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Karpal Tünel Sendromlu Olgulara Cerrahi Yaklaşımda Morfolojik Bakış

Yıl 2010, Cilt: 11 Sayı: 1, 15 - 19, 01.04.2010

H. Selim Karabekir Neşe Nur User Özge YILMAZ Küsbeci Nüket GÖÇMEN Mas

Öz

Anahtar Kelimeler

-

Kaynakça

  • Bonfiglioli R, Farioli A, Mattioli S, Violante FS. Evidence based prevention and upper limb work- related musculoskeletal disorders. G Ital Med Lav Ergon. 2008 Jul-Sep;30:26-31.
  • Scholten RPJM, Mink Van Der Molen A, Uitdehaag BMJ , Bouter LM, de wet HCW. Surgical treatment options for carpal tunnel syndrome (Review). Published by JohnWiley & Sons, Ltd. Cochrane Database Syst Rev. 2007 Oct 17:CD003905.
  • Barbosa VR, Dantas FG, Cardoso MA, de Medeiros JL. Pain and numbness in the arms and hands and carpal tunnel syndrome diagnosis. Arq Neuropsiquiatr. 2006 Dec;64:997-1000.
  • Balakrishnan C, Jarrahnejad P, Balakrishnan A, Huettner WC. Acute carpal tunnel syndrome as a result of spontaneous bleeding. Can J Plast Surg. 2008 Fall;16:168-169.
  • Sulewski A, Nawrot P, Nowakowski A. Current views on the treatment of upper limb compression neuropathies. Ortop Traumatol Rehabil. 2008 Nov- Dec;10:626-31.
  • Armstrong T, Dale AM, Franzblau A, Evanoff BA. Risk factors for carpal tunnel syndrome and median neuropathy in a working population. J Occup Environ Med. 2008 Dec;50:1355-64.
  • Padua L, Aprile I, Caliandro P, Carboni T, Meloni A, Massi S, Mazza O, Mondelli M, Morini A, Murasecco D, Romano M, Tonali P; Italian Carpal Tunnel Syndrome Study Group. Symptoms and neurophysiological picture of carpal tunnel syndrome in pregnancy. Clin Neurophysiol. 2001 Oct;112:1946- 51.
  • Pazzaglia C, Caliandro P, Aprile I, Mondelli M, Foschini M, Tonali PA, Padua L; Italian CTS and others entrapment Study Group. Multicenter study on carpal tunnel syndrome and pregnancy incidence and natural course. Acta Neurochir Suppl. 2005;92:35-9.
  • Mondelli M, Rossi S, Monti E, Aprile I, Caliandro P, Pazzaglia C, Romano C, Padua L. Long term follow- up of carpal tunnel syndrome during pregnancy: a cohort study and review of the literature. Electromyogr Clin Neurophysiol. 2007 Sep;47:259- 71.
  • Sarkar P, Pain S, Sarkar RN, Ghosal R, Mandal SK, Banerjee R. Rheumatological manifestations in diabetes mellitus. J Med Assoc 2008 Sep ;106:593-4.
  • Verdugo RJ, Salinas RA, Castillo JL, Cea JG. Surgical versus non-surgical treatment for carpal tunnel syndrome. Cochrane Database Syst Rev. 2003:CD001552.
  • Taner D. Fonksiyonel Anatomi. 3. Baskı HYB Basın Yayın Bilkent Ankara 2005: 83 -115.
  • Feuerstein M, Burrell LM, Miller VI, Lincoln A, Huang GD, Berger R. Clinical management of carpal tunnel syndrome: a 12-year review of outcomes. Am J Ind Med. 1999 Mar;35: 232-45.
  • Armantrout EA, Hummel-Berry K, Underwood F, Nelson C. Physical therapist compliance with electromyography guidelines. J Neurol Phys Ther. 2008 Dec;32:177-85.
  • Sundar S, Gonzalez-Cueto JA. Conduction velocity distribution estimation using the collision technique for assessing carpal tunnel syndrome. Conf Proc IEEE Eng Med Biol Soc. 2006;1:2373-6.
  • Lida J, Hirabayashi H, Nakase H, Sakaki T. Carpal tunnel syndrome: electrophysiological grading and surgical results by minimum incision open carpal tunnel release. Neurol Med Chir (Tokyo). 2008 Dec;48:554-9.
  • Ginanneschi F, Mondelli M, Dominici F, Rossi A. Changes in motor axon recruitment in the median nerve in mild carpal tunnel syndrome. Clin Neurophysiol. 2006 Nov; 117: 2467-72.
  • Yucel A, Yilmaz O, Babaoglu S, Acar M, Degirmenci B. Erratum to "Sonographic findings of the median nerve and prevalence of carpal tunnel syndrome in patients with Parkinson's disease" (Eur. J. Radiol. 67 (3) (2008) 546-550). Eur J Radiol. 2008 Dec;68:499-502.
  • Wang LY, Leong CP, Huang YC, Hung JW, Cheung SM, Pong YP. Best diagnostic criterion in high- resolution ultrasonography for carpal tunnel syndrome. Chang Gung Med J. 2008 Sep-Oct;31:469- 76.
  • Cellocco P, Rossi C, Bizzarri F, Patrizio L, Costanzo G. Mini-open blind procedure versus limited open technique for carpal tunnel release: a 30-month follow-up study. J Hand Surg Am. 2005 May;30:493- 9.
  • Thoma A, Veltri K, Haines T, Duku E. A systematic review of reviews comparing the effectiveness of endoscopic and open carpal tunnel decompression. Plast Reconstr Surg. 2004 Apr 1;113:1184-91.
  • Zyluk A, Puchalski P. Inability to work before and after operation for carpal tunnel syndrome. Chir Narzadow Ruchu Ortop Pol. 2008 Sep-Oct;73:303-8.
  • Thurston A, Lam N. Results of open carpal tunnel release: a comprehensive, retrospective study of 188 hands. Aust N Z J Surg. 1997 May;67:283-8.
  • Brown RA, Gelberman RH, Seiler JG 3rd, Abrahamsson SO, Weiland AJ, Urbaniak JR, Schoenfeld DA, Furcolo D. Carpal tunnel release. A prospective, randomized assessment of open and endoscopic methods. J Bone Joint Surg Am. 1993 Sep;75:1265-75.
  • Eichhorn J, Dieterich K. Open versus endoscopic carpal tunnel release. Results of a prospective study. Chirurgische Praxis 2003;61:279–83.
  • Lozano Calderón SA, Paiva A, Ring D. Patient satisfaction after open carpal tunnel release correlates with depression. J Hand Surg Am. 2008 Mar;33:303- 7.
  • Kadzielski J, Malhotra LR, Zurakowski D, Lee SG, Jupiter JB, Ring D. Evaluation of preoperative expectations and patient satisfaction after carpal tunnel release. J Hand Surg Am. 2008 Dec;33:1783- 8.

Karpal Tünel Sendromlu Olgulara Cerrahi Yaklaşımda Morfolojik Bakış

Yıl 2010, Cilt: 11 Sayı: 1, 15 - 19, 01.04.2010

H. Selim Karabekir Neşe Nur User Özge YILMAZ Küsbeci Nüket GÖÇMEN Mas

Öz

Amaç: Bu çalışma Karpal Tünel Sendromu (KTS) olan hastalara güvenli cerrahi yaklaşım şansı tanınabilmesi için bölgedeki karmaşık anatomik yapılanmanın anlaşılması amacıyla planlanmıştır. Materyal-Metod: Eylül 2002- Aralık 2008 tarihleri arasında Afyon Kocatepe Üniversitesi Tıp Fakültesi Nöroloji, Nöroşirürji ve Acil Servis’e el bileğinde ağrı, uyuşukluk yakınması ile başvuran ve Nöroşirurji polikliniğine sevk edilerek Karpal Tünel Sendromu (KTS) tanısı cerrahi tedavi uygulanan 21 olgunun sonuçları retrospektif olarak arşiv taraması yoluyla değerlendirildi. Bulgular: Tamamı kadın olan olguların 6’sı bilateral, 8’i sağ ve 7’si sol tarafta karpal tünel sendromu tanısı konularak opere edilmişti. Yaş ortalaması 54,8 olan olguların izleme süresi ortalama 42,1 ay olarak belirlendi. Olguların izlemi vizüel ağrı skalası (VAS) kullanılarak yapıldı. Preoperatif VAS skorları 9,5 olarak saptandı. Sağ karpal tünel tanısı ile opere edilen 1 olgu dışında nüks görülmedi (%4,8). Yirmibir olgunun 2’si dışında postoperatif dönemde ağrı yakınması tama yakın geçti. Postoperatif VAS skorları ortalama 3,4 olarak bulundu. Sonuç: Anatomik oryantasyon noktalarına bağlı kalınarak yapılan cerrahi girişimlerde gerek olgu memnuniyetinin yüksek, gerekse de nüks oranının daha düşük olması karpal tünel sendromu olgularında güvenli cerrahi yapılabileceğini düşündürmektedir

Anahtar Kelimeler

Karpal Tünel Sendromu Anatomik oryantasyon noktası Dekompresyon

Kaynakça

  • Bonfiglioli R, Farioli A, Mattioli S, Violante FS. Evidence based prevention and upper limb work- related musculoskeletal disorders. G Ital Med Lav Ergon. 2008 Jul-Sep;30:26-31.
  • Scholten RPJM, Mink Van Der Molen A, Uitdehaag BMJ , Bouter LM, de wet HCW. Surgical treatment options for carpal tunnel syndrome (Review). Published by JohnWiley & Sons, Ltd. Cochrane Database Syst Rev. 2007 Oct 17:CD003905.
  • Barbosa VR, Dantas FG, Cardoso MA, de Medeiros JL. Pain and numbness in the arms and hands and carpal tunnel syndrome diagnosis. Arq Neuropsiquiatr. 2006 Dec;64:997-1000.
  • Balakrishnan C, Jarrahnejad P, Balakrishnan A, Huettner WC. Acute carpal tunnel syndrome as a result of spontaneous bleeding. Can J Plast Surg. 2008 Fall;16:168-169.
  • Sulewski A, Nawrot P, Nowakowski A. Current views on the treatment of upper limb compression neuropathies. Ortop Traumatol Rehabil. 2008 Nov- Dec;10:626-31.
  • Armstrong T, Dale AM, Franzblau A, Evanoff BA. Risk factors for carpal tunnel syndrome and median neuropathy in a working population. J Occup Environ Med. 2008 Dec;50:1355-64.
  • Padua L, Aprile I, Caliandro P, Carboni T, Meloni A, Massi S, Mazza O, Mondelli M, Morini A, Murasecco D, Romano M, Tonali P; Italian Carpal Tunnel Syndrome Study Group. Symptoms and neurophysiological picture of carpal tunnel syndrome in pregnancy. Clin Neurophysiol. 2001 Oct;112:1946- 51.
  • Pazzaglia C, Caliandro P, Aprile I, Mondelli M, Foschini M, Tonali PA, Padua L; Italian CTS and others entrapment Study Group. Multicenter study on carpal tunnel syndrome and pregnancy incidence and natural course. Acta Neurochir Suppl. 2005;92:35-9.
  • Mondelli M, Rossi S, Monti E, Aprile I, Caliandro P, Pazzaglia C, Romano C, Padua L. Long term follow- up of carpal tunnel syndrome during pregnancy: a cohort study and review of the literature. Electromyogr Clin Neurophysiol. 2007 Sep;47:259- 71.
  • Sarkar P, Pain S, Sarkar RN, Ghosal R, Mandal SK, Banerjee R. Rheumatological manifestations in diabetes mellitus. J Med Assoc 2008 Sep ;106:593-4.
  • Verdugo RJ, Salinas RA, Castillo JL, Cea JG. Surgical versus non-surgical treatment for carpal tunnel syndrome. Cochrane Database Syst Rev. 2003:CD001552.
  • Taner D. Fonksiyonel Anatomi. 3. Baskı HYB Basın Yayın Bilkent Ankara 2005: 83 -115.
  • Feuerstein M, Burrell LM, Miller VI, Lincoln A, Huang GD, Berger R. Clinical management of carpal tunnel syndrome: a 12-year review of outcomes. Am J Ind Med. 1999 Mar;35: 232-45.
  • Armantrout EA, Hummel-Berry K, Underwood F, Nelson C. Physical therapist compliance with electromyography guidelines. J Neurol Phys Ther. 2008 Dec;32:177-85.
  • Sundar S, Gonzalez-Cueto JA. Conduction velocity distribution estimation using the collision technique for assessing carpal tunnel syndrome. Conf Proc IEEE Eng Med Biol Soc. 2006;1:2373-6.
  • Lida J, Hirabayashi H, Nakase H, Sakaki T. Carpal tunnel syndrome: electrophysiological grading and surgical results by minimum incision open carpal tunnel release. Neurol Med Chir (Tokyo). 2008 Dec;48:554-9.
  • Ginanneschi F, Mondelli M, Dominici F, Rossi A. Changes in motor axon recruitment in the median nerve in mild carpal tunnel syndrome. Clin Neurophysiol. 2006 Nov; 117: 2467-72.
  • Yucel A, Yilmaz O, Babaoglu S, Acar M, Degirmenci B. Erratum to "Sonographic findings of the median nerve and prevalence of carpal tunnel syndrome in patients with Parkinson's disease" (Eur. J. Radiol. 67 (3) (2008) 546-550). Eur J Radiol. 2008 Dec;68:499-502.
  • Wang LY, Leong CP, Huang YC, Hung JW, Cheung SM, Pong YP. Best diagnostic criterion in high- resolution ultrasonography for carpal tunnel syndrome. Chang Gung Med J. 2008 Sep-Oct;31:469- 76.
  • Cellocco P, Rossi C, Bizzarri F, Patrizio L, Costanzo G. Mini-open blind procedure versus limited open technique for carpal tunnel release: a 30-month follow-up study. J Hand Surg Am. 2005 May;30:493- 9.
  • Thoma A, Veltri K, Haines T, Duku E. A systematic review of reviews comparing the effectiveness of endoscopic and open carpal tunnel decompression. Plast Reconstr Surg. 2004 Apr 1;113:1184-91.
  • Zyluk A, Puchalski P. Inability to work before and after operation for carpal tunnel syndrome. Chir Narzadow Ruchu Ortop Pol. 2008 Sep-Oct;73:303-8.
  • Thurston A, Lam N. Results of open carpal tunnel release: a comprehensive, retrospective study of 188 hands. Aust N Z J Surg. 1997 May;67:283-8.
  • Brown RA, Gelberman RH, Seiler JG 3rd, Abrahamsson SO, Weiland AJ, Urbaniak JR, Schoenfeld DA, Furcolo D. Carpal tunnel release. A prospective, randomized assessment of open and endoscopic methods. J Bone Joint Surg Am. 1993 Sep;75:1265-75.
  • Eichhorn J, Dieterich K. Open versus endoscopic carpal tunnel release. Results of a prospective study. Chirurgische Praxis 2003;61:279–83.
  • Lozano Calderón SA, Paiva A, Ring D. Patient satisfaction after open carpal tunnel release correlates with depression. J Hand Surg Am. 2008 Mar;33:303- 7.
  • Kadzielski J, Malhotra LR, Zurakowski D, Lee SG, Jupiter JB, Ring D. Evaluation of preoperative expectations and patient satisfaction after carpal tunnel release. J Hand Surg Am. 2008 Dec;33:1783- 8.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler-Araştırma Yazıları
Yazarlar

H. Selim Karabekir Bu kişi benim

Neşe Nur User Bu kişi benim

Özge YILMAZ Küsbeci Bu kişi benim

Nüket GÖÇMEN Mas Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2010
Yayımlandığı Sayı Yıl 2010 Cilt: 11 Sayı: 1

Kaynak Göster

APA Karabekir, H. S., User, N. N., Küsbeci, Ö. Y., Mas, N. G. (2010). Karpal Tünel Sendromlu Olgulara Cerrahi Yaklaşımda Morfolojik Bakış. Kocatepe Tıp Dergisi, 11(1), 15-19. https://doi.org/10.18229/ktd.35329
AMA Karabekir HS, User NN, Küsbeci ÖY, Mas NG. Karpal Tünel Sendromlu Olgulara Cerrahi Yaklaşımda Morfolojik Bakış. KTD. Nisan 2010;11(1):15-19. doi:10.18229/ktd.35329
Chicago Karabekir, H. Selim, Neşe Nur User, Özge YILMAZ Küsbeci, ve Nüket GÖÇMEN Mas. “Karpal Tünel Sendromlu Olgulara Cerrahi Yaklaşımda Morfolojik Bakış”. Kocatepe Tıp Dergisi 11, sy. 1 (Nisan 2010): 15-19. https://doi.org/10.18229/ktd.35329.
EndNote Karabekir HS, User NN, Küsbeci ÖY, Mas NG (01 Nisan 2010) Karpal Tünel Sendromlu Olgulara Cerrahi Yaklaşımda Morfolojik Bakış. Kocatepe Tıp Dergisi 11 1 15–19.
IEEE H. S. Karabekir, N. N. User, Ö. Y. Küsbeci, ve N. G. Mas, “Karpal Tünel Sendromlu Olgulara Cerrahi Yaklaşımda Morfolojik Bakış”, KTD, c. 11, sy. 1, ss. 15–19, 2010, doi: 10.18229/ktd.35329.
ISNAD Karabekir, H. Selim vd. “Karpal Tünel Sendromlu Olgulara Cerrahi Yaklaşımda Morfolojik Bakış”. Kocatepe Tıp Dergisi 11/1 (Nisan 2010), 15-19. https://doi.org/10.18229/ktd.35329.
JAMA Karabekir HS, User NN, Küsbeci ÖY, Mas NG. Karpal Tünel Sendromlu Olgulara Cerrahi Yaklaşımda Morfolojik Bakış. KTD. 2010;11:15–19.
MLA Karabekir, H. Selim vd. “Karpal Tünel Sendromlu Olgulara Cerrahi Yaklaşımda Morfolojik Bakış”. Kocatepe Tıp Dergisi, c. 11, sy. 1, 2010, ss. 15-19, doi:10.18229/ktd.35329.
Vancouver Karabekir HS, User NN, Küsbeci ÖY, Mas NG. Karpal Tünel Sendromlu Olgulara Cerrahi Yaklaşımda Morfolojik Bakış. KTD. 2010;11(1):15-9.

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