@article{article_545513, title={THE MRI FINDINGS IN PATIENTS WITH IDIOPATHIC CARPAL TUNNEL SYNDROME BEFORE AND AFTER TREATMENT}, journal={The Journal of Kırıkkale University Faculty of Medicine}, volume={21}, pages={302–312}, year={2019}, DOI={10.24938/kutfd.545513}, author={Karaca, Şahika Burcu and Şahin, Rula and Günbey Karabekmez, Leman and Yetiş, Tevfik and Duran, Nihal}, keywords={Karpal Tünel Sendromu,Magnetik Rezonans Görüntüleme,Sinir Kesitsel Alanı,El bileği}, abstract={<p class="MsoNoSpacing" style="text-align:justify;margin:0cm -5.4pt .0001pt 1.85pt;line-height:115%;"> <span lang="en-us" style="line-height:115%;font-size:14px;" xml:lang="en-us"> <b>Objective </b> </span> <span lang="en-us" style="line-height:115%;font-size:14px;" xml:lang="en-us">: </span> <span style="line-height:115%;"> <span style="font-size:14px;">In this study, </span> <span style="font-size:14px;">while evaluating the effectiveness of splint, injection, paraffin and
surgical treatment with Magnetic Resonance Imaging (MRI) in patients with
idiopathic carpal tunnel syndrome (CTS), we investigated the consistency
between MRI measurements performed by different observers. </span> </span> <span lang="en" style="line-height:115%;" xml:lang="en"> </span> </p> <p> </p> <p class="MsoNoSpacing" style="text-align:justify;margin:0cm -5.4pt .0001pt 1.85pt;line-height:115%;"> <span lang="en-us" style="line-height:115%;font-size:14px;" xml:lang="en-us"> <b>Material and Methods </b> </span> <span lang="en-us" style="line-height:115%;font-size:14px;" xml:lang="en-us">: </span> <span style="line-height:115%;font-size:14px;">Boston questionnaires were evaluated,
and the cross-sectional areas (CSA) of the median nerve were measured by two
different observers, in 50 hands of 50 patients with idiopathic CTS. </span> <span lang="en" style="line-height:115%;" xml:lang="en"> </span> </p> <p> </p> <p class="MsoNoSpacing" style="text-align:justify;margin:0cm -5.4pt .0001pt 1.85pt;line-height:115%;"> <span lang="en-us" style="line-height:115%;font-size:14px;" xml:lang="en-us"> <b>Results </b> </span> <span lang="en-us" style="line-height:115%;font-size:14px;" xml:lang="en-us"> <b>: </b> </span> <span style="line-height:115%;font-size:14px;">The CSA of the median nerve at the
radiocarpal joint level of the canal were significantly larger than the values
at the hamate level of the canal when values before treatment and three months
after treatment were compared (p<0.001; <0.001 respectively). Measurements
of the CSA of the median nerve, taken by the first observer, were found to be
significantly lower in the post-treatment period at both the radiocarpal joint
and hamate level, compared with the pre-treatment period (p<0.001; 0.002
respectively). Measurements of CSA of the median nerve at the radiocarpal joint
and hamate level performed by the observers in the pre- and post-treatment
periods, were found to be highly compatible with one another. </span> </p> <p class="MsoNoSpacing" style="text-align:justify;margin:0cm -5.4pt .0001pt 1.85pt;line-height:115%;"> <span lang="en-us" style="font-size:14px;" xml:lang="en-us"> <b>Conclusion </b>: </span> <span lang="en-us" style="font-size:14px;" xml:lang="en-us">MRI is a valuable investigative technique for use
with CTS patients, for the diagnosis of idiopathic CTS. When evaluating the
efficacy of treatment, measurements of CSA of the median nerve are important,
particularly at the proximal regions of the canal. The compatibility between
the MRI measurements of the different observers, led us to consider that the
measurements were objective. </span> </p> <p> </p>}, number={3}, publisher={Kırıkkale Üniversitesi}