{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:36:41Z","timestamp":1740148601175,"version":"3.37.3"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2024,5,19]],"date-time":"2024-05-19T00:00:00Z","timestamp":1716076800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003A neuropatia compressiva mais comum dos membros superiores \u00e9 a s\u00edndrome do t\u00fanel do carpo (STC). Historicamente, houve uma tend\u00eancia \u00e0 aplica\u00e7\u00e3o de imobiliza\u00e7\u00e3o no p\u00f3s-operat\u00f3rio, pr\u00e1tica que tem diminu\u00eddo nos \u00faltimos anos. O objetivo desta revis\u00e3o \u00e9 avaliar se existem evid\u00eancias cient\u00edficas que justifiquem o uso da imobiliza\u00e7\u00e3o nos cuidados p\u00f3s-operat\u00f3rios de descompress\u00e3o da STC.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Foram utilizadas as seguintes bases de dados: Biblioteca Virtual em Sa\u00fade (BVS), PubMed National Library of Medicine (NLM), Cochrane Library, Scientific Electronic Library Online (SciELO), e EMBASE. Foram utilizados os seguintes crit\u00e9rios de inclus\u00e3o: 1) discuss\u00e3o do p\u00f3s-operat\u00f3rio de cirurgias de descompress\u00e3o do nervo mediano na STC; 2) compara\u00e7\u00e3o dos resultados, ap\u00f3s descompress\u00e3o cir\u00fargica, na STC entre imobiliza\u00e7\u00e3o do punho ou apenas curativo local; 3) todos os idiomas, independentemente do ano de publica\u00e7\u00e3o; e 4) todos os tipos de publica\u00e7\u00f5es. Foram utilizados os seguintes crit\u00e9rios de exclus\u00e3o: 1) estudos que n\u00e3o avaliaram o p\u00f3s-operat\u00f3rio de descompress\u00e3o da STC; 2) falta de avalia\u00e7\u00e3o do resultado relacionado \u00e0 conduta de aplica\u00e7\u00e3o de curativo local e\/ou alguma forma de imobiliza\u00e7\u00e3o do punho ap\u00f3s o procedimento cir\u00fargico de descompress\u00e3o; e 3) publica\u00e7\u00f5es repetidas<\/jats:p><jats:p>\n          Resultados\u2003A busca bibliogr\u00e1fica resultou em 336 publica\u00e7\u00f5es relevantes. Ao final, foram escolhidas 18 publica\u00e7\u00f5es. Foram encontradas revis\u00f5es sistem\u00e1ticas, ensaios cl\u00ednicos randomizados e estudos transversais.<\/jats:p><jats:p>\n          Conclus\u00f5es\u2003Devido \u00e0 escassez de evid\u00eancias que apoiem o uso da imobiliza\u00e7\u00e3o, associada aos custos mais elevados relacionados com a pr\u00e1tica, nas \u00faltimas d\u00e9cadas, essa tem se tornado cada vez menos frequente.<\/jats:p><jats:p>\n          Relev\u00e2ncia cl\u00ednica\u2003Na literatura h\u00e1 descri\u00e7\u00f5es de duas abordagens nos cuidados p\u00f3s-operat\u00f3rios de descompress\u00e3o da STC: imobiliza\u00e7\u00e3o ou apenas curativo local. Vale a pena avaliar qual \u00e9 a melhor entre as duas de acordo com as evid\u00eancias cient\u00edficas dispon\u00edveis.<\/jats:p>","DOI":"10.1055\/s-0044-1785665","type":"journal-article","created":{"date-parts":[[2024,5,19]],"date-time":"2024-05-19T22:30:20Z","timestamp":1716157820000},"page":"e504-e509","source":"Crossref","is-referenced-by-count":0,"title":["Imobiliza\u00e7\u00e3o do punho ap\u00f3s a descompress\u00e3o cir\u00fargica do nervo mediano na s\u00edndrome do t\u00fanel do carpo: Uma revis\u00e3o sistem\u00e1tica"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7166-3800","authenticated-orcid":false,"given":"Thiago Moreth da Silva","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Hospital Get\u00falio Vargas, Recife, PE, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00cdtalo Carvalho","family":"Ferraz","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Hospital Get\u00falio Vargas, Recife, PE, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,5,19]]},"reference":[{"volume-title":"Green's Operative Hand Surgery. 8th ed","year":"2022","author":"S W Wolfe","key":"ref1"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1097\/PRS.0b013e31818459f4","article-title":"Splinting after carpal tunnel release: current practice, scientific evidence, and trends","volume":"122","author":"S L Henry","year":"2008","journal-title":"Plast Reconstr Surg"},{"issue":"10","key":"ref3","doi-asserted-by":"crossref","first-page":"1997","DOI":"10.1016\/j.jhsa.2012.07.016","article-title":"Treatment of carpal tunnel syndrome by members of the American Society for Surgery of the Hand: a 25-year perspective","volume":"37","author":"C F Leinberry","year":"2012","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1016\/j.jhsa.2014.12.046","article-title":"Trends in carpal tunnel surgery: an online survey of members of the American Society for Surgery of the Hand","volume":"40","author":"J J Munns","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1097\/00000637-199507000-00004","article-title":"Prospective, randomized trial of splinting after carpal tunnel release","volume":"35","author":"T F Bury","year":"1995","journal-title":"Ann Plast Surg"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1136\/ebmed-2016-110401","article-title":"New evidence pyramid","volume":"21","author":"M H Murad","year":"2016","journal-title":"Evid Based Med"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"b2700","DOI":"10.1136\/bmj.b2700","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration","volume":"339","author":"A Liberati","year":"2009","journal-title":"BMJ"},{"key":"ref8","first-page":"1114","article-title":"Carpal tunnel syndrome","volume":"2010","author":"N L Ashworth","year":"2010","journal-title":"Clin Evid"},{"issue":"07","key":"ref9","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1016\/j.apmr.2010.03.023","article-title":"Carpal tunnel syndrome. 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