Median entrapment neuropathies viewed as a common finding in clinical practice hold several challenging differentials diagnoses when the site of compression is proximal to the carpal tunnel, requiring a reliable understanding of the anatomy involved in this nerve path, and possible sites of compression.The pronator teres syndrome, most seen in women around the age of 40/50 years old, can manifest by pain in the proximal anterior aspect of the forearm, usually when alternating between pronation and supination of this segment, with or without resistance and can mimic the typical distal symptoms of carpal tunnel syndrome.This case report describes the path taken by a patient, initially exhibiting mild paresthesia of the hand and first three fingers in 2018, bilaterally, whose complaints were attributed to the misdiagnosis of carpal tunnel syndrome for about 3 years. He underwent several conservative treatments and left carpal decompression surgery without resolution. He also had several visits to the hospital and was accompanied by different specialties including Neurology, Rheumatology, and Orthopaedics. In 2021 he was referred by Orthopaedics to a Physiatry consult, where after a methodical physical exam and complementary diagnostic exams, the pronator syndrome was diagnosed.The objective of this article is to highlight the typical challenges when facing the differential diagnosis of median nerve compression.
A partir de um levantamento da contribuição de grandes teóricos que pensaram a memória e a complexa representação do passado, buscamos discutir o papel da narração e da ficção como mediadoras na interpretação do vivido. A fiabilidade da reconstrução do passado é posta em causa, o que nos leva a refletir sobre a noção de testemunho e a questão da verdade a ele inerente. Cotejar memória oficial e narrativas individuais faz-se necessário a fim de se contrapor discursos meta-narrativos autoritários a uma história mais polifônica, que enseja a compreensão e a superação de traumas. Veremos também como a reflexão teórica a respeito da transmissão intergeracional de memórias traumáticas oferece ferramentas para a interpretação de obras da chamada geração pós-memorial. A partir dessas considerações, e diante da crise sanitária mundial que nos coloca em posição de testemunhas vulneráveis de uma catástrofe, somos levados a refletir sobre o futuro a partir de um olhar retrospectivo do trauma.
The period between 2011 and 2020 was marked by a number of milestone political events, such as Dilma Rousseff’s two-term administration – including the June 2013 protests and the 2016 presidential impeachment –, Michel Temer’s transitional administration, and the election of Jair Bolsonaro. Adopting an interdisciplinary approach, this special issue critically examines the way that relationships between culture and politics have been articulated in Brazil in connection with major national and/or global events over the past decade.
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