{"id":66425,"date":"2018-03-09T22:54:43","date_gmt":"2018-03-09T22:54:43","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/contribucion-al-diagnostico-de-la-patologa%c2%ada-del-fibrocarta%c2%adlago-triangular-del-carpo\/"},"modified":"2018-03-09T22:54:43","modified_gmt":"2018-03-09T22:54:43","slug":"contribucion-al-diagnostico-de-la-patologa%c2%ada-del-fibrocarta%c2%adlago-triangular-del-carpo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/traumatologia\/contribucion-al-diagnostico-de-la-patologa%c2%ada-del-fibrocarta%c2%adlago-triangular-del-carpo\/","title":{"rendered":"Contribuci\u00f3n al diagn\u00f3stico de la patolog\u00eda del fibrocart\u00edlago triangular del carpo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Mart\u00ednez Mart\u00ednez <\/strong><\/h2>\n<p>El diagn\u00f3stico de pacientes con dolor del borde cubital del carpo es un desaf\u00edo para el radi\u00f3logo y para el cirujano de mano, con elevada frecuencia est\u00e1 causado por roturas del fibrocartilago triangular. Para la detecci\u00f3n de estas lesiones se utilizan diferentes t\u00e9cnicas de imagen sin existir en la actualidad un protocolo diagn\u00f3stico definido, la artroscopia, t\u00e9cnica invasiva de visi\u00f3n directa, sigue siendo en la actualidad la referencia estandar para el diagn\u00f3stico definitivo. Consideramos que para valorar esta patolog\u00eda es esencial establecer un protocolo diagn\u00f3stico mediante t\u00e9cnicas de imagen para permitir decidir la actitud terape\u00fatica a seguir sin precisar de la artroscopia. Objetivos. 1.Determinar la precisi\u00f3n, sensibilidad y especificidad de la artrograf\u00eda, ecograf\u00eda, artroecograf\u00eda, resonancia magn\u00e9tica y artroresonancia magn\u00e9tica en la detecci\u00f3n exacta de los defectos del fibrocartilago triangular, usando la artroscopia de mu\u00f1eca como referencia estandar. 2. Establecer un protocolo para el manejo de pacientes con sospecha de patolog\u00eda del fibrocartilago triangular. Material y m\u00e9todos. Se han estudiado 24 mu\u00f1ecas de cadaver fresco para establecer la correlaci\u00f3n entre las pruebas complementarias, imagen artrosc\u00f3pica y anatom\u00eda macrosc\u00f3pica. Se us\u00f3 la siguiente secuencia de m\u00e9todos de imagen: -ecograf\u00eda -resonancia magn\u00e9tica -artrograf\u00eda -artroecograf\u00eda  y -artroresonacia; tras las mismas se procede a la realizaci\u00f3n de una artroscopia y posterior disecci\u00f3n anat\u00f3mica de las piezas. Estos procedimientos fueron realizados de forma independiente por tres radi\u00f3logos y un cirujano ortop\u00e9dico. Cada t\u00e9cnica fu\u00e9 realizada siempre por el mismo examinador y, en ning\u00fan caso ten\u00eda acceso a los hallazgos de los otros procedimientos; los examinadores dispon\u00edan de hojas de recogida de datos que se emplearon para el an\u00e1lisis estad\u00edstico.. Resultados. La precisi\u00f3n de las diferentes t\u00e9cnicas diagn\u00f3sticas, usando la artroscopia como la referencia estandar, fu\u00e9 de. Artrografia 95%, resonancia simple 86%, artroresonancia 955, ecograf\u00eda 72% y artroecograf\u00eda 72%. Discusi\u00f3n. La artrograf\u00eda y la artroresonancia muestran mejor sensibilidad, especificidad y precisi\u00f3n que la resonancia simple. Los datos de la artrograf\u00eda m\u00e1s la artroresonacia son superponibles a los de la artroscopia. La ecograf\u00eda y la artroecograf\u00eda son pruebas en la actualidad con resultados sin significaci\u00f3n estad\u00edstica. Conclusiones. El protocolo diagn\u00f3stico ante la sospecha de patolog\u00eda del fibrocartilago triangular debe incluirla artrograf\u00eda m\u00e1s la artroresonancia magn\u00e9tica.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Contribuci\u00f3n al diagn\u00f3stico de la patolog\u00eda del fibrocart\u00edlago triangular del carpo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Contribuci\u00f3n al diagn\u00f3stico de la patolog\u00eda del fibrocart\u00edlago triangular del carpo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Mart\u00ednez Mart\u00ednez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/07\/2008<\/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>Juan  De Dios Berna Serna<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ver\u00f3nica Piera lluch <\/li>\n<li>Mar\u00eda  matilde Moreno cascales (vocal)<\/li>\n<li>Jos\u00e9 Manuel Sarabia condes (vocal)<\/li>\n<li>pedro Marquina sola (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Mart\u00ednez Mart\u00ednez El diagn\u00f3stico de pacientes con dolor del borde cubital del carpo es un desaf\u00edo [&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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