RESUMO
Eighty-five patients who were treated surgically for carpal tunnel syndrome were reviewed by a prospective study to assess the relationship between electrodiagnostic tests and clinical outcome. Before surgery all patients completed a self-administered questionnaire, and an electrophysiological examination was done to assess distal motor latency, sensory and motor amplitudes, and sensory nerve conduction velocity. After 6 months follow-up all these tests were repeated. There was significant correlation between improvement in sensory nerve conduction velocity and clinical improvement at follow-up.
Assuntos
Síndrome do Túnel Carpal/diagnóstico , Eletrodiagnóstico , Síndrome do Túnel Carpal/cirurgia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Neurônios Motores/fisiologia , Condução Nervosa , Neurônios Aferentes/fisiologia , Cuidados Pré-Operatórios , Estudos Prospectivos , Inquéritos e Questionários , Fatores de Tempo , Resultado do TratamentoRESUMO
La necrosis del semilunar presenta un curso progresivo queevoluciona hacia una artrosis dentro de un plazo variable. Elinicio de la enfermedad no es claramente identificable, perolos pacientes presentan características similares en elmomento de su diagnóstico.Presentamos los datos epidemiológicos de 20 pacientes tratadospor enfermedad de Kienböck en nuestra Unidad deCirugía de la Mano y se comparan con los obtenidos enotras series publicadas
The necrosis of the lunate is a progressive disease thatwith time will eventually evolve into osteoarthritis.The origin of the disease is not easy to identify but atdiagnosis, patients present with similar characteristics.We present the epidemiological data of 20 Kienböckdisease patients treated at our Hand Unit, and we comparethem with other cases published
Assuntos
Masculino , Feminino , Humanos , Osteonecrose/epidemiologia , Osso Semilunar/fisiopatologia , Transtornos Traumáticos CumulativosRESUMO
Las variantes anatómicas de los músculos y tendonesdel antebrazo son frecuentes y en raras ocasiones puedenoriginar compresión del nervio mediano a nivel del túnelcarpiano. Revisamos 515 pacientes intervenidas de síndromedel túnel carpiano primario entre los años 2000 y2004. En el 2,5 % de estas manos se encontraron variantesanatómicas de musculos del antebrazo o intrínsecos de lamano que ocupaban el canal carpiano en su recorrido. En2 de los 13 pacientes existía afectación bilateral. En muchasocasiones su diagnóstico se hace intraoperatoriamente,aunque se debe sospechar en pacientes laborales jóvenescon síntomas de compresión del mediano relacionadoscon el esfuerzo
Anomalous muscles of the upper extremity are common,however, symptomatic anomalies causing carpal tunnelsyndrome (CTS) are rare. 515 patients with CTS diagnosiswere undergone to open carpal tunnel release during2000 to 2004. In 13 patients (2,5 %) were found anomalousmuscle variant into the carpal tunnel. Symptoms werebilateral in 2 cases.Anatomical variations diagnosis usually done duringsurgery, but early diagnosis can be suspect in laboral youngpatients with effort-related median nerve compression