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J Hand Surg Eur Vol ; 44(6): 572-581, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30741080

RESUMO

There is lack of consensus on the management of triangular fibrocartilage injuries. The aim of this study was to investigate wrist surgeons' experiences and perceptions regarding treatment of triangular fibrocartilage complex injuries and to explore the rationale behind clinical decision-making. A purposive sample of consultant wrist surgeons (n = 10) was recruited through 'snow-balling' until data saturation was reached. Semi-structured interviews were conducted, digitally recorded and transcribed verbatim. Two researchers independently analysed data using an iterative/thematic approach. Findings suggest that surgeons rely more on their own training and experience, and patient-related factors such as individual expectations, to inform their decision-making, rather than on published material. Current classification systems are largely considered to be unhelpful. Level of evidence: V.


Assuntos
Tomada de Decisão Clínica , Padrões de Prática Médica , Cirurgiões , Fibrocartilagem Triangular/lesões , Atitude do Pessoal de Saúde , Tratamento Conservador , Humanos , Entrevistas como Assunto , Procedimentos Ortopédicos , Fibrocartilagem Triangular/cirurgia
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