Karpal Tünel Sendromu Tanısında Ultrasonografinin Yeri

Yıl 2019, Cilt: 7 Sayı: 1, 35 - 45, 22.04.2019

Şadiye Sarataş

Öz

Karpal tünel sendromu (KTS) median sinirin karpal tünel
içerisinde sıkışmasına bağlı gelişen ve toplumda en sık görülen tuzak
nöropatidir. KTS tanısında genel yaklaşım klinik ve
fizik muayene testleri ile klinik olarak konulan tanının elektrofizyolojik
çalışmalar ve/veya çeşitli görüntüleme modaliteleri ile desteklenmesidir.
Ultrasonografinin KTS değerlendirmesinde kullanımı giderek artmaktadır.
Ultrasonografi ile sinirdeki yapısal değişikliklerin yanı sıra
elektrofizyolojik incelemeler ile tespit edilemeyen diğer patolojiler de
değerlendirilebilmektedir. Hasta için zararsız olması, iyonlaştırıcı radyasyon
içermemesi, invazif olmaması, taşınabilir olması, dinamik değerlendirme
sağlaması, daha ucuz ve ulaşılabilir bir yöntem olması avantajlarıdır. Bu
derlemede amacımız KTS tanısında kullanılan bir yöntem olan ultrasonografinin
yerini tartışmaktır.

Anahtar Kelimeler

karpal tünel sendromu, tanı, ultrasonografi

Kaynakça

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