KRONİK EL BİLEK AĞRISININ DEĞERLENDİRİLMESİ

Abstract

Kronik el bilek ağrısı sık karşılaşılan, yarattığı fonksiyonel kayıplarla ciddi iş gücü ve maddi kayıplara yol açan bir klinik problemdir. El bileği eklem kompleksinin anatomik olarak karmaşıklığı ve bu karmaşık yapının biyomekanik nitelikleri, doğru teşhis ve uygun tedavinin planlanması konusunda zorluklar ortaya çıkarmaktadır. Kronik el bilek ağrısına yol açabilen çok sayıda hastalık ve klinik tablo mevcuttur. Bunların el bileğinin anatomik özelliklerine ve ağrının lokalizasyonuna göre radial taraf, merkezi, ulnar taraf ve yaygın el bilek ağrısı başlıkları altında kategorize edilebilir. El bilek ağrısının ayırıcı tanının yapılabilmesi için, sistematik bir yaklaşım gereklidir. Eksiksiz bir anamnez, iyi yapılmış fizik muayene, tekniğe uygun çekilmiş radyografiler, bilgisayarlı tomografi, magnetik rezonans ve tanısal el bilek artroskopisi gibi görüntüleme yöntemleri sayesinde kronik el bilek ağrısı nedenleri daha objektif kriterlere dayandırılarak ortaya konabilmekte, spesifik ağrı nedenlerinin saptanması ve nedene yönelik tedavi ile daha başarılı klinik sonuçlar elde edilebilmektedir.

Keywords

• el bilek ağrısı
• ulnar taraf
• radial taraf
• el bilek instabilitesi
• tendinopati

Evaluation of Chronic Wrist Pain

Abstract

Chronic wrist pain is a frequent clinical entity which causes serious workforce and financial loss due to functional impairment. The anatomic complex structure of the wrist and its biomechanical properties bring about difficulties in diagnosis and planning of appropriate treatment modalities. Many etiological factors play a role in development of chronic wrist pain. These factors can be categorized into radial side, central, ulnar side and generalized wrist pain according to anatomical properties of the wrist and the localization of the pain. For differential diagnosis of chronic wrist pain, a systematical clinical approach is mandatory. The etiology of the chronic wrist pain can be identified depending on more objective criteria by getting a full history of pain, a detailed physical examination, appropriate radiographs, computerized tomography, magnetic resonance imaging and diagnostic wrist arthroscopy. By combining these diagnostic tools, the specific etiological factor for pain can be identified and successful clinical treatment outcomes be achieved.

Keywords

• Wrist pain
• ulnar side
• radial side
• wrist instability
• tendinopathy

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