Carpal Tunnel Syndrome: Anatomo-Clinical Review. Update of Diagnosis and Treatment

Article Sidebar

PDF
Published: Jun 10, 2022
DOI: https://doi.org/10.47191/ijmscrs/v2-i6-08
Keywords:
Diagnosis, Treatment, Traumatology, Orthopedics, Syndrome and Carpal Tunnel.

Main Article Content

Pérez-Limón, Susana Gabriela
Department of Traumatology and Orthopedics, Faculty of Medicine, Autonomous University of Guadalajara. Guadalajara, Jalisco, Mexico
Jiménez-Gálvez, Mónica Paulina
Department of Traumatology and Orthopedics, Faculty of Medicine, Autonomous University of Guadalajara. Guadalajara, Jalisco, Mexico
Torres-Espinoza, José Carlos
Department of Traumatology and Orthopedics, Faculty of Medicine, Autonomous University of Guadalajara. Guadalajara, Jalisco, Mexico
Beltrán-Castro, Rubén
Department of Traumatology and Orthopedics, Faculty of Medicine, Autonomous University of Guadalajara. Guadalajara, Jalisco, Mexico
González-Muñoz, Samantha Emily
Department of Traumatology and Orthopedics, Faculty of Medicine, Autonomous University of Guadalajara. Guadalajara, Jalisco, Mexico
Zepeda-Torres, José María
Department of Traumatology and Orthopedics, Faculty of Medicine, Autonomous University of Guadalajara. Guadalajara, Jalisco, Mexico

Abstract

Objective: carry out an anatomical-clinical review of updates on the diagnosis and treatment of SCT, comparing them and evaluating their advantages and disadvantages.


Methods: a bibliographic review of original articles in English extracted from different databases such as PubMed and Google Scholar was carried out. Books from the Access Medicine platform: Orthopedics, Diagnosis and Treatment, and a Medical Refresher Course were also used.


Results: the surgical treatment is superior and the one of choice for the SCT, since it improves the quality of life of the patient.


Conclusion: there are methods for the diagnosis of SCT such as electromyography or ultrasound, which provide valuable information. Although pharmacological or conservative treatment is considered a first-line therapy, it is important that it be individualized.

Article Details

How to Cite
Pérez-Limón, Susana Gabriela, Jiménez-Gálvez, Mónica Paulina, Torres-Espinoza, José Carlos, Beltrán-Castro, Rubén, González-Muñoz, Samantha Emily, & Zepeda-Torres, José María. (2022). Carpal Tunnel Syndrome: Anatomo-Clinical Review. Update of Diagnosis and Treatment. International Journal of Medical Science and Clinical Research Studies, 2(6), 486–491. https://doi.org/10.47191/ijmscrs/v2-i6-08
Issue
Vol. 2 No. 6 (2022): Volume 02 Issue 06 June 2022
Section
Articles
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

References

I. Osiak, K., Mazurek, A., Pękala, P., Koziej, M., Walocha, J. A., & Pasternak, A. (2021). Electrodiagnostic Studies in the Surgical Treatment of Carpal Tunnel Syndrome—A Systematic Review. Journal of clinical medicine, 10(12), 2691.

II. De Kleermaeker, F. G., Meulstee, J., Claes, F., Kasius, K. M., & Verhagen, W. I. (2017). Treatment outcome in patients with clinically defined carpal tunnel syndrome but normal electrodiagnostic test results: a randomized controlled trial. Journal of neurology, 264(12), 2394-2400.

III. Senna, M. K., Shaat, R. M., & Ali, A. A. A. (2019). Platelet-rich plasma in treatment of patients with idiopathic carpal tunnel syndrome. Clinical Rheumatology, 38(12), 3643-3654.

IV. Luke A, & Ma C (2021). Lesiones musculoesqueléticas de las extremidades superiores. Papadakis M.A., & McPhee S.J., & Rabow M.W.(Eds.), Diagnóstico clínico y tratamiento 2021. McGraw Hill.

V. Bednar M.S., & Light T.R., & Bindra R (2014). Cirugía de mano. Skinner H.B., & McMahon P.J.(Eds.), Diagnóstico y tratamiento en Ortopedia, 5e. McGraw Hill.

VI. Demino, C., & Fowler, J. R. (2021). The sensitivity and specificity of nerve conduction studies for diagnosis of carpal tunnel syndrome: a systematic review. Hand, 16(2), 174-178.

VII. Wu, Y. T., Ke, M. J., Ho, T. Y., Li, T. Y., Shen, Y. P., & Chen, L. C. (2018). Randomized double‐blinded clinical trial of 5% dextrose versus triamcinolone injection for carpal tunnel syndrome patients. Annals of neurology, 84(4), 601-610.

VIII. Traumatología y Ortopedia. Ramos Herrera I, & Martínez Ceccopieri D, & Chávez A, & Centeno Flores M, & Valls R(Eds.), (2016). CAM Curso de actualización médica. McGraw Hill.

IX. Aghda, A. K., Asheghan, M., & Amanollahi, A. (2020). Comparisons of electrophysiological and clinical findings between young and elderly patients with Carpal Tunnel Syndrome. Revue Neurologique, 176(5), 387-392.

X. Chesterton, L. S., Blagojevic-Bucknall, M., Burton, C., Dziedzic, K. S., Davenport, G., Jowett, S. M., ... & Roddy, E. (2018). The clinical and cost-effectiveness of corticosteroid injection versus night splints for carpal tunnel syndrome (INSTINCTS trial): an open-label, parallel group, randomised controlled trial. The Lancet, 392(10156), 1423-1433.

XI. Albalawi, S. S. A., Aziz Alrahman, R. W., Althagafi, A. M., Alrahili, A. S., Alqahtani, S. S., Almutairi, S. M., ... & Sabah, A. M. (2018). Evaluation of Carpal Tunnel Diagnosis, Management, and Outcome in Primary Health Care Center. The Egyptian Journal of Hospital Medicine, 73(3), 6230-6237.

XII. Perţea, M., Ursu, S., Veliceasa, B., Grosu, O. M., Velenciuc, N., & Luncă, S. (2020). Value of ultrasonography in the diagnosis of carpal tunnel syndrome—a new ultrasonographic index in carpal tunnel syndrome diagnosis: A clinical study. Medicine, 99(29).

XIII. Urits, I., Gress, K., Charipova, K., Orhurhu, V., Kaye, A. D., & Viswanath, O. (2019). Recent advances in the understanding and management of carpal tunnel syndrome: a comprehensive review. Current pain and headache reports, 23(10), 1-8.

XIV. Lee, K. M., & Kim, H. J. (2016). Relationship between electrodiagnosis and various ultrasonographic findings for diagnosis of carpal tunnel syndrome. Annals of Rehabilitation Medicine, 40(6), 1040.

XV. Teng, X., Xu, J., Yuan, H., He, X., & Chen, H. (2019). Comparison of wrist arthroscopy, small incision surgery, and conventional surgery for the treatment of carpal tunnel syndrome: a retrospective study at a single center. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 25, 4122.