{"id":16269,"date":"2002-02-04T00:00:00","date_gmt":"2002-02-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/neuronas-de-amputacion-traumatica-de-los-dedos-de-la-mano-estudio-de-los-factores-anatomicos-topograficos-y-lesional\/"},"modified":"2002-02-04T00:00:00","modified_gmt":"2002-02-04T00:00:00","slug":"neuronas-de-amputacion-traumatica-de-los-dedos-de-la-mano-estudio-de-los-factores-anatomicos-topograficos-y-lesional","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/neuronas-de-amputacion-traumatica-de-los-dedos-de-la-mano-estudio-de-los-factores-anatomicos-topograficos-y-lesional\/","title":{"rendered":"Neuronas de amputaci\u00f3n traum\u00e1tica de los dedos de la mano: estudio de los factores anat\u00f3micos, topogr\u00e1ficos y lesional"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Lara Montenegro Jos\u00e9 Salvador <\/strong><\/h2>\n<p>Un tercio de los accidentes laborales afectan a las manos. Un 10% de los mu\u00f1ones de amputaci\u00f3n de los dedos pueden presentar un neurona a pesar de un tratamiento correcto. \u00c2\u00bfEn qu\u00e9 medida la anatom\u00eda del nervio coletaral palmar de los dedos, mecanismo lesional y topograf\u00eda de la lesi\u00f3n influyen en el tama\u00f1o del bulbo formado en el nervio seccionado?.  se han utilizado 21 manos de cad\u00e1veres formulados, se disec\u00f3 los nervios colaterales palmares propios de los dedos y se anot\u00f3 las variaciones anat\u00f3micas de las aferencias cut\u00e1neas volares. Se realiz\u00f3 un estudio epidemiol\u00f3gico descriptivo de las amputaciones traum\u00e1ticas de los dedos atendias en el \u00e1rea de urgencias del hospital cl\u00ednico de m\u00e1laga durante un periodo de diez a\u00f1os. En funci\u00f3n de los resultados se desarroll\u00f3 dos modelos experimentales en ratas albinas adultas cepa wistar donde se estudiaron los factores anat\u00f3mico, lesional y tama\u00f1o en los nervios tibial y peroneal.  en una serie de 213 pacientes la incidencia de aparici\u00f3n del neroma fue del 12% y el dedo m\u00e1s amputado fue el \u00edndice. El neuroma no se forma en las amputaciones localizadas a nivel de la u\u00f1a (p&lt;0,039), aumentanto su incidencia a medida que la amputaci\u00f3n se aproxima a la base del dedo, salvo para el pulgar donde la base de la falange distal tiene m\u00e1s probabilidad de formar un neuroma por la peculiaridad de su divisi\u00f3n en cuatro grandes troncos. Por otro lado, el dedo coraz\u00f3n tiene m\u00e1s probabilidad de formar un neuroma de amputaci\u00f3n al tener el nervio colateral palmar mayor di\u00e1metro y longitud. La frecuencia de aparici\u00f3n de un neuroma fue mayor para las amputaciones que sufrieron un traumatismo inciso o inciso-contuso frente a las amputacion es por aplastamiento.  se ha encontrado, para el dedo pulgar, un patr\u00f3n anat\u00f3mico constante en todas nuestras disecciones, mientras que para el resto de los dedos a nivel de la falange proximal y medial encontramos tres patrones anat\u00f3micos d<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Neuronas de amputaci\u00f3n traum\u00e1tica de los dedos de la mano: estudio de los factores anat\u00f3micos, topogr\u00e1ficos y lesional<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Neuronas de amputaci\u00f3n traum\u00e1tica de los dedos de la mano: estudio de los factores anat\u00f3micos, topogr\u00e1ficos y lesional <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Lara Montenegro Jos\u00e9 Salvador <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 02\/04\/2002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li> Smith Fern\u00e1ndez Victor Manuel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pablo Smith s\u00e1nchez <\/li>\n<li>elvira Ferres torres (vocal)<\/li>\n<li>Santiago Rodr\u00edguez Garc\u00eda (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Lara Montenegro Jos\u00e9 Salvador Un tercio de los accidentes laborales afectan a las manos. Un 10% de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[867,23169,1569,212,35,9,141,4233,7834],"tags":[7915,51491,51493,7914,51492],"class_list":["post-16269","post","type-post","status-publish","format-standard","hentry","category-anatomia-humana","category-anatomia-topografica","category-anestesiologia-quirurgica","category-biologia-humana","category-ciencias-de-la-vida","category-ciencias-medicas","category-cirugia","category-cirugia-ortopedica","category-malaga","tag-elvira-ferres-torres","tag-lara-montenegro-jose-salvador","tag-pablo-smith-sanchez","tag-santiago-rodriguez-garcia","tag-smith-fernandez-victor-manuel"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/16269","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=16269"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/16269\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=16269"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=16269"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=16269"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}