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Bibliographic Details
Main Author:	Enrique Vergara-Amador
Format:	Artículo científico
Language:	es
Published:	Universidad Nacional de Colombia 2019
Subjects:	Medicina Nervio mediano Electrodiagnóstico (DeCS) Síndrome del túnel carpiano
Online Access:	https://www.redalyc.org/articulo.oa?id=576366816005 https://www.redalyc.org/journal/5763/576366816005/ https://www.redalyc.org/journal/5763/576366816005/html/ https://www.redalyc.org/journal/5763/576366816005/576366816005.epub https://www.redalyc.org/journal/5763/576366816005/movil
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Resultado clínico y electrodiagnóstico en pacientes con liberación quirúrgica del síndrome del túnel del carpo Enrique Vergara-Amador Wilson Tovar-Cuellar Juan Manuel Viveros-Carreño Medicina Nervio mediano Electrodiagnóstico (DeCS) Síndrome del túnel carpiano Introducción. La cirugía de síndrome del túnel del carpo (STC) es efectiva, aunque algunos reportes muestran satisfacción de solo el 75% luego de los procedimientos. La escala funcional histórico-objetiva (HiOb) es la que mejor se correlaciona con el estado neurofisiológico del nervio mediano. Objetivo. Determinar los resultados clínicos, funcionales y electrofisiológicos luego de una liberación quirúrgica en pacientes con STC. Materiales y métodos. Estudio analítico y descriptivo de pacientes con STC operados entre 2013 y 2014. Todos los individuos tenían pruebas clínicas y electrofisiológicas pre y post quirúrgicas.Resultados. Se estudiaron 36 pacientes con edad promedio de 49 años; los signos clínicos prequirúrgicos más frecuentes fueron Phalen y elevación de manos (91%). El seguimiento mínimo fue 6 meses. Hubo mejoría del dolor; de los signos de Tinel, de Phalen y de elevación de manos; en la escala HiOb, y en el Cuestionario de Boston, tanto en la función como en los síntomas. Los resultados electrofisiológicos mostraron mejoría en latencia distal motora del nervio mediano, latencia distal sensitiva del nervio mediano y delta sensitivo. Conclusiones. La liberación quirúrgica del STC es un procedimiento eficaz en la mejoría del dolor, los síntomas, las escalas funcionales y los hallazgos electrofisiológicos. El signo de Tinel prequirúrgico se asocia a peores resultados en el cuestionario de Boston. 2019 artículo científico 2357-3848 https://www.redalyc.org/articulo.oa?id=576366816005 https://www.redalyc.org/journal/5763/576366816005/ https://www.redalyc.org/journal/5763/576366816005/html/ https://www.redalyc.org/journal/5763/576366816005/576366816005.epub https://www.redalyc.org/journal/5763/576366816005/movil 10.15446/revfacmed.v67n3.69698 es http://www.redalyc.org/revista.oa?id=5763 Revista de la Facultad de Medicina application/pdf Universidad Nacional de Colombia Revista de la Facultad de Medicina (Colombia) Num.3 Vol.67

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