Karpal tünel sendromunda median sinir sertliği ölçümlerini kullanarak real-time strain elastografinin tanısal etkinliğinin değerlendirilmesi

Year 2020, Volume: 45 Issue: 4, 1276 - 1282, 27.12.2020

Emrah Karatay , Ozlem Turkoglu , Başak Mansız-kaplan

https://doi.org/10.17826/cumj.745698

Cited By: 1

Abstract

Amaç: Karpal tünel sendromu(KTS) tanılı olgularda real -time strain elastografisinin tanısal değerini ve median sinire yönelik EMG (elektromiyografi) bulguları ile sonografik parametrelerin (sinir kesit alanı ölçümü) arasındaki korelasyonu göstermeyi amaçladık.
Gereç ve Yöntem: Çalışmaya median sinirin trasesinde en az 3 ay süren parestezisi olan hastalar dahil edildi. KTS tespit edilen toplam 23 kadın hasta ve 25 sağlıklı kadın kontrol gruplarının el bileği incelenirken bifid median sinir ekarte edilerek toplamda 36 KTS ve 46 sağlıklı median sinire el bileği trasesinde 3 farklı noktada; radyoulnar eklem, skafoidpsiform bileşke ve hamat kemik olmak üzere real time strain elastografisi uygulandı. Hastaların klinik belirtileri vardı ve EMG testleri tanıyı doğruladı
Bulgular: KTS mevcut olgularda EMG bulguları ile sonografik median sinir kesit alanı ölçümü ve strain elastografi oran değerleri korele olarak tespit edildi. KTS olgularında median sinir elastografi strain oran değeri kontrol grubuna göre anlamlı olarak artmıştı .
Sonuç: Sonoelastografi KTS tanısı için yararlı bir yöntem olarak umut verici sonuçlar vermektedir.

Keywords

elektromyografi, karpal tünel sendromu, strain elastografi, elastikiyet

Assessment of diagnostic efficiency of real-time strain elastography by using the median nerve stiffness at females with carpal tunnel syndrome

Abstract

elastography in relation to carpal tunnel syndrome (CTS) and to show the relationship between electromyography (EMG) and sonographic cross-sectional area measurements.
Materials and Methods: The patients with paresthesia of the median nerve distrubition lasting at least for 3 months were included. A total of 23 female patients’s of CTS and 25 healthy female volunteers’ wrist in which one median nerve existed included that of 36 CTS and 46 healthy wrists. The patients had clinical signs and their EMG test confirmed the diagnosis. The patients median nerve along its course on the wrist was applied strain elastography at three points of the radioulnar joint, scaphoidpsiform junction and hamate bone.
Results: The EMG findings, strain elastogragraphy ratios and the CSA of the median nerve were found to be correlated significantly. The median nerve strain ratio in elastography was significantly increased in the CTS patients compared to the control group.
Conclusion: Sonoelastography promises to be a useful method for the diagnosis of CTS.

Keywords

electromyography, carpal tunnel syndrome, strain elastography, elasticity

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