Objective: To report clinical and epidemiological characteristics and risk factors of patients with Carpal Tunnel Syndrome (CTS) on sick leave admitted in a University Hospital. Methods: This is a transversal study conducted with patients admitted sequentially over 18 years of age, without distinction of gender and race in the period between September and November 2014. Patients answered a questionnaire and underwent physical examination carried out by the authors. Results: Twenty-five patients were admitted within three months, all females, the mean age was 50.24 years old (standard deviation 10,39) . Among the professions they performed, general and cleaning services were the most prevalent. Most patients featured obesity, followed by depression and systemic arterial hypertension. Approximately half of them were on sick leave. Sleep disorders were also a frequent complaint. Conclusion: CTS is a frequent cause of sick leave and it is related to obesity, dyslipidemia and depression. Level of Evidence IV, Series of Cases.

A widely discussed subject, albeit with few associated studies and publications, centers on whether sacrifice of the radial artery to perform the radial forearm flap (RFF) is deleterious to the patient. The objective of this study was to assess, by questionnaire, the complications reported at the donor site, particularly those related to sacrifice of the radial artery. During the 2014 Symposium of the Brazilian Society of Reconstructive Microsurgery, surgeons were asked to answer a questionnaire on RFF cases and complications. Results were collected from hand and plastic surgeons. Regarding the opinion of respondents on the deleteriousness of sacrificing the radial artery, most answered negatively, that is, no deleterious effects reported. No statistically significant difference was found between the level of experience and opinion on whether sacrificing the radial artery was deleterious. Beyond performing some procedures and following evolution within a specific service, it was decided to broaden the range of opinions and enlarge the casuistic by assessing the opinions of many specialists from the fields of hand surgery and plastic surgery. Data collected using the questionnaire were compared to determine the sequelae at the donor site and particularly whether sacrifice of the radial artery in RFF was deleterious to the patient. Although complaints at the donor site were frequently cited, no objective reports on morbidity following the sacrifice of the radial artery in RFF were provided.

r e v b r a s o r t o p . 2 0 1 5;5 0(1):22-29 w w w . r b o . o r g . b r Artigo Original Tratamento das fraturas em duas partes do colo cirúrgico do úmero com o uso de haste intramedular metafisária bloqueada proximalmente com estabilidade angular ଝ informações sobre o artigo Histórico do artigo: Recebido em 30 de novembro de 2013 Aceito em 13 de fevereiro de 2014 On-line em 1 de agosto de 2014 Palavras-chave: Fratura do úmero Fixação intramedular de fraturas Procedimentos cirúrgicos r e s u m o Objetivos: Avaliar os resultados funcionais de pacientes com fraturas do colo cirúrgico tratados com haste intramedular metafisária bloqueada (HIMB) e estabilidade angular. Métodos: Foram analisados 22 pacientes prospectivos entre 21 e 69 anos, avaliados entre janeiro de 2010 e janeiro de 2011, e correlacionados tempo de consolidação, idade, sexo, complicaç ões e resultado funcional com o protocolo da University of California at Los Angeles (UCLA) modificado.Resultados: O tempo de consolidação médio foi de 9,26 ± intervalo de confiança (IC) de 0,40 semana. Um caso (4,5%) não se consolidou. Não houve infecção. Houve um caso (4,5%) de capsulite adesiva com boa evolução ao tratamento clínico. Cinco pacientes (22,7%) apresentaram leve dor eventual e um caso (4,5%) referiu dor de média intensidade associada a impacto subacromial do implante. O escore médio UCLA modificado foi 30,4 ± IC 1,6 ponto obtidos no fim de 12 meses de avaliação, 18 casos (81,8%) com escore «excelente» e «bom», três casos (13,6%) com escore «razoável» e um caso (4,5%) com escore «ruim».Conclusão: No grupo de pacientes avaliados, o tratamento das fraturas em duas partes do colo cirúrgico com HIMB e a estabilidade angular demonstraram resultados funcionais satisfatórios e baixo índice de complicaç ões, semelhantes aos encontrados na literatura.

ObjectivesTo evaluate the functional results from patients with surgical neck fractures treated with a locked metaphyseal intramedullary nail and angular stability.MethodsTwenty-two patients between the ages of 21 and 69 years were evaluated prospectively between January 2010 and January 2011. Their time taken for consolidation, age, sex, complications and functional results were correlated using the modified protocol of the University of California at Los Angeles (UCLA).ResultsThe mean time taken for consolidation was 9.26 weeks ± confidence interval (CI) of 0.40 weeks. One case (4.5%) did not become consolidated. There were no cases of infection. There was one case (4.5%) of adhesive capsulitis with good evolution through clinical treatment. Five patients (22.7%) presented occasional mild pain and one case (4.5%) reported medium-intensity pain associated with the subacromial impact of the implant. The mean score on the modified UCLA scale was 30.4 ± CI 1.6 points, obtained at the end of 12 weeks of evaluation: 18 cases (81.8%) with “excellent” and “good” scores, three cases (13.6%) with “fair” scores and one case (4.5%) with a “poor” score.ConclusionIn the group of patients evaluated, treatment of two-part surgical neck fractures by means of a locked metaphyseal intramedullary nail and angular stability demonstrated satisfactory functional results and a low complication rate, similar to what is seen in the literature.

Background: At the end of the residency, the orthopedic surgeon will have access to other types of plate’s osteosynthesys for treating distal radius fractures that may be unknown to them. The aim was to assess and compare the outcomes from positioning the plate on the volar surface of the radius obtained by residents at the Department of Orthopedics and Trauma. Methods: Cross-sectional study at public hospital. Thirty positions were analysed, performed by residents, of blocked volar plates in a cadaveric left radius prepared with a simulated simple distal metaphyseal fracture. Results: 17 plate positioning (56.66%) were correct and, among these, the average distance between the end of the plate and the watershed line was +0.91 mm distal to it; the average proximal coronal positioning of the plate was 0.69 mm radial to the midline of the radius; and the average distance between the plate and the bone surface in the sagittal plane was 0.97 mm. Conclusions: Slightly more than half of residents correctly identified the plate’s laterality. There was astatistically significant a correlation between the plate-bone distances, in the sagittal plane, and between the plate’s distal end and the watershed line, in the coronal plane.Keywords: Radius fractures; Orthopedics; Surgical procedures, operative; Radius; Orthopedic proceduresRESUMOObjetivo: Ao término da residência, o ortopedista terá acesso a outros tipos de placas muitas vezes desconhecidas por ele. O objetivo foi avaliar e comparar os resultados do posicionamento da placa na superfície volar do rádio entre os residentes dos três anos de Ortopedia e Traumatologia deste departamento. Métodos: Estudo transversal realizado em um hospital público. Foram analisados trinta posicionamentos, realizados por residentes, de placas volares bloqueadas em um rádio esquerdo preparado de cadáver com fratura simples metafisária distal simulada. Resultados: Houveram 17 (56,66%) posicionamentos corretos da placa e, destes, a distância média entre o final da placa à linha divisora de águas foi de +0,91 mm distal a esta; a média do posicionamento coronal proximal da placa foi de 0,69 mm radial à linha média do rádio; e a média da distância entre a placa e a superfície óssea no plano sagital foi de 0,97 mm. Houve correlação de significância estatística entre as distâncias placa-osso no plano sagital e da linha divisora de águas ao limite distal da placa no plano coronal. Conclusões: Pouco mais da metade dos residentes identificou corretamente a lateralidade da placa. Existe relação entre as distâncias placa-osso no plano sagital e entre o limite distal da placa e a linha divisora de águas, no pano coronal.Palavras Chave: Fraturas do rádio, Ortopedia; Procedimentos cirúrgicos operatórios, Rádio (Anatomia), Procedimentos ortopédicos