Grande do Sul. Porto Alegre, RS. • João Ricardo Turra Magni – Grêmio Foot-ball Porto Alegrense. Porto Alegre, RS. • José Blanco Herrera – Universidade Católica de Brasília. Brasília, DF. • José Maria Santarem Sobrinho - Universidade de São Paulo, São Paulo, SP, Brasil. • Leonardo Silva Roever Borges - Universidade Federal de Uberlândia. Uberlândia, MG. • Luciano Rezende – Secretaria Municipal de Saúde. Vitória, ES. • Marco Túlio de Mello – Universidade Federal de São Paulo. São Paulo, SP. • Maria Augusta Peduti Dal Molin Kiss – Universidade de São Paulo. São Paulo, SP. • Nabil Ghorayeb – Instituto Dante Pazzanese de Cardiologia. São Paulo, SP. • Neiva Leite – Universidade Federal do Paraná. Curitiba, PR. • Páblius Staduto Braga da Silva – Grupo Fleury; Hospital 9 de Julho. São Paulo, SP. • Paulo de Tarso Veras Farinatti – Universidade do Estado do Rio de Janeiro. Rio de Janeiro, RJ. • Renata Rodrigues Teixeira de Castro – Universidade Federal Fluminense. Niterói, RJ. • Ricardo Sten - Universidade Federal do Rio Grande do Sul, Porto Alegre, RS. • Roberto Yukio Ikemoto – Faculdade de Medicina do ABC. Santo André, SP; • Tales de Carvalho – Universidade Estadual de Santa Catarina. • Vitor Keihan Rodrigues Matsudo – Centro de Estudos do Laboratório de Aptidão Física de São Caetano do Sul. São Caetano do Sul, SP. Membros Internacionais Dusan Hamar – Research Institute of Sports Science. Eslováquia • Frank I. Katch – University of Massachusetts. EUA • Italo Monetti – Organização Desportiva Sul-Americana. Uruguai • Jon W. Wiliamson – University of Texas Southwestern Medical Center at Dallas. EUA • José Veloso – Comitê Olímpico Uruguaio. Uruguai • Josef Niebauer – Univer- sity of Leipzig. Alemanha • L. Britt Wilson – University of South Alabama. EUA • Michael J. Joyner – University Of Arizona. EUA • Timothy Noakes – University of Cape Town. África do Sul • Walter Frontera – Harvard Medical School. EUA • William D. Ross – Simon Fraser University. Canadá. Editor Consultivo Editora Executiva Arthur Tadeu de Assis – Atha Comunicação e Editora. São Paulo, SP, Brasil. Ana Carolina de Assis – Atha Comunicação e Editora. São Paulo, SP, Brasil. Realização: Apoio: Filiada à Associação Brasileira de Editores Científicos e à World Association of Medical Editors Ministério do Esporte Diretoria Presidente: Marcelo Bichels Leitão (PR); Vice-Presidente: Ivan Pacheco (RS); Secretário: Marco Aurelio Moraes de Souza Gomes (RJ); Diretor Científico: Jose Kawazoe Lazzoli (RJ); Diretora Financeira: Alana Cláudia Murilo Santos (PR); Diretor de Relações Comerciais: Roberto Teixeira Nahon Marinho (RJ); Diretor de Comunicação: Fernando Carmelo Torres (SP); Diretor de Regionais: Ricardo Galotti (SP); Diretor de Defesa Profissional: Jinmy Henry Ricaldi Rocha (SE) e Héldio Fortunato Gaspar de Freitas (SP); Presidente Eleito: Marcos Henrique Ferreira Laraya (SP). Ex-Presidentes Daniel Arkader Kopiler, Samir Salim Daher, Waldemar Areno, Eduardo Henrique de Rose, José Rizzo Pinto, Ruben Pimenta da Silva, José Luis Fraccaroli, Maeterlinck Rego Mendes, Maurício Bravo, João Gilberto Carazzato, João Ricardo Turra Magni, Marcelo Salazar, Marcos Aurélio Brazão de Oliveira (in memorian), Tales Carvalho, Ricardo Munir Nahas, Felix Albuquerque Drummond, Arnaldo José Hernandez, José Kawazoe Lazzoli, Jomar Brito Souza. Coordenação editorial, criação, diagramação e produção gráfica: Atha Comunicação e Editora - Tel/Fax: (11) 5087-9502 / 5579-5308 - E-mail: [email protected] ANAIS DO 31º CONGRESSO BRASILEIRO DE MEDICINA DO EXERCÍCIO E DO ESPORTE - 2019 01 ALINHAMENTO DO PÉ EM ATLETAS PROFISSIONAIS DA NATIONAL FOOTBALL LEAGUE (NFL): ANÁLISE COM TOMOGRAFIA COM APOIO DO PESO (WEIGHT-BEARING CT) Autores: de Almeida AM, Bernasconi A, de Cesar Netto C, Roberts L, Lintz F, Godoy-Santos AL. Instituições: Department of Orthopaedics, Foot and Ankle Surgery, Hospital for Special Surgery - New York - NY - Estados Unidos, Department of Orthopaedics, Foot and Ankle Surgery, University of Sao Paulo (USP), São Paulo, SP - Brasil, Foot and Ankle Surgery Center, Clinique de l’Union, Saint-Jean - França, Foot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore - Grã-Bretanha (Reino Unido). Introdução e Objetivo: Movimentos esportivos comuns, juntamente com o risco de contato, estão associados a um aumento acentuado do risco de lesões, envol- vendo mais comumente o tornozelo e o joelho. As lesões do pé e tornozelo foram responsáveis ​​por 27% do total de lesões musculoesqueléticas em atletas profissionais, e 85% dos atletas profissionais experimentaram pelo menos uma entorse de tornozelo durante o curso de sua carreira. À luz desses números, estão sendo investigandos fatores de risco e prognóstico para estas lesões em atletas de elite. A avaliação do alinhamento dos pés tem se baseado em radiografias convencionais. A tomografia computadorizada com apoio de peso (weight-bearing, WBCBCT) obtém imagens comparáveis em qualidade ​​a uma TC tradicional, mas o faz com o pé em uma condi- ção de apoio. Muitos autores tem demonstrado a eficácia e confiabilidade da WBCBCT em diferentes medidas de alinhamento dos pés. Nosso objetivo foi descrever o alinhamento dos pés em jogadores da National Football League (NFL) com diferentes patologias sintomáticas do pé e tornozelo usando WBCBCT, comparando-os com pés normalmente alinhados como grupo controle. Casuística e Método: Quarenta e dois pés (36 jogadores ativos da NFL) foram avaliados usando o WBCBCT e comparados a 20 controles assintomáticos da população normal. Medidas incluídas: Foot and Ankle Offset (FAO); Offset do Calcaneo (CO); Ângulo de Alinhamento do Retropé (HAA); ângulo entre facetas inferior e superior do tálus (Inftal-Suptal); ângulo entre a faceta inferior do tálus e o horizontal/chão (Inftal-Hor); Ângulo do arco do antepé (FAA); distância do navicular ao chão; distância do cuneiforme medial ao chão. Resultados: Os atletas da NFL mostraram um retropé alinhado em neutro quando comparado aos controles (valor médio da FAO em 1% vs 0,5%, CO em 2,3 mm vs 0,8 mm e HAA em 2,9 ° vs 0,8 ° nos dois grupos, todos p> 0,05) e uma morfologia normal da articulação subtalar. Por outro lado, nos atletas encontramos uma diminuição do arco longitudinal medial (FAA a 15 ° vs 18,3 °, p 0,03) com distância média menor do navicular (38,2 mm vs 42,2 mm, p 0,03) e cuneiforme
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