Manejo endoscópico del síndrome de túnel del carpo, una experiencia de 5 años
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Universidad Industrial de Santander
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Introducción: El síndrome de túnel del carpo afecta el 1% de la población, siendo la neuropatía por compresión más frecuente, la liberación endoscópica es una técnica que presenta buenos resultados, aunque no está exenta de complicaciones. Objetivo: El objetivo del estudio es determinar la prevalencia de complicaciones asociadas en una experiencia de 5 años. Metodología: Estudio de corte transversal en pacientes con diagnóstico del túnel del carpo sometidos a liberación endoscópica en un periodo de 5 años, donde se documentó todas las complicaciones neurológicas, vasculares e infección. Resultados: Se incluyeron 175 manos en 139 pacientes con un promedio de edad de 52 años de edad; el 89.2% de los casos se presentaron en mujeres. Las comorbilidades encontradas fueron: hipertensión arterial 31.6%, hipotiroidismo 29.5%, diabetes 5%, y consumo de cigarrillo 11%. La prevalencia de complicaciones fue del 5.7% (10 casos), de las cuales la lesión neurológica fue del 0.6% clasificada como neuropraxia del nervio cubital, 1.7% presentaron hematomas que resolvieron sin cirugía y 3.4% presentaron infección que resolvieron con manejo antibiótico y curaciones. Todas las complicaciones presentaron una recuperación satisfactoria. El 99% de los pacientes presentaron resolución de los síntomas. Conclusiónes: La técnica de liberación endoscópica del túnel del carpo es una técnica segura, en donde se encontró un porcentaje bajo de complicaciones siendo comparables a otras series.
Introduction: The carpal tunnel syndrome affects 1% of the population, remain the most common compression neuropathy, endoscopic release is a technique that gives good results, although not without complications. The aim of the study is to determine the prevalence of complications in an experience of 5 years. Methodology: Cross-sectional study in patients diagnosed with carpal tunnel undergoing endoscopic release over a period of 5 years, where all neurological, vascular complications and infection was documented. Results: We included 175 hands in 139 patients with an average age of 52 years; 89.2% of cases occurred in women. Comorbidities found: hypertension 31.6%, 29.5% hypothyroidism, diabetes 5% and 11% cigarette consumption. The prevalence of complications was 5.7% (10 cases), of which the neurologic injury was 0.6% classified as neuropraxia of the ulnar nerve, 1.7% had hematoma that resolved without surgery and 3.4% had infection threated with oral antibiotics. All complications had a satisfactory recovery. 99% of patients experienced resolution of symptoms. Conclusions: The technique of endoscopic carpal tunnel release is a safe technique, low complication rate was found and is comparable to other series.
Introduction: The carpal tunnel syndrome affects 1% of the population, remain the most common compression neuropathy, endoscopic release is a technique that gives good results, although not without complications. The aim of the study is to determine the prevalence of complications in an experience of 5 years. Methodology: Cross-sectional study in patients diagnosed with carpal tunnel undergoing endoscopic release over a period of 5 years, where all neurological, vascular complications and infection was documented. Results: We included 175 hands in 139 patients with an average age of 52 years; 89.2% of cases occurred in women. Comorbidities found: hypertension 31.6%, 29.5% hypothyroidism, diabetes 5% and 11% cigarette consumption. The prevalence of complications was 5.7% (10 cases), of which the neurologic injury was 0.6% classified as neuropraxia of the ulnar nerve, 1.7% had hematoma that resolved without surgery and 3.4% had infection threated with oral antibiotics. All complications had a satisfactory recovery. 99% of patients experienced resolution of symptoms. Conclusions: The technique of endoscopic carpal tunnel release is a safe technique, low complication rate was found and is comparable to other series.
Keywords
Endoscopy, carpal tunnel syndrome, complications, Endoscopía, Síndrome de túnel carpiano, complicaciones