Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?
Yıl: 2018 Cilt: 29 Sayı: 3 Sayfa Aralığı: 165 - 169 Metin Dili: İngilizce DOI: 10.5606/ehc.2018.61262 İndeks Tarihi: 22-11-2019
Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?
Öz: Objectives: This study aims to evaluate the distance between the median nerve and the hook of the hamate pre- and postoperatively in patients with carpal tunnel syndrome and to investigate the efficiency of magnetic resonance imaging in diagnosis and postoperative follow-up. Patients and methods: Median nerve decompression was performed by releasing the carpal tunnel in 15 patients (4 males, 11 females; mean age 51 years; range, 41 to 66 years) with carpal tunnel syndrome. The shortest distance between the median nerve and the hook of the hamate was measured with magnetic resonance imaging preoperatively and at three months after the operation and radial and ulnar translations were assessed. Findings were compared to those of a control group of 15 subjects (5 males, 10 females; mean age 52.2 years; range, 40 to 65 years). Results: Median nerve shifted ulnarwards in patients with carpal tunnel syndrome. An intragroup evaluation of five patients with thenar atrophy revealed that as disease severity increased, the degree of the nerve’s medial translation increased. Compared to preoperation, the median nerve significantly shifted to the radial side after decompression. Conclusion: In carpal tunnel syndrome patients, we observed significant ulnar translation of the median nerve and lateral translation after releasing the carpal tunnel. Magnetic resonance imaging may be used to establish a diagnosis and to assess operation success in advanced carpal tunnel syndrome patients who may recover slowly postoperatively.
Anahtar Kelime: Konular:
Karpal tünel sendromunda median sinir ameliyat öncesi ve sonrasında yer değiştirir mi?
Öz: Amaç: Bu çalışmada karpal tünel sendromlu hastalarda median sinir ve hamatum çengeli arasındaki mesafe ameliyat öncesi ve sonrasında değerlendirildi ve manyetik rezonans görüntülemenin tanı ve ameliyat sonrası takipte etkinliği araştırıldı. Hastalar ve yöntemler: Karpal tünel sendromlu 15 hastada (4 erkek, 11 kadın; ort. yaş 51 yıl; dağılım, 41-66 yıl) karpal tünel gevşetilerek median sinir dekompresyonu uygulandı. Median sinir ile hamatum çengeli arasındaki en kısa mesafe ameliyat öncesinde ve ameliyattan üç ay sonra manyetik rezonans görüntüleme ile ölçülerek radial ve ulnar yer değiştirme değerlendirildi. Bulgular 15 denek (5 erkek, 10 kadın; ort. yaş 52.2 yıl; dağılım, 40-65 yıl) içeren kontrol grubununkiler ile karşılaştırıldı. Bulgular: Karpal tünel sendromlu hastalarda median sinir ulnar tarafa kaydı. Tenar atrofisi olan beş hastanın grup içinde değerlendirilmesiyle hastalık şiddeti arttıkça sinirin mediale yer değiştirme derecesinin de arttığı görüldü. Ameliyat öncesine göre, dekompresyon sonrası median sinir belirgin olarak radial tarafa kaydı. Sonuç: Karpal tünel sendromlu hastalarda median sinirde belirgin ulnar yer değiştirme ve karpal tünel gevşetilmesi sonrası lateral yer değiştirme gözlemlendi. Manyetik rezonans görüntüleme ameliyat sonrası geç iyileşebilecek ileri evre karpal tünel sendromlu hastalarda tanı koymak ve ameliyat başarısını değerlendirmek için kullanılabilir.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Ulusoy EK, Çıraklı A, Ekinci Y. The effect of metabolic syndrome on recurrence in patients who had undergone surgery for carpal tunnel syndrome. Eklem Hastalik Cerrahisi 2017;28:158-63.
- Kim S, Choi JY, Huh YM, Song HT, Lee SA, Kim SM, et al. Role of magnetic resonance imaging in entrapment and compressive neuropathy--what, where, and how to see the peripheral nerves on the musculoskeletal magnetic resonance image: part 2. Upper extremity. Eur Radiol 2007;17:509-22.
- Bulut T, Sener U, Yağdi S, Kazimoğlu C, Sener M. Relationship between clinical and electrophysiological results in surgically treated carpal tunnel syndrome. Eklem Hastalik Cerrahisi 2011;22:140-4.
- Beck JD, Jones RB, Malone WJ, Heimbach JL, Ebbitt T, Klena JC. Magnetic resonance imaging after endoscopic carpal tunnel release. J Hand Surg Am 2013;38:331-5.
- Ağırman M, Kara A, Durmuş O, Saral İ, Çakar E. Isokinetic evaluation of wrist muscle strength in patients of carpal tunnel syndrome. Eklem Hastalik Cerrahisi 2017;28:41-5.
- Dhong ES, Han SK, Lee BI, Kim WK. Correlation of electrodiagnostic findings with subjective symptoms in carpal tunnel syndrome. Ann Plast Surg 2000;45:127-31.
- Schrijver HM, Gerritsen AA, Strijers RL, Uitdehaag BM, Scholten RJ, de Vet HC, et al. Correlating nerve conduction studies and clinical outcome measures on carpal tunnel syndrome: lessons from a randomized controlled trial. J Clin Neurophysiol 2005;22:216-21.
- Choi SJ, Ahn DS. Correlation of clinical history and electrodiagnostic abnormalities with outcome after surgery for carpal tunnel syndrome. Plast Reconstr Surg 1998;102:2374-80.
- Kanatani T, Fujioka H, Kurosaka M, Nagura I, Sumi M. Delayed electrophysiological recovery after carpal tunnel release for advanced carpal tunnel syndrome: a two-year follow-up study. J Clin Neurophysiol 2013;30:95-7.
- Campagna R, Pessis E, Feydy A, Guerini H, Le Viet D, Corlobé P, et al. MRI assessment of recurrent carpal tunnel syndrome after open surgical release of the median nerve. AJR Am J Roentgenol 2009;193:644-50.
- Jones NF, Ahn HC, Eo S. Revision surgery for persistent and recurrent carpal tunnel syndrome and for failed carpal tunnel release. Plast Reconstr Surg 2012;129:683-92.
- Richman JA, Gelberman RH, Rydevik BL, Hajek PC, Braun RM, Gylys-Morin VM, et al. Carpal tunnel syndrome: morphologic changes after release of the transverse carpal ligament. J Hand Surg Am 1989;14:852-7.
- Yoshii Y, Villarraga HR, Henderson J, Zhao C, An KN, Amadio PC. Ultrasound assessment of the displacement and deformation of the median nerve in the human carpal tunnel with active finger motion. J Bone Joint Surg Am 2009;91:2922-30.
- Yoshii Y, Ishii T, Sakai S. Median nerve deformation during finger motion in carpal tunnel syndrome: correlation between nerve conduction and ultrasonographic indices. Hand Surg 2013;18:203-8.
- van Doesburg MH, Henderson J, Mink van der Molen AB, An KN, Amadio PC. Transverse plane tendon and median nerve motion in the carpal tunnel: ultrasound comparison of carpal tunnel syndrome patients and healthy volunteers. PLoS One 2012;7:e37081.
| APA | YILDIRIM A, tutar o, NAYMAN A, YALÇIN L, ALTAN E (2018). Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?. , 165 - 169. 10.5606/ehc.2018.61262 |
| Chicago | YILDIRIM Ahmet,tutar onur,NAYMAN Alaaddin,YALÇIN Levent,ALTAN Egemen Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?. (2018): 165 - 169. 10.5606/ehc.2018.61262 |
| MLA | YILDIRIM Ahmet,tutar onur,NAYMAN Alaaddin,YALÇIN Levent,ALTAN Egemen Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?. , 2018, ss.165 - 169. 10.5606/ehc.2018.61262 |
| AMA | YILDIRIM A,tutar o,NAYMAN A,YALÇIN L,ALTAN E Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?. . 2018; 165 - 169. 10.5606/ehc.2018.61262 |
| Vancouver | YILDIRIM A,tutar o,NAYMAN A,YALÇIN L,ALTAN E Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?. . 2018; 165 - 169. 10.5606/ehc.2018.61262 |
| IEEE | YILDIRIM A,tutar o,NAYMAN A,YALÇIN L,ALTAN E "Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?." , ss.165 - 169, 2018. 10.5606/ehc.2018.61262 |
| ISNAD | YILDIRIM, Ahmet vd. "Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?". (2018), 165-169. https://doi.org/10.5606/ehc.2018.61262 |
| APA | YILDIRIM A, tutar o, NAYMAN A, YALÇIN L, ALTAN E (2018). Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 29(3), 165 - 169. 10.5606/ehc.2018.61262 |
| Chicago | YILDIRIM Ahmet,tutar onur,NAYMAN Alaaddin,YALÇIN Levent,ALTAN Egemen Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 29, no.3 (2018): 165 - 169. 10.5606/ehc.2018.61262 |
| MLA | YILDIRIM Ahmet,tutar onur,NAYMAN Alaaddin,YALÇIN Levent,ALTAN Egemen Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), vol.29, no.3, 2018, ss.165 - 169. 10.5606/ehc.2018.61262 |
| AMA | YILDIRIM A,tutar o,NAYMAN A,YALÇIN L,ALTAN E Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2018; 29(3): 165 - 169. 10.5606/ehc.2018.61262 |
| Vancouver | YILDIRIM A,tutar o,NAYMAN A,YALÇIN L,ALTAN E Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2018; 29(3): 165 - 169. 10.5606/ehc.2018.61262 |
| IEEE | YILDIRIM A,tutar o,NAYMAN A,YALÇIN L,ALTAN E "Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?." Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 29, ss.165 - 169, 2018. 10.5606/ehc.2018.61262 |
| ISNAD | YILDIRIM, Ahmet vd. "Does median nerve translate pre- and postoperatively in carpal tunnel syndrome?". Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 29/3 (2018), 165-169. https://doi.org/10.5606/ehc.2018.61262 |
