<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2306-4102</journal-id>
<journal-title><![CDATA[Acta ortopédica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta ortop. mex]]></abbrev-journal-title>
<issn>2306-4102</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Ortopedia y Traumatología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2306-41022016000100017</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Principales causas de recidivas en el túnel del carpo]]></article-title>
<article-title xml:lang="en"><![CDATA[Principal causes for recurrent carpal tunnel syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Alonso]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abdala-Dergal]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidad Médica de Alta Especialidad (UMAE) Traumatología y Ortopedia "Lomas Verdes"  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidad Médica de Alta Especialidad (UMAE) Traumatología y Ortopedia "Lomas Verdes"  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2016</year>
</pub-date>
<volume>30</volume>
<numero>1</numero>
<fpage>17</fpage>
<lpage>20</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022016000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022016000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022016000100017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Se analizaron las causas frecuentes del síndrome del túnel del carpo recidivante. Seguimiento de una serie de casos del 1 de Enero al 31 Diciembre 2011; se estudiaron nueve pacientes mediante examen físico y de gabinete. A todos se les evaluó el dolor con escala visual análoga, cuestionario de Brigham and Women's Hospital para conocer la discapacidad. Siete pacientes correspondieron al género femenino y dos al masculino, con un promedio de edad de 52 años. Entre las principales causas de recidiva se encontró la fibrosis postquirúrgica acompañada de una liberación incompleta en siete pacientes; en dos pacientes se observó una liberación incompleta y se les realizó abordajes mínimos invasivos. Tres pacientes de los nueve presentaron cicatrices retráctiles. La principal causa de recidiva es la fibrosis postquirúrgica asociada al abordaje mínimamente invasivo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The frequent causes of relapsing carpal tunnel syndrome were analyzed. Nine patients were followed-up from January 1st to December 31st, 2011. They underwent a physical exam and imaging tests. Pain was measured in all of them with the VAS, and the Brigham and Women's Hospital questionnaire was used to assess disability. Patients included seven females and two males; mean age was 52 years. Major causes for relapse included postoperative fibrosis with incomplete release in seven patients and incomplete release in two patients in whom minimally invasive approaches were used. Three of the nine patients had retractile scars. The main cause of relapse was postoperative fibrosis associated with the minima­lly invasive approach.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Túnel del carpo]]></kwd>
<kwd lng="es"><![CDATA[recidiva]]></kwd>
<kwd lng="es"><![CDATA[resonancia magnética]]></kwd>
<kwd lng="es"><![CDATA[fibrosis]]></kwd>
<kwd lng="es"><![CDATA[dolor]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="en"><![CDATA[Carpal tunnel]]></kwd>
<kwd lng="en"><![CDATA[recurrence]]></kwd>
<kwd lng="en"><![CDATA[MRI]]></kwd>
<kwd lng="en"><![CDATA[fibrosis]]></kwd>
<kwd lng="en"><![CDATA[pain]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Luchetti]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Armadio]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Carpal tunnel syndrome]]></source>
<year>2002</year>
<numero>3-8</numero>
<issue>3-8</issue>
<page-range>307-18</page-range><publisher-loc><![CDATA[USA ]]></publisher-loc>
<publisher-name><![CDATA[Springer]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Endoscopic carpal tunnel release for recurrent carpal tunnel síndrome after previus open release]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Teoh]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Tan]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
</person-group>
<source><![CDATA[J Hand Surg]]></source>
<year>2004</year>
<volume>9</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>235-9</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Treatment options for recurrent carpal tunnel syndrome local flaps]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodriguez]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
</person-group>
<source><![CDATA[Technique in Orthopedics]]></source>
<year>2006</year>
<volume>21</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>61-74</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Effect of endoscopic release of the transverse carpal ligament on carpal canal volume]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kato]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[J Hand Surg Am]]></source>
<year>1994</year>
<volume>19</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>416-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Evaluación clínica en pacientes con síndrome túnel del carpo pos operados de liberación del nervio mediano mediante cirugía endoscópica o abierta]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Márquez]]></surname>
<given-names><![CDATA[EC]]></given-names>
</name>
</person-group>
<source><![CDATA[Cir Plas]]></source>
<year>2009</year>
<volume>19</volume>
<numero>1-3</numero>
<issue>1-3</issue>
<page-range>23-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Green]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugía de la mano. Neuropatías por compresión]]></source>
<year>2007</year>
<edition>5</edition>
<page-range>1007-9</page-range><publisher-name><![CDATA[Editorial Marban]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Carpal tunnel syndrome and treatment of recurrent symptoms]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dahlin]]></surname>
<given-names><![CDATA[LB]]></given-names>
</name>
</person-group>
<source><![CDATA[Scand J Plast Surg Hand Surg]]></source>
<year>2010</year>
<volume>44</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>4-11</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Clinical and electrophysiological comparison of different methods of soft tissue coverage of the median nerve in recurrent carpal tunnel syndrome]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stüzt]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
</person-group>
<source><![CDATA[Neurosurgery]]></source>
<year>2008</year>
<volume>62</volume>
<numero>3^s1</numero>
<issue>3^s1</issue>
<supplement>1</supplement>
<page-range>194-9</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Radiographic parameters of increased carpal tunnel pressure with progressive wrist distractions a cadaveric study]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sharman]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
</person-group>
<source><![CDATA[J Hand Surg Am]]></source>
<year>2006</year>
<volume>31</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>22-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Radiologic imaging of the carpal tunnel]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Buchbeger]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<source><![CDATA[Eur J Radiol]]></source>
<year>1997</year>
<volume>25</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>112-7</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Cambios morfológicos y dimensionales en el síndrome del túnel del carpo por resonancia magnética (pre-post­quirúrgico)]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[AAL]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
</person-group>
<source><![CDATA[UMAE (Hospital de Traumatología y Ortopedia Lomas Verdes)]]></source>
<year>2012</year>
<page-range>6-10</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Subjective and functional outcome after revision surgery in carpal tunnel syndrome]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Unglaub]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Arch Orthop Trauma Surg]]></source>
<year>2007</year>
<volume>128</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>931-6</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Persistent or recurrent carpal tunnel syndrome following prior endoscopic carpal tunnel release]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Forman]]></surname>
<given-names><![CDATA[LD]]></given-names>
</name>
</person-group>
<source><![CDATA[J Hand Surg Am]]></source>
<year>1998</year>
<volume>23</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1010-4</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Interventions for recurrent/persistent carpal tunnel syndrome after carpal tunnel release]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Amadio]]></surname>
<given-names><![CDATA[PC]]></given-names>
</name>
</person-group>
<source><![CDATA[J hand Surgery]]></source>
<year>2009</year>
<volume>34</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1320-2</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Canale]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[Cambell cirugía ortopédica]]></source>
<year>2010</year>
<edition>11</edition>
<page-range>3981-97</page-range><publisher-name><![CDATA[Editorial Elsevier Moby]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Surgical management of recurrent carpal tunnel syndrome]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bush]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<source><![CDATA[Techniques in Orthopedics]]></source>
<year>2006</year>
<volume>21</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>50-60</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
