{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:26:42Z","timestamp":1756312002665,"version":"3.37.3"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T00:00:00Z","timestamp":1642723200000},"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>\n          Objetivo\u2003Avaliar a preval\u00eancia de dor persistente no p\u00f3s-operat\u00f3rio de fratura da extremidade distal do r\u00e1dio, assim como detectar precocemente sinais de dor neurop\u00e1tica com o intuito de desenvolver protocolos de preven\u00e7\u00e3o da dor cr\u00f4nica p\u00f3s-operat\u00f3ria.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Estudo prospectivo, realizado com 56 pacientes submetidos a redu\u00e7\u00e3o aberta e fixa\u00e7\u00e3o interna de fratura da extremidade distal do r\u00e1dio com placa volar bloqueada no per\u00edodo de mar\u00e7o a setembro de 2020. Os pacientes foram submetidos a avalia\u00e7\u00e3o de dor neurop\u00e1tica e capacidade funcional atrav\u00e9s dos question\u00e1rios Douleur Neuropathique 4 questionnaire (DN4) e Quick Disabilities of the Arm, Shoulder, and Hand (Quick-DASH, na sigla em ingl\u00eas). As vari\u00e1veis qualitativas foram comparadas pelo teste de Mann-Whitney e sua correla\u00e7\u00e3o foi analisada pelos testes de correla\u00e7\u00e3o de Spearman e de Igualdade de Duas Propor\u00e7\u00f5es.<\/jats:p><jats:p>\n          Resultados\u2003Foram inclu\u00eddos no presente estudo 43 pacientes, com idades entre 18 e 66 anos; 39,5% dos participantes apresentaram pontua\u00e7\u00e3o \u2265 4 no question\u00e1rio Douleur neuropathique 4 questionnaire (DN4). Em rela\u00e7\u00e3o ao Quick-DASH, a m\u00e9dia foi de 38,6. N\u00e3o houve diferen\u00e7a estat\u00edstica significante entre o sexo do paciente e o valor do DN4 (p\u2009=\u20090,921). Tamb\u00e9m n\u00e3o foi encontrada correla\u00e7\u00e3o estat\u00edstica entre as vari\u00e1veis quantitativas DN4 e Quick-DASH (p\u2009=\u20090,061).<\/jats:p><jats:p>\n          Conclus\u00f5es\u2003A preval\u00eancia de dor neurop\u00e1tica nos pacientes p\u00f3s-operat\u00f3rios analisados foi significativa e a presen\u00e7a de sinais e sintomas de dor neurop\u00e1tica foi fator preditivo positivo para a persist\u00eancia da dor al\u00e9m de 2 meses em 100% dos casos. Assim, com diagn\u00f3stico precoce do componente neurop\u00e1tico de dor, associado ao componente nociceptivo, \u00e9 poss\u00edvel obter o controle adequado da dor, impedindo sua cronifica\u00e7\u00e3o e garantindo uma melhor reabilita\u00e7\u00e3o.<\/jats:p>","DOI":"10.1055\/s-0041-1736526","type":"journal-article","created":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T23:39:37Z","timestamp":1642808377000},"page":"924-929","source":"Crossref","is-referenced-by-count":2,"title":["Preval\u00eancia de dor neurop\u00e1tica em pacientes com fratura da extremidade distal do r\u00e1dio tratada com placa volar bloqueada"],"prefix":"10.1055","volume":"57","author":[{"given":"Helbert Luiz Nomura da","family":"Silva","sequence":"additional","affiliation":[{"name":"M\u00e9dico Ex-residente do Grupo de Cirurgia da M\u00e3o e Microcirurgia, Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3610-0156","authenticated-orcid":false,"given":"Giuliana Olivi","family":"Tanaka","sequence":"additional","affiliation":[{"name":"M\u00e9dico Residente de Ortopedia e Traumatologia do Departamento de Ortopedia e Traumatologia, Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thiago Barros","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"M\u00e9dico Residente de Ortopedia e Traumatologia do Departamento de Ortopedia e Traumatologia, Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yussef Ali","family":"Abdouni","sequence":"additional","affiliation":[{"name":"M\u00e9dico Assistente do Grupo de Cirurgia da M\u00e3o e Microcirurgia, Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,1,21]]},"reference":[{"volume-title":"Fraturas do r\u00e1dio distal","year":"2004","author":"P R Pires","key":"ref1"},{"issue":"03","key":"ref2","first-page":"297","article-title":"Statistical Analysis on Functional and Radiographic Results After Use of Locked Volar Plate for Fractures of the Distal Radius","volume":"47","author":"D G Machado","year":"2012","journal-title":"Rev Bras Ortop"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1093\/bja\/87.1.88","article-title":"Chronic pain after surgery","volume":"87","author":"W A Macrae","year":"2001","journal-title":"Br J Anaesth"},{"issue":"05","key":"ref4","first-page":"505","article-title":"Postoperative persistent chronic pain: what do we know about prevention, risk factors and treatment","volume":"66","author":"D C Kraychete","year":"2016","journal-title":"Rev Bras Anestesiol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1618","DOI":"10.1016\/S0140-6736(06)68700-X","article-title":"Persistent postsurgical pain: risk factors and prevention","volume":"367","author":"H Kehlet","year":"2006","journal-title":"Lancet"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"1123","DOI":"10.1097\/00000542-200010000-00038","article-title":"Chronic pain as an outcome of surgery. 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