{"id":528,"date":"2026-10-18T07:00:00","date_gmt":"2026-10-18T10:00:00","guid":{"rendered":"https:\/\/drfillipeagra.com.br\/blog\/?p=528"},"modified":"2026-10-13T19:41:21","modified_gmt":"2026-10-13T22:41:21","slug":"external-rotation-lag-sign","status":"publish","type":"post","link":"https:\/\/drfillipeagra.com.br\/blog\/external-rotation-lag-sign\/","title":{"rendered":"External Rotation Lag Sign: o teste que mostra quando o tend\u00e3o n\u00e3o segura o bra\u00e7o"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Alguns testes do exame do ombro avaliam for\u00e7a. Outros, chamados de lag signs, avaliam se o m\u00fasculo consegue manter uma posi\u00e7\u00e3o. O External Rotation Lag Sign \u00e9 um dos mais importantes para identificar rupturas completas do manguito rotador na parte de cima e de tr\u00e1s do ombro.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Como \u00e9 feito<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Com o paciente sentado e o cotovelo dobrado a 90 graus, o m\u00e9dico segura o punho e o cotovelo e gira o bra\u00e7o para fora, quase at\u00e9 o limite do movimento. Ent\u00e3o solta o punho e pede que o paciente mantenha a posi\u00e7\u00e3o. Se o bra\u00e7o volta para dentro, o teste \u00e9 positivo. A diferen\u00e7a entre a posi\u00e7\u00e3o colocada e a que o paciente consegue manter \u00e9 medida em graus.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"359\" src=\"https:\/\/drfillipeagra.com.br\/blog\/wp-content\/uploads\/2026\/10\/figura-external-rotation-lag-sign.png\" alt=\"External Rotation Lag Sign\" class=\"wp-image-527\" srcset=\"https:\/\/drfillipeagra.com.br\/blog\/wp-content\/uploads\/2026\/10\/figura-external-rotation-lag-sign.png 1200w, https:\/\/drfillipeagra.com.br\/blog\/wp-content\/uploads\/2026\/10\/figura-external-rotation-lag-sign-300x90.png 300w, https:\/\/drfillipeagra.com.br\/blog\/wp-content\/uploads\/2026\/10\/figura-external-rotation-lag-sign-1024x306.png 1024w, https:\/\/drfillipeagra.com.br\/blog\/wp-content\/uploads\/2026\/10\/figura-external-rotation-lag-sign-768x230.png 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption class=\"wp-element-caption\">External Rotation Lag Sign<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">O que o teste mostra<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">O teste foi descrito em 1996, em um estudo sobre lag signs no diagn\u00f3stico das rupturas do manguito. Quando positivo, ele sugere ruptura completa do supraespinal e, principalmente, do infraespinal, os m\u00fasculos que giram o bra\u00e7o para fora. Quanto maior o &#8220;lag&#8221;, maior tende a ser a les\u00e3o.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Por que isso importa<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Um External Rotation Lag Sign positivo indica que a les\u00e3o provavelmente \u00e9 completa e envolve mais de um tend\u00e3o. Essa informa\u00e7\u00e3o ajuda a decidir os exames e o tratamento, e \u00e9 importante no planejamento cir\u00fargico. No v\u00eddeo abaixo, comento uma quest\u00e3o de prova de especialista sobre esse teste.<\/p>\n\n\n\n<figure class=\"wp-block-embed 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=\"Quest\u00e3o 39 - 7\u00ba TECOC da SBCOC - External Rotation Lag Sign\" width=\"500\" height=\"375\" src=\"https:\/\/www.youtube.com\/embed\/bHkZFP_fvNI?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\">V\u00eddeo: External Rotation Lag Sign<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Perguntas frequentes<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">O que significa External Rotation Lag Sign positivo?<\/strong> <p class=\"schema-faq-answer\">Que o paciente n\u00e3o consegue manter o bra\u00e7o girado para fora, o que sugere ruptura completa do supraespinal e do infraespinal.<\/p> <\/div><div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">O teste d\u00f3i?<\/strong> <p class=\"schema-faq-answer\">Geralmente n\u00e3o. Ele avalia a capacidade de manter uma posi\u00e7\u00e3o, e n\u00e3o a dor.<\/p> <\/div><div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">Teste positivo significa cirurgia?<\/strong> <p class=\"schema-faq-answer\">N\u00e3o necessariamente. Ele indica uma les\u00e3o importante, mas a decis\u00e3o depende da idade, da atividade, da dor e dos exames de imagem.<\/p> <\/div><\/div>\n\n\n\n<p class=\"fa-leia wp-block-paragraph\"><strong>Leia tamb\u00e9m:<\/strong> <a href=\"https:\/\/drfillipeagra.com.br\/blog\/como-e-o-exame-do-ombro-na-consulta-com-o-especialista\/\">Como \u00e9 o exame do ombro na consulta<\/a> \u00b7 <a href=\"https:\/\/drfillipeagra.com.br\/blog\/lesao-do-manguito-rotador-sintomas-diagnostico-e-tratamento\/\">Manguito rotador: o que \u00e9, sintomas de les\u00e3o e quando se preocupar<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Material complementar<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Quer entender melhor o manguito rotador e as les\u00f5es do ombro? O e-book re\u00fane as informa\u00e7\u00f5es essenciais em linguagem simples.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/fagracosme.hotmart.host\/ebookdoombro\" target=\"_blank\" rel=\"noreferrer noopener\">Conhe\u00e7a o e-book do ombro<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tem dor ou limita\u00e7\u00e3o no ombro? Agende uma avalia\u00e7\u00e3o.<\/strong><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/wa.me\/5511996713310?text=Ol%C3%A1!%20Gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Fillipe%20Agra.\" target=\"_blank\" rel=\"noreferrer noopener\">Agendar uma avalia\u00e7\u00e3o<\/a><\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:0.85rem\"><em>Dr. Fillipe Agra, m\u00e9dico ortopedista, especialista em ombro e cotovelo. CRM\/SP 201.962 \u00b7 RQE 144.556. Atendimento em S\u00e3o Paulo (Pinheiros), Porto Feliz, Ara\u00e7atuba e Andradina, e online. Este conte\u00fado \u00e9 educativo e n\u00e3o substitui uma consulta m\u00e9dica.<\/em><\/p>\n\n\n\n<div class=\"wp-block-group fa-refs has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Refer\u00eancias<\/h2>\n\n\n\n<ol style=\"font-size:0.8rem\" class=\"wp-block-list\">\n<li>Hertel R, Ballmer FT, Lombert SM, Gerber C. Lag signs in the diagnosis of rotator cuff rupture. <em>J Shoulder Elbow Surg<\/em>. 1996;5(4):307-13. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8872929\/\" target=\"_blank\" rel=\"noreferrer noopener\">PubMed<\/a><\/li>\n\n\n<li>Matsen FA III, Cordasco FA, Sperling JW, editores. <em>Rockwood and Matsen&#8217;s The Shoulder<\/em>. 6\u00aa ed. Filad\u00e9lfia: Elsevier; 2022. Cap\u00edtulo 52: Evaluation of rotator cuff pathology: history, examination, and imaging.<\/li>\n<\/ol>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>O External Rotation Lag Sign ajuda a identificar rupturas completas do supraespinal e do infraespinal. Veja como o teste \u00e9 feito e o que ele significa.<\/p>\n","protected":false},"author":1,"featured_media":526,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,17],"tags":[],"class_list":["post-528","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ombro","category-exame-do-ombro"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>External Rotation Lag Sign | Dr. Fillipe Agra<\/title>\n<meta name=\"description\" content=\"O External Rotation Lag Sign ajuda a identificar rupturas completas do supraespinal e do infraespinal. 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