Yıl 2020, Cilt 27 , Sayı 1, Sayfalar 97 - 103 2020-03-01

Karpal Tünel Sendromunda Ultrasonografi ve Manyetik Rezonans Görüntülemenin Tanıya Katkıları
Contribution of Ultrasonography and Magnetic Resonance Imaging to the Diagnosis of Carpal Tunnel Syndrome

Sinan Deniz [1] , Aylin Altan [2]


Giriş: Çalışmada; klinik ve elektrodiagnostik inceleme sonucu karpal tünel sendromu (KTS) tanısı alan hastalarda ultrasonografi (US) ve manyetik rezonans (MR) görüntülemenin tanıya katkısını değerlendirmek amaçlanmıştır.

Hastalar ve Yöntem: KTS ön tanısı ile uygulanan elektromiyografi (EMG) incelemesi pozitif sonuçlanan 27 hastanın 41 el bileği, US ve MR ile tetkik edilmek üzere çalışmaya dahil edildi. El bileği bölgesini ilgilendiren geçirilmiş travma, operasyon ve steroid enjeksiyonu öyküsü olanlar çalışma dışı bırakıldı.

Bulgular: Olguların yaş ortalaması 46,1 yıl olup %92,6’sı kadındı. Tutulum olguların 6’sında sağ, 7’sinde sol ve 14’ünde bilateral idi. US ile 41 el bileğinin %90,2’sinde, MR ile %92,7’sinde KTS’yi destekleyecek primer ve sekonder bulgular saptandı. Ayrıca iki olguda karpal kemiklerde dejeneratif kistik rezorpsiyon, bir olguda ganglion kisti ve bir olguda bifid median sinir varyasyonu tespit edildi.

Sonuç: Klinik muayene ve/veya elektrodiagnostik tetkik ile KTS tanısı alan hastalarda US ve MR değerlendirmeleri; öngörülecek medikal veya cerrahi tedavi öncesinde gerek median sinirin hasarı ile ilişkili bulguları ortaya koyması gerekse yandaş anatomik ve patolojik durumları ortaya çıkarması yönünden yararlıdır.

Objective: The present study aimed to evaluate the contribution of ultrasonography (US) and magnetic resonance (MR) imaging to the diagnosis of patients diagnosed with carpal tunnel syndrome (CTS) based on clinical and electrodiagnostic studies.

Patients and Methods: A total of 41 wrists of 27 patients with positive findings in electromyography (EMG) studies performed due to a pre-diagnosis of CTS were included in the study to be examined by US and MR imaging. Patients with a history of wrist trauma, surgery, and steroid injection were excluded.

Results: The mean age of the cases was 46.1 years and 92.6% of the cases were female. Of the patients, 6 had right-sided, 7 had left-sided, and 14 had bilateral CTS. Primary and secondary findings that support CTS were detected by US and MR imaging in 90.2% and 92.7% of the 41 wrists, respectively. Moreover, degenerative cystic resorption of the carpal bones was detected in two, ganglion cyst was detected in one, and bifid median nerve was detected in one case.

Conclusion: US and MR imaging examinations in patients diagnosed with CTS based on clinical examination and/or electrodiagnostic studies are valuable in terms of both exhibiting the signs of median nerve injury and detecting concomitant anatomical and pathological conditions prior to the anticipated medical or surgical treatment.

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Birincil Dil tr
Konular Tıp
Bölüm Araştırma Makaleleri
Yazarlar

Yazar: Sinan Deniz (Sorumlu Yazar)
Kurum: Koç Üniversitesi Hastanesi, Radyoloji Kliniği, İstanbul
Ülke: Turkey


Yazar: Aylin Altan
Kurum: Mehmet Ali Aydınlar Acıbadem Üniversitesi, Atakent Hastanesi, Radyoloji Bölümü, İstanbul
Ülke: Turkey


Destekleyen Kurum -
Proje Numarası -
Teşekkür Hasta seçimi ve elektromiyografilerin yorumlanmasında Nöroloji Uzmanı Dr. Burcu Ertuğrul’a katkılarından dolayı teşekkür ederiz.
Tarihler

Başvuru Tarihi : 23 Mayıs 2019
Kabul Tarihi : 15 Kasım 2019
Yayımlanma Tarihi : 1 Mart 2020

Bibtex @araştırma makalesi { sdutfd568512, journal = {SDÜ Tıp Fakültesi Dergisi}, issn = {1300-7416}, eissn = {2602-2109}, address = {}, publisher = {Süleyman Demirel Üniversitesi}, year = {2020}, volume = {27}, pages = {97 - 103}, doi = {10.17343/sdutfd.568512}, title = {Karpal Tünel Sendromunda Ultrasonografi ve Manyetik Rezonans Görüntülemenin Tanıya Katkıları}, key = {cite}, author = {Deniz, Sinan and Altan, Aylin} }
APA Deniz, S , Altan, A . (2020). Karpal Tünel Sendromunda Ultrasonografi ve Manyetik Rezonans Görüntülemenin Tanıya Katkıları. SDÜ Tıp Fakültesi Dergisi , 27 (1) , 97-103 . DOI: 10.17343/sdutfd.568512
MLA Deniz, S , Altan, A . "Karpal Tünel Sendromunda Ultrasonografi ve Manyetik Rezonans Görüntülemenin Tanıya Katkıları". SDÜ Tıp Fakültesi Dergisi 27 (2020 ): 97-103 <https://dergipark.org.tr/tr/pub/sdutfd/issue/52788/568512>
Chicago Deniz, S , Altan, A . "Karpal Tünel Sendromunda Ultrasonografi ve Manyetik Rezonans Görüntülemenin Tanıya Katkıları". SDÜ Tıp Fakültesi Dergisi 27 (2020 ): 97-103
RIS TY - JOUR T1 - Karpal Tünel Sendromunda Ultrasonografi ve Manyetik Rezonans Görüntülemenin Tanıya Katkıları AU - Sinan Deniz , Aylin Altan Y1 - 2020 PY - 2020 N1 - doi: 10.17343/sdutfd.568512 DO - 10.17343/sdutfd.568512 T2 - SDÜ Tıp Fakültesi Dergisi JF - Journal JO - JOR SP - 97 EP - 103 VL - 27 IS - 1 SN - 1300-7416-2602-2109 M3 - doi: 10.17343/sdutfd.568512 UR - https://doi.org/10.17343/sdutfd.568512 Y2 - 2019 ER -
EndNote %0 SDÜ Tıp Fakültesi Dergisi Karpal Tünel Sendromunda Ultrasonografi ve Manyetik Rezonans Görüntülemenin Tanıya Katkıları %A Sinan Deniz , Aylin Altan %T Karpal Tünel Sendromunda Ultrasonografi ve Manyetik Rezonans Görüntülemenin Tanıya Katkıları %D 2020 %J SDÜ Tıp Fakültesi Dergisi %P 1300-7416-2602-2109 %V 27 %N 1 %R doi: 10.17343/sdutfd.568512 %U 10.17343/sdutfd.568512
ISNAD Deniz, Sinan , Altan, Aylin . "Karpal Tünel Sendromunda Ultrasonografi ve Manyetik Rezonans Görüntülemenin Tanıya Katkıları". SDÜ Tıp Fakültesi Dergisi 27 / 1 (Mart 2020): 97-103 . https://doi.org/10.17343/sdutfd.568512
AMA Deniz S , Altan A . Karpal Tünel Sendromunda Ultrasonografi ve Manyetik Rezonans Görüntülemenin Tanıya Katkıları. SDÜ Tıp Fakültesi Dergisi. 2020; 27(1): 97-103.
Vancouver Deniz S , Altan A . Karpal Tünel Sendromunda Ultrasonografi ve Manyetik Rezonans Görüntülemenin Tanıya Katkıları. SDÜ Tıp Fakültesi Dergisi. 2020; 27(1): 103-97.