You are here

Home » Content

Karpal Tünel Sendromu: 92 Olgunun Geriye Dönük Değerlendirilmesi

Carpal Tunnel Syndrome: Retrospective Analysis Of 92 Cases

Journal Name:

  • Uludağ Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2010

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Carpal tunnel syndrome is a compression neuropathy which occurs due to compression of median nerve at the wrist level. In this clinical study, our experiences with 92 cases were presented. Cases are reviewed regarding age, sex, predisposing factors, physical examination, surgical procedures and complications. Mean age of cases was 49 years. 88 of these cases were female and 4 were male. Most common predisposing factor was exposure of hands to intense distress. Commonly observed symptom was nocturnal paresthesia. Sensitivity of tinel sign and phalen’s test were 62% and 52%, respectively. Open surgical decompression was performed. For sixty of cases, classic vertical incision and for remaining 58, short vertical incision was preferred. Postoperatively, pain at the suture line and restricted wrist movement were more observed in cases which classic vertical incision was used. In conclusion, better results were obtained with short vertical incision and results of this study were correlated with western literature.
Bookmark/Search this post with
Abstract (Original Language): 
Karpal tünel sendromu (KTS), median sinirin el bileği düzeyinde sıkışmasına bağlı olarak gelişen kompresyon nöropatisidir. Bu klinik çalışmada, KTS tanısı ile tedavi edilen 92 olgu ile ilgili deneyimlerimiz sunulmaktadır. Olgular, yaş, cinsiyet, hazırlayıcı unsurlar, fizik muayene bulguları, uygulanan cerrahi tedavi yöntemleri ve komplikasyonlar dikkate alınarak incelendi. Olguların yaş ortalaması 49 olup, 88’i kadın ve 4’ü erkek idi. En sık karşılaşılan hazırlayıcı unsur, ellerin yoğun strese maruz kalması idi. Noktürnal parastezi, en sık gözlenen bulgu idi. Tinel bulgusu ve falen testinin duyarlılıkları sırasıyla %62 ve %52 olarak bulundu. Tüm olgularda açık cerrahi dekompresyon uygulandı. Olguların 60’ında klasik, 58’inde ise kısa dikey kesi tercih edildi. Operasyon sonrası erken dönemde dikiş hattında ağrı ve el bileğinde hareket kısıtlılığı, klasik dikey kesi ile açık cerrahi dekompresyon uygulanan olgularda daha sık görüldüğü gözlendi. Sonuçta, kısa dikey kesi ile daha tatminkar sonuçlar elde edildiği ve bu geriye dönük çalışmadan elde edilen sonuçların batı kaynaklarında ki verilerle korelasyon gösterdiği saptandı
FULL TEXT (PDF): 
PDF icon arastirmax-karpal-tunel-sendromu-92-olgunun-geriye-donuk-degerlendirilmesi.pdf
  • 3
95-98
  • Turkish

REFERENCES

References: 

1. Szabo RM. Entrapment and Compression Neuropathies. In:
Green DP, Hotchkiss RN, Pederson WC (eds). Green's
Operative Hand Surgery. Philadelphia: Churchill Livingstone
Company; 1999. 1404-22.
2. Brown RA, Gelberman RH. Compression Neuropathy. In: Blair
WF (ed). Techniques in Hand Surgery. Baltimore: Williams
and Wilkins; 1996. 703-64.
3. Beek AL. Management of Nerve Compression Syndromes and
Painful Neuromas. In McCarthy JG (ed). Plastic Surgery.
Philadelphia: W.B. Saundres Company; 1990. 4817-46.
4. Palmer KT, Harris EC, Coggon D. Carpal tunnel syndrome and
its relation to occupation: a systematic literature review. Occup
Med 2007;57:57-66.
5. Nordstorm DL, Vierkant RA, DeStefano F, Layde PM. Risk
factors for carpal tunnel syndrome in a general population.
Occup Environ Med 1997;54(10):734-40.
6. Zambelis T, Tsivgoulis G, Karandreas N. Carpal tunnel
syndrome: associations between risk factors and laterality. Eur
Neurol 2010;63(1):43-7.
7. Kuhlman KA, Hennessey WJ. Sensitivity and specificity of
carpal tunnel syndrome signs. Am J Phys Med Rehabil
1997;76(6):451-7.
8. Thomsen NOB, Cederlund R, Rosen J, Bjork J, Dahlin LB.
Clinical outcomes of surgical release among diabetic patients
with carpal tunnel syndrome: prospective follow-up with
matched controls. J Hand Surg 2009;34A:1177-87.
9. Becker J, Nora DD, Gomes I, et al. An evaluation of gender,
obesity, age and diabetes mellitus as risk factors for carpal
tunnel syndrome. Clin Neurophysiol 2002;113:1429-34.
10. Leit ME, Weiser RW, Tomaino MM. Patient-reported outcome
after carpal tunnel release for advanced disease: a prospective
and longitudinal assessment in patients older than age 70. J
Hand Surg 2004;29A:379-83.
11. Bickel KD. Carpal tunnel syndrome J Hand Surg Am
2010;35A:147-52.

Thank you for copying data from http://www.arastirmax.com