Ultrassonografia no diagnóstico da tendinite e eletroneuromiografia no diagnóstico da neuropatia periférica e da radiculopatia do membro superior: visão do reumatologista

• Autor(a) principal: Helfenstein Junior, Milton [UNIFESP]
• Data de Publicação: 2013
• Outros Autores: Ferreira, Mario Soares, Maia, Anna Beatriz Assad, Siena, César Augusto Fávaro, Techy, Antonio
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0482-50042013000300006; http://repositorio.unifesp.br/handle/11600/7783
• topic: Ultrasonography; Electromyography; Tendinitis; Neuropathy; Radiculopathy; Ultrassonografia; Eletroneuromiografia; Tendinite; Neuropatia; Radiculopatia

OBJECTIVE: To ascertain the value ascribed by Brazilian rheumatologists to ultrasonography (US) for diagnosing tendinitis and to electromyography (EMG) for diagnosing peripheral neuropathy and upper limb radiculopathy. MATERIAL AND METHODS: In total, 165 rheumatologists answered an anonymous survey (sent via the internet) concerning the two exams, with respect to the following characteristics: reliability, diagnostic accuracy, the importance and necessity of these tests for diagnostic RESULTS: The study revealed that most of the rheumatologists recognised that these exams are operator-dependent, that clinicians do not rely entirely on the results, that these exams are not mandatory for the diagnoses listed, and that professionals who perform these exams should be better trained to provide reliable results. CONCLUSIONS: The Brazilian rheumatologists believe the following: the results of these exams should be interpreted with caution and are not definitive for diagnosis; musculoskeletal US and EMG should be performed by trained professionals; and there must be better preparation of the professionals who perform these exams.