{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T15:29:54Z","timestamp":1759332594516,"version":"3.37.3"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"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":[[2022,8]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Avaliar a preval\u00eancia de varia\u00e7\u00f5es anat\u00f4micas encontradas em pacientes com s\u00edndrome do t\u00fanel do carpo submetidos a libera\u00e7\u00e3o cir\u00fargica por via aberta cl\u00e1ssica.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Foram inclu\u00eddos um total de 115 pacientes com alta probabilidade de diagn\u00f3stico cl\u00ednico de s\u00edndrome do t\u00fanel do carpo, com indica\u00e7\u00e3o para o tratamento cir\u00fargico. Estes pacientes realizaram eletroneuromiografia e ultrassonografia para confirma\u00e7\u00e3o diagn\u00f3stica. Foram submetidos ao tratamento cir\u00fargico por via aberta cl\u00e1ssica, no qual foi realizado um invent\u00e1rio completo da ferida operat\u00f3ria na busca e visualiza\u00e7\u00e3o de varia\u00e7\u00f5es anat\u00f4micas intra e extra t\u00fanel do carpo.<\/jats:p><jats:p>\n          Resultados\u2003A preval\u00eancia total das varia\u00e7\u00f5es anat\u00f4micas intra e extra t\u00fanel do carpo encontradas neste estudo foi de 63,5% (intervalo de confian\u00e7a [IC]95%: 54,5\u201372,4%). A preval\u00eancia do m\u00fasculo transverso do carpo foi de 57,4% (IC95%: 47,8\u201366,6%), do nervo mediano b\u00edfido associado \u00e0 art\u00e9ria mediana persistente foi de 1,7% (IC95%: 0,0\u20134,2%) e do nervo mediano b\u00edfido associado \u00e0 art\u00e9ria mediana persistente e ao m\u00fasculo transverso do carpo foi de 1,7% (IC95%: 0,0\u20134,2%).<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003A varia\u00e7\u00e3o anat\u00f4mica extra t\u00fanel do carpo mais prevalente foi o m\u00fasculo transverso do carpo e a varia\u00e7\u00e3o anat\u00f4mica intra t\u00fanel do carpo mais prevalente foi o nervo mediano b\u00edfido associado \u00e0 art\u00e9ria mediana persistente. O achado cir\u00fargico de uma varia\u00e7\u00e3o anat\u00f4mica extra t\u00fanel do carpo, como o m\u00fasculo transverso do carpo, pode nos indicar a presen\u00e7a de outras varia\u00e7\u00f5es anat\u00f4micas intra t\u00fanel do carpo associadas, como nervo mediano b\u00edfido, art\u00e9ria mediana persistente e varia\u00e7\u00f5es anat\u00f4micas do ramo recorrente do nervo mediano.<\/jats:p>","DOI":"10.1055\/s-0041-1731361","type":"journal-article","created":{"date-parts":[[2021,10,2]],"date-time":"2021-10-02T00:09:55Z","timestamp":1633133395000},"page":"636-641","source":"Crossref","is-referenced-by-count":4,"title":["Preval\u00eancia de varia\u00e7\u00f5es anat\u00f4micas encontradas em pacientes com s\u00edndrome do t\u00fanel do carpo submetidos a libera\u00e7\u00e3o cir\u00fargica por via aberta cl\u00e1ssica"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8924-2329","authenticated-orcid":false,"given":"Victor Spirandelli","family":"Pimentel","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade de Taubat\u00e9 (UNITAU), Taubat\u00e9, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6721-3535","authenticated-orcid":false,"given":"Bruna Borsari","family":"Artoni","sequence":"additional","affiliation":[{"name":"Curso de Medicina, Faculdade de Medicina, Universidade Cidade de S\u00e3o Paulo (UNICID), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3688-8729","authenticated-orcid":false,"given":"Flavio","family":"Faloppa","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Disciplina de Cirurgia da M\u00e3o e Membro Superior, Universidade Federal de S\u00e3o Paulo (UNIFESP), S\u00e3o Paulo, SP, 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, Disciplina de Cirurgia da M\u00e3o e Membro Superior, Universidade Federal de S\u00e3o Paulo (UNIFESP), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9539-4545","authenticated-orcid":false,"given":"Marcel Jun Sugawara","family":"Tamaoki","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Disciplina de Cirurgia da M\u00e3o e Membro Superior, Universidade Federal de S\u00e3o Paulo (UNIFESP), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9276-2819","authenticated-orcid":false,"given":"Benedito Felipe Rabay","family":"Pimentel","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade de Taubat\u00e9 (UNITAU), Taubat\u00e9, SP, Brasil"},{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Hospital Municipal Universit\u00e1rio de Taubat\u00e9 (H-MUT), Taubat\u00e9, SP, Brasil"},{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Hospital Regional do Vale do Para\u00edba (HRVP), Complexo Hospitalar do Vale do Para\u00edba, Taubat\u00e9, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,10,1]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.jhsa.2009.11.003","article-title":"Carpal tunnel syndrome","volume":"35","author":"K D Bickel","year":"2010","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref2","first-page":"285","article-title":"Anatomic Anomalies Encountered in 467 Open Carpal Tunnel Surgeries","volume":"19","author":"A Afshar","year":"2016","journal-title":"Arch Iran Med"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1016\/S0363-5023(03)00365-4","article-title":"Prevalence of anatomic variations encountered in elective carpal tunnel release","volume":"28","author":"S G Lindley","year":"2003","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref4","first-page":"539","article-title":"Prevalence of bifid median nerves and persistent median arteries and their association with carpal tunnel syndrome in a sample of Latino poultry processors and other manual workers [published correction appears in Muscle Nerve. 2014 Feb;49(2):297. 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