Navegando por Palavras-chave "lesões por esforços repetitivos"

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    Equívocos diagnósticos envolvendo as tendinites: impacto médico, social, jurídico e econômico
    (Sociedade Brasileira de Reumatologia, 2009-12-01) Siena, Cesar; Helfenstein Junior, Milton [UNIFESP]; Justiça Federal da 3ª região; Universidade Federal de São Paulo (UNIFESP)
    Evidence of the clinical, social, and economic impact of mistaken diagnoses of tendonitis and other chronic painful disorders are analyzed. The objective of this review is to call attention to the possible diagnostic hyper valuation of tendonitis, especially those supposedly multiple or refractory, based on evidence. A review of the literature on chronic painful disorders, such as fibromyalgia, in the context of mistaken diagnosis of tendonitis, as well a review of false positive and ultrasonographic (US) scan diagnostic parameters, is presented. Evidence of therapeutic mistakes were found in 41% and diagnostic mistakes in 70 to 85% of the cases, with proven unpreparedness regarding those disorders in up to 93.7% of the physicians. The diverse repercussions of this epidemic of mistakes are discussed.
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    Fibromialgia, LER, entre outras confusões diagnósticas
    (Sociedade Brasileira de Reumatologia, 2006-02-01) Helfenstein Junior, Milton [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    This is a typical case, extremely common on daily practice, occuring in several areas of our country, involving a young female patient, active professionally, deviated from her job for several years, arguing total lack of efficacy on her treatment, conversely to scientific evidence. She complains of diffuse pain, erroneously interpreted as consequence of her job, with multiple specific diagnosis of musculoskeletal lesions, which has becoming worse, despite of withdrawal of the incriminated biomechanical overloading. The case was interpreted as a disease, lato sensu, which is not recognized in the medical literature. The possibility of fibromyalgia, psicogenic rheumatism and simulation, involving litigation, is brought foward.