Karpal Tünel Sendromunun Tedavisinde Kullanılan Karpal Ligaman Traksiyon Aletinin Ultrasonografik Olarak Tedaviye Katkısının Ölçülmesi

Yıl 2014, Cilt: 15 Sayı: 3, 261 - 266, 01.12.2014

Ömer Yılmaz Feray Soyupek Tuna Parpar Hale Gül Bozkurt Şeyma Benzin Rumeysa Elmas Alkan

Öz

Objective: The aim of this study is to figure out the wrist traction effectiveness of ultrasound which is used to treat the carpal tunnel syndrome (CTS), determine whether the ultrasound (US) applied in patients with a diagnosis of CTS can be used for follow up before and after the treatments. Material and Methods: 28 patients (45 hands) which has been diagnosed idiopathic CTS with the electrophysiological studies were included in the study. For treatment wrist traction device for the application of traction (C-TRACTM brand) was used on all patients. All the patients have been carried out with the US two times before and after the treatment.US examinations were performed with a 12-MHz linear probe (Toshiba, Aplio500, Tokyo, Japan) device. In all cases, the measured distance between the bones carpal tunnel at the level of the input and output measurements and the fact whether there is a difference between the median nerve cross-sectional area measurements, were assessed by the groups’t-test. Results: On the 45 wrists included in the study, two US measurements before and after the usage of wrist traction device, the carpal tunnel at the level of the input and output of measured between distances of bone were found statistically significant difference (p<0,001), while there wasn’t found statistically significant difference between the median nerve cross-sectional area measurements (p>0,05). Conclusion: Our study is the first study evaluating the effectiveness of US and CTS carpal ligament traction in the literature. Considered in patients with CTS and US measurements can be carried out in a short time and can be performed in a dynamic way without the exposure to radiation

Anahtar Kelimeler

Carpal tunnel syndrome; ultrasonography; wrist traction

Karpal Tünel Sendromunun Tedavisinde Kullanılan Karpal Ligaman Traksiyon Aletinin Ultrasonografik Olarak Tedaviye Katkısının Ölçülmesi

Öz

Amaç: Çalışmanın amacı karpal tünel sendromu (KTS) tedavisinde kullanılan el bileği traksiyonunun sonografik olarak etkinliğini araştırmak, ultrasonografi (US)’nin KTS tanılı olgularda uygulanan tedavilerin öncesinde ve sonrasında takip amacıyla kullanılıp kullanılamayacağını belirlemektir. Gereç ve Yöntem: Çalışmaya daha önce yapılan elektrofizyolojik çalışmalarla idiopatik KTS tanısı almış 28 olgu (45 el) dahil edildi. Tüm olgulara tedavi amacıyla el bileği traksiyonu uygulanması için traksiyon cihazı (CTRACTM marka) kullanıldı. Tüm olgulara tedavi öncesi ve sonrasında iki kez US yapıldı. US incelemeleri 12-MHz lineer proba sahip (Toshiba, Aplio 500, Tokyo, Japan) cihaz kullanılarak yapıldı. Tüm olgularda karpal tünel giriş ve çıkış düzeyinde kemikler arasında ölçülen mesafe ile medyan sinir kesitsel alanının ölçümleri arasında fark olup olmadığı bağımlı grupların t testi ile değerlendirildi.Bulgular: Çalışmaya dahil edilen 45 el bileğinde, el bileği traksiyon cihaz kullanım öncesi ve sonrası iki US ölçümünde, karpal tünel giriş ve çıkış düzeyinde ölçülen kemik mesafeler arasında istatistiksel olarak anlamlı fark bulunurken (p < 0,001); medyan sinir kesitsel alan ölçümleri arasında istatistiksel olarak anlamlı fark bulunmadı (p > 0,05). Sonuç: Çalışmamız literatürde US ile KTS’de karpal ligaman traksiyonunun etkinliğini değerlendiren ilk çalışmadır. US ile KTS düşünülen olgularda ölçümler kısa sürede, radyasyona maruz kalmadan dinamik olarak gerçekleştirmek mümkündür

Anahtar Kelimeler

Karpal tünel sendromu; ultrasonografi; el bileği traksiyonu

Kaynakça

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