Carpal Tunnel Syndrome: Demographic Evaluation of 126 Cases
Yıl 2014,
Cilt: 11 Sayı: 3, 242 - 246, 15.12.2014
Yılmaz İnanç
,
Yusuf İnanç
,
Halil Ay
,
Zülfikar Arlier
Özcan Kocatürk
Öz
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. Carpal tunnel syndrome is a
compression neuropathy which occurs due to compression of median nerve at the wrist level. CTS is most
commonly seen in women over 30 years of age, frequently bilaterally, with nocturnal pain, paresthesia and/or
sensory deficit in the median nerve innervated region of the hand. CTS is a clinical diagnosis based on the
patient's history and physical examination; electrodiagnostic tests including nerve conduction studies and
needle electromyography are the most commonly used auxillary diagnostic methods.
Kaynakça
- 1) Robinson LR. Role of neurophysiological evaluation
in diagnosis. J Am Acad Ortop Surg. 2000;8:190-9.
2) Provinciali L, Giattini A, Splendiani G et
al.Usefulness of hand rehabilitation after carpal tunnel
surgery. Muscle and Nerve, 2000; 23: 211-6.
3) Ferry S, Hannaford P, Warskyj M, Lewis M, Croft P.
Carpal tunnel syndrome: a nested case-control study of
risk factors in women. Am J Epidemiol 2000; 151(6):
566-74.
4) Provinciali L, Giattini A, Splendiani G, Logullo F.
Usefulness of hand rehabilitation after carpal tunnel
surgery. Muscle Nerve 2000;23:211-6.
5) Krom MC, Knipschild PG, Kester AD, Thijs CT,
Boekkooi PF, Spaans F.Carpal tunnel syndrome:
prevalence in the general population. J Clin
Epidemiol.1992;45(4):373-6.
6) Radecki P. Carpal tunnel syndrome. Effects of
personal factors and associated medical conditions.
Phys Med Rehabil Clin N Am 1997; 8: 419–7.
7) Kouyoumdjian JA, Zanetta DMT, Morita MPA.
Evaluation of age, body mass index, and wrist index as
risk factors for carpal tunnel syndrome severity. muscle
Nerve 2002; 25: 93–7.
8) Becker J, Nora DB, Gomes I, Stringari FF, Seitensus
R, Panosso JS, Ehlers JAC. An evaluation of gender,
obesity, age and diabetes mellitus as risk factors for
carpal tunnel syndrome. Clin Neurophysiol 2002; 113:
1429-34.
9) Geoghegan JM, Clark DI, Bainbridge LC, Smith C,
Hubbard R. Risk factors in carpal tunnel syndrome. J
Hand Surg (Br) 2004; 29: 315-20
10) Zambelis T, Tsivgoulis G, Karandreas N. Carpal
Tunnel Syndrome: Associations
Between Risk Factors and Laterality. Eur Neurol.
2010;63:43–7.
11) Kurt S, Kisacik B, Kaplan Y, Yildirim B, Etikan I,
Karaer H. Obesity and Carpal Tunnel Syndrome:Is There
a Causal Relationship? Eur Neurol.2008;59:253–57.
12) Lam N, Thurston A. Association of obesity, gender,
age and occupation with carpal tunnel syndrome. Aust N
Z J Surg. 1998;68:190-3.
13) Phalen G.S. The carpal tunnel syndrome. 17 years'
experience in diagnosis and treatment of 654 hands. J.
Bone Jt Surg. 1966;48: 211-28.
14) Bruce W, Conolly WB, McKessar JH. Carpal tunnel
syndrome. Can it be a work related condition? Australian
Family Physician. 2009;38(9):684-6.
15) Mondelli M, Aprile I, Ballerini M, Ginanneschi F,
Reale F, Romano C et al. Sex differences in carpal tunnel
syndrome: comparison of surgical and non-surgical
populations. Eur J Neurol. 2005;12(12):976-83.
16) Nathan PA, Kenneth DM, Doyle LS. Relationship of
age and sex to sensory conduction of the median nerve at
the carpal tunnel and association of slowed conduction
with the symptoms. Muscle Nevre 1988; 11: 1149-53.
17) Padua L, Padua R, Aprıle I, Tonalı P. Italian
multicentre study of carpal tunnel syndrome. J Hand
Surg (Br) 1999; 24(5): 579-82.
18) Gül Aİ,Alp R,Özcan Ç,Palancı Y. Karpal Tünel
Sendromu ve Anksiyete İlişkisi ve Bunun Uyku
Bozuklukları Üzerine Etkisi.Harran Üniversitesi Tıp
Fakültesi Dergisi 2008;5(3):16-20.
19) Gurcay E, Unlu E, Gurcay AG, Tuncay R, Cakci A.
Evaluation of the effect of local corticosteroid injection and
anti-inflammatory medication in carpal tunnel syndrome.
Scott Med J. 2009;54(1):4-6.
20) Padua L, LoMonaco M, Padua R, Gregori B, Tonali P
Neurophysiological classification of carpal tunnel
syndrome:assessment of 600 symptomatic hands. Ital
J.neurol Sci, 1997; 18: 145-50
21) Buschbacher L. Rehabilitaion of patients with
peripheral neuropathies In: raddom RL (ed). Physical
Medicine and Rehabilitation. Philadelphia: WB Saunders,
2000; 1024-44.
22) Mondelli M, Aprile I, Ballerini M, Ginanneschi F,
Reale F, Romano C, Rossi S, Padua L. “Sex differences in
carpal tunnel syndrome: comparison of surgical and nonsurgical populations”. Eur J Neurol. 2005; 12:976-83.
23) Vessey MP, Villard-Mackintosh L, Yeates D.
“Epidemiology of carpal tunnel syndrome in women of
childbearing age. Findings in a large cohort study”. Int J
Epidemiol 2000; 19:655-9.
24.Kouyoumdjian JA, Morita MD, Rocha PR, Miranda
RC, Gouveia GM. “Body mass index and carpal tunnel
syndrome”. Arq Neuropsiquiatr. 2000; 58(2): 252-6.
25. Ozkul Y, Sabuncu T, Kocabey Y, Nazligul Y. Outcomes
of carpal tunnel release in diabetic and non-diabetic
patients. Acta Neurol Scand 2002;106:168-72.
26. Çakır M, Samancı N, Balcı N, Balcı MK.
Musculoskeletal manifestations in patients with thyroid
disease Clin Endocrinol 2003;59(2):162-7.
27.Karpitskaya Y, Novak CB, Mackinnon SE. Prevalance
of smoking, obesity, diabetes mellitus, and thyroid disease
in patients with carpal tunnel syndrome. Ann Plast Surg
2002; 48: 269-73.
Karpal Tünel Sendromu: 126 Olgunun Demoğrafik Açıdan Değerlendirilmesi
Yıl 2014,
Cilt: 11 Sayı: 3, 242 - 246, 15.12.2014
Yılmaz İnanç
,
Yusuf İnanç
,
Halil Ay
,
Zülfikar Arlier
Özcan Kocatürk
Öz
Karpal tünel sendromu (KTS) en sık rastlanan tuzak nöropatidir. Karpal tünel sendromu, median sinirin el
bileği düzeyinde tuzaklanmasına bağlı gelişen kompresyon nöropatisidir. En sık 30 yaşından büyük
kadınlarda, sıklıkla çift taraflı olarak, median sinirin elde inervasyon alanına uyan bölgede geceleri ortaya
çıkan ya da artan ağrı, uyuşma, ve/veya duyu kaybı belirtileri ile görülür. KTS hastanın öyküsü ve fizik
muayenesi ile ulaşılan bir klinik tanıdır ve sinir ileti çalışmalarına ilave iğne elektromiyografisinden oluşan
elektrodiagnostik incelemeler tanıda en sık kullanılan yardımcı yöntemlerdir.
Kaynakça
- 1) Robinson LR. Role of neurophysiological evaluation
in diagnosis. J Am Acad Ortop Surg. 2000;8:190-9.
2) Provinciali L, Giattini A, Splendiani G et
al.Usefulness of hand rehabilitation after carpal tunnel
surgery. Muscle and Nerve, 2000; 23: 211-6.
3) Ferry S, Hannaford P, Warskyj M, Lewis M, Croft P.
Carpal tunnel syndrome: a nested case-control study of
risk factors in women. Am J Epidemiol 2000; 151(6):
566-74.
4) Provinciali L, Giattini A, Splendiani G, Logullo F.
Usefulness of hand rehabilitation after carpal tunnel
surgery. Muscle Nerve 2000;23:211-6.
5) Krom MC, Knipschild PG, Kester AD, Thijs CT,
Boekkooi PF, Spaans F.Carpal tunnel syndrome:
prevalence in the general population. J Clin
Epidemiol.1992;45(4):373-6.
6) Radecki P. Carpal tunnel syndrome. Effects of
personal factors and associated medical conditions.
Phys Med Rehabil Clin N Am 1997; 8: 419–7.
7) Kouyoumdjian JA, Zanetta DMT, Morita MPA.
Evaluation of age, body mass index, and wrist index as
risk factors for carpal tunnel syndrome severity. muscle
Nerve 2002; 25: 93–7.
8) Becker J, Nora DB, Gomes I, Stringari FF, Seitensus
R, Panosso JS, Ehlers JAC. An evaluation of gender,
obesity, age and diabetes mellitus as risk factors for
carpal tunnel syndrome. Clin Neurophysiol 2002; 113:
1429-34.
9) Geoghegan JM, Clark DI, Bainbridge LC, Smith C,
Hubbard R. Risk factors in carpal tunnel syndrome. J
Hand Surg (Br) 2004; 29: 315-20
10) Zambelis T, Tsivgoulis G, Karandreas N. Carpal
Tunnel Syndrome: Associations
Between Risk Factors and Laterality. Eur Neurol.
2010;63:43–7.
11) Kurt S, Kisacik B, Kaplan Y, Yildirim B, Etikan I,
Karaer H. Obesity and Carpal Tunnel Syndrome:Is There
a Causal Relationship? Eur Neurol.2008;59:253–57.
12) Lam N, Thurston A. Association of obesity, gender,
age and occupation with carpal tunnel syndrome. Aust N
Z J Surg. 1998;68:190-3.
13) Phalen G.S. The carpal tunnel syndrome. 17 years'
experience in diagnosis and treatment of 654 hands. J.
Bone Jt Surg. 1966;48: 211-28.
14) Bruce W, Conolly WB, McKessar JH. Carpal tunnel
syndrome. Can it be a work related condition? Australian
Family Physician. 2009;38(9):684-6.
15) Mondelli M, Aprile I, Ballerini M, Ginanneschi F,
Reale F, Romano C et al. Sex differences in carpal tunnel
syndrome: comparison of surgical and non-surgical
populations. Eur J Neurol. 2005;12(12):976-83.
16) Nathan PA, Kenneth DM, Doyle LS. Relationship of
age and sex to sensory conduction of the median nerve at
the carpal tunnel and association of slowed conduction
with the symptoms. Muscle Nevre 1988; 11: 1149-53.
17) Padua L, Padua R, Aprıle I, Tonalı P. Italian
multicentre study of carpal tunnel syndrome. J Hand
Surg (Br) 1999; 24(5): 579-82.
18) Gül Aİ,Alp R,Özcan Ç,Palancı Y. Karpal Tünel
Sendromu ve Anksiyete İlişkisi ve Bunun Uyku
Bozuklukları Üzerine Etkisi.Harran Üniversitesi Tıp
Fakültesi Dergisi 2008;5(3):16-20.
19) Gurcay E, Unlu E, Gurcay AG, Tuncay R, Cakci A.
Evaluation of the effect of local corticosteroid injection and
anti-inflammatory medication in carpal tunnel syndrome.
Scott Med J. 2009;54(1):4-6.
20) Padua L, LoMonaco M, Padua R, Gregori B, Tonali P
Neurophysiological classification of carpal tunnel
syndrome:assessment of 600 symptomatic hands. Ital
J.neurol Sci, 1997; 18: 145-50
21) Buschbacher L. Rehabilitaion of patients with
peripheral neuropathies In: raddom RL (ed). Physical
Medicine and Rehabilitation. Philadelphia: WB Saunders,
2000; 1024-44.
22) Mondelli M, Aprile I, Ballerini M, Ginanneschi F,
Reale F, Romano C, Rossi S, Padua L. “Sex differences in
carpal tunnel syndrome: comparison of surgical and nonsurgical populations”. Eur J Neurol. 2005; 12:976-83.
23) Vessey MP, Villard-Mackintosh L, Yeates D.
“Epidemiology of carpal tunnel syndrome in women of
childbearing age. Findings in a large cohort study”. Int J
Epidemiol 2000; 19:655-9.
24.Kouyoumdjian JA, Morita MD, Rocha PR, Miranda
RC, Gouveia GM. “Body mass index and carpal tunnel
syndrome”. Arq Neuropsiquiatr. 2000; 58(2): 252-6.
25. Ozkul Y, Sabuncu T, Kocabey Y, Nazligul Y. Outcomes
of carpal tunnel release in diabetic and non-diabetic
patients. Acta Neurol Scand 2002;106:168-72.
26. Çakır M, Samancı N, Balcı N, Balcı MK.
Musculoskeletal manifestations in patients with thyroid
disease Clin Endocrinol 2003;59(2):162-7.
27.Karpitskaya Y, Novak CB, Mackinnon SE. Prevalance
of smoking, obesity, diabetes mellitus, and thyroid disease
in patients with carpal tunnel syndrome. Ann Plast Surg
2002; 48: 269-73.