HOW DO BOARD-CERTIFIED HAND SURGEONS MANAGE CARPAL TUNNEL SYNDROME? A NATIONAL SURVEY
ABSTRACT Objective: To evaluate tendencies in the planning, diagnosis, and treatment of carpal tunnel syndrome (CTS) by Brazilian hand surgery specialists. Methods: This cross-sectional study was performed at the 36th Brazilian Hand Surgery Congress. We prepared a questionnaire about preferences i...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2018-02-01
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| Series: | Acta Ortopédica Brasileira |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000100048&tlng=en |
| _version_ | 1828133300192935936 |
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| author | ALDO OKAMURA BRUNA CALVI GUIDETTI RAPHAEL CASELLI JONAS APARECIDO BORRACINI VINICIUS YNOE DE MORAES JOÃO CARLOS BELLOTI |
| author_facet | ALDO OKAMURA BRUNA CALVI GUIDETTI RAPHAEL CASELLI JONAS APARECIDO BORRACINI VINICIUS YNOE DE MORAES JOÃO CARLOS BELLOTI |
| author_sort | ALDO OKAMURA |
| collection | DOAJ |
| description | ABSTRACT Objective: To evaluate tendencies in the planning, diagnosis, and treatment of carpal tunnel syndrome (CTS) by Brazilian hand surgery specialists. Methods: This cross-sectional study was performed at the 36th Brazilian Hand Surgery Congress. We prepared a questionnaire about preferences in the management of CTS, and board-certified hand surgeons that attended the congress were asked to fill out the questionnaires. A total of 174 questionnaires were analyzed. Results: Electromyography examination is used by most surgeons. Night splinting is the most commonly used conservative treatment option. Half of the surgeons utilized prophylactic antibiotics. Most of the interviewees conduct inpatient surgery in the operating room and prefer intravenous regional anesthesia. Most of surgeons use the standard open technique associated with proximal release of the antebrachial fascia and do not perform neurolysis. Compressive dressings are most commonly used for 7 days. Conclusion: The approach to CTS among Brazilian hand surgeons with regard to pre-, intra-, and post-operatory conduct is consistent with the international literature. However, there is a need to reflect and conduct new studies on non-surgical treatment involving local corticosteroid injection, use of prophylactic antibiotics, hospital admission, and type of anesthesia in order to provide more cost-effective approach to surgical treatment for CTS. Level of Evidence V; Expert opinion. |
| first_indexed | 2024-04-11T17:17:52Z |
| format | Article |
| id | doaj.art-4654864638e14f84b681195fc32384ac |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-04-11T17:17:52Z |
| publishDate | 2018-02-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-4654864638e14f84b681195fc32384ac2022-12-22T04:12:34ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522018-02-01261485310.1590/1413-785220182601181880HOW DO BOARD-CERTIFIED HAND SURGEONS MANAGE CARPAL TUNNEL SYNDROME? A NATIONAL SURVEYALDO OKAMURAhttps://orcid.org/0000-0003-0115-2236BRUNA CALVI GUIDETTIhttps://orcid.org/0000-0001-8068-8287RAPHAEL CASELLIhttps://orcid.org/0000-0002-3103-396XJONAS APARECIDO BORRACINIhttps://orcid.org/0000-0003-1531-5235VINICIUS YNOE DE MORAEShttps://orcid.org/0000-0002-4933-4007JOÃO CARLOS BELLOTIhttps://orcid.org/0000-0003-3396-479XABSTRACT Objective: To evaluate tendencies in the planning, diagnosis, and treatment of carpal tunnel syndrome (CTS) by Brazilian hand surgery specialists. Methods: This cross-sectional study was performed at the 36th Brazilian Hand Surgery Congress. We prepared a questionnaire about preferences in the management of CTS, and board-certified hand surgeons that attended the congress were asked to fill out the questionnaires. A total of 174 questionnaires were analyzed. Results: Electromyography examination is used by most surgeons. Night splinting is the most commonly used conservative treatment option. Half of the surgeons utilized prophylactic antibiotics. Most of the interviewees conduct inpatient surgery in the operating room and prefer intravenous regional anesthesia. Most of surgeons use the standard open technique associated with proximal release of the antebrachial fascia and do not perform neurolysis. Compressive dressings are most commonly used for 7 days. Conclusion: The approach to CTS among Brazilian hand surgeons with regard to pre-, intra-, and post-operatory conduct is consistent with the international literature. However, there is a need to reflect and conduct new studies on non-surgical treatment involving local corticosteroid injection, use of prophylactic antibiotics, hospital admission, and type of anesthesia in order to provide more cost-effective approach to surgical treatment for CTS. Level of Evidence V; Expert opinion.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000100048&tlng=enCarpal tunnel syndromeEpidemiologyTherapyQuestionnaireCross-sectional studies |
| spellingShingle | ALDO OKAMURA BRUNA CALVI GUIDETTI RAPHAEL CASELLI JONAS APARECIDO BORRACINI VINICIUS YNOE DE MORAES JOÃO CARLOS BELLOTI HOW DO BOARD-CERTIFIED HAND SURGEONS MANAGE CARPAL TUNNEL SYNDROME? A NATIONAL SURVEY Acta Ortopédica Brasileira Carpal tunnel syndrome Epidemiology Therapy Questionnaire Cross-sectional studies |
| title | HOW DO BOARD-CERTIFIED HAND SURGEONS MANAGE CARPAL TUNNEL SYNDROME? A NATIONAL SURVEY |
| title_full | HOW DO BOARD-CERTIFIED HAND SURGEONS MANAGE CARPAL TUNNEL SYNDROME? A NATIONAL SURVEY |
| title_fullStr | HOW DO BOARD-CERTIFIED HAND SURGEONS MANAGE CARPAL TUNNEL SYNDROME? A NATIONAL SURVEY |
| title_full_unstemmed | HOW DO BOARD-CERTIFIED HAND SURGEONS MANAGE CARPAL TUNNEL SYNDROME? A NATIONAL SURVEY |
| title_short | HOW DO BOARD-CERTIFIED HAND SURGEONS MANAGE CARPAL TUNNEL SYNDROME? A NATIONAL SURVEY |
| title_sort | how do board certified hand surgeons manage carpal tunnel syndrome a national survey |
| topic | Carpal tunnel syndrome Epidemiology Therapy Questionnaire Cross-sectional studies |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000100048&tlng=en |
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