{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T11:34:45Z","timestamp":1774611285758,"version":"3.50.1"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T00:00:00Z","timestamp":1617148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>As les\u00f5es na regi\u00e3o carpometacarpal (CMC) podem passar despercebidas em mais da metade dos casos. O diagn\u00f3stico precoce \u00e9 determinante para o tratamento. Embora clinicamente o paciente j\u00e1 possa demonstrar que de fato ocorreu a les\u00e3o, radiografias apropriadas, principalmente na incid\u00eancia em perfil, s\u00e3o fundamentais para o diagn\u00f3stico. A les\u00e3o mais comum afeta as articula\u00e7\u00f5es de 4\u00b0 e 5\u00b0 dedos. O tratamento vai depender do tipo da les\u00e3o e o grau de envolvimento das articula\u00e7\u00f5es. Geralmente, \u00e9 necess\u00e1ria redu\u00e7\u00e3o e fixa\u00e7\u00e3o.Quando apenas um raio \u00e9 acometido, habitualmente o 5\u00b0, pode ser feita redu\u00e7\u00e3o fechada e fixa\u00e7\u00e3o com fios de Kirschner. Nos casos complexos, faz-se necess\u00e1ria a redu\u00e7\u00e3o aberta e fixa\u00e7\u00e3o, sendo os fios de Kirschner os materiais mais comumente usados. Ap\u00f3s a retirada dos fios, intensifica-se a reabilita\u00e7\u00e3o.Se foi alcan\u00e7ada uma redu\u00e7\u00e3o apropriada, esperam-se resultados funcionais e radiogr\u00e1ficos satisfat\u00f3rios.<\/jats:p>","DOI":"10.1055\/s-0040-1712138","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T07:29:50Z","timestamp":1617262190000},"page":"537-542","source":"Crossref","is-referenced-by-count":1,"title":["Reconhecimento precoce e tratamento das fraturas e luxa\u00e7\u00f5es carpometacarpais"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2480-0737","authenticated-orcid":false,"given":"Eduardo Murilo","family":"Novak","sequence":"additional","affiliation":[{"name":"Escola de Medicina, Hospital Universit\u00e1rio Cajuru, Pontif\u00edcia Universidade Cat\u00f3lica do Paran\u00e1, Curitiba, PR, Brazil"},{"name":"Departamento de Medicina Forense e Psiquiatria, Universidade Federal do Paran\u00e1, Curitiba, PR, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giana Silveira","family":"Giostri","sequence":"additional","affiliation":[{"name":"Escola de Medicina, Hospital Universit\u00e1rio Cajuru, Pontif\u00edcia Universidade Cat\u00f3lica do Paran\u00e1, Curitiba, PR, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,3,31]]},"reference":[{"key":"ref1","first-page":"1558944719852743","article-title":"Carpometacarpal Fracture-Dislocations: A Retrospective Review of Injury Characteristics and Radiographic Outcomes","author":"G Steinmetz","year":"2019","journal-title":"Hand (N Y)"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1302\/0301-620X.69B2.3818751","article-title":"Carpometacarpal dislocation. 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