KARPAL TÜNEL SENDROMU: YÜKSEK REZOLÜSYONLU USG’NİN TANISAL DEĞERİ NEDİR?

Year 2010, Volume: 23 Issue: 2, 263 - 269, 27.04.2015

Özgür Sarıca Arda Kayhan , Enis Öztürk Sibel Bayramoğlu Nurten Turan Güner Fatma Öztora

https://izlik.org/JA24HZ55JY

Abstract

Amaç: Karpal Tünel Sendromu (KTS), median sinir tuzağına bağlı sık görülen periferal tuzak nöropatidir.
Ultrasonografi (USG), son yıllarda karpal tünel ve median sinirin değerlendirilmesinde kullanılan ucuz ve
rahat uygulanabilen bir tekniktir.
Yöntem: KTS bulgusu, semptomları ve elektromyelografik tanısı olan 21 hastada 35 ve 20 sağlıklı olguda
40 el bileği 7.5-12 MHz prob kullanılarak USG eşliğinde değerlendirildi.
Bulgular: 21 KTS ‘li olguda 35 el bileğinin tamamı ve sağlıklı 20 sağlıklı olguda 40 el bileği doğru olarak
değerlendirildi.
Sonuç: Yüksek rezolüsyonlu USG, KTS tanısında tercih edilecek ilk basamak görüntüleme tekniği olabilir.

Keywords

Karpal Tünel Sendromu , EMG , Yüksek rezolüsyonlu USG

References

• 1. Nathan PA, Keniston RC, Meadows KD, et al. Predictive value of nerve conduction measurements at the carpal tunnel. Muscle Nerve 1993;16:1377–1382.
• 2. Atroshi I, Gummesson C, Johnsson R, et al. Diagnostic properties of nerve conduction tests in population-based carpal tunnel syndrome. BMC Musculoskelet Disord 2003;4:9 ( Epub 2003 May 7).
• 3. Lew HL, Date ES, Pan SS, et al. Sensitivity, specificity, and variability of nerve conduction velocity measurements in carpal tunnel syndrome. Arch Phys Med Rehabil 2005; 86:12–16.
• 4. Beekman R, Visser LH. Sonography in the diagnosis of carpal tunnel syndrome: a critical review of the literature. Muscle&Nerve 2003; 27:26–33.
• 5. Uchiyama S, Itsubo T, Yasutomi T, et al. Quantitative MRI of the wrist and nerve conduction studies in patients with idiopathic carpal tunnel syndrome. J Neurol Neurosurg Psychiatry 2005; 76:1103–1108.
• 6. Anonymous: Practice parameter for electrodiagnostic studies in carpal tunnel syndrome: summary statement. American Association of Electrodiagnostic Medicine , American Academy of Physical Medicine and Rehabilitation. Muscle&Nerve 1993; 16:1390-1391.
• 7. Kulick R.. Carpal tunnel syndrome: Orth Clin North Am 1996; 27:345-354.
• 8. Lee D, van Holsbeeck MT, Janevski PK, et al. Diagnosis of carpal tunnel syndrome. Ultrasound versus electromyography. Radiol Clin North Am 1999 ; 37:859-872.
• 9. Zenbilci N. Elektromiyografi. Sinir Sistemi Hastalıkları. 2.Baskı. İstanbul:Cerrahpaşa Tıp Fakültesi Yayınları, 198:95-109.
• 10. Martinoli C., Bianchi S, Gandolfo N, et al. US of nerve entrapments in osteofibrous tunnels of the lower limbs. Radiographics 2000; 20:199-217.
• 11. Nakamichi KI, Tachibana S. Ultrasonographic measurement of median nerve cross-sectional area in idiopathic carpal tunnel syndrome: Diagnostic accuracy. Muscle&Nerve 2002; 26:798-803.
• 12. Wong S.M, Griffith J.F, Hui A.C.F, et al. Discriminatory sonographic criteria for the diagnosis of carpal tunnel syndrome. Arthritis & Rheumatism 2002; 46:1914-1921. 13. Wang LY, Leong CP, Huang YC, et al. Best diagnostic criterion in high-resolution ultrasonography for carpal tunnel syndrome. Chang Gung Med J 2008;31:469-476.
• 14. Leonard L, Rangan A, Doyle G, et al. Carpal Tunnel Syndrome-is high-frequency ultrasound a useful diagnostic tool? J Hand Surg (British and European volume) 2003; 28B 1: 77-79.
• 15. Bayrak IK, Bayrak AO, Tilki HE, et al. Ultrasonography in Carpal Tunnel Syndrome: Comparison with electrophysiological stage and motor unit number estimate. Muscle&Nerve 2007;35:344–348.
• 16. Nakamichi KI, Tachibana S. Enlarged median nerve in idiopathic carpal tunnel syndrome. Muscle&Nerve 2000 ;23:1713-1718.
• 17. Wiesler ER, Chloros GD, Cartwright MS, et al. The use of diagnostic ultrasound in carpal tunnel syndrome. J Hand Surg Am 2006; 31:726-732.