Síndrome del túnel carpiano en la Clínica Universitaria San Juan de Dios de Cartagena, Colombia. Perfil epidemiológico, clínico y evolución terapéutica

Jaddy Sandrey Bedoya-Mosquera, Julio Vergara-Bonnet, Marco Antonio Araujo-Orozco, Enrique Carlos Ramos-Clason

Resumen


Introducción: el síndrome del túnel carpiano (STC) es uno de los principales problemas de salud de los trabajadores, que desarrollan tareas relacionadas con esfuerzos manuales intensos y movimientos repetitivos del miembro superior.

Objetivos: determinar el perfil epidemiológico y clínico de los pacientes que consultan a una unidad de dolor, identificar las características laborales, clínicas y terapéuticas, comparar la evolución clínica de los pacientes antes y después de la intervención quirúrgica.

Métodos: estudio observacional descriptivo prospectivo. La población estudiada estuvo constituida por todos los trabajadores a quienes se les diagnosticó síndrome de túnel del carpo como enfermedad profesional y consultaron a la Unidad de Dolor de la Clínica San Juan de Dios en Cartagena, Colombia, desde el 2008 hasta el año 2010. Se realizó entrevista personal o telefónica y se revisó la historia clínica. Se realizaron pruebas de hipótesis para variables cuantitativas (T de Student o prueba de signos) y para variables cualitativas (Chi2 o test de Fisher) para comparar los hallazgos iníciales y después de

las intervenciones.

Resultados: la incidencia del STC de origen laboral es del 10.7% en la Unidad de Dolor de la Clínica San Juan de Dios. Se encontró que la población que labora en empresas de camarones o atuneras es la que se encuentra más afectada, con tiempo promedio de ausencia laboral de tres años. Se encontró que en los pacientes sometidos a tratamiento quirúrgico, la mayoría mejora en los primeros meses postquirúrgicos, pero los síntomas reaparecen al someterse nuevamente al mismo riesgo laboral. Se

encontró retardo en el diagnóstico y por ende en el tratamiento. Rev.cienc.biomed. 2012;3(1):49-57

PALABRAS CLAVE

Síndrome del túnel carpiano; Síndrome doloroso; Riesgo laboral.

SUMMARY

Introduction: carpal tunnel syndrome (CTS) is one of the major health problems of workers who carry out tasks related to intense manual effort and repetitive movements of the upper limb.

Objectives: to determine the epidemiological and clinical profile of patients attending a pain unit, identify job, clinical and therapeutic characteristics to compare the clinical course of patients before and after surgery.

Methods: a prospective descriptive study. The study population consisted of all workers who were diagnosed with carpal tunnel syndrome as an occupational disease and looked at the Pain Unit at the San Juan de Dios Clinic in Cartagena, Colombia, from 2008 to 2010. Personal or telephone interview was conducted and clinical history

review. Hypothesis tests were performed for quantitative variables (Student’s test or sign test) and qualitative variables (Chi2 or Fisher’s test) to compare the initial findings and after interventions.

Results: the incidence of work-related CTS is 10.7% in the Pain Unit at the San Juan de Dios Clinic. We found that people who work in companies of shrimp or tuna are the most affected, with average time of absence from work for three years. We found that in patients undergoing surgical treatment, most improve in early post-operative, but the

symptoms reappear again subjected to the same occupational hazard. We found delayed diagnosis and therefore treatment. Rev.cienc.biomed. 2012;3(1):49-57

 

KEYWORDS

Carpal tunnel syndrome; Pain syndrome; Risk work.


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