{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:28:29Z","timestamp":1778891309245,"version":"3.51.4"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T00:00:00Z","timestamp":1643932800000},"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":[[2023,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Diante da diverg\u00eancia sobre a necessidade de exames complementares, como ultrassonografia (US) e eletroneuromiografia (ENMG) para o diagn\u00f3stico da s\u00edndrome do t\u00fanel do carpo (STC), objetivamos elucidar qual deles apresenta maior precis\u00e3o na confirma\u00e7\u00e3o da presen\u00e7a ou n\u00e3o desta afec\u00e7\u00e3o.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Um total de 175 pacientes de um ambulat\u00f3rio de cirurgia da m\u00e3o foram avaliados clinicamente, e os resultados dos testes cl\u00ednicos (Tinel, Phalen e Durkan), da US (normal ou alterada) e da ENMG (normal, leve, moderada e grave) foram anotados, cruzados, e submetidos a an\u00e1lise estat\u00edstica para verificar a concord\u00e2ncia entre eles.<\/jats:p><jats:p>\n          Resultados\u2003A idade m\u00e9dia da amostra era de 53 anos, sendo prevalente o sexo feminino (159 casos). Dos pacientes com teste cl\u00ednico positivo, 43,7% apresentavam US normal, e 41,7%, ENMG sem altera\u00e7\u00f5es. Foram encontrados resultados negativos no Tinel em 46,9% no Phalen em 47,4%, e no Durkan em 39,7%. No cruzamento entre a ENMG e os demais m\u00e9todos diagn\u00f3sticos, houve pouca concord\u00e2ncia estat\u00edstica.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003N\u00e3o houve concord\u00e2ncia entre os resultados dos exames cl\u00ednicos, da US e da ENMG no diagn\u00f3stico da STC, e n\u00e3o h\u00e1 exame cl\u00ednico ou complementar para STC que determine a conduta terap\u00eautica com precis\u00e3o.<\/jats:p><jats:p>\n          N\u00edvel de Evid\u00eancia IV, S\u00e9rie de Casos.\n        <\/jats:p>","DOI":"10.1055\/s-0042-1742337","type":"journal-article","created":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T00:57:51Z","timestamp":1644022671000},"page":"290-294","source":"Crossref","is-referenced-by-count":1,"title":["Contradi\u00e7\u00f5es diagn\u00f3sticas na s\u00edndrome do t\u00fanel do carpo"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6974-2980","authenticated-orcid":false,"given":"Henver Ribeiro","family":"Paiva 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