title: [Orthopedic treatment of nocturnal acroparesthesias in primary care].
abstract: OBJECTIVE
  To report the experience gained from the systematic use of a splint immobilising at night the flexion or extension of the carpus of patients affected by nocturnal acroparaesthesiae.
  
  
  METHODS
  Descriptive, observational study.
  
  
  METHODS
  Two urban Health Centres.
  
  
  METHODS
  Twenty-two patients were studied. These were 6 men and 16 women who attended during the period from June 1991 and June 1992 because of nocturnal acroparaesthesiae in the area innervated by the median nerve.
  
  
  METHODS
  The treatment used was to immobilize with a splint the flexion and extension of the carpus during the night. After three weeks the results were evaluated.
  
  
  RESULTS
  Disappearance of the symptomatology occurred in 8 cases (36.4%). In 10 cases (45.5%), the intensity or frequency of the acroparaesthesiae lessened and in the remaining 4 (18.2%) the symptoms persisted. No significant differences in the therapeutic results could be shown when the patients were grouped in line with clinical or exploratory findings.
  
  
  CONCLUSIONS
  On account of the absence of side-effects, its low cost and its being accessible and bloodless, we recommend this treatment as the initial model of therapeutic intervention in Primary Care, while other diagnostic and/or therapeutic possibilities are considered.
authors.affiliation: Centro de Salud de Gonzalo de Berceo y de Joaquín Elizalde, Logroño.
authors.forename: J A
authors.initials: JA
authors.lastname: Ferrús Ciriza
authors.forename: A
authors.initials: A
authors.lastname: Leoz Iparraguirre
authors.forename: N
authors.initials: N
authors.lastname: Lorente Guadalix
authors.forename: B
authors.initials: B
authors.lastname: Escalona Fernández
authors.forename: J
authors.initials: J
authors.lastname: Olloqui Mundet
authors.forename: A
authors.initials: A
authors.lastname: Trueba Castillo
authors.forename: F
authors.initials: F
authors.lastname: Fernández Suárez
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006225:Hand; D006801:Humans; D008297:Male; D008875:Middle Aged; D009985:Orthopedics; D010292:Paresthesia / Q000628:therapy*; D012890:Sleep; D013165:Splints
vernacular_title: Tratamiento ortopédico de las acroparestesias nocturnas en atención primaria.