Análisis de los parámetros ecográficos descritos en el estudio del síndrome del túnel del carpo.: Una revisión sistemática

• Autores: María de la Paz Murciano Casas, M. Rodríguez-Piñero Durán , J.M. Delgado Mendilivar, José Antonio Expósito Tirado, AS Jiménez-Sármiento
• Localización: Rehabilitación: Revista de la Sociedad Española de Rehabilitación y Medicina Física, ISSN 0048-7120, Vol. 58, Nº. 1, 2024, págs. 61-72
• Idioma: español
• DOI: 10.1016/j.rh.2023.100822
• Títulos paralelos:
  • Analysis of the echographic parameters described in the study of carpal tunnel syndrome: A systematic review
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• Resumen

  • El síndrome del túnel del carpo (STC) es la mononeuropatía por atrapamiento más frecuente; el diagnóstico se establece mediante pruebas electrodiagnósticas con un número sustancial de falsos positivos/negativos. Presentamos la siguiente revisión sistemática, cuyo objetivo es analizar la literatura más reciente en relación con los parámetros ecográficos descritos para estudiar el STC. Seleccionamos estudios que evaluasen parámetros ecográficos en pacientes con sospecha clínica, siguiendo las recomendaciones del manual Cochrane; incluimos revisiones sistemáticas, metaanálisis, estudios caso-control y de pruebas diagnósticas, valorando estudios retrospectivos y revisiones bibliográficas con buena calidad metodológica. La revisión se hizo de artículos publicados entre 2005-2019. Incluimos 8 artículos (2 revisiones sistemáticas/metaanálisis, 2 estudios caso-control, un estudio de pruebas diagnósticas, 2 revisiones literarias y un estudio retrospectivo). Los parámetros analizados fueron el área de sección transversa del nervio mediano, el índice muñeca-antebrazo, el índice entrada-salida, el rango de adelgazamiento del nervio mediano, el abombamiento del retináculo flexor y la vascularización/movilidad. La evidencia actual permite afirmar que la ecografía tiene utilidad en el cribado del STC

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