İdiopatik karpal tunel sendromunda kantitatif MR analizi

Objective & Hypothesis:AIM: The aim of this study was to try to find parametric ratios for the diagnosis and pathophysiology of carpal tunnel syndrome using MR.

📊

Key Findings & Data:MaterIal and Methods: Dominant side wrist MRI examinations of 27 female carpal tunnel patients and 21 normal females were compared.

💡

Conclusion & Impact:This increase can be demonstrated by MRI imaging which can provide an evidence for the pathophysiology of carpal tunnel syndrome.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

AIM: The aim of this study was to try to find parametric ratios for the diagnosis and pathophysiology of carpal tunnel syndrome using MR. MaterIal and Methods: Dominant side wrist MRI examinations of 27 female carpal tunnel patients and 21 normal females were compared. The carpal tunnel contents area / carpal tunnel cross section area ratio was defined, analysed and discussed with the literature. Results: Carpal tunnel contents / wrist area ratios of the carpal tunnel patients were measured and compared with the control group. This comparison revealed that the proportion of the contents of the carpal tunnel is increased in the carpal tunnel syndrome patients. Palmar bowing was found to be increased and median nerve cross section area was found to be increased at the proximal entrance of the carpal tunnel. ConclusIon: As Phalen has postulated, the volume of the contents of the carpal tunnel were found to be increased in the carpal tunnel syndrome patients. Carpal tunnel cross section areas remained the same with the control group. This increase can be demonstrated by MRI imaging which can provide an evidence for the pathophysiology of carpal tunnel syndrome.

Özet

AMAÇ: Bu çalışmanın amacı, el bileği MR incelemesiyle tespit edilen karpal tünel kapsamı/karpal tunel alanı oranları ile karpal tunel sendromuna diagnostik ve patofizyolojik bir yaklaşımda bulunmaktır. YÖNTEM ve GEREÇLER: 27 karpal tunel hastası kadın ile dominant el bileği MR incelemesi yapılan 21 kadından oluşan kontrol grubunun el bilek MR ları karşılaştırılmıştır. Karpal tunel kapsamı / karpal tunel alanı oranı tanımlanarak bu oran, median sinir alanı ve transverse karpal ligamentteki palmar yaylanma ölçülerek analiz edilmiştir. BULGULAR: Seride karpal tunel kapsamı/karpal tunel alanı oranında karpal tunel sendromlu hastalarda karpal tunel kapsamı lehinde istatistiksel olarak anlamlı bir artış tespit edilmiştir. Hastalarda karpal tunel proksimal girişinde ölçülen median sinir kesit alanlarında ve transvers karpal ligament palmar yaylanmasında da istatistiksel olarak anlamlı bir artış bulunmuştur. SONUÇ: Karpal tunel sendromlu hastalarda Phalen’in öne sürdüğü gibi karpal tunel kapsamında kronik travmaya bağlı bir artış tespit edilmiştir. Bu kapsam artışına karşılık karpal tunel yüzey alanlarında anlamlı bir artış tespit edilmemiştir. Bu bulgu MR ile gösterilebilmektedir ve karpal tunel sendromunun fizyopatolojisinin anlaşılması konusunda bir kanıt olabilmektedir.

🔖

Cite This Article

ÖGE, H. K., ACU, B., GUCER, T., YANIK, T., ŞALVARLI, Ş., FIRAT, M. M. (2012). İdiopatik karpal tunel sendromunda kantitatif MR analizi. Turkish Neurosurgery, Cilt: 22 - Sayı: 6, 763–768. https://ajindex.com/articles/405052

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (1)

Arminio JA: Etiology of carpal tunnel syndrome. Del Med J 58(3):189–192, 1986 2. Beltran J, Rosenberg ZS: Diagnosis of compressive and entrapment neuropathies of the upper extremity: Value of MR imaging. AJR 163: 525-531, 1994 3. Britz GW, Haynor DR, Kuntz C, Goodkin R, Gitter A, Kliot M: Carpal tunnel syndrome: Correlation of magnetic resonance imaging, clinical, electrodiagnostic, and intraoperative findings. Neurosurgery 37(6):1097-1103, 1995 4. Cobb TK, Bond JR, Cooney WP, Metcalf BJ: Assessment of the ratio of carpal contents to carpal tunnel volume in patients with carpal tunnel syndrome: A preliminary report. J Hand Surg Am 22 (4): 635-639, 1997 5. Cudlip SA, Howe FA, Clifton A, Schwartz MS, Bell BA: Magnetic resonance neurography studies of the median nerve before and after carpal tunnel decompression. J Neurosurg 96: 1046-1051, 2002 6. Franzblau A, Werner RA: What is Carpal tunnel syndrome? JAMA 282 (2): 186-187, 1999 7. Gelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH: The carpal tunnel syndrome. A study of carpal cannal pressures. J Bone Joint Surg Am 63(3): 380-383, 1981 8. Hart AM, Wiberg M: Nerve compression and mechanical neuropathy: Neuropathology. Curr Orthopaed 15:245-248, 2001 10. Mesgarzadeh M, Schneck CD, Bonakdarpour A, Mitra A, Conaway D: Carpal tunnel: MR imaging Part II. Carpal tunnel syndrome. Radiology 171: 749-754, 1989 11. Mesgarzadeh M, Schneck CD, Bonakdarpour A: Carpal tunnel: MR imaging Part I. Normal anatomy. Radiology 171: 743-748, 1989 12. Middleton WD, Kneeland BJ, Kellman GM, Cates JD, Sanger JR, Jesmanowicz A, Froncisz W, Hyde JS: MR imaging of the carpal tunnel: Normal anatomy and preliminary findings in the carpal tunnel syndrome. AJR 148: 307-316, 1987 13. Monagle K, Guangping D, Ansel C, Burnham RS, Snyder RE: Quantitative MR imaging of carpal tunnel syndrome. AJR 172: 1581-1586, 1999 14. Oge K, Demirkazik FB, Nurlu G, İnci S, Erbengi A: Carpal tunnel cross section area measurements in carpal unnel syndrome. Turkish Neurosurgery 4:153-156, 1994 15. Pasternack II, Malmivaara A, Tervahartiala P, Forsberg H, Vehmas T: Magnetic resonance imaging findings in respect to carpal tunnel syndrome. Scand J Work Environ Health 29(3): 189-196, 2003 16. Phalen GS: The carpal-tunnel syndrome. Clinical evaluation of 598 hands. Clin Orthop 83: 29–40, 1972 17. Pierre-Jerome C, Bekkelund SI, Mellgren SI, Torbergsen T: Quantitative magnetic resonance imaging and the electrophysiology of the carpal tunnel region in