array:22 [ "pii" => "S0048712003733830" "issn" => "00487120" "doi" => "10.1016/S0048-7120(03)73383-0" "estado" => "S300" "fechaPublicacion" => "2003-01-01" "aid" => "73383" "copyright" => "Sociedad Española de Rehabilitación y Medicina Física (SERMEF) y Elsevier España, S.L." "copyrightAnyo" => "2003" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Rehabilitacion. 2003;37:235-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 10643 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 8293 "PDF" => 2343 ] ] "itemSiguiente" => array:18 [ "pii" => "S0048712003733842" "issn" => "00487120" "doi" => "10.1016/S0048-7120(03)73384-2" "estado" => "S300" "fechaPublicacion" => "2003-01-01" "aid" => "73384" "copyright" => "Sociedad Española de Rehabilitación y Medicina Física (SERMEF) y Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Rehabilitacion. 2003;37:240-51" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4402 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 3911 "PDF" => 484 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Un nuevo método de evaluación diagnóstica y terapéutica de las patologías del pie basado en las plantillas instrumentadas Biofoot/IBV" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "240" "paginaFinal" => "251" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "A new diagnostic and therapeutic diagnostic method of the foot disease based on biofoot/ibv instrumented insoles" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Martínez Assucena, M.D. Sánchez Ruiz, M. Barrés Carsí, C. Pérez Lahuerta, A. Guerrero Alonso, C. Soler Gracia" "autores" => array:6 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Martínez Assucena" ] 1 => array:2 [ "nombre" => "M.D." "apellidos" => "Sánchez Ruiz" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Barrés Carsí" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Pérez Lahuerta" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Guerrero Alonso" ] 5 => array:2 [ "nombre" => "C." "apellidos" => "Soler Gracia" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0048712003733842?idApp=UINPBA00004N" "url" => "/00487120/0000003700000005/v1_201307311324/S0048712003733842/v1_201307311324/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Diagnóstico clínico del síndrome del túnel Carpiano" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "235" "paginaFinal" => "239" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "P. Díaz Borrego, J.M. Fernández Torrico, M.J. Calvo Guisado, R. Jiménez-Castellanos Ballesteros" "autores" => array:4 [ 0 => array:3 [ "nombre" => "P." "apellidos" => "Díaz Borrego" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J.M." "apellidos" => "Fernández Torrico" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "M.J." "apellidos" => "Calvo Guisado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "R." "apellidos" => "Jiménez-Castellanos Ballesteros" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Médico Interno Residente (MIR) especialidad Medicina Física y Rehabilitación." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Facultativo Especialista Adjunto (FEA) de Medicina Física y Rehabilitación." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Facultativo Especialista Adjunto (FEA) de Neurofisiología Clínica. Hospital Universitario Virgen Macarena. Sevilla." "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Rehabilitación Hospital Universitario Virgen Macarena C/ Dr. Fedriani, s/n 41071 Sevilla" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Clinical diagnosis of the carpal tunnel syndrome" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-06-01" "fechaAceptado" => "2003-07-17" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec229282" "palabras" => array:6 [ 0 => "Síndrome del túnel carpiano" 1 => "Diagnóstico" 2 => "Tinel" 3 => "Phalen inverso" 4 => "Digitopresión" 5 => "Índice de Johnson" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec229283" "palabras" => array:6 [ 0 => "Carpal tunnel syndrome" 1 => "Diagnosis" 2 => "Tinel" 3 => "Inverse phalen" 4 => "Finger pressure" 5 => "Johnson index" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El síndrome del túnel carpiano (STC) es actualmente la neuropatía periférica más frecuente. Los signos usados para su diagnóstico son muy variables en sensibilidad y especificidad. Nuestro objetivo fue determinar la sensibilidad y especificidad de cuatro signos clínicos habituales en la práctica clínica, y sus posibles combinaciones.</p> <span class="elsevierStyleSectionTitle">Material y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Evaluamos los pacientes remitidos por sospecha de STC durante cuatro meses. El diagnóstico era confirmado mediante un estudio electromiográfico y electroneurográfico. Evaluamos 53 pacientes, de ellos 27 presentaban STC.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los signos estudiados fueron: tinel, phalen inverso, compresión digital del nervio mediano y signo de Johnson o muñeca cuadrada.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Estudiamos la sensibilidad, especificidad y valores predictivos de cada signo y sus asociaciones.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los datos estadísticamente significativos fueron: Phalen inverso, digitopresión, Tinel + phalen inverso, Phalen inverso + digitopresión, Phalen + índice de Johnson, digitopresión + índice de Johnson, Tinel + phalen inverso + digitopresión, Phalen inverso + digitopresión + índice de Johnson.</p> <span class="elsevierStyleSectionTitle">Discusión</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La asociación de negatividad en los cuatro signos analizados, ofrecía la mayor probabilidad de no presentar atrapamiento en el carpo. El resto de signos o combinaciones no presentaron una fuerte significación estadística</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The carpal tunnel syndrome is presently the most frequent neuropathy. The signs used for its diagnosis vary greatly in sensitivity and specificity. Our objective was to determine the sensitivity and specificity of our common clinical signs in the clinical practice and their possible combinations.</p> <span class="elsevierStyleSectionTitle">Material and method</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We assessed the patients referred due to suspicion of carpal tunnel syndrome (CTS) over four months. The diagnosis was confirmed by an electromyographic and electroneurographic study. We evaluated 53 patients, 27 of whom presented the carpal tunnel syndrome.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The signs studied were: tinel, inverse Phalen, digital median nerve compression and Johnson sign of square wrist.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">We studied sensitivity, specificity and prediction values of each sign and their associations.</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">The significant statistical data were: inverse Phalen, finger pressure, tinel + inverse Phalen, inverse Phalen + finger pressure, Phalen + Johnson index, finger pressure + Johnson index, tinel + inverse Phalen + finger pressure, inverse Phalen + finger pressure + Johnson index.</p> <span class="elsevierStyleSectionTitle">Discussion</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">The association of negativity in the four signs analyzed offered the best likelihood of not presenting carpal intrapment. The rest of the signs or combinations did not present strong statistical significance.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:21 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Síndrome del túnel car-piano. Correlación clínica y neurofisiológica: revisión de 100 casos" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C. Amo" 1 => "S. Fernández-Gil" 2 => "S. Pérez-Fernández" 3 => "P. Amo-Merino" 4 => "I. Amo-Usanos" 5 => "C. Franco" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Neurol" "fecha" => "1998" "volumen" => "27" "paginaInicial" => "490" "paginaFinal" => "493" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9774825" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Radial tunnel syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Verhaar" 1 => "F. Spaans" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Bone Joint Surg" "fecha" => "1991" "volumen" => "73-A" "paginaInicial" => "539" "paginaFinal" => "543" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Valor diagnóstico de los síntomas y de la exploración clínica en el síndrome del túnel carpiano" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L. Murga Oporto" 1 => "A. Alcalde Pérez" 2 => "R. Fernández-Crehuet Navajas" 3 => "Guerra Puerta" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rehabilitación (Madr)" "fecha" => "1997" "volumen" => "31" "paginaInicial" => "23" "paginaFinal" => "27" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sensivity and specificity of carpal tunnel syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "K.A. Kuhlman" 1 => "W. Hennessey" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Phys Med Rehabil" "fecha" => "1997" "volumen" => "76" "paginaInicial" => "451" "paginaFinal" => "457" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9431262" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reverse Phalen’s maneuver as an aid in diagnosing carpal tunnel syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.A. Werner" 1 => "C. Bir" 2 => "T.J. Amstrong" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Phys Med Rehabil" "fecha" => "1994" "volumen" => "75" "paginaInicial" => "783" "paginaFinal" => "785" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8024425" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A new diagnostic test for carpal tunnel syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Durkan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Bone Joint Surg Am" "fecha" => "1991" "volumen" => "73" "paginaInicial" => "535" "paginaFinal" => "538" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1796937" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Subjetive swelling" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "D.T. Burke" 1 => "M.A.M. Burke" 2 => "R. Bell" 3 => "G.W. Stewart" 4 => "R.S. Mehdi" 5 => "H.J. Kim" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Phys Med Rehabil" "fecha" => "1999" "volumen" => "78" "paginaInicial" => "504" "paginaFinal" => "508" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10574164" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Verification of the pressure provocative test in carpal tunnel syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "T.M. Williams" 1 => "S.E. Mackinnon" 2 => "C.B. Novak" 3 => "S. McCabe" 4 => "L. Kelly" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Plast Surg" "fecha" => "1992" "volumen" => "29" "paginaInicial" => "8" "paginaFinal" => "11" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1497301" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hand elevation: A new test for carpal tunnel syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "D.S. Ahn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Plast Surg" "fecha" => "2001" "volumen" => "46" "paginaInicial" => "120" "paginaFinal" => "124" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11216604" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The serial use of two provocative test in the clinical diagnosis of carpal tunnel syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E. Fertl" 1 => "C. Wober" 2 => "J. Zeitlhofer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Acta Neurol Scand" "fecha" => "1998" "volumen" => "98" "paginaInicial" => "328" "paginaFinal" => "332" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9858103" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The value of diagnostic testing in carpal tunnel syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R.M. Szabo" 1 => "R.R. Slater" 2 => "T.B. Faver" 3 => "D.B. Stanton" 4 => "W.K. Sharman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Hand Surg [Am]" "fecha" => "1999" "volumen" => "24" "paginaInicial" => "704" "paginaFinal" => "714" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Value of the carpal compression test in the diagnosis of carpal tunnel syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. González del Pino" 1 => "A.D. Delgado-Martínez" 2 => "I. González González" 3 => "A. Lovic" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Hand Surg [Br]" "fecha" => "1997" "volumen" => "22" "paginaInicial" => "38" "paginaFinal" => "41" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Flexor muscle incursion into the carpal tunnel: A mechanism for increased carpal tunnel pressure?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P.J. Keir" 1 => "J.M. Bach" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Clin Biomech" "fecha" => "2000" "volumen" => "15" "paginaInicial" => "301" "paginaFinal" => "305" ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intracarpal canal pressures: the role of finger, hand, wrist and forearm position" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Werner" 1 => "T.J. Armstrong" 2 => "C. Bir" 3 => "M.K. Aylard" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Clin Biomech" "fecha" => "1997" "volumen" => "12" "paginaInicial" => "44" "paginaFinal" => "51" ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Conduction block in carpal tunnel syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.C. Kiernan" 1 => "I. Mogyoros" 2 => "D. Burke" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Brain" "fecha" => "1999" "volumen" => "122" "paginaInicial" => "933" "paginaFinal" => "941" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10355677" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The usefulness of the Phalen test and the Hoffmann-Tinel sign in the diagnosis of carpal tunnel syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Bruske" 1 => "M. Bednarski" 2 => "H. Grzelec" 3 => "A. Zyluk" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Acta Orthop Belg" "fecha" => "2002" "volumen" => "68" "paginaInicial" => "141" "paginaFinal" => "145" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12050999" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sobre los signos de Tinel y Phalen" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Martínez-Albaladejo" 1 => "M. Nombela-Gómez" 2 => "D. Pérez-Flores" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "An Med Intern" "fecha" => "1995" "volumen" => "12" "paginaInicial" => "31" "paginaFinal" => "35" ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tinel’s sign and Phalen’s test in carpal tunnel syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S.H. Kuschner" 1 => "E. Ebramzadeh" 2 => "D. Johnson" 3 => "W.W. Brien" 4 => "R. Sherman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Orthopedics" "fecha" => "1992" "volumen" => "15" "paginaInicial" => "1297" "paginaFinal" => "1302" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1461811" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A new provocative test for carpal tunnel syndrome. Assessment of wrist flexion and nerve compression" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.M. Tetro" 1 => "B.A. Evanoff" 2 => "S.B. Hollstien" 3 => "R.H. Gelberman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Bone Joint Surg (Br)" "fecha" => "1998" "volumen" => "80" "paginaInicial" => "493" "paginaFinal" => "498" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Provocative test in different stages of carpal tunnel syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Mondelli" 1 => "S. Passero" 2 => "F. Gianninni" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Neurol Neurosurg" "fecha" => "2001" "volumen" => "103" "paginaInicial" => "178" "paginaFinal" => "183" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11532560" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib21" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Community-based referals for electrodiagnostic studies in patients with possible carpal tunnel syndrome: what is the diagnosis?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.K. Lo" 1 => "H.M. Finestrone" 2 => "K. Gilbert" 3 => "M.G. Woodbury" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Phys Med Rehabil" "fecha" => "2002" "volumen" => "83" "paginaInicial" => "598" "paginaFinal" => "603" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11994797" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00487120/0000003700000005/v1_201307311324/S0048712003733830/v1_201307311324/es/main.assets" "Apartado" => array:4 [ "identificador" => "17273" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00487120/0000003700000005/v1_201307311324/S0048712003733830/v1_201307311324/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0048712003733830?idApp=UINPBA00004N" ]