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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(01): 069-073
DOI: 10.1055/s-0040-1713390
Artigo Original
Mão

Existe associação entre a eletroneuromiografia e a ultrassonografia no diagnóstico da Síndrome do Túnel do Carpo?[*]

Article in several languages: português | English
Henver Ribeiro Paiva Filho 
1   Serviço de Cirurgia da Mão, Hospital de Clínicas, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
Bruno Adriano Borges Elias 
1   Serviço de Cirurgia da Mão, Hospital de Clínicas, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
Marlus Sérgio Borges Salomão Junior 
1   Serviço de Cirurgia da Mão, Hospital de Clínicas, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
Valdênia Graças Nascimento Paiva 
1   Serviço de Cirurgia da Mão, Hospital de Clínicas, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
Elias Felix Oliveira 
1   Serviço de Cirurgia da Mão, Hospital de Clínicas, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
Murilo Antônio Rocha 
1   Serviço de Cirurgia da Mão, Hospital de Clínicas, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
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Resumo

Objetivo Verificar se existe associação entre os resultados da gravidade da eletroneuromiografia e a positividade da ultrassonografia no diagnóstico da síndrome do túnel do carpo.

Métodos Sessenta e oito pacientes foram incluídos no estudo, sendo 61 mulheres e 7 homens, com média de idade de 54,4 anos. Os resultados da ultrassonografia (positivo ou negativo) foram cruzados com os resultados da eletroneuromiografia (leve, moderado ou grave) e verificada a existência de associação.

Resultados Cento e trinta e seis mãos com suspeita ou sintomas de síndrome do túnel do carpo foram avaliadas. O diagnóstico ultrassonográfico positivo foi observado em 72 mãos e negativo em 64; 123 mãos apresentaram eletroneuromiografia positiva para síndrome do túnel do carpo e 13 apresentaram resultado negativo. O grau grave da eletroneuromiografia foi prevalente.

Conclusão Houve associação estatisticamente significativa entre eletroneuromiografia e ultrassonografia (p < 0,05), sendo que a positividade da ultrassonografia foi maior para níveis mais graves de síndrome do túnel do carpo dados pela eletroneuromiografia.

Palavras-chave

eletroneuromiografia - neuropatia compressiva - síndrome do túnel do carpo - ultrassonografia

* Trabalho feito no Serviço de Ortopedia e Traumatologia, Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brasil.




Publication History

Received: 26 August 2019

Accepted: 17 March 2020

Article published online:
09 October 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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