Utilidad de la ecografía de alta resolución en el diagnóstico del túnel del carpo

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dc.contributor.advisorLubinus Badillo, Federico Guillermo
dc.contributor.advisorMantilla Suárez, Juan Carlos
dc.contributor.advisorMonroy, Helman
dc.contributor.advisorRey Serrano, Juan José
dc.contributor.advisorVarón, Guillermo
dc.contributor.authorQuintero Cure, Johanna Marcela
dc.contributor.cvlacLubinus Badillo, Federico [0001475552]spa
dc.contributor.cvlacRey Serrano, Juan José [0000265306]spa
dc.contributor.cvlacMantilla Suárez, Juan Carlos [0001482827]spa
dc.contributor.googlescholarRey Serrano, Juan José [es&oi=ao]spa
dc.contributor.orcidLubinus Badillo, Federico Guillermo [0000-0003-1741-7016]spa
dc.contributor.orcidRey Serrano, Juan José [0000-0002-6946-2444]spa
dc.contributor.scopusRey Serrano, Juan José [54793298100]spa
dc.coverage.campusUNAB Campus Bucaramangaspa
dc.coverage.spatialBucaramanga (Santander, Colombia)spa
dc.coverage.temporal2007spa
dc.date.accessioned2022-10-21T13:56:17Z
dc.date.available2022-10-21T13:56:17Z
dc.date.issued2007
dc.degree.nameEspecialistas en Radiología e Imágenes Diagnósticasspa
dc.description.abstractEl síndrome del túnel del carpo es la neuropatía compresiva periférica más común, teniendo una prevalencia aproximada del 5% en la población general y del 14% en la población trabajadora, y es particularmente más frecuente en mujeres (3). En la Clínica Carlos Ardila Lülle se atienden aproximadamente 5 casos nuevos semanales de esta patología. A pesar de ser una patología frecuente, la evaluación diagnostica del Túnel del carpo es un proceso difícil, actualmente dependiente de la historia clínica, examen físico (prueba de Tinel, Phalen y Durkan), electromiografía y la respuesta al tratamiento conservador. La Electromiografía es un factor determinante en la decisión entre un tratamiento conservador y quirúrgico. Consiste en la inserción de electrodos en los músculos a lo largo de la inervación del Nervio mediano y utilización de pequeños voltajes a través de estos, siendo bastante molesto para el paciente, además de ser costoso y con una tasa de falsos negativos entre 10-20%(4).spa
dc.description.abstractenglishCarpal tunnel syndrome is the most common peripheral compressive neuropathy, with an approximate prevalence of 5% in the general population and 14% in the working population, and is particularly more frequent in women (3). At the Carlos Ardila Lülle Clinic, approximately 5 new cases of this pathology are treated weekly. Despite being a frequent pathology, the diagnostic evaluation of carpal tunnel is a difficult process, currently dependent on clinical history, physical examination (Tinel, Phalen and Durkan test), electromyography and response to conservative treatment. Electromyography is a determining factor in the decision between conservative and surgical treatment. It consists of the insertion of electrodes in the muscles along the innervation of the Median Nerve and the use of small voltages through them, being quite annoying for the patient, besides being expensive and with a false negative rate between 10-20 %(4).spa
dc.description.degreelevelEspecializaciónspa
dc.description.learningmodalityModalidad Presencialspa
dc.description.tableofcontentsINTRODUCCION 11 1. OBJETIVOS 13 2. MARCO TEORICO 14 2.1 ANATOMIA 16 2.2 ETIOLOGIA DEL SINDROME DEL TUNEL DEL CARPO 19 2.3 HALLAZGOS CLINICOS 20 2.3.1 Sintomatología 20 2.3.2 Examen Físico 21 2.4 EXAMENES PARACLINICOS 24 2.4.2 Imágenes Diagnosticas 25 3. METODOLOGIA 37 3.1 TIPO DE ESTUDIO 37 3.2 POBLACION 37 3.2.1 Criterios de Inclusión 37 3.2.2 Criterios de Exclusión 38 3.3 TECNICA DE RECOPILACION DE DATOS 38 3.3.1 Electromiografía 39 3.3.2 Técnica Ecográfica 39 3.4 ANALISIS ESTADISTICO 41 4. RESULTADOS 43 4.1 DISTRIBUCION DE LA POBLACION 43 4.2 HALLAZGOS CLINICOS EN ÉL DIAGNOSTICO DEL TUNEL DEL CARPO 44 4.3 HALLAZGOS ECOGRÁFICOS DEL TUNEL DEL CARPO 46 4.3.1 Correlación entre sí de las diferentes medidas Ecográficas 46 4.3.2 Correlación entre las medidas ecográficas y las variables electromiográficas. 47 4.3.3 Diferencias entre los hallazgos ecográficos y los hallazgos del clínico. 49 4.4 ANALISIS DE LAS CURVAS ROC YPUNTOS DE CORTE. 51 4.5 EVALUACION DE LA ECOGRAFIA COMO PRUEBA DIAGNOSTICA PARA EL SINDROME DEL TUNEL DEL CARPO 52 5. DISCUSION 56 CONCLUSIONES 65 RECOMENDACIONES 68 BIBLIOGRAFÍA 72 ANEXOS 78spa
dc.format.mimetypeapplication/pdfspa
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNABspa
dc.identifier.reponamereponame:Repositorio Institucional UNABspa
dc.identifier.repourlrepourl:https://repository.unab.edu.cospa
dc.identifier.urihttp://hdl.handle.net/20.500.12749/18197
dc.language.isospaspa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.publisher.programEspecialización en Radiología e Imágenes Diagnósticasspa
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.rights.localAbierto (Texto Completo)spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.subject.keywordsMedical sciencesspa
dc.subject.keywordsHealth sciencesspa
dc.subject.keywordsRadiologyspa
dc.subject.keywordsDiagnostic imagingspa
dc.subject.keywordsCarpal tunnel syndromespa
dc.subject.keywordsDiagnosisspa
dc.subject.keywordsTreatmentspa
dc.subject.keywordsUltrasonic diagnosisspa
dc.subject.keywordsNerve compression syndromesspa
dc.subject.keywordsElectromyographyspa
dc.subject.lembCiencias médicasspa
dc.subject.lembRadiologíaspa
dc.subject.lembDiagnóstico para imágenesspa
dc.subject.lembDiagnóstico ultrasónicospa
dc.subject.lembSíndromes de comprensión nerviosaspa
dc.subject.lembElectromiografíaspa
dc.subject.proposalCiencias de la saludspa
dc.subject.proposalSíndrome del túnel del carpospa
dc.subject.proposalDiagnósticospa
dc.subject.proposalTratamientospa
dc.titleUtilidad de la ecografía de alta resolución en el diagnóstico del túnel del carpospa
dc.title.translatedUsefulness of high-resolution ultrasound in the diagnosis of carpal tunnelspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesisspa
dc.type.redcolhttp://purl.org/redcol/resource_type/TM

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