{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:40:35Z","timestamp":1791463235766,"version":"4.3.4"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T00:00:00Z","timestamp":1600732800000},"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":[[2022,12]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>O dedo em gatilho \u00e9 uma afec\u00e7\u00e3o frequente. N\u00e3o obstante a tenossinovite e a altera\u00e7\u00e3o da polia A1 serem identificados como fatores desencadeantes, n\u00e3o h\u00e1 consenso sobre a verdadeira causa na literatura, sendo que a sua verdadeira etiologia permanece desconhecida. O diagn\u00f3stico \u00e9 puramente cl\u00ednico na maior parte das vezes. Ele depende unicamente da exist\u00eancia do travamento do dedo no decorrer da movimenta\u00e7\u00e3o flex\u00e3o ativa. O tratamento do dedo em gatilho geralmente se inicia com interven\u00e7\u00f5es n\u00e3o cir\u00fargicas que s\u00e3o institu\u00eddas por pelo menos 3 meses. Nos pacientes em quem haja apresenta\u00e7\u00e3o inicial com deformidade em flex\u00e3o ou incapacidade de flex\u00e3o do dedo, pode haver indica\u00e7\u00e3o mais precoce do tratamento cir\u00fargico em raz\u00e3o da intensidade do quadro \u00e1lgico e da incapacidade funcional do paciente.<\/jats:p><jats:p>No presente artigo de revis\u00e3o, apresentaremos as modalidades e o nosso algoritmo para o tratamento do dedo em gatilho.<\/jats:p>","DOI":"10.1055\/s-0040-1713765","type":"journal-article","created":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T23:18:07Z","timestamp":1600816687000},"page":"911-916","source":"Crossref","is-referenced-by-count":6,"title":["Tratamento do Dedo em Gatilho"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3396-479X","authenticated-orcid":false,"given":"Jo\u00e3o Carlos","family":"Belloti","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8319-3746","authenticated-orcid":false,"given":"Edson Sasahara","family":"Sato","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3688-8729","authenticated-orcid":false,"given":"Flavio","family":"Faloppa","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,9,22]]},"reference":[{"issue":"24","key":"ref1","first-page":"142","article-title":"Research on a particular condition of tendon sheaths of the hand, characterized by the development of a nodule in the path of flexor tendons and blocking their movements","volume":"4","author":"A Notta","year":"1850","journal-title":"Arch Gen Med"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/S0072-968X(72)80010-X","article-title":"The aetiology of trigger finger explained on the basis of intratendinous architecture","volume":"4","author":"J T Hueston","year":"1972","journal-title":"Hand"},{"issue":"08","key":"ref3","doi-asserted-by":"crossref","first-page":"e2360","DOI":"10.1097\/GOX.0000000000002360","article-title":"A Critical Appraisal of Adult Trigger Finger: Pathophysiology, Treatment, and Future Outlook","volume":"7","author":"N Brozovich","year":"2019","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"ref4","first-page":"187","article-title":"Conservative management of trigger finger","volume":"224","author":"R C Quinnell","year":"1980","journal-title":"Practitioner"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.jht.2017.10.016","article-title":"Conservative management of trigger finger: A systematic review","volume":"32","author":"D Lunsford","year":"2019","journal-title":"J Hand Ther"},{"key":"ref6","first-page":"1558944719867135","article-title":"Epidemiology of Trigger Finger: Metabolic Syndrome as a New Perspective of Associated Disease","volume":"28","author":"D CEC da Silveira","year":"2019","journal-title":"Hand (N Y)"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1055\/s-0038-1670927","article-title":"Characteristics and Clinical Outcomes of Open Surgery for Trigger Digits in Diabetes","volume":"11","author":"S WL Ho","year":"2019","journal-title":"J Hand Microsurg"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1080\/2000656X.2017.1345751","article-title":"Coincidence or complication? 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