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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(03): e349-e357
DOI: 10.1055/s-0044-1779336
Artigo de Atualização
Mão

Procedimentos assistidos por artroscopia no punho e na mão: Atualização. Onde nós estamos?

Article in several languages: português | English
Diego Figueira Falcochio 
1   Grupo de Cirurgia da Mão, Santa Casa de Misericórdia, São Paulo, SP, Brasil
,
João Pedro Farina Brunelli
2   Serviço de Mão e Microcirurgia, Santa Casa de Misericórdia, Porto Alegre, RS, Brasil
,
Ricardo Kaempf de Oliveira
2   Serviço de Mão e Microcirurgia, Santa Casa de Misericórdia, Porto Alegre, RS, Brasil
,
Gustavo Mantovani Ruggiero
3   Handcenter, São Paulo, SP, Brasil
› Author Affiliations Suporte Financeiro Não houve apoio financeiro de fontes públicas, comerciais ou sem fins lucrativos.
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Resumo

A artroscopia de punho e mão, apesar de ser uma ferramenta antiga, tem ganhado popularidade e avançado no auxílio do tratamento das mais diversas lesões e doenças da região nos últimos anos. Utilizam-se portais acessórios dorsais, volares, ulnares e radiais para se alcançar todos os pontos das articulações do carpo e da mão. O menor dano tecidual, a menor lesão da cápsula e de seus mecanoceptores, a avaliação de lesões associadas ao motivo da cirurgia e as cicatrizes esteticamente mais favoráveis têm atraído muitos médicos e seus pacientes. Com isso, houve um aumento das publicações e diversificações de técnicas artroscópicas. O objetivo deste artigo de atualização é mostrar os avanços e o que temos de evidência na literatura para apoiar os leitores na sua decisão sobre qual técnica utilizar nos tratamentos das doenças do punho e da mão.

Palavras-chave

artroscopia - cisto sinovial - osso escafoide - pseudartrose - punho

Comitê de Ética

Para este trabalho, nós não solicitamos avaliação do comitê de ética porque a técnica é amplamente utilizada e difundida na literatura. Nossa modificação à técnica original não inclui incisões ou lesões adicionais.


Contribuições dos Autores

Todos os autores contribuíram igualmente para o estudo, participando de todas as etapas de conceção, redação, revisão e edição. Aprovaram a versão final do manuscrito.




Publication History

Received: 14 July 2023

Accepted: 10 August 2023

Article published online:
22 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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