Diagnóstico clínico del síndrome del túnel Carpiano
Clinical diagnosis of the carpal tunnel syndrome
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"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. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 0 | 91 | 91 |
| 2024 Septiembre | 0 | 150 | 150 |
| 2024 Agosto | 0 | 125 | 125 |
| 2024 Julio | 0 | 125 | 125 |
| 2024 Junio | 0 | 171 | 171 |
| 2024 Mayo | 0 | 216 | 216 |
| 2024 Abril | 0 | 270 | 270 |
| 2024 Marzo | 1 | 224 | 225 |
| 2024 Febrero | 0 | 226 | 226 |
| 2024 Enero | 0 | 219 | 219 |
| 2023 Diciembre | 0 | 200 | 200 |
| 2023 Noviembre | 0 | 306 | 306 |
| 2023 Octubre | 0 | 428 | 428 |
| 2023 Septiembre | 0 | 235 | 235 |
| 2023 Agosto | 0 | 193 | 193 |
| 2023 Julio | 0 | 278 | 278 |
| 2023 Junio | 0 | 245 | 245 |
| 2023 Mayo | 0 | 351 | 351 |
| 2023 Abril | 0 | 265 | 265 |
| 2023 Marzo | 2 | 225 | 227 |
| 2023 Febrero | 0 | 191 | 191 |
| 2023 Enero | 0 | 133 | 133 |
| 2022 Diciembre | 0 | 125 | 125 |
| 2022 Noviembre | 0 | 190 | 190 |
| 2022 Octubre | 0 | 168 | 168 |
| 2022 Septiembre | 0 | 171 | 171 |
| 2022 Agosto | 0 | 162 | 162 |
| 2022 Julio | 0 | 164 | 164 |
| 2022 Junio | 0 | 155 | 155 |
| 2022 Mayo | 0 | 266 | 266 |
| 2022 Abril | 0 | 201 | 201 |
| 2022 Marzo | 0 | 279 | 279 |
| 2022 Febrero | 0 | 256 | 256 |
| 2022 Enero | 1 | 329 | 330 |
| 2021 Diciembre | 0 | 221 | 221 |
| 2021 Noviembre | 0 | 313 | 313 |
| 2021 Octubre | 0 | 354 | 354 |
| 2021 Septiembre | 0 | 321 | 321 |
| 2021 Agosto | 0 | 310 | 310 |
| 2021 Julio | 0 | 243 | 243 |
| 2021 Junio | 0 | 234 | 234 |
| 2021 Mayo | 0 | 346 | 346 |
| 2021 Abril | 0 | 683 | 683 |
| 2021 Marzo | 1 | 498 | 499 |
| 2021 Febrero | 0 | 346 | 346 |
| 2021 Enero | 0 | 285 | 285 |
| 2020 Diciembre | 0 | 338 | 338 |
| 2020 Noviembre | 0 | 438 | 438 |
| 2020 Octubre | 0 | 287 | 287 |
| 2020 Septiembre | 0 | 312 | 312 |
| 2020 Agosto | 0 | 241 | 241 |
| 2020 Julio | 0 | 217 | 217 |
| 2020 Junio | 0 | 211 | 211 |
| 2020 Mayo | 0 | 174 | 174 |
| 2020 Abril | 0 | 193 | 193 |
| 2020 Marzo | 0 | 140 | 140 |
| 2020 Febrero | 0 | 94 | 94 |
| 2020 Enero | 0 | 79 | 79 |
| 2019 Diciembre | 1 | 72 | 73 |
| 2019 Noviembre | 0 | 107 | 107 |
| 2019 Octubre | 0 | 82 | 82 |
| 2019 Septiembre | 0 | 103 | 103 |
| 2019 Agosto | 3 | 52 | 55 |
| 2019 Julio | 0 | 80 | 80 |
| 2019 Junio | 0 | 64 | 64 |
| 2019 Mayo | 0 | 105 | 105 |
| 2019 Abril | 3 | 48 | 51 |
| 2019 Marzo | 0 | 20 | 20 |
| 2019 Febrero | 1 | 16 | 17 |
| 2019 Enero | 0 | 5 | 5 |
| 2018 Diciembre | 0 | 9 | 9 |
| 2018 Noviembre | 0 | 6 | 6 |
| 2018 Octubre | 0 | 9 | 9 |
| 2018 Mayo | 1 | 0 | 1 |
| 2018 Marzo | 0 | 5 | 5 |
| 2018 Febrero | 16 | 32 | 48 |
| 2018 Enero | 26 | 39 | 65 |
| 2017 Diciembre | 18 | 29 | 47 |
| 2017 Noviembre | 62 | 72 | 134 |
| 2017 Octubre | 42 | 51 | 93 |
| 2017 Septiembre | 40 | 44 | 84 |
| 2017 Agosto | 37 | 40 | 77 |
| 2017 Julio | 44 | 39 | 83 |
| 2017 Junio | 43 | 58 | 101 |
| 2017 Mayo | 64 | 45 | 109 |
| 2017 Abril | 47 | 45 | 92 |
| 2017 Marzo | 67 | 67 | 134 |
| 2017 Febrero | 81 | 61 | 142 |
| 2017 Enero | 55 | 43 | 98 |
| 2016 Diciembre | 130 | 32 | 162 |
| 2016 Noviembre | 195 | 49 | 244 |
| 2016 Octubre | 149 | 49 | 198 |
| 2016 Septiembre | 93 | 60 | 153 |
| 2016 Agosto | 63 | 51 | 114 |
| 2016 Julio | 133 | 7 | 140 |
| 2016 Junio | 226 | 30 | 256 |
| 2016 Mayo | 304 | 52 | 356 |
| 2016 Abril | 300 | 47 | 347 |
| 2016 Marzo | 254 | 34 | 288 |
| 2016 Febrero | 155 | 33 | 188 |
| 2016 Enero | 197 | 39 | 236 |
| 2015 Diciembre | 195 | 22 | 217 |
| 2015 Noviembre | 292 | 25 | 317 |
| 2015 Octubre | 382 | 24 | 406 |
| 2015 Septiembre | 300 | 24 | 324 |
| 2015 Agosto | 249 | 11 | 260 |
| 2015 Julio | 264 | 6 | 270 |
| 2015 Junio | 243 | 12 | 255 |
| 2015 Mayo | 287 | 22 | 309 |
| 2015 Abril | 193 | 23 | 216 |
| 2015 Marzo | 153 | 10 | 163 |
| 2015 Febrero | 79 | 8 | 87 |
| 2015 Enero | 80 | 2 | 82 |
| 2014 Diciembre | 115 | 8 | 123 |
| 2014 Noviembre | 132 | 4 | 136 |
| 2014 Octubre | 122 | 1 | 123 |
| 2014 Septiembre | 108 | 4 | 112 |
| 2014 Agosto | 84 | 1 | 85 |
| 2014 Julio | 86 | 2 | 88 |
| 2014 Junio | 73 | 3 | 76 |
| 2014 Mayo | 51 | 3 | 54 |
| 2014 Abril | 57 | 1 | 58 |
| 2014 Marzo | 45 | 1 | 46 |
| 2014 Febrero | 45 | 3 | 48 |
| 2014 Enero | 35 | 3 | 38 |
| 2013 Diciembre | 41 | 5 | 46 |
| 2013 Noviembre | 51 | 19 | 70 |
| 2013 Octubre | 47 | 12 | 59 |
| 2013 Septiembre | 27 | 8 | 35 |
| 2013 Agosto | 32 | 11 | 43 |
| 2013 Julio | 17 | 1 | 18 |
| 2003 Agosto | 1558 | 0 | 1558 |
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