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Carpal tunnel syndrome (CTS) is the result of compression and/or traction of the median nerve in the carpal tunnel. It is the most frequent compressive neuropathy of the upper limbs and it is usually idiopathic. Diagnosis is essentially clinical, defined by symptoms and provocative tests. Decompression of the median nerve by section of the transverse carpus ligament is the treatment of choice, but the lack of consensus on the type of suture and surgical thread to be used in the open carpal tunnel decompression surgery justifies the importance of evaluating the comparative results of existing studies, aiming to describe the influence of different types of sutures and surgical threads to guide the professionals about the most appropriate conduct. This is a systematic review of the international and national literature. Four studies comparing the influence of surgical threads and one study evaluating the influence of the type of suture were found. From the comparative studies, it was observed that there is advantage in the use of nonabsorbable suture due to the lower occurrence of inflammation and postoperative wound complications. When using Donatti sutures, wound edge inversion is less likely to occur compared with single individual sutures, but they are also related to longer postoperative pain.

OBJETIVO: Verificar a prevalência de sintomas depressivos de uma população idosa residente em uma comunidade de Montes Claros, Minas Gerais, Brasil, e avaliar sua associação com aspectos biopsicossociais e capacidade funcional. MÉTODOS: Estudo transversal, observacional e de base populacional. Foi avaliada a totalidade dos idosos residentes na área de abrangência de uma Equipe de Saúde da Família, sendo eles entrevistados em seus domicílios. Foi utilizado questionário adaptado do Brazil Old Age Schedule (BOAS) para coletar os dados biopsicossociais. Para avaliar sintomas depressivos, foi aplicada a Escala de Depressão Geriátrica abreviada (EDG-15). A escala de Katz foi utilizada para avaliar as atividades básicas de vida diária (ABVD) e a escala de Pfeffer, para atividades instrumentais de vida diária (AIVD). As associações foram verificadas mediante submissão dos dados à análise bivariada e multivariada. RESULTADOS: A prevalência de sintomatologia depressiva foi de 20,9%. Apresentaram associação significativa com sintomas depressivos: dificuldade para dormir (RP = 2,04; p = 0,002) e dependência para AIVD (RP = 3,22; p < 0,001). CONCLUSÃO: Há alta prevalência de sintomas depressivos entre idosos no âmbito comunitário, sendo mais frequentes entre idosos com dificuldade para dormir e com dependência funcional para AIVD.OBJECTIVE: To verify the prevalence of depressive symptoms of an elder population dwelling in a community in Montes Claros, Minas Gerais, Brazil, and evaluate the association of them with biopsychosocial aspects and functional capacity. METHODS: Transversal, observational, and population-based study. All of the elders living in the coverage area of a Family Health Team, and the interviews were made in their dwellings. An adaptation of the Brazil Old Age Schedule (BOAS) questionnaire was used to collect the biopsychosocial data. The abbreviated Geriatric Depression Scale (GDS-15) was used to evaluate depressive symptoms. The Katz index was used to evaluate the basic activities of daily living (BADL); the Pfeffer index to evaluate instrumental activities of daily living (IADL). The associations were verified by submitting data to bivariate and multivariate analysis. RESULTS: The prevalence of depressive symptoms was of 20.9%. Depressive symptoms were significative associated with difficulty to sleep (PR = 2.04; p = 0.002) and dependence for IADL (PR = 3.22; p < 0.001). CONCLUSION: There is a high prevalence of depressive symptoms among elders in the community, being more frequent among elders with difficulty to sleep and functional dependence for IADL.