Síndrome do túnel do carpo associada à amiloidose / Carpal tunnel syndrome associated with amyloidosis
Rev. bras. cir. plást
;
34(1): 73-78, jan.-mar. 2019. ilus, tab
Article
in English, Portuguese
| LILACS
| ID: biblio-994548
RESUMO
Introdução:
A amiloidose é caracterizada pela deposição de proteínas nos órgãos e tecidos, e tem sido associada à síndrome do túnel do carpo (STC) quando ocorre no punho. O objetivo é descrever uma série de casos de pacientes submetidos à cirurgia para STC associado à amiloidose.Métodos:
O estudo incluiu 12 pacientes que se submeteram à cirurgia para tratar a STC cuja biópsia identificou amiloidose; o seguimento foi de cinco anos. Os pacientes foram avaliados por testes clínicos, eletroneuromiografia, imagens radiológicas e biópsia.Resultados:
Todos os pacientes apresentaram queixas musculoesqueléticas, sintomas severos de compressão do nervo mediano, alterações nos testes neurofisiológicos. Realizou-se a cirurgia, sinovectomia e biópsia. No pós-operatório, cinco pacientes (41%) desenvolveram dor crônica e distrofia simpático-reflexa.Conclusão:
Observou-se maior frequência de dor pós-operatória na amostra, o que revela a necessidade de atenção na abordagem e tratamento dessa associação.ABSTRACT
Introduction:
Amyloidosis features protein deposition in the organs and tissues and has been associated with carpal tunnel syndrome (CTS) when it occurs in the wrist. The objective is to describe a case series of patients undergoing surgery for CTS associated with amyloidosis.Methods:
The study included 12 patients who underwent surgery to treat CTS in whom amyloidosis was proven by biopsy; the follow-up period was 5 years. The patients were evaluated by clinical tests, electroneuromyography, radiological images, and biopsy.Results:
All patients presented with musculoskeletal complaints, severe symptoms of median nerve compression, and changes on neurophysiological tests. Surgery, synovectomy, and biopsy were performed. In the postoperative period, five patients (41%) developed chronic pain and reflex sympathetic dystrophy.Conclusion:
A higher frequency of postoperative pain was observed in the patients, demonstrating the need for caution in the approach and treatment of this association.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Postoperative Complications
/
Carpal Tunnel Syndrome
/
Comprehensive Health Care
/
Orthopedic Procedures
/
Plastic Surgery Procedures
/
Amyloidogenic Proteins
Type of study:
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
/
Portuguese
Journal:
Rev. bras. cir. plást
Journal subject:
General Surgery
Year:
2019
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Rede Sarah de Hospitais de Reabilitação/BR
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