<?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>S2306-41022018000400209</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cambios morfológicos y dimensionales en el túnel del carpo por resonancia magnética (preoperatorios y postoperatorios)]]></article-title>
<article-title xml:lang="en"><![CDATA[Morphological and dimensional changes of the magnetic resonance imaging in the carpal tunnel (pre- and postoperatively)]]></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[Díaz-Avalos]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,IMSS Unidad Médica de Alta Especialidad de Traumatología y Ortopedia «Lomas Verdes» ]]></institution>
<addr-line><![CDATA[Naucalpan Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,IMSS Unidad Médica de Alta Especialidad de Traumatología y Ortopedia «Lomas Verdes» ]]></institution>
<addr-line><![CDATA[Naucalpan Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>32</volume>
<numero>4</numero>
<fpage>209</fpage>
<lpage>213</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022018000400209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022018000400209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022018000400209&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El síndrome del túnel de carpo es la neuropatía por compresión más frecuente de la extremidad superior y la liberación del nervio mediano es el tratamiento quirúrgico que se aplica. Existen diversas técnicas quirúrgicas que se utilizan para tratar este padecimiento; sin embargo, esa cavidad virtual a la que llamamos túnel del carpo sufre diversos cambios morfológicos y dimensionales previo y posterior a la cirugía con el uso de diversas técnicas que el cirujano elige.  Material y métodos:  Estudio observacional, prospectivo y longitudinal realizado en el período comprendido de Marzo a Noviembre de 2009. Se estudiaron pacientes de ambos sexos con diagnóstico de síndrome del túnel del carpo, a los cuales se les realizaron estudios de resonancia magnética antes y después de la cirugía para obtener mediciones y análisis.  Resultados:  Se evaluaron 25 pacientes con una media de 40 años, 14 pacientes femeninos y 11 masculinos, encontrándose un desplazamiento palmar del nervio posterior a la cirugía con un diámetro de 6.2 mm manteniendo cambios de la forma oval a una circular.  Discusión:  Existen cambios morfológicos y dimensionales evaluados por resonancia magnética después de la liberación, por lo cual se relaciona la respuesta clínica favorable posterior a la cirugía; sin embargo, encontramos un diámetro mayor del nervio, esto debido a que se les realizó neurólisis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Carpal tunnel syndrome is the most common compression neuropathy of the upper limb, and the release of the median nerve is the surgical treatment that is carried out. There are several surgical techniques used to treat this condition; However, this virtual cavity, which we call the carpal tunnel, undergoes several morphological and dimensional changes, prior to surgery and after surgery using the various techniques that the surgeon has a predilection for.  Material and methods:  Observational, prospective and longitudinal study conducted in the period from March to November 2009. We studied patients of both sex, with a diagnosis of carpal tunnel syndrome, who underwent MRI pre and post-surgery studies, to which measurements and analysis of it were made.  Results:  We evaluated 25 patients with an average of 40 years, 14 female patients and 11 male, finding a palmar displacement of the nerve after surgery with a diameter of 6.2 mm, maintaining changes from the oval to a circular shape.  Discussion:  There are morphological and dimensional changes, evaluated by magnetic resonance after the release, for which the favorable clinical response after surgery is related; however, we found a larger diameter of the nerve due to the fact that they underwent neurolysis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mediano]]></kwd>
<kwd lng="es"><![CDATA[resonancia magnética]]></kwd>
<kwd lng="es"><![CDATA[síndrome del túnel del carpo]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="en"><![CDATA[Median nerve]]></kwd>
<kwd lng="en"><![CDATA[magnetic resonance imaging]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="en"><![CDATA[carpal tunnel]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><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[Amadio]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Carpal tunnel syndrome]]></source>
<year>2002</year>
<volume>10</volume>
<numero>20</numero>
<issue>20</issue>
<page-range>75-81</page-range><publisher-loc><![CDATA[USA ]]></publisher-loc>
<publisher-name><![CDATA[Ed. Springer]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pacek]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Tang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Goitz]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Kaufmann]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[ZM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morphological analysis of the carpal tunnel]]></article-title>
<source><![CDATA[Hand (N Y)]]></source>
<year>2010</year>
<volume>5</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>77-81</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cobb]]></surname>
<given-names><![CDATA[TK]]></given-names>
</name>
<name>
<surname><![CDATA[Dalley]]></surname>
<given-names><![CDATA[BK]]></given-names>
</name>
<name>
<surname><![CDATA[Posteraro]]></surname>
<given-names><![CDATA[RH]]></given-names>
</name>
<name>
<surname><![CDATA[Lewis]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anatomy of the flexor retinaculum]]></article-title>
<source><![CDATA[J Hand Surg Am]]></source>
<year>1993</year>
<volume>18</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>91-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cobb]]></surname>
<given-names><![CDATA[TK]]></given-names>
</name>
<name>
<surname><![CDATA[Dalley]]></surname>
<given-names><![CDATA[BK]]></given-names>
</name>
<name>
<surname><![CDATA[Posteraro]]></surname>
<given-names><![CDATA[RH]]></given-names>
</name>
<name>
<surname><![CDATA[Lewis]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The carpal tunnel as a compartment. An anatomic perspective]]></article-title>
<source><![CDATA[Orthop Rev]]></source>
<year>1992</year>
<volume>21</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>451-3</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Widgerow]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Sacks]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Greenberg]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Becker]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intergroup camparison of the carpal tunnel dimensions]]></article-title>
<source><![CDATA[J Hand Surg Am]]></source>
<year>1996</year>
<volume>21</volume>
<numero>A</numero>
<issue>A</issue>
<page-range>357-9</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bay]]></surname>
<given-names><![CDATA[BK]]></given-names>
</name>
<name>
<surname><![CDATA[Sharkey]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Szabo]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Displacement and strain of the median nerve at the wrist]]></article-title>
<source><![CDATA[J Hand Surg Am]]></source>
<year>1997</year>
<volume>22</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>621-7</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yoshioka]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Okuda]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Tamai]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Hirasawa]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Koda]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Changes in carpal tunnel shape during wrist joint motion. MRI evaluation of normal volunteer&#8217;s]]></article-title>
<source><![CDATA[J Hand Surg Br]]></source>
<year>1993</year>
<volume>18</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>620-3</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Skie]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Zeiss]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ebraheim]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[WT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Carpal tunnel changes and median nerve compression during wrist flexion and extension seen by magnetic resonance imaging]]></article-title>
<source><![CDATA[J Hand Surg Am]]></source>
<year>1990</year>
<volume>15</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>934-9</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
<name>
<surname><![CDATA[Parks]]></surname>
<given-names><![CDATA[BG]]></given-names>
</name>
<name>
<surname><![CDATA[Simmons]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Segalman]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Radiographic parameters of increased carpal tunnel pressure with progressive wrist distractions: a cadaveric study]]></article-title>
<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">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coob]]></surname>
<given-names><![CDATA[T.K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessment of the rations of carpal contents to carpal tunnel volume in patients with carpal tunnel syndrome: a preliminary report]]></article-title>
<source><![CDATA[J Hand Surge Am]]></source>
<year>1997</year>
<volume>22</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>635-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Murphy]]></surname>
<given-names><![CDATA[RX]]></given-names>
</name>
<name>
<surname><![CDATA[Chernofsky]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Osborne]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Wolson]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Magnetic resonance imaging in the evaluation of persistent carpal tunnel syndrome]]></article-title>
<source><![CDATA[J Hand Surg Am]]></source>
<year>1993</year>
<volume>18</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>113-20</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Buchbeger]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Radiologic imaging of the carpal tunnel]]></article-title>
<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="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Somay]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Somay]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Cevik]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sungur]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Berkman]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The pressure angle of the median nerve as a new magnetic resonance imaging parameter for the evaluation of carpal tunnel]]></article-title>
<source><![CDATA[Clin Neurol Neurosurg]]></source>
<year>2009</year>
<volume>111</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>28-33</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Horch]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Allmann]]></surname>
<given-names><![CDATA[KH]]></given-names>
</name>
<name>
<surname><![CDATA[Laubenberger]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Langer]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Stark]]></surname>
<given-names><![CDATA[GB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Median nerve compression can be detected by magnetic resonance imaging of the carpal tunnel]]></article-title>
<source><![CDATA[Neurosurgery]]></source>
<year>1997</year>
<volume>41</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>76-82</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Allmann]]></surname>
<given-names><![CDATA[KH]]></given-names>
</name>
<name>
<surname><![CDATA[Horch]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Uhl]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gufler]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Altehoefer]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Stark]]></surname>
<given-names><![CDATA[GB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[MR imaging of the carpal tunnel]]></article-title>
<source><![CDATA[Eur J Radiol]]></source>
<year>1997</year>
<volume>25</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>141-5</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mesgarzadeh]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Triolo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Schneck]]></surname>
<given-names><![CDATA[CD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Carpal tunnel syndrome. MR imaging diagnosis]]></article-title>
<source><![CDATA[Magn Reson Imaging Clin N Am]]></source>
<year>1995</year>
<volume>3</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>249-64</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kato]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Kuroshima]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Okutsu]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Ninomiya]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of endoscopic release of the transverse carpal ligament on carpal canal volume]]></article-title>
<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="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Krom]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Knipschild]]></surname>
<given-names><![CDATA[PG]]></given-names>
</name>
<name>
<surname><![CDATA[Kester]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Thijs]]></surname>
<given-names><![CDATA[CT]]></given-names>
</name>
<name>
<surname><![CDATA[Boekkooi]]></surname>
<given-names><![CDATA[PF]]></given-names>
</name>
<name>
<surname><![CDATA[Spaans]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Carpal tunnel syndrome: prevalence in the general population]]></article-title>
<source><![CDATA[J Clin Epidemiol]]></source>
<year>1992</year>
<volume>45</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>373-6</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Levine]]></surname>
<given-names><![CDATA[DW]]></given-names>
</name>
<name>
<surname><![CDATA[Simmons]]></surname>
<given-names><![CDATA[BP]]></given-names>
</name>
<name>
<surname><![CDATA[Koris]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Daltroy]]></surname>
<given-names><![CDATA[LH]]></given-names>
</name>
<name>
<surname><![CDATA[Hohl]]></surname>
<given-names><![CDATA[GG]]></given-names>
</name>
<name>
<surname><![CDATA[Fossel]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome]]></article-title>
<source><![CDATA[J Bone Joint Surg]]></source>
<year>1993</year>
<volume>75</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1585-92</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
