Reconstrucción elongada del retináculo flexor en el tratamiento del síndrome del túnel del carpo. Revisión sistemática

  • Sabina Rodríguez Ureña Hospital Virgen de los Lirios, Alcoy
  • Pedro Hernández Cortés
  • María Botella Lloret
Palabras clave: Retináculo flexor, ligamento transverso del Carpo, cirugia reconstructiva, síndrome del Túnel Carpiano

Resumen

Introducción El síndrome del túnel carpiano (STC) es la neuropatía por atrapamiento más frecuente de la mano. Los artículos que comparan los resultados clínicos postoperatorios tras liberación del túnel carpiano, con o sin reconstrucción del retináculo flexor (RF), obtienen conclusiones muy dispares. El objetivo de este trabajo es realizar una revisión de la bibliografía para llegar a conclusiones basadas en la evidencia. Material y Método Se realizó una revisión sistemática de artículos científicos de la base de datos MEDLINE. Se tuvieron en cuenta artículos que comparaban la apertura simple con la reconstrucción del RF del carpo en pacientes con STC idiopático y aquellos que describían técnicas de reconstrucción o alargamiento del RF. Se obtuvieron más artículos de referencias bibliográficas. Resultados Se seleccionaron 17 artículos de MEDLINE y 4 de referencias bibliográficas. Entre los artículos de mayor interés destacamos 7 ensayos clínicos y 1 meta-análisis. Conclusiones Con la evidencia disponible no podemos afirmar que la liberación del túnel carpiano con reconstrucción del RF sea superior a la liberación simple en cuanto a fuerza de prensión y pinza, mejoría de los síntomas de compresión del nervio mediano ni en recuperación funcional de la mano.

Citas

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Publicado
2021-02-06
Número
Vol. 37 Núm. 3 (2020)
Sección
Articulos Originales
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