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Pesquisa : C05.651.869.816.200 [Categoria DeCS]
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[PMID]:28858099
[Au] Autor:Gao ZY; Tao H; Xu H; Xue JQ; Ou-Yang Y; Wu JX
[Ad] Endereço:aDepartment of Rehabilitation bDepartment of Trauma Surgery cDepartment of Joint Surgery dDepartment of Obstetrics, Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
[Ti] Título:A novel classification of the anatomical variations of the first extensor compartment.
[So] Source:Medicine (Baltimore);96(35):e7875, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The presence of a septum in the first extensor compartment is closely associated with the pathophysiology of de Quervain disease, and affects the efficacy of corticosteroid injection and surgical release. This study aimed to examine the incidence and length of the first extensor compartment septum.Forty sides of the wrists in 20 cadavers were used. The presence of a septum in the first extensor compartment was examined. The septum length was recorded with the radial styloid process as the reference point.The anatomical variations of the first extensor compartment were classified into 3 types. Type I compartment was found in 7 sides in males (29.2%) versus 6 sides in females (37.5%, P = .733), type II was found in 6 sides in males (25%) versus 1 side in females (6.25%, P = .21), and type III was found in 11 sides in males (45.8%) versus 9 sides in females (56.25%, P = .56). There was no significant difference in the septum length between males and females (5.3 ±â€Š2.3 vs 4.8 ±â€Š1.1 mm, P = .54).The incidence of a septum in the first extensor compartment is approximately 50%. The mean septum length is 5 mm. Injection at 5 mm proximal to the radial styloid process has a great chance of delivering the steroids into both subcompartments. Exposure to 5 mm proximal to the radial styloid process can avoid the overlook of subcompartment and achieve adequate decompression of the first extensor compartment.
[Mh] Termos MeSH primário: Doença de De Quervain/patologia
Tendões/anatomia & histologia
Articulação do Punho/anatomia & histologia
[Mh] Termos MeSH secundário: Corticosteroides/administração & dosagem
Cadáver
Doença de De Quervain/terapia
Descompressão Cirúrgica/métodos
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007875


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[PMID]:27693273
[Au] Autor:Lee ZH; Stranix JT; Anzai L; Sharma S
[Ad] Endereço:Hansjörg Wyss Department of Plastic and Reconstructive Surgery, New York University Langone Medical Center, USA. Electronic address: Z-Hye.Lee@nyumc.org.
[Ti] Título:Surgical anatomy of the first extensor compartment: A systematic review and comparison of normal cadavers vs. De Quervain syndrome patients.
[So] Source:J Plast Reconstr Aesthet Surg;70(1):127-131, 2017 Jan.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:PURPOSE: De Quervain syndrome or tenosynovitis is a common wrist pathology caused by stenosing tenosynovitis of the first dorsal compartment. Multiple studies have demonstrated significant anatomic variation within the first extensor compartment. METHODS: The terms "De Quervain's tenosynovitis" and "first extensor compartment anatomy" were comprehensively searched using the PubMed, MEDLINE, and Cochrane database. The presence of a septum within the first dorsal compartment, the number of APL (abductor pollicis longus), and EPB (extensor pollicis brevis) tendon slips were identified. RESULTS: A total of 574 articles were identified on initial search, of which 21 met inclusion criteria. There were 1901 normal cadaver specimens and 470 surgically treated De Quervain disease patients, whose data were available. A septum was present in 43.7% of normal cadavers versus 62.2% De Quervain patients with 58.5% (327 of 559) of the septi characterized as incomplete. There was a difference in the number of APL tendons with a single APL tendon slip noted in 18.3% of normal cadavers (200/1096) versus 27.2% of De Quervain patients (87/230). There was a difference in the number of EPB tendons between the normal cadavers and De Quervain's wrists with 2 or more EPB tendinous slips observed in 5.9% of normal cadavers compared with 2.9% of De Quervain patients. CONCLUSION: Significant anatomic variability exists within the first extensor compartment. Patients with De Quervain disease were more likely to have a septum dividing the compartment and a single slip of APL. These variations are clinically relevant in the pathophysiology and treatment of De Quervain's tenosynovitis. TYPE OF STUDY: Prognostic studies. LEVEL OF EVIDENCE: Level III.
[Mh] Termos MeSH primário: Doença de De Quervain/patologia
[Mh] Termos MeSH secundário: Cadáver
Estudos de Casos e Controles
Doença de De Quervain/cirurgia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161004
[St] Status:MEDLINE


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[PMID]:27542427
[Au] Autor:Cato RK
[Ad] Endereço:Penn Presbyterian Medical Center, 51 North 29th Street, Medical Arts Building, Suite 102, Philadelphia, PA 19104, USA. Electronic address: Robert.Cato@uphs.upenn.edu.
[Ti] Título:Indications and Usefulness of Common Injections for Nontraumatic Orthopedic Complaints.
[So] Source:Med Clin North Am;100(5):1077-88, 2016 Sep.
[Is] ISSN:1557-9859
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Pain related to various musculoskeletal conditions is a common patient complaint, and one that is often difficult to remedy. In addition to oral analgesics and physical therapy, local injections (most commonly of corticosteroids) are a common intervention and have been for decades. However, in most cases, the literature is full of poor-quality studies, making the true utility of these injections questionable. This article reviews some of the literature studying these injections with the goal of providing clinicians the information to make evidence-based, high-value choices.
[Mh] Termos MeSH primário: Corticosteroides/administração & dosagem
Vértebras Lombares
Osteoartrite do Joelho/tratamento farmacológico
Síndrome de Colisão do Ombro/tratamento farmacológico
Doenças da Coluna Vertebral/tratamento farmacológico
Cotovelo de Tenista/tratamento farmacológico
[Mh] Termos MeSH secundário: Corticosteroides/efeitos adversos
Corticosteroides/economia
Doença de De Quervain/tratamento farmacológico
Seres Humanos
Ácido Hialurônico/administração & dosagem
Ácido Hialurônico/efeitos adversos
Ácido Hialurônico/economia
Injeções Intra-Articulares
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones); 9004-61-9 (Hyaluronic Acid)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170202
[Lr] Data última revisão:
170202
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160821
[St] Status:MEDLINE


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[PMID]:27468668
[Au] Autor:Colio SW; Smith J; Pourcho AM
[Ad] Endereço:Department of Physical Medicine and Rehabilitation, Swedish Spine, Sports, and Musculoskeletal Center, Swedish Medical Group, Seattle, WA, USA.
[Ti] Título:Ultrasound-Guided Interventional Procedures of the Wrist and Hand: Anatomy, Indications, and Techniques.
[So] Source:Phys Med Rehabil Clin N Am;27(3):589-605, 2016 08.
[Is] ISSN:1558-1381
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Acute and chronic wrist and hand conditions are commonly seen by neuromuscular and musculoskeletal specialists. High-frequency diagnostic ultrasonography (US) has facilitated advances in the diagnosis and interventional management of wrist and hand disorders. US provides excellent soft tissue resolution, accessibility, portability, lack of ionizing radiation, and the ability to dynamically assess disorders and precisely guide interventional procedures. This article review the relevant anatomy, indications, and interventional techniques for common disorders of the wrist and hand, including radiocarpal joint arthritis, scaphotrapeziotrapezoidal joint arthritis, trapeziometacarpal joint arthritis, phalangeal joint arthritis, first dorsal compartment tenosynovitis, ganglion cysts, and stenosing tenosynovitis.
[Mh] Termos MeSH primário: Artrite/tratamento farmacológico
Articulação da Mão/diagnóstico por imagem
Tendinopatia/tratamento farmacológico
Ultrassonografia de Intervenção/métodos
[Mh] Termos MeSH secundário: Corticosteroides/administração & dosagem
Articulações do Carpo/diagnóstico por imagem
Articulações Carpometacarpais/diagnóstico por imagem
Doença de De Quervain/diagnóstico por imagem
Doença de De Quervain/tratamento farmacológico
Articulações dos Dedos/diagnóstico por imagem
Seres Humanos
Injeções Intra-Articulares/métodos
Articulação Metacarpofalângica/diagnóstico por imagem
Cisto Sinovial/diagnóstico por imagem
Cisto Sinovial/tratamento farmacológico
Tendinopatia/diagnóstico por imagem
Tendões/anatomia & histologia
Tendões/diagnóstico por imagem
Tendões/cirurgia
Punho/diagnóstico por imagem
Articulação do Punho/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; VIDEO-AUDIO MEDIA
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170323
[Lr] Data última revisão:
170323
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160730
[St] Status:MEDLINE


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[PMID]:27343240
[Au] Autor:O'Connor PJ; Campbell R; Bharath AK; Campbell D; Hawkes R; Robinson P
[Ad] Endereço:Leeds NIHR Musculoskeletal Biomedical Imaging Unit, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
[Ti] Título:Pictorial review of wrist injuries in the elite golfer.
[So] Source:Br J Sports Med;50(17):1053-63, 2016 Sep.
[Is] ISSN:1473-0480
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Golfe/lesões
Traumatismos do Punho/etiologia
[Mh] Termos MeSH secundário: Fenômenos Biomecânicos/fisiologia
Doença de De Quervain/diagnóstico por imagem
Doença de De Quervain/etiologia
Doença de De Quervain/fisiopatologia
Fraturas Ósseas/diagnóstico por imagem
Fraturas Ósseas/etiologia
Fraturas Ósseas/fisiopatologia
Seres Humanos
Imagem por Ressonância Magnética
Movimento/fisiologia
Cisto Sinovial/diagnóstico por imagem
Cisto Sinovial/fisiopatologia
Tendinopatia/diagnóstico por imagem
Tendinopatia/etiologia
Tendinopatia/fisiopatologia
Traumatismos dos Tendões/diagnóstico por imagem
Traumatismos dos Tendões/etiologia
Traumatismos dos Tendões/fisiopatologia
Tomografia Computadorizada por Raios X
Ultrassonografia
Traumatismos do Punho/diagnóstico por imagem
Traumatismos do Punho/fisiopatologia
[Pt] Tipo de publicação:EDITORIAL; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170313
[Lr] Data última revisão:
170313
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160626
[St] Status:MEDLINE
[do] DOI:10.1136/bjsports-2016-096149


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[PMID]:27128027
[Au] Autor:Leversedge FJ; Cotterell IH; Nickel BT; Crosmer M; Richard M; Angermeier E
[Ad] Endereço:From the Department of Orthopaedic Surgery, Duke University, Durham, NC (Dr. Leversedge, Dr. Nickel, Dr. Crosmer, and Dr. Richard), the Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA (Dr. Cotterell), and the Medical University of South Carolina, Charleston, SC (Dr. Angermeier).
[Ti] Título:Ultrasonography-guided de Quervain Injection: Accuracy and Anatomic Considerations in a Cadaver Model.
[So] Source:J Am Acad Orthop Surg;24(6):399-404, 2016 06.
[Is] ISSN:1940-5480
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Confirmation of pertinent anatomy and accurate needle placement for de Quervain injection may improve outcomes and limit complications. We evaluated the accuracy of the first extensor compartment in regard to the following: (1) anatomic assessment, (2) needle placement without imaging guidance, and (3) ultrasonography-guided injection with priority for the extensor pollicis brevis subcompartment. METHODS: Anatomic assessment and ultrasonography-guided first extensor compartment injection was completed in 50 cadaver specimens. Initial needle placement was done without the guidance of ultrasonography; its final position was evaluated with ultrasonography. Then, using ultrasonography, 1 mL of India ink was injected into the extensor pollicis brevis compartment. Open evaluation confirmed pertinent anatomy and injection accuracy. RESULTS: A subcompartment of the first extensor compartment was identified in 27 of 50 wrists; 18 of 27 compartments were complete and 9 of 27 were incomplete, with ultrasonographic evaluation having an accuracy rate of 94%. Accurate needle placement occurred in 26 of 50 wrists (52%) when ultrasonography was not used, but only 2 of 27 needles (7%) were located within the extensor pollicis brevis subcompartment. Ultrasonography-guided injection was 100% accurate (50 out of 50) and extensor pollicis brevis injection was 96% accurate (26 of 27) when two compartments were present. Minimal extravasation was identified in 6 of 50 wrists (12%). DISCUSSION: Ultrasonography-guided de Quervain injection improves injection accuracy through the visualization of compartmental anatomy and needle placement and may improve clinical outcomes by minimizing complications associated with extra-compartmental injection.
[Mh] Termos MeSH primário: Doença de De Quervain/tratamento farmacológico
Injeções/métodos
Ultrassonografia de Intervenção/métodos
[Mh] Termos MeSH secundário: Cadáver
Antebraço
Seres Humanos
Punho/anatomia & histologia
Punho/diagnóstico por imagem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160430
[St] Status:MEDLINE
[do] DOI:10.5435/JAAOS-D-15-00753


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[PMID]:27018604
[Au] Autor:Lutsky K; Kim N; Medina J; Maltenfort M; Beredjiklian PK
[Ti] Título:Hand Dominance and Common Hand Conditions.
[So] Source:Orthopedics;39(3):e444-8, 2016 May 01.
[Is] ISSN:1938-2367
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The goals of this study were to (1) assess how frequently patients present for evaluation of common hand disorders in relation to hand dominance and (2) evaluate the effect of hand dominance on function in patients with these conditions. The authors hypothesized that (1) the majority of patients who seek evaluation would have a condition that affects the dominant hand, and (2) disability scores would be worse if the dominant hand is involved. They retrospectively reviewed the records of consecutive patients who presented for treatment to their institution with unilateral symptoms of 5 common disorders of the hand: carpal tunnel syndrome (CTS), de Quervain's tenosynovitis (DEQ), lateral epicondylitis (LE), hand osteoarthritis (OA), and trigger finger (TF). The authors assessed the effect of diagnosis and hand dominance on Disabilities of the Arm, Shoulder and Hand (DASH) scores. The study group comprised 1029 patients (379 men and 650 women) with a mean age of 59.5 years. Ninety percent were right-hand dominant. The dominant and nondominant hands were affected with relatively equal frequency for CTS, DEQ, OA, and TF (range, 45%-53%). Patients with LE had a significantly higher incidence of dominant hand involvement. Men had lower DASH scores than women by an average of 7.9 points, and DASH scores were significantly but slightly higher for the overall group (3.2 points) when the dominant side was affected. Men with LE and women with TF and OA had significantly higher DASH scores when their dominant extremity was affected. Common hand disorders such as CTS, DEQ, OA, and TF affect the dominant and nondominant hands in roughly equivalent proportions, whereas LE is more common on the dominant side. Dominant hand involvement results in significantly worse DASH scores, although the magnitude of this is relatively small. Women have significantly higher DASH scores than men for the conditions evaluated. [Orthopedics. 2016; 39(3):e444-e448.].
[Mh] Termos MeSH primário: Lateralidade Funcional/fisiologia
Mãos
Doenças Musculoesqueléticas/etiologia
[Mh] Termos MeSH secundário: Síndrome do Túnel Carpal/etiologia
Síndrome do Túnel Carpal/fisiopatologia
Doença de De Quervain/etiologia
Doença de De Quervain/fisiopatologia
Pessoas com Deficiência
Feminino
Seres Humanos
Masculino
Meia-Idade
Doenças Musculoesqueléticas/fisiopatologia
Procedimentos Ortopédicos
Osteoartrite/etiologia
Osteoartrite/fisiopatologia
Estudos Retrospectivos
Cotovelo de Tenista/etiologia
Cotovelo de Tenista/fisiopatologia
Dedo em Gatilho/etiologia
Dedo em Gatilho/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160329
[St] Status:MEDLINE
[do] DOI:10.3928/01477447-20160315-02


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[PMID]:26913767
[Au] Autor:Sato J; Ishii Y; Noguchi H
[Ti] Título:Ultrasonographic Evaluation of the Prevalence of an Intracompartmental Septum in Patients With de Quervain's Disease.
[So] Source:Orthopedics;39(2):112-6, 2016 Mar-Apr.
[Is] ISSN:1938-2367
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:It has been reported that more patients with de Quervain's disease who had undergone surgical treatment had a septated dorsal compartment than did normal cadavers. The purpose of this study was to sonographically evaluate the prevalence of an intracompartmental septum in patients with de Quervain's disease and to compare the prevalence between groups categorized by sex, age, and peripartum status. The authors performed an ultrasonographic examination of 112 wrists from 103 patients with de Quervain's disease. The prevalence of a septum-like structure in the first compartment was compared between men and women, between older (≥40 years) and younger (≤39 years) patients, and between pregnant or lactating women and other patients. The prevalence of intracompartmental septum in patients with de Quervain's disease was 61.6% (69 of 112). Of the 69 wrists with an intracompartmental septum-like structure, 53 showed this structure completely through the level of the radial styloid, and 16 showed it partially on the level of the distal radial styloid. There was no significant difference between any 2 groups categorized by the patients' demographics. The prevalence of intracompartmental septation in the patients with de Quervain's disease was higher than the previously reported prevalence in cadavers and lower than that of patients who underwent surgery. This result was consistent with a previous report that patients with a septated dorsal compartment may be more at risk of contracting de Quervain's disease and more prone to failure of nonoperative treatment.
[Mh] Termos MeSH primário: Doença de De Quervain/diagnóstico por imagem
Articulação do Punho/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Doença de De Quervain/epidemiologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Prevalência
Estados Unidos/epidemiologia
Articulação do Punho/anormalidades
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160226
[St] Status:MEDLINE
[do] DOI:10.3928/01477447-20160222-05


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[PMID]:26847317
[Au] Autor:Neiduski R
[Ad] Endereço:Department Occupational Therapy, Concordia University Wisconsin, 12800 N Lake Shore Dr, Mequon, WI 53097, United States. Electronic address: rvdh04@gmail.com.
[Ti] Título:Clinical Relevance Commentary on: Hand therapy versus corticosteroid injections in the treatment of de Quervain's disease: A systematic review and meta-analysis.
[So] Source:J Hand Ther;29(1):12-3, 2016 Jan-Mar.
[Is] ISSN:1545-004X
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Corticosteroides
Doença de De Quervain/terapia
[Mh] Termos MeSH secundário: Seres Humanos
Injeções
[Pt] Tipo de publicação:COMMENT; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones)
[Em] Mês de entrada:1608
[Cu] Atualização por classe:160205
[Lr] Data última revisão:
160205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160206
[St] Status:MEDLINE


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[PMID]:26843225
[Au] Autor:Khoo A; Grattan CE
[Ad] Endereço:Department of Dermatology, Norfolk & Norwich University Hospital, Norwich, UK.
[Ti] Título:Making a dent with corticosteroid injections for de Quervain's tenosynovitis.
[So] Source:BMJ Case Rep;2016, 2016 Feb 03.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Corticosteroides/uso terapêutico
Doença de De Quervain/tratamento farmacológico
Injeções/efeitos adversos
Pele/lesões
Triancinolona/uso terapêutico
[Mh] Termos MeSH secundário: Corticosteroides/administração & dosagem
Idoso
Atrofia
Feminino
Seres Humanos
Pele/efeitos dos fármacos
Pele/patologia
Triancinolona/administração & dosagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones); 1ZK20VI6TY (Triamcinolone)
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160205
[St] Status:MEDLINE



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