{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:02Z","timestamp":1740148622344,"version":"3.37.3"},"reference-count":35,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2021,4,26]],"date-time":"2021-04-26T00:00:00Z","timestamp":1619395200000},"content-version":"vor","delay-in-days":25,"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":[[2021,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Avaliar o planejamento terap\u00eautico para o dedo em gatilho por ortopedistas brasileiros.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Estudo transversal, cuja popula\u00e7\u00e3o foi composta por participantes do Congresso Brasileiro de Ortopedia e Traumatologia 2018 (CBOT-2018). Foi aplicado um question\u00e1rio sobre a conduta adotada no diagn\u00f3stico e tratamento do dedo em gatilho.<\/jats:p><jats:p>\n          Resultados\u2003Foram analisados 243 participantes com m\u00e9dia de idade de 37.46 anos, na maioria homens (88%), tempo de experi\u00eancia de pelo menos 1 ano (55,6%), e da regi\u00e3o Sudeste (68.3%). A an\u00e1lise dos question\u00e1rios evidenciou que h\u00e1 consenso nos seguintes quesitos: diagn\u00f3stico somente com exame f\u00edsico (73,3%), classifica\u00e7\u00e3o de Quinnell modificada por Green (58,4%), tratamento inicial n\u00e3o cir\u00fargico (91,4%), infiltra\u00e7\u00e3o de corticoide com anest\u00e9sico (61,7%) tempo de tratamento n\u00e3o cir\u00fargico de 1 a 3 meses (52,3%), tratamento cir\u00fargico pela via aberta (84,4%), principalmente via aberta transversa (51%), recidiva do engatilhamento como principal complica\u00e7\u00e3o n\u00e3o cir\u00fargica (58%), e o sucesso da cirurgia aberta em\u2009&gt;\u200990% (63%), sendo a sua principal complica\u00e7\u00e3o as complica\u00e7\u00f5es cicatriciais (54%). Sem consenso nas demais vari\u00e1veis. De acordo com a experi\u00eancia, foram observadas diferen\u00e7as referentes ao tempo de tratamento (p\u2009=\u20090.013) e a taxa de complica\u00e7\u00e3o da cirurgia aberta (p\u2009=\u20090.010).<\/jats:p><jats:p>\n          Conclus\u00f5es\u2003O ortopedista brasileiro tem prefer\u00eancia pelo diagn\u00f3stico do dedo em gatilho apenas com exame f\u00edsico, classifica segundo Quinnell modificado por Green, tratamento inicial n\u00e3o cir\u00fargico, infiltra\u00e7\u00f5es com corticoide e anest\u00e9sico local, tempo de tratamento n\u00e3o cir\u00fargico de 1 a 3 meses, tratamento cir\u00fargico por via aberta transversa, principal complica\u00e7\u00e3o n\u00e3o cir\u00fargica a recidiva do engatilhamento, e considera o sucesso da cirurgia aberta em\u2009&gt;\u200990% dos casos, tendo como principal complica\u00e7\u00e3o as complica\u00e7\u00f5es cicatriciais.<\/jats:p>","DOI":"10.1055\/s-0040-1721363","type":"journal-article","created":{"date-parts":[[2021,5,8]],"date-time":"2021-05-08T00:20:41Z","timestamp":1620433241000},"page":"181-191","source":"Crossref","is-referenced-by-count":1,"title":["Diagn\u00f3stico e tratamento do dedo de gatilho no Brasil - Estudo transversal"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5369-5331","authenticated-orcid":false,"given":"Paulo Henrique Jeronimo da","family":"Silva","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4933-4007","authenticated-orcid":false,"given":"Vin\u00edcius Ynoe de","family":"Moraes","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3125-4260","authenticated-orcid":false,"given":"Nicolau Granado","family":"Segre","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3688-8729","authenticated-orcid":false,"given":"Fl\u00e1vio","family":"Faloppa","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,4,26]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1186\/1475-925X-13-100","article-title":"Clinical and 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