{"id":19492,"date":"2018-03-09T09:08:29","date_gmt":"2018-03-09T09:08:29","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-presion-en-el-canalis-carpi-en-pacientes-con-sindrome-del-tunel-del-carpo\/"},"modified":"2018-03-09T09:08:29","modified_gmt":"2018-03-09T09:08:29","slug":"la-presion-en-el-canalis-carpi-en-pacientes-con-sindrome-del-tunel-del-carpo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/miguel-hernandez-de-elche\/la-presion-en-el-canalis-carpi-en-pacientes-con-sindrome-del-tunel-del-carpo\/","title":{"rendered":"La presi\u00f3n en el canalis carpi en pacientes con sindrome del tunel del carpo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Javier Sanz Reig <\/strong><\/h2>\n<p>El s\u00edndrome del t\u00fanel carpiano es una de las patolog\u00edas quir\u00fargicas m\u00e1s frecuentes de la mano con un incremento real de su incidencia en poblaciones m\u00e1s j\u00f3venes en los \u00faltimos a\u00f1os. La presi\u00f3n en el t\u00fanel del carpo ha sido foco de inter\u00e9s con el fin de incrementar los conocimientos y los fundamentos fisiopatol\u00f3gicos que acontecen en el s\u00edndrome del t\u00fanel carpiano. El objetivo de la presente tesis doctoral fue valorar la presi\u00f3n en el interior del t\u00fanel carpiano en pacientes son stc pre y postcirug\u00eda.  se realiz\u00f3 el estudio de las presiones del t\u00fanel del carpo en 103 pacientes mujeres con s\u00edndrome del t\u00fanel carpiano idiop\u00e1tico y 25 controles con el monitor quick pressure monitor system-s.T.I.C en las posiciones neutra, flexi\u00f3n dorsal y palmar pasiva m\u00e1xima de mu\u00f1eca.  preoperatoriamente, los valores de presi\u00f3n fueron mayores en el grupo estudio siendo las diferencias con el grupo control significativas. Asimismo, en ambos grupos, la presi\u00f3n era mayor en flexi\u00f3n dorsal pasiva m\u00e1xima de mu\u00f1ecas y las diferencias respecto a la presi\u00f3n en flexi\u00f3n palmar pasiva m\u00e1xima y en posici\u00f3n neutra tambi\u00e9n eran significativas. En el grupo estudio, la presi\u00f3n en posici\u00f3n neutra o de reposo present\u00f3 una relaci\u00f3n significativa con la p\u00e9rdida objetiva de fuerza, con el nivel de actividad manual, con la tensi\u00f3n arterial diast\u00f3lica y con la gravedad de la lesi\u00f3n nerviosa el estudio electrodiagn\u00f3stico.  la secci\u00f3n quir\u00fargica del ligamento anular del carpo con incisi\u00f3n cut\u00e1nea m\u00ednima result\u00f3 un m\u00e9todo eficaz para reducir de manera inmediata la presi\u00f3n intratunelar. Posteriormente, hacia el segundo mes, se eleva dicha presi\u00f3n, posiblemente debido a la cicatrizaci\u00f3n que vuelve a cerrar parcialmente el t\u00fanel, pero sin alcanzar los valores previos a la cirug\u00eda, y dicho valor se manten\u00eda al sexto mes.  mediante estudio ecogr\u00e1fico, se comprob\u00f3 que la disminuci\u00f3n de la presi\u00f3n intratunelar se acompa\u00f1aba<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La presi\u00f3n en el canalis carpi en pacientes con sindrome del tunel del carpo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La presi\u00f3n en el canalis carpi en pacientes con sindrome del tunel del carpo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Javier Sanz Reig <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/10\/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>Francisco Jos\u00e9 S\u00e1nchez Del Campo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alfonso Puchades orts <\/li>\n<li>Francisco Mart\u00ednez soriano (vocal)<\/li>\n<li>Fernando Lopez prats (vocal)<\/li>\n<li>Manuel Herrera lara (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Javier Sanz Reig El s\u00edndrome del t\u00fanel carpiano es una de las patolog\u00edas quir\u00fargicas m\u00e1s frecuentes 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 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