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Colegio de Medicos y Cirujanos República de Costa Rica
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2012, Number 604

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Rev Med Cos Cen 2012; 69 (604)

Síndrome del túnel carpal

Chaves HD
Full text How to cite this article

Language: Spanish
References: 11
Page: 523-528
PDF size: 166.17 Kb.


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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.


REFERENCES

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  2. Ashworth Nigel. Carpal tunnel syndrome. Clinical Evidence 2010; 03:1114.

  3. Giersiepen Klaus, Michael Spallek. REVIEW ARTICLE Carpal Tunnel Syndrome as an Occupational Disease. Dtsch Arztebl Int 2011; 108(14): 238–42.

  4. I. Ibrahim, W.S. Khan1, N. Goddard and P. Smitham. Carpal Tunnel Syndrome: A Review of the Recent Literature. The Open Orthopaedics Journal, 2012, 6, (Suppl 1: M8) Bentham.

  5. McCabe Steven J. & Amit Gupta & David E. Tate & John Myers. Preferred sleep position on the side is associated with carpal tunnel syndrome. HAND (2011) 6:132–137.

  6. Page MJ, Massy-Westropp N, O’Connor D, Pitt V. Splinting for carpal tunnel syndrome. Cochrane Database Syst Rev. 2012 Jul 11.

  7. Page MJ, O’Connor D, Pitt V, Massy- Westropp N. Exercise and mobilization interventions for carpal tunnel syndrome. Cochrane Database Syst Rev. 2012 Jun 13.

  8. Palmer Keith T. Carpal tunnel syndrome: The role of occupational factors. Best Pract Res Clin Rheumatol. 2011 February; 25(1): 15–29.

  9. Prime Mathew S. & Jonathan Palmer & Wasim S. Khan & Nicholas J. Goddard. Is there Light at the End of the Tunnel? Controversies in the Diagnosis and Management of Carpal Tunnel Syndrome. HAND (2010) 5:354–360

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Rev Med Cos Cen. 2012;69