Üst Ekstremite Tuzak Nöropatileri

Yıl 2019, Cilt: 2 Sayı: 1, 42 - 47, 01.04.2019

Ahmet Karakoyun , Yalkın Çalık

https://doi.org/10.33713/egetbd.481323

Cited By: 2

Öz

        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. 

Anahtar Kelimeler

Karpal tünel sendromu, üst ekstremite, Median Sinir, Ulnar Sinir

Kaynakça

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