Diagnóstico y tratamiento | 05 MAR 03
Síndrome del Túnel Carpiano
Sobre la presentación de un problema clínico común, se analizan las evidencias que avalan diversas estrategias, seguido por un repaso de las guías existentes.
Autor/a: Dres. Katz JN, Simmons BP N Engl J Med 2002 Jun 6;346(23):1807-12
INDICE:
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6. Desarrollo
Desarrollo
1. Praemer A, Furner S, Rice DP. Musculoskeletal conditions in the United States. 2nd ed. Rosemont, Ill.: American Academy of Orthopaedic Surgeons, 1999.
2. Atroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosen I. Prevalence of carpal tunnel syndrome in a general population. JAMA 1999;282:153-158.[ISI][Medline]
3. Gelberman RH, Rydevik BL, Pess GM, Szabo RM, Lundborg G. Carpal tunnel syndrome: a scientific basis for clinical care. Orthop Clin North Am 1988;19:115-124.[ISI][Medline]
4. Rempel D, Dahlin L, Lundborg G. Pathophysiology of nerve compression syndromes: response of peripheral nerves to loading. J Bone Joint Surg Am 1999;81:1600-1610.[Full Text]
5. Solomon DH, Katz JN, Bahn R, Mogun H, Avorn J. Nonoccupational risk factors for carpal tunnel syndrome. J Gen Intern Med 1999;14:310-314.[ISI][Medline]
6. Stevens JC, Beard CM, O'Fallon WM, Kurland LT. Conditions associated with carpal tunnel syndrome. Mayo Clin Proc 1992;67:541-548.[ISI][Medline]
7. Atcheson SG, Ward JR, Lowe W. Concurrent medical disease in work-related carpal tunnel syndrome. Arch Intern Med 1998;158:1506-1512.[ISI][Medline]
8. Bernard BP, ed. Musculoskeletal disorders and workplace factors: a critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. Cincinnati: National Institute for Occupational Safety and Health, July 1997. (DHHS (NIOSH) publication no. 97-141.)
9. Panel on Musculoskeletal Disorders and the Workplace, Commission on Behavioral and Social Sciences and Education, National Research Council and the Institute of Medicine. Musculoskeletal disorders and the workplace: low back and upper extremities. Washington, D.C.: National Academy Press, 2001.
10. Roquelaure Y, Mechali S, Dano C, et al. Occupational and personal risk factors for carpal tunnel syndrome in industrial workers. Scand J Work Environ Health 1997;23:364-369.[ISI][Medline]
11. Silverstein B, Kalat J. Work related disorders of the back and upper extremity in Washington State, 1990-1997. SHARP technical report 40-2-1999. Olympia, Wash.: SHARP Program, 1999.
12. Nathan PA, Keniston RC, Myers LD, Meadows KD, Lockwood RS. Natural history of median nerve sensory conduction in industry: relationship to symptoms and carpal tunnel syndrome in 558 hands over 11 years. Muscle Nerve 1998;21:711-721.[ISI][Medline]
13. Rempel D, Evanoff B, Amadio PC, et al. Consensus criteria for the classification of carpal tunnel syndrome in epidemiologic studies. Am J Public Health 1998;88:1447-1451.[Abstract]
14. Hamanaka I, Okutsu I, Shimizu K, Takatori Y, Ninomiya S. Evaluation of carpal canal pressure in carpal tunnel syndrome. J Hand Surg [Am] 1995;20:848-854.[Medline]
15. Homan MM, Franzblau A, Werner RA, Albers JW, Armstrong TJ, Bromberg MB. Agreement between symptom surveys, physical examination procedures and electrodiagnostic findings for carpal tunnel syndrome. Scand J Work Environ Health 1999;25:115-124.[ISI][Medline]
16. Ferry S, Silman AJ, Pritchard T, Keenan J, Croft P. The association between different patterns of hand symptoms and objective evidence of median nerve compression: a community-based survey. Arthritis Rheum 1998;41:720-724.[ISI][Medline]
17. Katz JN, Larson MG, Sabra A, et al. The carpal tunnel syndrome: diagnostic utility of the history and physical examination findings. Ann Intern Med 1990;112:321-327.[ISI][Medline]
18. Franzblau A, Werner RA, Albers JW, Grant CL, Olinski R, Johnston E. Workplace surveillance for carpal tunnel syndrome using hand diagrams. J Occup Rehabil 1994;4:185-98.
19. D'Arcy CA, McGee S. The rational clinical examination: does this patient have carpal tunnel syndrome? JAMA 2000;283:3110-3117. [Erratum, JAMA 2000;284:1384.][ISI][Medline]
20. Pryse-Phillips W. Validation of a diagnostic sign in carpal tunnel syndrome. J Neurol Neurosurg Psychiatry 1984;47:870-872.[Abstract]
21. Gerr F, Letz R, Harris-Abbott D, Hopkins LC. Sensitivity and specificity of vibrometry for detection of carpal tunnel syndrome. J Occup Environ Med 1995;37:1108-1115.[ISI][Medline]
22. Buch-Jaeger N, Foucher G. Correlation of clinical signs with nerve conduction tests in the diagnosis of carpal tunnel syndrome. J Hand Surg [Br] 1994;19:720-724.[Medline]
23. Phalen GS. The carpal-tunnel syndrome: seventeen years' experience in diagnosis and treatment of six hundred fifty-four hands. J Bone Joint Surg Am 1966;48:211-228.[Medline]
24. Golding DN, Rose DM, Selvarajah K. Clinical tests for carpal tunnel syndrome: an evaluation. Br J Rheumatol 1986;25:388-390.[ISI][Medline]
25. Durkan JA. A new diagnostic test for carpal tunnel syndrome. J Bo
2. Atroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosen I. Prevalence of carpal tunnel syndrome in a general population. JAMA 1999;282:153-158.[ISI][Medline]
3. Gelberman RH, Rydevik BL, Pess GM, Szabo RM, Lundborg G. Carpal tunnel syndrome: a scientific basis for clinical care. Orthop Clin North Am 1988;19:115-124.[ISI][Medline]
4. Rempel D, Dahlin L, Lundborg G. Pathophysiology of nerve compression syndromes: response of peripheral nerves to loading. J Bone Joint Surg Am 1999;81:1600-1610.[Full Text]
5. Solomon DH, Katz JN, Bahn R, Mogun H, Avorn J. Nonoccupational risk factors for carpal tunnel syndrome. J Gen Intern Med 1999;14:310-314.[ISI][Medline]
6. Stevens JC, Beard CM, O'Fallon WM, Kurland LT. Conditions associated with carpal tunnel syndrome. Mayo Clin Proc 1992;67:541-548.[ISI][Medline]
7. Atcheson SG, Ward JR, Lowe W. Concurrent medical disease in work-related carpal tunnel syndrome. Arch Intern Med 1998;158:1506-1512.[ISI][Medline]
8. Bernard BP, ed. Musculoskeletal disorders and workplace factors: a critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. Cincinnati: National Institute for Occupational Safety and Health, July 1997. (DHHS (NIOSH) publication no. 97-141.)
9. Panel on Musculoskeletal Disorders and the Workplace, Commission on Behavioral and Social Sciences and Education, National Research Council and the Institute of Medicine. Musculoskeletal disorders and the workplace: low back and upper extremities. Washington, D.C.: National Academy Press, 2001.
10. Roquelaure Y, Mechali S, Dano C, et al. Occupational and personal risk factors for carpal tunnel syndrome in industrial workers. Scand J Work Environ Health 1997;23:364-369.[ISI][Medline]
11. Silverstein B, Kalat J. Work related disorders of the back and upper extremity in Washington State, 1990-1997. SHARP technical report 40-2-1999. Olympia, Wash.: SHARP Program, 1999.
12. Nathan PA, Keniston RC, Myers LD, Meadows KD, Lockwood RS. Natural history of median nerve sensory conduction in industry: relationship to symptoms and carpal tunnel syndrome in 558 hands over 11 years. Muscle Nerve 1998;21:711-721.[ISI][Medline]
13. Rempel D, Evanoff B, Amadio PC, et al. Consensus criteria for the classification of carpal tunnel syndrome in epidemiologic studies. Am J Public Health 1998;88:1447-1451.[Abstract]
14. Hamanaka I, Okutsu I, Shimizu K, Takatori Y, Ninomiya S. Evaluation of carpal canal pressure in carpal tunnel syndrome. J Hand Surg [Am] 1995;20:848-854.[Medline]
15. Homan MM, Franzblau A, Werner RA, Albers JW, Armstrong TJ, Bromberg MB. Agreement between symptom surveys, physical examination procedures and electrodiagnostic findings for carpal tunnel syndrome. Scand J Work Environ Health 1999;25:115-124.[ISI][Medline]
16. Ferry S, Silman AJ, Pritchard T, Keenan J, Croft P. The association between different patterns of hand symptoms and objective evidence of median nerve compression: a community-based survey. Arthritis Rheum 1998;41:720-724.[ISI][Medline]
17. Katz JN, Larson MG, Sabra A, et al. The carpal tunnel syndrome: diagnostic utility of the history and physical examination findings. Ann Intern Med 1990;112:321-327.[ISI][Medline]
18. Franzblau A, Werner RA, Albers JW, Grant CL, Olinski R, Johnston E. Workplace surveillance for carpal tunnel syndrome using hand diagrams. J Occup Rehabil 1994;4:185-98.
19. D'Arcy CA, McGee S. The rational clinical examination: does this patient have carpal tunnel syndrome? JAMA 2000;283:3110-3117. [Erratum, JAMA 2000;284:1384.][ISI][Medline]
20. Pryse-Phillips W. Validation of a diagnostic sign in carpal tunnel syndrome. J Neurol Neurosurg Psychiatry 1984;47:870-872.[Abstract]
21. Gerr F, Letz R, Harris-Abbott D, Hopkins LC. Sensitivity and specificity of vibrometry for detection of carpal tunnel syndrome. J Occup Environ Med 1995;37:1108-1115.[ISI][Medline]
22. Buch-Jaeger N, Foucher G. Correlation of clinical signs with nerve conduction tests in the diagnosis of carpal tunnel syndrome. J Hand Surg [Br] 1994;19:720-724.[Medline]
23. Phalen GS. The carpal-tunnel syndrome: seventeen years' experience in diagnosis and treatment of six hundred fifty-four hands. J Bone Joint Surg Am 1966;48:211-228.[Medline]
24. Golding DN, Rose DM, Selvarajah K. Clinical tests for carpal tunnel syndrome: an evaluation. Br J Rheumatol 1986;25:388-390.[ISI][Medline]
25. Durkan JA. A new diagnostic test for carpal tunnel syndrome. J Bo
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