medigraphic.com

2021, Number 1

<< Back Next >>

Cuba y Salud 2021; 16 (1)

Caracterización del Síndrome del Túnel del Carpo. Hospital Ortopédico ''Fructuoso Rodríguez''

Viñet ELM, Viera MC, Blanco SJ, García AD

Language: Spanish
References: 20
Page: 35-40
PDF size: 212.71 Kb.


ABSTRACT

Introduction: In humans the most frequent neuropathy is caused by entrapment of the median nerve your name is Carpo Tunnel Syndrome.
Objective: To characterize the Carpo Tunnel Syndrome in patients that attended in Fructuoso Rodríguez Hospital in the period January-December of the year 2019.
Methodical: Was carried a descriptive, traverse and retrospective study, the universe they conformed it 297 patients that attended to be carried out studies of nervous conduction to the Neurofisiology laboratory of the hospital and the sample for 182 patients with clinical manifestations of the The Carpo Tunnel Syndrome that represented 61,3% that gave the informed consent. The analyzed variables were: age, sex, laterality, time of evolution, symptoms and signs, results of the studies of nerve conduction and treatment type. The information was stored and then processed with the package "Statistica ", they were used descriptive statistics.
Results: The Carpo Tunnel Syndrome was more frequent in patient of 40 to 59 years of age, female sex, with bilateral symptoms, drowsiness, pain and night parestesias in the territory of the medium nerve and signs of Tinel and positive Phalen. The biggest time in evolution of the clinical manifestations is related with the increment of the positivity diagnostic of the neuroconducction studies and the surgical behavior in the patients with The Carpo Tunnel Syndrome.
Conclusions: The manifestations clinical, electrodiagnostic and therapeutic behavior were described in patients with The Carpo Tunnel Syndrome.


REFERENCES

  1. Soubeyrand M, Melhem R, Protais M, Artuso, Crézé M. Anatomy of the median nerve and its clinical applications. Hand Surg Rehabil. 2020; 39(1):2-18. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/31816428

  2. Garmendia García F, William Díaz Silva F,Rostan Reis D. Síndrome del túnel carpiano. Rev Haban Cienc Méd. [Internet]. sep.-oct. 2014 [citado 180/04/2020]; 13 (5): 728-741Disponible en: http://scielo.sld.cu

  3. Newington L, Harris E, Walker-Bone K, Carpal tunnel syndrome and work, Best Practice & Research Clinical Rheumatology. [Internet]. 2015 [Consultado 16 de abril de 2020]; 29(3):440-453. Disponible en: https://doi.org/10.1016/j.berh.2015.04.026

  4. González-Roig J L. Valor diagnóstico de la evaluación clínica y epidemiológica en el síndrome del túnel del carpo. Tesis para optar por el grado científico de Doctor en Ciencias Médicas. [Internet].2007. Disponible en: http:// www. bvscuba.sld.cu/repositorio-detesis

  5. Moutasem S. Aboonq, Pathophysiology of carpal tunnel syndrome, Neurosciences. [Internet]. 2015 [citado 180/04/2020]; 20(1):4-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727604/

  6. Jevey González A, Machado Reyes I M, Pupo Palacio W, Pérez Castillo C. Caracterización de pacientes con el Síndrome del Túnel del Carpo. Rev Electron.2013; 38 (10)

  7. Instituto Mexicano de Seguridad Social. Diagnóstico y tratamiento del síndrome del túnel carpiano. Guía de práctica clínica en el Primer Nivel de Atención. [Internet]. 2016 [Consultado 16 de abril de 2020].Disponible en:http://www.cenetec.salud.gob.mx/ descargas/gpc/CatalogoMaestro/043_GPC_Tunel_Carpo/IMSS_043_08_EyR.pdf

  8. Kozak A, Schedlbauer G, Wirth T, et al, Association between work-related biomechanical risk factors and the occurrence of carpal tunnel syndrome: an overview of systematic reviews and a meta-analysis of current research, BMC Musculoskeletal Disorders. [Internet]. 2015 [citado 18 de abril de 2020]; 16: 231. Disponible en: https:// doi.org/10.1186/s12891-015-0685-0

  9. Franklin G, Friedman A. et al, Work-Related Carpal Tunnel Syndrome Diagnosis and Treatment Guideline, Phys Med Rehabil Clin N Am. [Internet]. 2015 [citado 18 de abril de 2020]; 26(3):523-537. Disponible en: https://doi.org/10.1016/j.pmr.2015.04.003

  10. Sucher B, Grading D. Severity of Carpal Tunnel Syndrome in Electrodiagnostic Reports: Why Grading is Recommended, Muscle Nerve. [Internet]. 2013 [citado 18 de abril de 2020]; 48: 331–333. Disponible en: https://doi.org/10.1002/mus.23824

  11. Fowler JR, Byrne K, Pan T, Goitz RJ. False-Positive Rates for Nerve Conduction Studies and Ultrasound in Patients Without Clinical Signs and Symptoms of Carpal Tunnel Syndrome. The Journal of hand surgery. 2019; 44 (3):181–185.

  12. Kumari A, Singh S, Garg A, Prakash A, Sural S.Tingling hand: magnetic resonance imaging of median nerve pathologies within the carpal tunnel. Pol J Radiol. 2019 Nov 22;84: 484-490.

  13. Brienza M, Pujia F, Colaiacomo MC, Anastasio MG, Pierelli F, et al. 3 T diffusion tensor imaging and electroneurography of peripheral nerve: a morphofunc-tional analysis in carpal tunnel syndrome. J Neuroradiol 2014; 41:124–30.

  14. Martins R S, Siqueira M G. Conservative therapeutic management of carpal tunnel síndrome. Arq Neuropsiquiatr. 2017; 75 (11):819-824.

  15. Lin CP, Chang KV, Huang YK, Wu WT, Özçakar L. Regenerative Injections Including 5% Dextrose and Platelet-Rich Plasma for the Treatment of Carpal Tunnel Syndrome: A Systematic Review and Network Meta-Analysis. Pharmaceuticals (Basel). 2020 Mar 18; 13(3). pii: E49.

  16. Chammas M, Boretto J, Marquardt Burmannc L, Matta Ramosc R, Santos Netoc F, Braga Silvac J. Síndrome del Túnel del carpo. Parte II-Tratamiento. Rev Bras Ortop. [Internet]. 2014 [citado 18 de abril de 2020]; 49(5):437– 445. Disponible en: www.rbo.org. br

  17. Apard T, Candelier G. Surgical ultrasound-guided carpal tunnel release. Hand Surg Rehabil 2017; 36: 333–7.

  18. Hirani S. A study to further develop and refine carpal tunnel syndrome (CTS) nerve conduction grading tool. BMC Musculoskeletal Disorders. [Internet]. 2019 [Consultado 16 de abril de 2020]; 20:581-7. Disponible en: https://doi.org/10.1186/s12891-019- 2928-y

  19. Padua L, Coraci D, Erra C, et al. Carpal tunnel syndrome: clinical features, diagnosis, and management. Lancet Neurol. 2016;15(12):12731284

  20. Ruyer J, Rutka V, Garret J, Rizzo C, Guigal V. Endoscopic fasciotomy for chronic exertional compartment syndrome of the forearm: Clinical results of a new technique using an endoscopic carpal tunnel release device. Hand Surg Rehabil. 2020 Feb 29. pii: S2468-1229(20)30040-2.




2020     |     www.medigraphic.com