{"id":31063,"date":"2026-02-06T13:19:30","date_gmt":"2026-02-06T13:19:30","guid":{"rendered":"http:\/\/suresultmed.com\/?p=31063"},"modified":"2026-09-05T15:56:56","modified_gmt":"2026-09-05T15:56:56","slug":"beginner-msk-pocus-scans-nerve-ankle-fractures","status":"publish","type":"post","link":"https:\/\/suresultmed.com\/pt\/beginner-msk-pocus-scans-nerve-ankle-fractures\/","title":{"rendered":"Exames de POCUS MSK para iniciantes que o senhor pode implementar hoje: Nervo, tornozelo e fraturas (Parte 3 de uma s\u00e9rie de 3 partes)"},"content":{"rendered":"<div class=\"srr-crossref\" style=\"border:1px solid #d7e9f2;background:#F4FAFD;border-radius:12px;padding:16px 20px;margin:26px 0\"><p style=\"margin:0;font-size:15px\"><strong>Buying for neurology?<\/strong> The neurology page compares the Suresult models for that work window by window, with real captures, verified specs and live pricing. <a href=\"https:\/\/suresultmed.com\/pt\/specialty\/handheld-ultrasound-for-neurology\/\">See the neurology page &rarr;<\/a><\/p><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Introdu\u00e7\u00e3o<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Esta \u00e9 a \u00faltima postagem desta s\u00e9rie para iniciantes.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Estamos abordando algumas estruturas menores que exigem um pouco mais de habilidade e experi\u00eancia, mas que ainda podem ser feitas com um pouco de pr\u00e1tica para obter algumas informa\u00e7\u00f5es de diagn\u00f3stico muito \u00fateis.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c9 claro que estou me concentrando em perguntas cl\u00ednicas muito espec\u00edficas para uma estrutura espec\u00edfica, como se o nervo mediano est\u00e1 inchado no t\u00fanel do carpo. Com mais experi\u00eancia e treinamento, o senhor poder\u00e1 responder o que mais est\u00e1 acontecendo no punho.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ultrassom MSK para iniciantes (Parte 3)<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Neste artigo, estamos verificando duas estruturas relativamente pequenas, o nervo mediano e o ATFL, al\u00e9m de uma estrat\u00e9gia geral de avalia\u00e7\u00e3o de qualquer fratura.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nos scans de exemplo abaixo, estou novamente usando o <a href=\"http:\/\/suresultmed.com\/pt\/shop\/handheld-ultrasounds\/d3ultra-multipurpose-handheld-ultrasound\/\" data-type=\"product\" data-id=\"28571\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Suresult D3Ultra<\/a> o que \u00e9 adequado para responder \u00e0s nossas principais perguntas cl\u00ednicas e apenas uma fra\u00e7\u00e3o do custo de uma unidade baseada em laptop ou carrinho.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><a href=\"http:\/\/suresultmed.com\/wp-content\/uploads\/suresult-best-wireless-ultrasound-scanner-d3ultra.webp\" target=\"_blank\" rel=\"noopener noreferrer nofollow\"><img loading=\"lazy\" decoding=\"async\" width=\"1300\" height=\"787\" src=\"http:\/\/suresultmed.com\/wp-content\/uploads\/suresult-best-wireless-ultrasound-scanner-d3ultra-1300x787.webp\" alt=\"melhor scanner de ultrassom sem fio da suresult d3ultra\" class=\"wp-image-30092\" style=\"aspect-ratio:1.6518701080627252;width:515px;height:auto\" srcset=\"https:\/\/suresultmed.com\/wp-content\/uploads\/suresult-best-wireless-ultrasound-scanner-d3ultra-1300x787.webp 1300w, https:\/\/suresultmed.com\/wp-content\/uploads\/suresult-best-wireless-ultrasound-scanner-d3ultra-400x242.webp 400w, https:\/\/suresultmed.com\/wp-content\/uploads\/suresult-best-wireless-ultrasound-scanner-d3ultra-768x465.webp 768w, https:\/\/suresultmed.com\/wp-content\/uploads\/suresult-best-wireless-ultrasound-scanner-d3ultra-1536x930.webp 1536w, https:\/\/suresultmed.com\/wp-content\/uploads\/suresult-best-wireless-ultrasound-scanner-d3ultra-2048x1240.webp 2048w, https:\/\/suresultmed.com\/wp-content\/uploads\/suresult-best-wireless-ultrasound-scanner-d3ultra-18x12.webp 18w, https:\/\/suresultmed.com\/wp-content\/uploads\/suresult-best-wireless-ultrasound-scanner-d3ultra-430x260.webp 430w, https:\/\/suresultmed.com\/wp-content\/uploads\/suresult-best-wireless-ultrasound-scanner-d3ultra-700x424.webp 700w, https:\/\/suresultmed.com\/wp-content\/uploads\/suresult-best-wireless-ultrasound-scanner-d3ultra-150x91.webp 150w\" sizes=\"auto, (max-width: 1300px) 100vw, 1300px\" \/><\/a><figcaption class=\"wp-element-caption\"><a href=\"http:\/\/suresultmed.com\/pt\/shop\/handheld-ultrasounds\/d3ultra-multipurpose-handheld-ultrasound\/\" data-type=\"product\" data-id=\"28571\" target=\"_blank\" rel=\"noopener noreferrer nofollow\"><em>Scanner de ultrassom sem fio D3ultra da Suresult<\/em><\/a><\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Certifique-se de que os pontos de foco estejam pr\u00f3ximos do ponto de interesse. Aumente o ganho para obter uma imagem mais brilhante. Desative a gera\u00e7\u00e3o de imagens compostas para obter uma taxa de quadros melhor ou ative-a para obter imagens mais bonitas. Lembre-se de que o senhor sempre pode usar a tela dividida para comparar os lados e, \u00e0 medida que aprimorar suas habilidades e experi\u00eancia, poder\u00e1 adicionar estruturas e responder a mais perguntas cl\u00ednicas.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1. Punho anterior para avaliar o nervo mediano no t\u00fanel do carpo<\/h3>\n\n\n\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Avalia\u00e7\u00e3o de ultrassom da Suresult para a s\u00edndrome do t\u00fanel do carpo - 11% de desconto com o c\u00f3digo \u201cPOCUS11\u201d\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/kU-jmkT8-Hg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\"><em>Vid: Avalia\u00e7\u00e3o por ultrassom da s\u00edndrome do t\u00fanel do carpo<\/em><\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">H\u00e1 apenas uma visualiza\u00e7\u00e3o, a do eixo curto, que \u00e9 a mais \u00fatil.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Em geral, o senhor deseja obter imagens da patologia em dois planos, mas para estruturas muito pequenas, \u00e0s vezes, todas as informa\u00e7\u00f5es de diagn\u00f3stico est\u00e3o em um plano. Depois de identificar o nervo mediano, o senhor pode medir sua \u00e1rea de se\u00e7\u00e3o transversal e, se ele estiver aumentado &gt;9 mm<sup>2<\/sup> ent\u00e3o \u00e9 prov\u00e1vel que seja s\u00edndrome do t\u00fanel do carpo - compress\u00e3o do nervo mediano perif\u00e9rico no t\u00fanel do carpo. Quanto maior for, mais certeza o senhor pode ter. Praticamente 100% se for maior que 12 mm.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">H\u00e1 dois outros fatores que o senhor pode verificar:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A mobilidade do nervo; \u00e9 normal que ele se \u2018mexa\u2019 quando o paciente move os dedos; portanto, se o movimento estiver ausente, isso sugere uma patologia.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A pr\u00f3xima \u00e9 que os nervos normalmente s\u00f3 ficam menores \u00e0 medida que o senhor vai para a periferia. O senhor pode ir 10 cm ou mais proximalmente e ver se o nervo \u00e9 maior ou menor. Se o nervo mediano for visivelmente maior no t\u00fanel do carpo em compara\u00e7\u00e3o com o antebra\u00e7o, isso sugere fortemente a s\u00edndrome do t\u00fanel do carpo. Alguns usam uma propor\u00e7\u00e3o &gt;1,4 vezes maior.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">O nervo mediano geralmente \u00e9 mais f\u00e1cil de identificar quando est\u00e1 aumentado e hipoecoico. Pode ser dif\u00edcil identific\u00e1-lo, pois os nervos e os tend\u00f5es podem parecer semelhantes em um eixo curto. O nervo mediano \u00e9 menos sens\u00edvel \u00e0 anisotropia e, quando os tend\u00f5es est\u00e3o mais brilhantes, o nervo fica um pouco mais escuro. Portanto, minha primeira estrat\u00e9gia para encontrar o nervo \u00e9 inclinar o transdutor para frente e para tr\u00e1s e a apar\u00eancia do nervo mediano normalmente se destaca.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">O senhor deve ficar atento a uma variante normal, o nervo mediano b\u00edfido.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><a href=\"http:\/\/suresultmed.com\/wp-content\/uploads\/median-nerve-by-suresult-d3ultra.gif\" target=\"_blank\" rel=\"noopener noreferrer nofollow\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"480\" src=\"http:\/\/suresultmed.com\/wp-content\/uploads\/median-nerve-by-suresult-d3ultra.gif\" alt=\"nervo mediano por suresult d3ultra\" class=\"wp-image-31064\"\/><\/a><figcaption class=\"wp-element-caption\"><em>Img: Imagem de ultrassom do nervo mediano capturada por <a href=\"http:\/\/suresultmed.com\/pt\/shop\/handheld-ultrasounds\/d3ultra-multipurpose-handheld-ultrasound\/\" data-type=\"product\" data-id=\"28571\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Suresult D3Ultra<\/a><\/em><\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">A imagem acima \u00e9, na verdade, de uma esp\u00e9cie de nervo mediano b\u00edfido, de modo que o nervo mediano \u00e9 particularmente plano, pois as duas partes ficam uma ao lado da outra.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">O segundo truque para encontrar o nervo mediano \u00e9 ir at\u00e9 o antebra\u00e7o. No antebra\u00e7o, os tend\u00f5es se transformam em m\u00fasculo, de modo que a identifica\u00e7\u00e3o do nervo se torna mais f\u00e1cil e, ent\u00e3o, o senhor pode simplesmente segui-lo at\u00e9 o pulso para fazer a medi\u00e7\u00e3o.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Defendo que o ultrassom \u00e9 a MELHOR maneira de avaliar a s\u00edndrome do t\u00fanel do carpo, mais f\u00e1cil de realizar e compar\u00e1vel aos estudos de condu\u00e7\u00e3o nervosa.&nbsp;<sup>1<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Na pr\u00e1tica, encontrei muitas pessoas diagnosticadas com t\u00fanel do carpo com base apenas nos sintomas cl\u00ednicos e, ap\u00f3s a obten\u00e7\u00e3o de imagens, os nervos medianos estavam bem. O problema geralmente \u00e9 o pronador redondo. Se for apenas dor, ent\u00e3o, com frequ\u00eancia, h\u00e1 pontos-gatilho miofasciais nos flexores ou pronadores redondos que podem ser tratados por meio de compress\u00e3o isqu\u00eamica para uma r\u00e1pida confirma\u00e7\u00e3o: \u201cPressionar aqui causa dor na sua m\u00e3o. \u00c9 a mesma dor que o senhor sente normalmente? A dor est\u00e1 diminuindo quando mantenho a press\u00e3o constante (por pelo menos 20 segundos)?\u201d. Se for apenas dorm\u00eancia ou apenas dorm\u00eancia e formigamento, eu lhes ensino um alongamento do pronador redondo.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A prescri\u00e7\u00e3o de autoalongamentos di\u00e1rios salvou\/curou dezenas de funcion\u00e1rios de escrit\u00f3rio que conheci quando trabalhava nas Ilhas Cayman e que apresentavam v\u00e1rios anos de sintomas da s\u00edndrome do t\u00fanel do carpo. Em geral, cerca de 70% das pessoas que me disseram que tinham t\u00fanel do carpo realmente tinham t\u00fanel do carpo quando fiz a imagem do pulso. N\u00e3o \u00e9 poss\u00edvel tratar os pacientes adequadamente a menos que o senhor tenha o diagn\u00f3stico correto, por isso sou grato por ter aprendido e implementado o ultrassom. Tenho certeza de que todos os pacientes que ajudei ao longo dos anos tamb\u00e9m agradecem.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mesmo que a pessoa tenha a s\u00edndrome do t\u00fanel do carpo, considere a s\u00edndrome do \u201cesmagamento duplo\u201d, em que o nervo est\u00e1 sendo pressionado ou irritado em v\u00e1rios locais: coluna cervical, escalenos, clav\u00edcula, peitoral menor, pronador redondo e t\u00fanel do carpo.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The full scan, with the anisotropy manoeuvre, the on-device measurement tools and the published cut-offs it is read against, is walked through frame by frame in <a href=\"https:\/\/suresultmed.com\/pt\/carpal-tunnel-ultrasound-median-nerve\/\">Carpal Tunnel Ultrasound: Measuring the Median Nerve in Five Minutes<\/a>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2. Tornozelo lateral para uma entorse de tornozelo em invers\u00e3o<\/h3>\n\n\n\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Suresult Ultrasound Evaluation of the ATFL (lateral ankle sprain) - 11% Off com o c\u00f3digo \u201cPOCUS11\u201d\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/b3b4J-A9zXg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\"><em>Vid: Avalia\u00e7\u00e3o por ultrassom do ATFL (entorse lateral do tornozelo)<\/em><\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">A estrutura mais comumente lesionada no tornozelo lateral em uma entorse por invers\u00e3o \u00e9 o ligamento talofibular anterior (ATFL). Quando o senhor tiver mais experi\u00eancia e confian\u00e7a, deve definitivamente acrescentar o ligamento calcaneofibular (LFC) e o ligamento tibiofibular anterior inferior (AITFL - entorse de tornozelo alto).<sup>2<\/sup> Por enquanto, vamos come\u00e7ar com o ATFL.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><a href=\"http:\/\/suresultmed.com\/wp-content\/uploads\/atfl-ultrasound-probe-positioning-on-lateral-ankle-and-resulting-grade-2-sprain-scan-using-suresult-d3ultra.webp\" target=\"_blank\" rel=\"noopener noreferrer nofollow\"><img loading=\"lazy\" decoding=\"async\" width=\"1300\" height=\"731\" src=\"http:\/\/suresultmed.com\/wp-content\/uploads\/atfl-ultrasound-probe-positioning-on-lateral-ankle-and-resulting-grade-2-sprain-scan-using-suresult-d3ultra-1300x731.webp\" alt=\"posicionamento da sonda de ultrassom atfl no tornozelo lateral e exame de entorse de grau 2 resultante usando o suresult d3ultra\" class=\"wp-image-31065\" srcset=\"https:\/\/suresultmed.com\/wp-content\/uploads\/atfl-ultrasound-probe-positioning-on-lateral-ankle-and-resulting-grade-2-sprain-scan-using-suresult-d3ultra-1300x731.webp 1300w, https:\/\/suresultmed.com\/wp-content\/uploads\/atfl-ultrasound-probe-positioning-on-lateral-ankle-and-resulting-grade-2-sprain-scan-using-suresult-d3ultra-400x225.webp 400w, https:\/\/suresultmed.com\/wp-content\/uploads\/atfl-ultrasound-probe-positioning-on-lateral-ankle-and-resulting-grade-2-sprain-scan-using-suresult-d3ultra-768x432.webp 768w, https:\/\/suresultmed.com\/wp-content\/uploads\/atfl-ultrasound-probe-positioning-on-lateral-ankle-and-resulting-grade-2-sprain-scan-using-suresult-d3ultra-1536x864.webp 1536w, https:\/\/suresultmed.com\/wp-content\/uploads\/atfl-ultrasound-probe-positioning-on-lateral-ankle-and-resulting-grade-2-sprain-scan-using-suresult-d3ultra-18x10.webp 18w, https:\/\/suresultmed.com\/wp-content\/uploads\/atfl-ultrasound-probe-positioning-on-lateral-ankle-and-resulting-grade-2-sprain-scan-using-suresult-d3ultra-430x242.webp 430w, https:\/\/suresultmed.com\/wp-content\/uploads\/atfl-ultrasound-probe-positioning-on-lateral-ankle-and-resulting-grade-2-sprain-scan-using-suresult-d3ultra-700x394.webp 700w, https:\/\/suresultmed.com\/wp-content\/uploads\/atfl-ultrasound-probe-positioning-on-lateral-ankle-and-resulting-grade-2-sprain-scan-using-suresult-d3ultra-150x84.webp 150w, https:\/\/suresultmed.com\/wp-content\/uploads\/atfl-ultrasound-probe-positioning-on-lateral-ankle-and-resulting-grade-2-sprain-scan-using-suresult-d3ultra.webp 1920w\" sizes=\"auto, (max-width: 1300px) 100vw, 1300px\" \/><\/a><figcaption class=\"wp-element-caption\"><em>Img: Posicionamento da sonda de ultrassom ATFL na lateral do tornozelo e resultado do exame de entorse de grau 2 usando Suresult D3ultra<\/em><\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Na imagem acima, preste aten\u00e7\u00e3o \u00e0 posi\u00e7\u00e3o da sonda.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">O ligamento se dirige do mal\u00e9olo lateral em dire\u00e7\u00e3o ao p\u00e9 medial, aproximadamente na base do ded\u00e3o do p\u00e9.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Muitos acreditam que as fibras seguem em linha reta sagitalmente e, se o senhor olhar para l\u00e1, n\u00e3o ver\u00e1 o ATFL.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><a href=\"http:\/\/suresultmed.com\/wp-content\/uploads\/ultrasound-cine-loop-showing-the-anterior-talofibular-ligament-atfl-scan-in-short-axis-to-evaluate-for-ankle-sprains-using-suresult-d3ultra.gif\" target=\"_blank\" rel=\"noopener noreferrer nofollow\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"480\" src=\"http:\/\/suresultmed.com\/wp-content\/uploads\/ultrasound-cine-loop-showing-the-anterior-talofibular-ligament-atfl-scan-in-short-axis-to-evaluate-for-ankle-sprains-using-suresult-d3ultra.gif\" alt=\"cine loop de ultrassom mostrando a varredura do ligamento talofibular anterior (atfl) em eixo curto para avaliar entorses de tornozelo usando o suresult d3ultra\" class=\"wp-image-31066\"\/><\/a><figcaption class=\"wp-element-caption\"><em>Gif: Ultrassom Cine Loop mostrando a varredura do ligamento talofibular anterior (ATFL) em eixo curto para avaliar entorses de tornozelo usando <a href=\"http:\/\/suresultmed.com\/pt\/shop\/handheld-ultrasounds\/d3ultra-multipurpose-handheld-ultrasound\/\" data-type=\"product\" data-id=\"28571\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Suresult D3ultra<\/a><\/em><\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00f3s o avaliamos no eixo curto. O aumento da frouxid\u00e3o ou a ecogenicidade estranha sugerem patologia. O c\u00f3rtex vis\u00edvel com sombreamento onde n\u00e3o deveria estar sugere uma entorse por avuls\u00e3o. Se o senhor observar uma descontinuidade completa das fibras ou se mover o tornozelo para tensionar o ligamento durante a aquisi\u00e7\u00e3o de imagens e observar que as fibras n\u00e3o ficam esticadas, isso sugere uma ruptura total.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. Fraturas (onde quer que o senhor suspeite de uma fratura)<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Suresult Ultrassom para procurar uma fratura do escafoide? - 11% de desconto com o c\u00f3digo \u201cPOCUS11\u201d\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/UJo8-61P3_w?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\"><em>V\u00eddeo: Ultrassom para detectar uma fratura do escafoide<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Suresult Ultrassom para procurar uma fratura de costela? - 11% de desconto com o c\u00f3digo \u201cPOCUS11\u201d\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/UAixn2ql55g?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\"><em>V\u00eddeo: Ultrassom para detectar uma fratura de costela<\/em><\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Quando se pensa em fraturas, as pessoas pensam em ossos e, portanto, em raios X, ou seja, radiografias simples ou TC. Obviamente, a TC \u00e9 melhor, mas o ultrassom \u00e9 realmente melhor do que as radiografias!&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mas h\u00e1 um problema nisso.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ainda \u00e9 recomend\u00e1vel radiografar os pacientes se o senhor suspeitar de uma fratura e, se der negativo e ainda achar que h\u00e1 uma fratura, fazer um ultrassom para confirmar que n\u00e3o h\u00e1 fratura.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As radiografias d\u00e3o ao senhor a chance de encontrar fraturas em qualquer lugar, mas podem ser dif\u00edceis de ler porque h\u00e1 muita informa\u00e7\u00e3o e as fraturas podem se esconder facilmente, principalmente as fraturas n\u00e3o deslocadas.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">O ultrassom consegue ver o c\u00f3rtex com muita facilidade. Qualquer descontinuidade no c\u00f3rtex \u00e9 bastante \u00f3bvia. Al\u00e9m disso, o ultrassom pode ver o tecido mole, de modo que o senhor pode ver o hematoma levantando o peri\u00f3steo pr\u00f3ximo \u00e0 fratura.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-large\"><a href=\"http:\/\/suresultmed.com\/wp-content\/uploads\/ultrasound-toe-fracture-cortical-disruption-pathology.webp\" target=\"_blank\" rel=\"noopener noreferrer nofollow\"><img loading=\"lazy\" decoding=\"async\" width=\"1300\" height=\"687\" src=\"http:\/\/suresultmed.com\/wp-content\/uploads\/ultrasound-toe-fracture-cortical-disruption-pathology-1300x687.webp\" alt=\"ultrassom fratura do dedo do p\u00e9 ruptura da cortical patologia\" class=\"wp-image-31067\" srcset=\"https:\/\/suresultmed.com\/wp-content\/uploads\/ultrasound-toe-fracture-cortical-disruption-pathology-1300x687.webp 1300w, https:\/\/suresultmed.com\/wp-content\/uploads\/ultrasound-toe-fracture-cortical-disruption-pathology-400x211.webp 400w, https:\/\/suresultmed.com\/wp-content\/uploads\/ultrasound-toe-fracture-cortical-disruption-pathology-768x406.webp 768w, https:\/\/suresultmed.com\/wp-content\/uploads\/ultrasound-toe-fracture-cortical-disruption-pathology-1536x812.webp 1536w, https:\/\/suresultmed.com\/wp-content\/uploads\/ultrasound-toe-fracture-cortical-disruption-pathology-18x10.webp 18w, https:\/\/suresultmed.com\/wp-content\/uploads\/ultrasound-toe-fracture-cortical-disruption-pathology-430x227.webp 430w, https:\/\/suresultmed.com\/wp-content\/uploads\/ultrasound-toe-fracture-cortical-disruption-pathology-700x370.webp 700w, https:\/\/suresultmed.com\/wp-content\/uploads\/ultrasound-toe-fracture-cortical-disruption-pathology-150x79.webp 150w, https:\/\/suresultmed.com\/wp-content\/uploads\/ultrasound-toe-fracture-cortical-disruption-pathology.webp 1746w\" sizes=\"auto, (max-width: 1300px) 100vw, 1300px\" \/><\/a><figcaption class=\"wp-element-caption\"><em>Img: Exame de ultrassom de uma fratura no dedo do p\u00e9 mostrando uma ruptura vis\u00edvel no c\u00f3rtex \u00f3sseo (descontinuidade cortical)<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-large\"><a href=\"http:\/\/suresultmed.com\/wp-content\/uploads\/normal-toe-bone-ultrasound-smooth-cortex-comparison.webp\" target=\"_blank\" rel=\"noopener noreferrer nofollow\"><img loading=\"lazy\" decoding=\"async\" width=\"1300\" height=\"687\" src=\"http:\/\/suresultmed.com\/wp-content\/uploads\/normal-toe-bone-ultrasound-smooth-cortex-comparison-1300x687.webp\" alt=\"Compara\u00e7\u00e3o entre o c\u00f3rtex liso e o ultrassom do osso do dedo do p\u00e9 normal\" class=\"wp-image-31068\" srcset=\"https:\/\/suresultmed.com\/wp-content\/uploads\/normal-toe-bone-ultrasound-smooth-cortex-comparison-1300x687.webp 1300w, https:\/\/suresultmed.com\/wp-content\/uploads\/normal-toe-bone-ultrasound-smooth-cortex-comparison-400x211.webp 400w, https:\/\/suresultmed.com\/wp-content\/uploads\/normal-toe-bone-ultrasound-smooth-cortex-comparison-768x406.webp 768w, https:\/\/suresultmed.com\/wp-content\/uploads\/normal-toe-bone-ultrasound-smooth-cortex-comparison-1536x812.webp 1536w, https:\/\/suresultmed.com\/wp-content\/uploads\/normal-toe-bone-ultrasound-smooth-cortex-comparison-18x10.webp 18w, https:\/\/suresultmed.com\/wp-content\/uploads\/normal-toe-bone-ultrasound-smooth-cortex-comparison-430x227.webp 430w, https:\/\/suresultmed.com\/wp-content\/uploads\/normal-toe-bone-ultrasound-smooth-cortex-comparison-700x370.webp 700w, https:\/\/suresultmed.com\/wp-content\/uploads\/normal-toe-bone-ultrasound-smooth-cortex-comparison-150x79.webp 150w, https:\/\/suresultmed.com\/wp-content\/uploads\/normal-toe-bone-ultrasound-smooth-cortex-comparison.webp 1746w\" sizes=\"auto, (max-width: 1300px) 100vw, 1300px\" \/><\/a><figcaption class=\"wp-element-caption\"><em>Img: Ultrassonografia normal de um osso do dedo do p\u00e9 mostrando uma superf\u00edcie lisa e cont\u00ednua do c\u00f3rtex para compara\u00e7\u00e3o com uma fratura<\/em><\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">A desvantagem \u00e9 que o senhor tem de examinar lentamente a superf\u00edcie do osso e n\u00e3o pode retirar o osso da pessoa do corpo para percorrer facilmente todo o caminho.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Portanto, o ultrassom \u00e9 excelente para diagnosticar fraturas, mas \u00e9 limitado pelo tempo, pela paci\u00eancia e pelos \u00e2ngulos de acesso ao osso.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">O senhor precisa ficar atento a oste\u00f3fitos, eros\u00f5es ou pseudo-eros\u00f5es. Os iniciantes podem se beneficiar da tela dividida e da compara\u00e7\u00e3o com uma costela\/dedo saud\u00e1vel ou com o lado assintom\u00e1tico.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Fique por dentro da s\u00e9rie completa Beginnier MSK POCUS<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Esta \u00e9 a Parte 3 do nosso guia MSK POCUS para iniciantes. Para desenvolver um conjunto abrangente de habilidades diagn\u00f3sticas, n\u00e3o perca o restante de nossa s\u00e9rie MSK POCUS desenvolvida para a aten\u00e7\u00e3o prim\u00e1ria:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Parte 1:<\/strong> <a href=\"http:\/\/suresultmed.com\/pt\/beginner-msk-pocus-scans-shoulder-knee-foot\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Protocolos para ombros, joelhos e p\u00e9s<\/strong><\/a><\/li>\n\n\n\n<li><strong>Parte 2:<\/strong> <a href=\"http:\/\/suresultmed.com\/pt\/beginner-msk-pocus-scans-elbow-achilles\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>T\u00e9cnicas de cotovelo e tend\u00e3o de Aquiles<\/strong><\/a><\/li>\n\n\n\n<li><strong>Parte 3: <a href=\"http:\/\/suresultmed.com\/pt\/beginner-msk-pocus-scans-nerve-ankle-fractures\/\" target=\"_blank\" rel=\"noreferrer noopener\">Exames de nervos, tornozelo e fraturas<\/a><\/strong> (O senhor est\u00e1 aqui)<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Conclus\u00e3o:<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Espero que o senhor tenha gostado desta s\u00e9rie introdut\u00f3ria ao ultrassom MSK. Espero realmente que o senhor comece ou incentive seus colegas a come\u00e7ar. A pior coisa que pode acontecer \u00e9 o senhor perder 3 minutos do tempo do paciente e do seu tempo, e o poss\u00edvel benef\u00edcio \u00e9 evitar um encaminhamento, economizar tempo e dinheiro do paciente, evitar que o paciente volte ap\u00f3s o exame de imagem, poder iniciar imediatamente o tratamento adequado do paciente e, em alguns casos, o senhor pode at\u00e9 detectar uma fratura oculta. Eu ofere\u00e7o um robusto <a href=\"https:\/\/msk-pocus-training.trainercentralsite.com\/#\/home\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">programa educacional<\/a> se o senhor estiver interessado em mais treinamento.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><a href=\"http:\/\/suresultmed.com\/wp-content\/uploads\/dr-ramakko-ultrasound-training-e1766918283558.webp\" target=\"_blank\" rel=\"noopener noreferrer nofollow\"><img loading=\"lazy\" decoding=\"async\" width=\"993\" height=\"270\" src=\"http:\/\/suresultmed.com\/wp-content\/uploads\/dr-ramakko-ultrasound-training-e1766918283558.webp\" alt=\"Treinamento em ultrassom do Dr. Ramakko\" class=\"wp-image-30821\" style=\"width:526px;height:auto\" srcset=\"https:\/\/suresultmed.com\/wp-content\/uploads\/dr-ramakko-ultrasound-training-e1766918283558.webp 993w, https:\/\/suresultmed.com\/wp-content\/uploads\/dr-ramakko-ultrasound-training-e1766918283558-400x109.webp 400w, https:\/\/suresultmed.com\/wp-content\/uploads\/dr-ramakko-ultrasound-training-e1766918283558-768x209.webp 768w, https:\/\/suresultmed.com\/wp-content\/uploads\/dr-ramakko-ultrasound-training-e1766918283558-18x5.webp 18w, https:\/\/suresultmed.com\/wp-content\/uploads\/dr-ramakko-ultrasound-training-e1766918283558-430x117.webp 430w, https:\/\/suresultmed.com\/wp-content\/uploads\/dr-ramakko-ultrasound-training-e1766918283558-700x190.webp 700w, https:\/\/suresultmed.com\/wp-content\/uploads\/dr-ramakko-ultrasound-training-e1766918283558-150x41.webp 150w\" sizes=\"auto, (max-width: 993px) 100vw, 993px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Refer\u00eancias<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Fowler JR, Gaughan JP, Ilyas AM. A sensibilidade e a especificidade do ultrassom para o diagn\u00f3stico da s\u00edndrome do t\u00fanel do carpo: uma meta-an\u00e1lise.<em> Clin Orthop Relat Res<\/em>. 2011 Apr;469(4):1089-94. doi: 10.1007\/s11999-010-1637-5. Epub 2010 Oct 21. PMID: 20963527; PMCID: PMC3048245.<\/li>\n\n\n\n<li>De Maeseneer M, Marcelis S, Jager T, Shahabpour M, Van Roy P, Weaver J, Jacobson JA: Sonografia do tornozelo normal: uma abordagem de alvo usando pontos de refer\u00eancia esquel\u00e9ticos.<em> AJR Am J Roentgenol<\/em>. 2009, 192:487-95. 10.2214\/AJR.08.1316<\/li>\n\n\n\n<li>Ramakko B. The Role of Handheld Point-of-Care Musculoskeletal Ultrasound in Identifying Bone Injury (O Papel do Ultrassom Musculoesquel\u00e9tico Port\u00e1til no Ponto de Atendimento na Identifica\u00e7\u00e3o de Les\u00f5es \u00d3sseas): A Multi-Case Report. <em>JIANM<\/em>. 2024;21(1):2-9.<br><\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Buying for neurology? The neurology page compares the Suresult models for that work window by window, with real captures, verified<\/p>","protected":false},"author":81,"featured_media":31070,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_titles_title":"Handheld Ultrasound MSK Scans Guide: Nerve, Ankle & Fracture","_seopress_titles_desc":"A step-by-step guide for clinicians. Master basic views of the Median Nerve and ATFL to rule out common pathologies in your daily practice.","_seopress_robots_index":"","_seopress_robots_follow":"","_seopress_robots_imageindex":"","_seopress_robots_snippet":"","_seopress_robots_primary_cat":"","_seopress_robots_breadcrumbs":"","_seopress_robots_freeze_modified_date":"","_seopress_robots_custom_modified_date":"","_seopress_robots_canonical":"","_seopress_social_fb_title":"","_seopress_social_fb_desc":"","_seopress_social_fb_img":"","_seopress_social_fb_img_attachment_id":0,"_seopress_social_fb_img_width":0,"_seopress_social_fb_img_height":0,"_seopress_social_twitter_title":"","_seopress_social_twitter_desc":"","_seopress_social_twitter_img":"","_seopress_social_twitter_img_attachment_id":0,"_seopress_social_twitter_img_width":0,"_seopress_social_twitter_img_height":0,"_seopress_redirections_value":"","_seopress_redirections_enabled":"","_seopress_redirections_enabled_regex":"","_seopress_redirections_logged_status":"","_seopress_redirections_param":"","_seopress_redirections_type":0,"_seopress_analysis_target_kw":"how to identify median nerve on ultrasound,ultrasound median nerve,ultrasound median nerve carpal tunnel syndrome,ultrasound median nerve block,ultrasound median nerve carpal tunnel,ultrasound median nerve wrist,sonography median nerve,ultrasound guided median nerve block,atfl ultrasound,atfl ultrasound images,atfl ultrasound injection,atfl ultrasound position,msk ultrasound for beginners,what can a musculoskeletal ultrasound detect,musculoskeletal ultrasound guidelines,beginner msk pocus scans,ultrasound ankle sprain,median nerve","_seopress_news_disabled":"","_seopress_video_disabled":"","_seopress_video":[],"_seopress_pro_schemas_manual":[],"_seopress_pro_rich_snippets_disable_all":"","_seopress_pro_rich_snippets_disable":[],"_seopress_pro_schemas":[],"footnotes":""},"categories":[265],"tags":[],"class_list":["post-31063","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-training-and-case-studies"],"acf":[],"_links":{"self":[{"href":"https:\/\/suresultmed.com\/pt\/wp-json\/wp\/v2\/posts\/31063","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/suresultmed.com\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/suresultmed.com\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/suresultmed.com\/pt\/wp-json\/wp\/v2\/users\/81"}],"replies":[{"embeddable":true,"href":"https:\/\/suresultmed.com\/pt\/wp-json\/wp\/v2\/comments?post=31063"}],"version-history":[{"count":8,"href":"https:\/\/suresultmed.com\/pt\/wp-json\/wp\/v2\/posts\/31063\/revisions"}],"predecessor-version":[{"id":35869,"href":"https:\/\/suresultmed.com\/pt\/wp-json\/wp\/v2\/posts\/31063\/revisions\/35869"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/suresultmed.com\/pt\/wp-json\/wp\/v2\/media\/31070"}],"wp:attachment":[{"href":"https:\/\/suresultmed.com\/pt\/wp-json\/wp\/v2\/media?parent=31063"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/suresultmed.com\/pt\/wp-json\/wp\/v2\/categories?post=31063"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/suresultmed.com\/pt\/wp-json\/wp\/v2\/tags?post=31063"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}