Review
Year 2019,
Volume: 2 Issue: 1, 42 - 47, 01.04.2019
Abstract
Tuzak nöropatiler periferik sinirlerin
üzerindeki akut, intermittant, tekrarlayıcı veya devamlı baskı altında kalması
sonucunda belli noktalarda ortaya çıkan, motor, duyu ve otonom bozuklukların
eşlik ettiği tablodur. Tuzak nöropatiler, daha çok üst ekstremitede görülür;
bunlar arasında da en sık görülenleri, median sinirin bilek seviyesinde sıkışması
olan karpal tünel sendromudur. Tanıda doğru bir
öykü, fizik muayene, özel testler(Tinel testi, Phalen testi), radyolojik incelemeler ve elektrofizyolojik incelemeler destekleyici
yöntemler olarak kullanılmaktadır. Tuzak nöropati oluşumunda travma, vasküler
patolojiler, inflamatuar ve otoimmün hastalıklar, endokrin ve metabolik
bozukluklar, hormonal ve tümöral nedenler etkilidir. Tuzak nöropatilerde
sinirin duysal alanına lokalize parestezi olması, yanma, karıncalanma, batma,
kaşıntı, kas ağrısı bulunması, özellikle gece ağrısının fazla olması, kronik
basıda kas güçsüzlüğü ve atrofisinin olması gibi klinik özellikleri
bulunabilir. Tedavide splintleme, enjeksiyonlar, fizik tedavi modaliteleri ve
cerrahi uygulamalar yer almaktadır.
References
- Allieu Y, Mackinnon SE, editors. Nerve compression syndromes of the upper limb. London: Martin Dunitz; 2002.
- Lundborg G,Dahlin LB. The pathophysiology of nerve compression. Hand Clin 1992;8(2):215–27.
- Cooper C. Fundamentals of Hand Therapy: Clinical Reasoning and Treatment Guidelines for Common Diagnoses of the Upper Extremity, 2nd ed. Elsevier Health Sciences; 2013. 5.
- Hammert WC, Calfee RP, Bozentka DJ and Boyer MI, editors. ASSH Manual of Hand Surgery. Philadelphia: Lippincott, Williams & Wilkins; 2010.
- Alba C. Therapist’s management of radial tunnel syndrome. In: Mackin EJ, Callahan AD, Skirven TM, Schneider LH, Osterman AL, Hunter JM, editors. Rehabilitation of the hand and upper extremity, 5th ed. St. Louis: Mosby; 2002 p.696–700.
- Nai-Wen Tsai, Lian-Hui Lee, Chi-Ren Huang et al. The diagnostic value of ultrasonography in carpal tunnel syndrome: a comparison between diabetic and non- diabetic patient. BMC neurology. 2013; 13:65
- Dellon AL. Client evaluation and management considerations in nerve compression. In: Rayan GM, editor. Hand Clinics: nerve compression syndromes. Philadelphia: WB Saunders; 1992.
- Kane PM, Daniels AH, Akelman E. Double Crush Syndrome. J Am Acad Orthop Surg 2015;23(9):558–62.
- Pecina MM, Krmpotic-Nemanic J, Markiewitz AD, editors. Tunnel syndromes. New York: CRC Press; 1991.
- Bardak AN, Alp M, Erhan B, Paker N, Kaya B, Onal AE. Evaluation of the clinical efficacy of conservative treatment in the management of carpal tunnel syndrome. Adv Ther 2009;26(1):107–16.
- Kaplan SJ, Glickel SZ, Eaton RG. Predictive factors in the nonsurgical treatment of carpal tunnel syndrome. J Hand Surg Br1990;15(1):106–8.
- Evans RB. Therapists management of carpal tunnel syndrome. In: Mackin EJ, Callahan AD, Skirven TM, Schneider LH, Osterman AL, Hunter JM, editors. Rehabilitation of the hand and upper extremity. St Louis: Mosby; 2002.
- Gerritsen AA, de Krom MC, Struijs MA, Scholten RJ, de Vet HC, Bouter LM. Conservative treatment options for carpal tunnel syndrome: a systematic review of randomised controlled trials. J Neurol 2002;249(3):272–80.
- Peters S, Page MJ, Coppieters MW, Ross M, Johnston V. Rehabilitation following carpal tunnel release. Cochrane Database Syst Rev 2013;6:CD004158
- Eversmann WW. Proximal median nerve compression. Hand Clin 1992;8(2):307–15.
- Colditz JC. Splinting the hand with a peripheral nerve injury. In: Mackin EJ, Callahan AD, Skirven TM, Schneider LH, Osterman AL, Hunter JM, editors. Rehabilitation of the hand and upper extremity, 5th ed. St. Louis: Mosby; 2002. p.622–34.
- Omer GE Jr. Median nerve compression at the wrist. Hand Clin 1992;8(2):317–24.
- Shi Q, MacDermid JC. Is surgical intervention more effective than non-surgical treatment for carpal tunnel syndrome? A systematic review. J Orthop Surg Res 2011;6:17
- Ay S, Evcik D. Tuzak nöropatiler Romatoloji e-kitap 2018.
Year 2019,
Volume: 2 Issue: 1, 42 - 47, 01.04.2019
Abstract
References
- Allieu Y, Mackinnon SE, editors. Nerve compression syndromes of the upper limb. London: Martin Dunitz; 2002.
- Lundborg G,Dahlin LB. The pathophysiology of nerve compression. Hand Clin 1992;8(2):215–27.
- Cooper C. Fundamentals of Hand Therapy: Clinical Reasoning and Treatment Guidelines for Common Diagnoses of the Upper Extremity, 2nd ed. Elsevier Health Sciences; 2013. 5.
- Hammert WC, Calfee RP, Bozentka DJ and Boyer MI, editors. ASSH Manual of Hand Surgery. Philadelphia: Lippincott, Williams & Wilkins; 2010.
- Alba C. Therapist’s management of radial tunnel syndrome. In: Mackin EJ, Callahan AD, Skirven TM, Schneider LH, Osterman AL, Hunter JM, editors. Rehabilitation of the hand and upper extremity, 5th ed. St. Louis: Mosby; 2002 p.696–700.
- Nai-Wen Tsai, Lian-Hui Lee, Chi-Ren Huang et al. The diagnostic value of ultrasonography in carpal tunnel syndrome: a comparison between diabetic and non- diabetic patient. BMC neurology. 2013; 13:65
- Dellon AL. Client evaluation and management considerations in nerve compression. In: Rayan GM, editor. Hand Clinics: nerve compression syndromes. Philadelphia: WB Saunders; 1992.
- Kane PM, Daniels AH, Akelman E. Double Crush Syndrome. J Am Acad Orthop Surg 2015;23(9):558–62.
- Pecina MM, Krmpotic-Nemanic J, Markiewitz AD, editors. Tunnel syndromes. New York: CRC Press; 1991.
- Bardak AN, Alp M, Erhan B, Paker N, Kaya B, Onal AE. Evaluation of the clinical efficacy of conservative treatment in the management of carpal tunnel syndrome. Adv Ther 2009;26(1):107–16.
- Kaplan SJ, Glickel SZ, Eaton RG. Predictive factors in the nonsurgical treatment of carpal tunnel syndrome. J Hand Surg Br1990;15(1):106–8.
- Evans RB. Therapists management of carpal tunnel syndrome. In: Mackin EJ, Callahan AD, Skirven TM, Schneider LH, Osterman AL, Hunter JM, editors. Rehabilitation of the hand and upper extremity. St Louis: Mosby; 2002.
- Gerritsen AA, de Krom MC, Struijs MA, Scholten RJ, de Vet HC, Bouter LM. Conservative treatment options for carpal tunnel syndrome: a systematic review of randomised controlled trials. J Neurol 2002;249(3):272–80.
- Peters S, Page MJ, Coppieters MW, Ross M, Johnston V. Rehabilitation following carpal tunnel release. Cochrane Database Syst Rev 2013;6:CD004158
- Eversmann WW. Proximal median nerve compression. Hand Clin 1992;8(2):307–15.
- Colditz JC. Splinting the hand with a peripheral nerve injury. In: Mackin EJ, Callahan AD, Skirven TM, Schneider LH, Osterman AL, Hunter JM, editors. Rehabilitation of the hand and upper extremity, 5th ed. St. Louis: Mosby; 2002. p.622–34.
- Omer GE Jr. Median nerve compression at the wrist. Hand Clin 1992;8(2):317–24.
- Shi Q, MacDermid JC. Is surgical intervention more effective than non-surgical treatment for carpal tunnel syndrome? A systematic review. J Orthop Surg Res 2011;6:17
- Ay S, Evcik D. Tuzak nöropatiler Romatoloji e-kitap 2018.
There are 19 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Review |
| Authors | |
| Publication Date | April 1, 2019 |
| Acceptance Date | March 12, 2019 |
| Published in Issue | Year 2019 Volume: 2 Issue: 1 |
