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Métodos Estudo transversal, cuja população foi composta por participantes do Congresso Brasileiro de Ortopedia e Traumatologia 2018 (CBOT-2018). Foi aplicado um questionário sobre a conduta adotada no diagnóstico e tratamento do dedo em gatilho. Resultados Foram analisados 243 participantes com média de idade de 37.46 anos, na maioria homens (88%), tempo de experiência de pelo menos 1 ano (55,6%), e da região Sudeste (68.3%). A análise dos questionários evidenciou que há consenso nos seguintes quesitos: diagnóstico somente com exame físico (73,3%), classificação de Quinnell modificada por Green (58,4%), tratamento inicial não cirúrgico (91,4%), infiltração de corticoide com anestésico (61,7%) tempo de tratamento não cirúrgico de 1 a 3 meses (52,3%), tratamento cirúrgico pela via aberta (84,4%), principalmente via aberta transversa (51%), recidiva do engatilhamento como principal complica...","author":[{"@context":"https://schema.org","@type":"Person","name":"Flávio Faloppa","url":"https://unifep.academia.edu/Fl%C3%A1vioFaloppa"}],"contributor":[],"dateCreated":"2025-01-29","dateModified":"2025-01-29","datePublished":"2021-01-01","headline":"Diagnóstico e tratamento do dedo de gatilho no Brasil - Estudo transversal","image":"https://attachments.academia-assets.com/121090444/thumbnails/1.jpg","inLanguage":"pt","keywords":["Medicine"],"publication":"Revista Brasileira de Ortopedia","publisher":{"@context":"https://schema.org","@type":"Organization","name":"Revista Brasileira de Ortopedia"},"sourceOrganization":[{"@context":"https://schema.org","@type":"EducationalOrganization","name":"unifep"}],"thumbnailUrl":"https://attachments.academia-assets.com/121090444/thumbnails/1.jpg","url":"https://www.academia.edu/127345123/Diagn%C3%B3stico_e_tratamento_do_dedo_de_gatilho_no_Brasil_Estudo_transversal"}</script><style type="text/css">@media(max-width: 567px){:root{--token-mode: Rebrand;--dropshadow: 0 2px 4px 0 #22223340;--primary-brand: #0645b1;--error-dark: #b60000;--success-dark: #05b01c;--inactive-fill: #ebebee;--hover: #0c3b8d;--pressed: #082f75;--button-primary-fill-inactive: #ebebee;--button-primary-fill: #0645b1;--button-primary-text: #ffffff;--button-primary-fill-hover: #0c3b8d;--button-primary-fill-press: #082f75;--button-primary-icon: #ffffff;--button-primary-fill-inverse: #ffffff;--button-primary-text-inverse: 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Métodos Estudo transversal, cuja população foi composta por participantes do Congresso Brasileiro de Ortopedia e Traumatologia 2018 (CBOT-2018). Foi aplicado um questionário sobre a conduta adotada no diagnóstico e tratamento do dedo em gatilho. Resultados Foram analisados 243 participantes com média de idade de 37.46 anos, na maioria homens (88%), tempo de experiência de pelo menos 1 ano (55,6%), e da região Sudeste (68.3%). A análise dos questionários evidenciou que há consenso nos seguintes quesitos: diagnóstico somente com exame físico (73,3%), classificação de Quinnell modificada por Green (58,4%), tratamento inicial não cirúrgico (91,4%), infiltração de corticoide com anestésico (61,7%) tempo de tratamento não cirúrgico de 1 a 3 meses (52,3%), tratamento cirúrgico pela via aberta (84,4%), principalmente via aberta transversa (51%), recidiva do engatilhamento como principal complica...","publisher":"Revista Brasileira de Ortopedia","publication_date":"2021,,","publication_name":"Revista Brasileira de Ortopedia"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"pt","title":"Diagnóstico e tratamento do dedo de gatilho no Brasil - Estudo transversal","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [33497126]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "full_page_mobile_sutd_modal"; window.loswp.useOptimizedScribd4genScript = false; window.loginModal = {}; window.loginModal.appleClientId = 'edu.academia.applesignon'; window.userInChina = "false";</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{"location":"swp-splash-paper-cover","attachmentId":121090444,"attachmentType":"pdf"}"><img alt="First page of “Diagnóstico e tratamento do dedo de gatilho no Brasil - Estudo transversal”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/121090444/mini_magick20250129-1-wwinc5.png?1738182739" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/images/single_work_splash/adobe_icon.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Diagnóstico e tratamento do dedo de gatilho no Brasil - Estudo transversal</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="33497126" href="https://unifep.academia.edu/Fl%C3%A1vioFaloppa"><img alt="Profile image of Flávio Faloppa" class="ds-work-card--author-avatar" src="//a.academia-assets.com/images/s65_no_pic.png" />Flávio Faloppa</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">2021, Revista Brasileira de Ortopedia</p><div class="ds-work-card--work-metadata"><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">visibility</span><p class="ds2-5-body-sm" id="work-metadata-view-count">…</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">description</span><p class="ds2-5-body-sm">11 pages</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">link</span><p class="ds2-5-body-sm">1 file</p></div></div><script>(async () => { const workId = 127345123; 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Métodos Estudo transversal, cuja população foi composta por participantes do Congresso Brasileiro de Ortopedia e Traumatologia 2018 (CBOT-2018). Foi aplicado um questionário sobre a conduta adotada no diagnóstico e tratamento do dedo em gatilho. Resultados Foram analisados 243 participantes com média de idade de 37.46 anos, na maioria homens (88%), tempo de experiência de pelo menos 1 ano (55,6%), e da região Sudeste (68.3%). A análise dos questionários evidenciou que há consenso nos seguintes quesitos: diagnóstico somente com exame físico (73,3%), classificação de Quinnell modificada por Green (58,4%), tratamento inicial não cirúrgico (91,4%), infiltração de corticoide com anestésico (61,7%) tempo de tratamento não cirúrgico de 1 a 3 meses (52,3%), tratamento cirúrgico pela via aberta (84,4%), principalmente via aberta transversa (51%), recidiva do engatilhamento como principal complica...</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--work-card","attachmentId":121090444,"attachmentType":"pdf","workUrl":"https://www.academia.edu/127345123/Diagn%C3%B3stico_e_tratamento_do_dedo_de_gatilho_no_Brasil_Estudo_transversal"}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--work-card","attachmentId":121090444,"attachmentType":"pdf","workUrl":"https://www.academia.edu/127345123/Diagn%C3%B3stico_e_tratamento_do_dedo_de_gatilho_no_Brasil_Estudo_transversal"}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div><div class="ds-signup-banner-trigger-container"><div class="ds-signup-banner-trigger ds-signup-banner-trigger-control"></div></div><div class="ds-signup-banner ds-signup-banner-control"><div id="ds-signup-banner-close-button"><button class="ds2-5-button ds2-5-button--secondary ds2-5-button--inverse"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">close</span></button></div><div class="ds-signup-banner-ctas" data-impression-entity-id="127345123" data-impression-entity-type="2" data-impression-source="signup-banner"><img src="//a.academia-assets.com/images/academia-logo-capital-white.svg" /><h4 class="ds2-5-heading-serif-sm">Sign up for access to the world's latest research</h4><button class="ds2-5-button ds2-5-button--inverse ds2-5-button--full-width js-swp-download-button" data-signup-modal="{"location":"signup-banner"}">Sign up for free<span class="material-symbols-outlined" style="font-size: 20px" translate="no">arrow_forward</span></button></div><div class="ds-signup-banner-divider"></div><div class="ds-signup-banner-reasons"><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Get notified about relevant papers</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Save papers to use in your research</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Join the discussion with peers</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Track your impact</span></div></div></div><script>(() => { // Set up signup banner show/hide behavior: // 1. 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Objetivo: a proposta deste estudo foi discutir o tratamento cirúrgico com os resultados, as complicações e as vantagens na utilização da internação hospital-dia. Método: no período de fevereiro de 2001 até janeiro de 2008, verificaram-se 25 crianças entre 3 meses e 6 anos, portadoras de polegar em gatilho congênito. Foram operadas 35 mãos, e 10 casos eram bilaterais. Observamos que a manifestação clínica quanto à dificuldade de extensão do polegar estava presente em todas as mãos operadas e nenhuma criança queixava-se de dor. As crianças foram submetidas à mesma técnica cirúrgica, anestesia geral inalatória, com incisão transversa na prega volar metacarpofalangeana do polegar acometido e abertura longitudinal da polia flexora A1. Não foi utilizado antibiótico e as crianças foram internadas pelo sistema hospital-dia. Resultados: Quinze crianças eram do sexo masculino e dez do sexo feminino. Dos pacientes com lesão bilateral, sete eram do sexo masculino e três do feminino. Quanto ao lado acometido, obtivemos sete polegares direitos, oito esquerdos e dez bilaterais. Como complicações, não houve nenhuma recidiva; um polegar evoluiu com infecção cutânea superficial e dois polegares apresentaram deiscência parcial da sutura após a retirada dos pontos. Conclusões: o polegar em gatilho congênito ou tenossinovite estenosante do polegar na criança pode ser tratado com segurança através da abertura simples da polia flexora A1, utilizando-se a internação hospital-dia. Palavras-chave: Dedo em gatilho; encarceramento do tendão; tenossinovite; polegar. Abstract Introduction: The congenital trigger disorder or stenosing tenosynovitis of the thumb is the difficulty of extending the thumb, identified in early months of life. Objective: The purpose this study was to discuss the operative results, complications and advantages of the day hospital system. Method: This study was carried out from February 2001 to January 2008, with 25 children aging from 3 months to 6 years old with congenital trigger finger thumb.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Diagnóstico precoce e o tratamento cirúrgico do polegar em gatilho congênito na criança utilizando o sistema de internação hospital-dia","attachmentId":52499195,"attachmentType":"pdf","work_url":"https://www.academia.edu/32282493/Diagn%C3%B3stico_precoce_e_o_tratamento_cir%C3%BArgico_do_polegar_em_gatilho_cong%C3%AAnito_na_crian%C3%A7a_utilizando_o_sistema_de_interna%C3%A7%C3%A3o_hospital_dia","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/32282493/Diagn%C3%B3stico_precoce_e_o_tratamento_cir%C3%BArgico_do_polegar_em_gatilho_cong%C3%AAnito_na_crian%C3%A7a_utilizando_o_sistema_de_interna%C3%A7%C3%A3o_hospital_dia"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="114127683" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/114127683/Frequ%C3%AAncia_do_aparecimento_de_dedo_em_gatilho_no_p%C3%B3s_operat%C3%B3rio_da_s%C3%ADndrome_do_t%C3%BAnel_do_carpo_em_duas_t%C3%A9cnicas_cir%C3%BArgicas_Aberta_e_endosc%C3%B3pica">Frequência do aparecimento de dedo em gatilho no pós-operatório da síndrome do túnel do carpo em duas técnicas cirúrgicas: Aberta e endoscópica</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="118126788" href="https://independent.academia.edu/RafaelHeidiTajiri">Rafael Heidi Tajiri</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Revista Brasileira de Ortopedia, 2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Palavras-chave ► síndrome do túnel do carpo ► parestesia ► estudo comparativo ► endoscopia ► dedo em gatilho Resumo Objetivo Determinar a frequência do aparecimento de dedo em gatilho (DG) no pósoperatório da síndrome do túnel do carpo (STC) em duas técnicas: aberta (TA) e endoscópica (TE). Como desfecho secundário, comparar as taxas de remissão da parestesia e dor residual entre as duas técnicas. Métodos De forma prospectiva, verificamos o aparecimento de dedo em gatilho e taxa de remissão da parestesia e dor no território do nervo mediano em série de pacientes adultos operados pela TA (n ¼ 34). Comparamos com coorte retrospectiva operada pela TE (n ¼ 33), pela mesma equipe de cirurgiões. A avaliação dos pacientes ocorreu por meio de questionário estruturado em consulta de retorno, com mínimo de 6 meses de pós-operatório. Resultados Sessenta e sete pacientes foram avaliados. Não houve diferença quanto ao aparecimento de dedo em gatilho (TA, 26,5% versus TE, 27,3%; p ¼ 0,94) e dor (TA, 76,5% versus TE, 84.8%; p ¼ 0,38). Os pacientes operados pela TA apresentaram menos queixas de parestesia do que os operados pela TE (TA 5,9% versus TE 24,2%; p ¼ 0,03). Conclusões Em nossa série, a técnica cirúrgica não influenciou o aparecimento de dedos em gatilho e dor residual. Os pacientes operados pela técnica aberta apresentaram menos queixa de parestesia residual pós-operatória.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Frequência do aparecimento de dedo em gatilho no pós-operatório da síndrome do túnel do carpo em duas técnicas cirúrgicas: Aberta e endoscópica","attachmentId":110907939,"attachmentType":"pdf","work_url":"https://www.academia.edu/114127683/Frequ%C3%AAncia_do_aparecimento_de_dedo_em_gatilho_no_p%C3%B3s_operat%C3%B3rio_da_s%C3%ADndrome_do_t%C3%BAnel_do_carpo_em_duas_t%C3%A9cnicas_cir%C3%BArgicas_Aberta_e_endosc%C3%B3pica","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/114127683/Frequ%C3%AAncia_do_aparecimento_de_dedo_em_gatilho_no_p%C3%B3s_operat%C3%B3rio_da_s%C3%ADndrome_do_t%C3%BAnel_do_carpo_em_duas_t%C3%A9cnicas_cir%C3%BArgicas_Aberta_e_endosc%C3%B3pica"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="86919732" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/86919732/Diagnosis_and_Treatment_of_Trigger_Finger_in_Brazil_A_Cross_Sectional_Study_">Diagnosis and Treatment of Trigger Finger in Brazil – A Cross-Sectional Study *</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="57913458" href="https://independent.academia.edu/edsonsasaharaSato">edson sasahara Sato</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Revista Brasileira de Ortopedia, 2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Objective The present paper aims to evaluate the therapeutic planning for trigger finger by Brazilian orthopedists. Methods This is a cross-sectional study with a population composed of participants from the 2018 Brazilian Congress on Orthopedics and Traumatology (CBOT-2018, in the Portuguese acronym), who answered a questionnaire about the conduct adopted for trigger finger diagnosis and treatment. Results A total of 243 participants were analyzed, with an average age of 37.46 years old; most participants were male (88%), with at least 1 year of experience (55.6%) and from Southeast Brazil (68.3%). Questionnaire analysis revealed a consensus on the following issues: diagnosis based on physical examination alone (73.3%), use of the Quinnell classification modified by Green (58.4%), initial nonsurgical treatment (91.4%), infiltration of steroids combined with an anesthetic agent (61.7%), nonsurgical treatment time ranging from 1 to 3 months (52.3%), surgical treatment using the op...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Diagnosis and Treatment of Trigger Finger in Brazil – A Cross-Sectional Study *","attachmentId":91266792,"attachmentType":"pdf","work_url":"https://www.academia.edu/86919732/Diagnosis_and_Treatment_of_Trigger_Finger_in_Brazil_A_Cross_Sectional_Study_","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/86919732/Diagnosis_and_Treatment_of_Trigger_Finger_in_Brazil_A_Cross_Sectional_Study_"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="64385522" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/64385522/_Aviso_de_gatilho_efeitos_de_corpo_testemunho_e_den%C3%BAncia">“Aviso de gatilho”: efeitos de corpo, testemunho e denúncia</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="102521663" href="https://independent.academia.edu/Mar%C3%ADliaGiRodrigues">Marília Giselda Rodrigues</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2020</p><p class="ds-related-work--abstract ds2-5-body-sm">This article is part of the Discourse Analysis field and attempts to problematize and discuss the testimonial effect present in writing-empowerment, particularly focused on the ways in which poetic text symbolizes the experience of sexual violence. Therefore, issues such as belonging, silencing and intersectionality are problematized, based on &quot;trigger warning&quot; analysis, turning attention to traces of memory which can signify it as writing of resistance to the racial and sexual division of the work of writing. Thus, we try to understand the effects of body, testimony and denunciation produced in their way of symbolizing the experience of sexual violence, constituted as a gesture of resistance to the ideological production of meanings that hyperssexualizes a black woman&#39;s body.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"“Aviso de gatilho”: efeitos de corpo, testemunho e denúncia","attachmentId":76446396,"attachmentType":"pdf","work_url":"https://www.academia.edu/64385522/_Aviso_de_gatilho_efeitos_de_corpo_testemunho_e_den%C3%BAncia","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/64385522/_Aviso_de_gatilho_efeitos_de_corpo_testemunho_e_den%C3%BAncia"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="67549367" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/67549367/Desativa%C3%A7%C3%A3o_de_pontos_gatilho_no_tratamento_da_dor_miofascial">Desativação de pontos-gatilho no tratamento da dor miofascial</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="171511850" href="https://independent.academia.edu/MilenaCulpi">Milena Culpi</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Revista Brasileira de Medicina de Família e Comunidade</p><p class="ds-related-work--abstract ds2-5-body-sm">A síndrome da dor miofascial (SDM) é causa de dor e limitações, sendo bastante prevalente na população. Seu diagnóstico se dá pela apresentação clínica e exame físico, sendo a dor no local o principal sintoma, que conta com uma irradiação característica conforme o músculo acometido. Devido a esta irradiação, a condição pode mimetizar outras situações clínicas comuns e deve ser lembrada como diagnóstico diferencial. Sua identificação e tratamento podem ser feitos de forma simples e o profissional da atenção primária está apto a realizá-los, no entanto, ainda é muito negligenciada, por ser condição pouco estudada. Seu tratamento inclui fármacos, mudanças de estilo de vida, técnicas de fisioterapia e de agulhamento, sendo que este pode ser a seco ou com injeção de substâncias. O agulhamento com infiltração anestésica parece ser técnica eficaz na desativação de pontos-gatilho musculares e aparenta ser superior às demais em alguns estudos, com a vantagem de ser menos doloroso em sua real...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Desativação de pontos-gatilho no tratamento da dor miofascial","attachmentId":78323976,"attachmentType":"pdf","work_url":"https://www.academia.edu/67549367/Desativa%C3%A7%C3%A3o_de_pontos_gatilho_no_tratamento_da_dor_miofascial","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/67549367/Desativa%C3%A7%C3%A3o_de_pontos_gatilho_no_tratamento_da_dor_miofascial"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="14392885" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/14392885/Como_s%C3%A3o_tratadas_as_fraturas_expostas_da_t%C3%ADbia_no_Brasil_Estudo_transversal">Como são tratadas as fraturas expostas da tíbia no Brasil? Estudo transversal</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33336997" href="https://unifesp.academia.edu/H%C3%A9lioJorgeAlvachianFernandes">Hélio Jorge Alvachian Fernandes</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33497126" href="https://unifep.academia.edu/Fl%C3%A1vioFaloppa">Flávio Faloppa</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Acta Ortopédica Brasileira, 2005</p><p class="ds-related-work--abstract ds2-5-body-sm">This cross-sectional study was performed during the 36th Brazilian Congress of Orthopaedics and Traumatology, aiming to know the Brazilian orthopaedic surgeons' opinion regarding the standards of care in cases of tibial diaphyseal open fractures in adults. Five hundred and seven questionnaires were considered and the results show agreement in the following topics: classification, 78.5% uses the Gustilo-Anderson; surgical treatment indication, with the majority (76.3%) preferring to operate all kinds of fracture with manual irrigation (80.3%) and saline solution (85.4%); stabilization method, predominantly the external fixator, with 52.1%, 74.4%, 88.6%, and 89.0% for types II, IIIA, IIIB, and IIIC, respectively, and; primary closure indication, chosen by 74.2% for the type I. There was no consensus regarding the timing of soft tissues reconstruction and the duration of antibiotics treatment. Surgeons' opinions agreed with literature only for classification, surgical treatment indications, irrigation pressure, and indication for primary closure. The irrigation product, stabilization method and duration of antibiotics treatment differed from literature current evidences.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Como são tratadas as fraturas expostas da tíbia no Brasil? Estudo transversal","attachmentId":44247095,"attachmentType":"pdf","work_url":"https://www.academia.edu/14392885/Como_s%C3%A3o_tratadas_as_fraturas_expostas_da_t%C3%ADbia_no_Brasil_Estudo_transversal","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/14392885/Como_s%C3%A3o_tratadas_as_fraturas_expostas_da_t%C3%ADbia_no_Brasil_Estudo_transversal"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="75758733" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/75758733/Recomenda%C3%A7%C3%B5es_portuguesas_como_diagnosticar_monitorizar_e_tratar_a_artrite_perif%C3%A9rica_indiferenciada_">Recomendações portuguesas «como diagnosticar, monitorizar e tratar a artrite periférica indiferenciada»</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33398369" href="https://up-pt.academia.edu/AnabelaCardoso">Anabela Cardoso</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2010</p><p class="ds-related-work--abstract ds2-5-body-sm">opinion. Finally, national recommendations were formulated and agreement among the participants was assessed. Results: A total of 54754 references were identified, of which 267 were systematically reviewed. Thirteen national key recommendations about the investigation, follow-up and treatment of UPIA were formulated. One recommendation addressed differential diagnosis and investigations prior to the established operational diagnosis of UPIA, eight recommendations were related to the diagnostic and prognostic value of clinical and laboratory assessments in established UPIA (history and physical examination, acute phase reactants, serologies, autoantibodies, radiographs, magnetic resonance imaging and ultrasound, genetic markers and synovial biopsy), one recommendation highlighted predictors of persistence (chronicity), one addressed monitoring of clinical disease activity in UPIA, one aimed to find an useful method/score to predict a definitive diagnosis and the last one was related to treatment. Conclusion: Portuguese evidence-based recommendations for the management of UPIA in everyday practice were developed. Their dissemination and implementation in daily clinical practice</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Recomendações portuguesas «como diagnosticar, monitorizar e tratar a artrite periférica indiferenciada»","attachmentId":83402027,"attachmentType":"pdf","work_url":"https://www.academia.edu/75758733/Recomenda%C3%A7%C3%B5es_portuguesas_como_diagnosticar_monitorizar_e_tratar_a_artrite_perif%C3%A9rica_indiferenciada_","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/75758733/Recomenda%C3%A7%C3%B5es_portuguesas_como_diagnosticar_monitorizar_e_tratar_a_artrite_perif%C3%A9rica_indiferenciada_"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="88668614" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/88668614/Diagn%C3%B3stico_Situacional_Da_Policlinica_e_Ceo_Do_George_Am%C3%A9rico_Pet_Sa%C3%BAde_Graduasus_Odontologia">Diagnóstico Situacional Da Policlinica e Ceo Do George Américo – Pet Saúde/ Graduasus – Odontologia</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="51792076" href="https://independent.academia.edu/LydiadeBritoSantos">Lydia de Brito Santos</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Odontologia: Serviços Disponíveis e Acesso, 2019</p><p class="ds-related-work--abstract ds2-5-body-sm">O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais. Conselho Editorial Ciências Humanas e Sociais Aplicadas</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Diagnóstico Situacional Da Policlinica e Ceo Do George Américo – Pet Saúde/ Graduasus – Odontologia","attachmentId":92598266,"attachmentType":"pdf","work_url":"https://www.academia.edu/88668614/Diagn%C3%B3stico_Situacional_Da_Policlinica_e_Ceo_Do_George_Am%C3%A9rico_Pet_Sa%C3%BAde_Graduasus_Odontologia","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/88668614/Diagn%C3%B3stico_Situacional_Da_Policlinica_e_Ceo_Do_George_Am%C3%A9rico_Pet_Sa%C3%BAde_Graduasus_Odontologia"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="100092602" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/100092602/Tratamento_Interdisciplinar_De_Retra%C3%A7%C3%A3o_Gengival_Relato_De_Caso">Tratamento Interdisciplinar De Retração Gengival: Relato De Caso</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="265498996" href="https://independent.academia.edu/GleicyF%C3%A1timaMedeirosdeSouza">Gleicy Fátima Medeiros de Souza</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2013</p><p class="ds-related-work--abstract ds2-5-body-sm">O deslocamento da gengiva marginal apicalmente à junção amelocementária é denominado recessão gengival. A recessão gengival pode levar a queixas estéticas, sobretudo, quando acomete dentes ântero-superiores. Nestes casos, o recobrimento radicular é comumente o tratamento de escolha. Entretanto, alguns fatores podem interferir no prognóstico do tratamento, como, por exemplo, mal posicionamento dentário e erro na identificação da junção cementoesmalte comum nas lesões cervicais não-cariosas.O presente trabalho tem como objetivo relatar um caso clínico que ilustra recobrimento total de recessão gengival Classe I de Miller associada à lesão cervical não-cariosa localizada no dente 23, o qual apresentava vestibularização e extrusão. Paciente do sexo feminino, 36 anos, com queixa estética e de hipersensibilidade. Inicialmente, foi realizada lingualização do elemento dentário por meio de aparelho ortodôntico segmentado. A movimentação ortodôntica ativa durou 2 meses. Em seguida,foi conduzida cirurgia plástica periodontal pela técnica de retalho coronário associada a enxerto subepitelial retirado do palato. Três meses após a cirurgia, observou-se recobrimento total da recessão e simetria da margem gengival em relação ao dente contralateral. Realizouse, então, discreto desgaste na borda incisal do dente. Adicionalmente, a lesão cervical não-cariosa foi restaurada em resina composta. Estabilidade do resultado foi mantida após 2 anos de acompanhamento. Portanto, é possível concluir que procedimentos ortodônticos e restauradores podem otimizar o resultado estético da cirurgia plástica periodontal no tratamento de recessões gengivais em dentes com lesões cervicais não-cariosas e/ou mal posicionados. Descritores: recessão gengival, lesão cervical não-cariosa, recobrimento radicular Área Temática: Periodontia F02: AVALIAÇÃO DA IMPORTÂNCIA DOS DENTIFRÍCIOS FLUORETADOS NA PREVENÇÃO DA CÁRIE DENTAL</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Tratamento Interdisciplinar De Retração Gengival: Relato De Caso","attachmentId":101008993,"attachmentType":"pdf","work_url":"https://www.academia.edu/100092602/Tratamento_Interdisciplinar_De_Retra%C3%A7%C3%A3o_Gengival_Relato_De_Caso","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/100092602/Tratamento_Interdisciplinar_De_Retra%C3%A7%C3%A3o_Gengival_Relato_De_Caso"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="112898692" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/112898692/Difus%C3%A3o_do_M%C3%A9todo_Ponseti_para_tratamento_do_p%C3%A9_torto_no_Brasil_o_caminho_para_a_ado%C3%A7%C3%A3o_de_uma_tecnologia">Difusão do Método Ponseti para tratamento do pé torto no Brasil: o caminho para a adoção de uma tecnologia</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="7581206" href="https://independent.academia.edu/MonicaNogueira">Monica Nogueira</a></div><p class="ds-related-work--abstract ds2-5-body-sm">Introduction and diifusion of Ponseti Method for congenital clubfoot treatment in Brazil are discussed. Ponseti Method is based on specific serial casting, Achillis tenotomy and use of abduction brace to maintain correction. This was different from standard treatment in Brazil at that time, based in many more months of serial casting and an extensive foot surgery. The Ponseti Method difusion is analized in a cronologic manner, with focus in the history of its difusion in Brazil and in the world, beginning in University of Iowa. Internet influence is discussed, as well as the Program-Ponseti Brasil‖ for training orthopaedic surgeons in Ponseti clubfoot treatment. Populational data were used to evaluate Ponseti Method difusion, before the Training Program. Four manners of direct evaluation of the impact of the Training Program are presented: the participants´reaction, enquiries about clinical practice with Ponseti Method after one year, evaluation of the impact of the Training Program in two cities, São Luis and Tesesina, and case series presentations of nine Brazilian Orthopaedic Clinics in a national panel in the Advanced Ponseti Course, two years after the Training Program‖Ponseti Brasil‖. To reinforce information about difusion, publications in developing countries are discussed, extending indications for use of the Ponseti Method. Tendencies of medical literature about clubfoot treatment were analized, through written english and latinoamerican databases, and proceedings of two national meetings Brazilian Orthopaedic Meeting and Brazilian Pediatric Orthopaedic Meeting were revised to evaluate presentations about clubfoot treatment (Ponseti and surgical). Difusion is also discussed in other countries, non governamental organizations, related to parents perspective, and related to costs of treatment. Difusion of Ponseti Method is considered in expansion phase, and its discussion can help in the incorporation of this tecnology into the SUS (Sistema Único de Saúde-Brazilian Health System).</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Difusão do Método Ponseti para tratamento do pé torto no Brasil: o caminho para a adoção de uma tecnologia","attachmentId":109996808,"attachmentType":"pdf","work_url":"https://www.academia.edu/112898692/Difus%C3%A3o_do_M%C3%A9todo_Ponseti_para_tratamento_do_p%C3%A9_torto_no_Brasil_o_caminho_para_a_ado%C3%A7%C3%A3o_de_uma_tecnologia","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/112898692/Difus%C3%A3o_do_M%C3%A9todo_Ponseti_para_tratamento_do_p%C3%A9_torto_no_Brasil_o_caminho_para_a_ado%C3%A7%C3%A3o_de_uma_tecnologia"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":121090444,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":121090444,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_121090444" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. 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