Tratamiento del síndrome del túnel del carpo

Contreras, Félix Omar López; Salazar, Xavier Palomeque; Alvarado, Frank Marino Rojas; Gómez, Eulixis Cornelio Estupiñan

doi:10.37958/jah.v3i2.30

Cited by 1 publication

(5 citation statements)

References 12 publications

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“…Conventionally, the diagnosis of carpal tunnel syndrome has been made through a mixture of clinical history and physical examination maneuvers, among which we find Tinel's test and Phalen's test. Currently, support is being given to ultrasound, electrodiagnostic tests and a combination of the two, because they show the underlying pathophysiology (5).…”

Section: Developmentmentioning

confidence: 99%

“…There are conservative and surgical treatments, among which evidence shows that steroid injection and carpal tunnel release are effective and have good treatment results (5).…”

Section: Developmentmentioning

confidence: 99%

“…Conservative treatment is first line in non-deficient CTS and surgical intervention when it presents or progresses with severe sensory or motor deficits (5).…”

Section: Developmentmentioning

confidence: 99%

“…Sectioning of the flexor retinaculum is initiated distally. This lowers the risk of damage to the neurovascular bundles to less than 1% and can usually be guided by ultrasound (5).…”

Section: Developmentmentioning

confidence: 99%

“…Treatment is versatile, usually correlated with the preferences of the affected person, the physician and the severity of the syndrome (5).…”

Section: Introductionmentioning

confidence: 99%

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Carpal Tunnel Syndrome, Generalities, Management and Treatment

García¹,

Pesántez²,

Cabrera³

et al. 2022

EPRA

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Introduction: Carpal tunnel syndrome (CTS), also called median wrist mononeuropathy, is the most frequent nerve compression syndrome reaching up to 90%. Objective: To detail the current information related to carpal tunnel syndrome and its management, as well as to analyze the conservative and surgical treatment of this disease. Methodology: A total of 27 articles were analyzed in this review, including review and original articles, as well as clinical cases, of which 18 bibliographies were used because the other 9 articles were not relevant to this study. The sources of information were PubMed, Google Scholar and Cochrane; the terms used to search for information in Spanish, Portuguese and English were: túnel carpiano, síndrome do túnel do carpo e AINEs, carpal tunnel syndrome, treatment in patients with carpal tunnel syndrome and corticoids in carpal tunnel. Results: Wrist flexion and extension increase pressure in the carpal canal, leading to the following symptoms: pain, numbness and paresthesia. Corticosteroid injections are recommended in mild to moderate carpal tunnel syndrome. Endoscopic carpal tunnel release has less postoperative pain, earlier recovery in grip and pinch strength, compared to open release. Postoperative complications are infrequent and most are minimal and transient. Conclusions: Carpal tunnel syndrome is the oppression of the median nerve at the level of the wrist joint, which may be accompanied with limitation in epineural and axoplasmic blood flow, leading to nerve dysfunction, edema, and scarring. The diagnosis of carpal tunnel syndrome has been made through a mixture of clinical history and physical examination maneuvers, however, the use of ultrasound and electrodiagnostic tests is now being supported. There are conservative and surgical treatments, among which evidence shows that steroid injection and carpal tunnel release are effective and present good treatment results. KEY WORDS: Syndrome, tunnel, carpal, mononeuropathy

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Section: Developmentmentioning

confidence: 99%

“…There are conservative and surgical treatments, among which evidence shows that steroid injection and carpal tunnel release are effective and have good treatment results (5).…”

Section: Developmentmentioning

confidence: 99%

“…Conservative treatment is first line in non-deficient CTS and surgical intervention when it presents or progresses with severe sensory or motor deficits (5).…”

Section: Developmentmentioning

confidence: 99%

“…Sectioning of the flexor retinaculum is initiated distally. This lowers the risk of damage to the neurovascular bundles to less than 1% and can usually be guided by ultrasound (5).…”

Section: Developmentmentioning

confidence: 99%

“…Treatment is versatile, usually correlated with the preferences of the affected person, the physician and the severity of the syndrome (5).…”

Section: Introductionmentioning

confidence: 99%

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