2012, Number 604
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Rev Med Cos Cen 2012; 69 (604)
Síndrome del túnel carpal
Chaves HD
Language: Spanish
References: 11
Page: 523-528
PDF size: 166.17 Kb.
ABSTRACT
Carpal tunnel syndrome is one
of the most common peripheral
neuropathies. It affects mainly
middle aged women. In the
majority of patients the exact
cause and pathogenesis of CTS
is unclear. Although several
occupations have been linked
to increased incidence and
prevalence of CTS the evidence
is not clear. The risk of CTS is
high in occupations involving
exposure to high pressure,
high force, repetitive work,
and vibrating tools. The classic
symptoms of CTS include
nocturnal pain associated with
tingling and numbness in the
distribution of median nerve
in the hand. The gold standard
test is nerve conduction studies.
The diagnosis of CTS should
be based on history, physical
examination and results of
electrophysiological studies.
The patient with mild symptoms
of CTS can be managed
with conservative treatment.
However, in moderate to severe
cases, surgery is the only
treatment that provides cure.
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