Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release
Yıl: 2019 Cilt: 30 Sayı: 3 Sayfa Aralığı: 212 - 216 Metin Dili: İngilizce DOI: 10.5606/ehc.2019.70229 İndeks Tarihi: 20-11-2020
Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release
Öz: Objectives: This study aims to compare endoscopic carpaltunnel release versus mini-open carpal tunnel releaseregarding volume changes in the carpal tunnel and mediannerve by magnetic resonance imaging (MRI).Patients and methods: The study included 17 wrists of 13patients (1 male, 12 females; mean age 55 years; range, 51to 64 years) who were diagnosed with carpal syndrome. Tenwrists underwent mini-open carpal tunnel release, while sevenwrists underwent uni-portal endoscopic carpal tunnel release.Carpal tunnel and median nerve volumetric changes wereevaluated by MRI pre- and postoperatively.Results: Surgical section of transverse carpal ligamentsignificantly increased the postoperative volume of the carpaltunnel and median nerve compared to preoperative (p<0.05).However, the endoscopic and mini-open carpal tunneltechniques had no superiority over one another regardingvolume expansion (p>0.05).Conclusion: Both methods can be preferred to release thetransverse carpal ligament in patients with idiopathic carpaltunnel syndrome. The surgeon should decide on whichmethod to use considering the advantages and disadvantagesreported in the literature.
Anahtar Kelime: Farklı iki cerrahi yöntem sonrası median sinir ve karpal tünel hacim değişimleri: Mini açık ve endoskopik karpal tünel gevşetmenin karşılaştırmalı manyetik rezonans görüntüleme çalışması
Öz: Amaç: Bu çalışmada, endoskopik karpal tünel gevşetmeye karşı mini açık karpal tünel gevşetme karpal tünel ve median sinir hacim değişimleri açısından manyetik rezonans görüntüleme (MRG) ile karşılaştırıldı. Hastalar ve yöntemler: Çalışmaya karpal tünel sendromu tanısı konulmuş 13 hastanın (1 erkek, 12 kadın; ort. yaş 55 yıl; dağılım, 51-64 yıl) 17 elbileği dahil edildi. On elbileğine mini açık karpal tünel gevşetme, yedi elbileğine ise tek portal endoskopik karpal tünel gevşetme uygulandı. Karpal tünel ve median sinir hacim değişimleri ameliyat öncesi ve sonrası MRG ile değerlendirildi. Bulgular: Transvers karpal ligamanın cerrahi olarak kesilmesi ameliyat sonrası karpal tünel ve median sinir hacmini ameliyat öncesine göre anlamlı derecede artırdı (p<0.05). Ancak endoskopik ve mini açık karpal tünel tekniklerinin hacim genişlemesi açısından birbirlerine herhangi bir üstünlüğü yoktu (p>0.05). Sonuç: İdiyopatik karpal tünel sendromlu hastalarda transvers karpal ligamanın gevşetilmesi için her iki yöntem tercih edilebilir. Hangi yöntemin kullanılacağına cerrah literatürde bildirilen avantaj ve dezavantajları göz önünde bulundurarak karar vermelidir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | ALP N, Akdag G, MACUNLUOĞLU A (2019). Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release. , 212 - 216. 10.5606/ehc.2019.70229 |
| Chicago | ALP Nazmi Bulent,Akdag Gokhan,MACUNLUOĞLU Aslı Ceren Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release. (2019): 212 - 216. 10.5606/ehc.2019.70229 |
| MLA | ALP Nazmi Bulent,Akdag Gokhan,MACUNLUOĞLU Aslı Ceren Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release. , 2019, ss.212 - 216. 10.5606/ehc.2019.70229 |
| AMA | ALP N,Akdag G,MACUNLUOĞLU A Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release. . 2019; 212 - 216. 10.5606/ehc.2019.70229 |
| Vancouver | ALP N,Akdag G,MACUNLUOĞLU A Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release. . 2019; 212 - 216. 10.5606/ehc.2019.70229 |
| IEEE | ALP N,Akdag G,MACUNLUOĞLU A "Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release." , ss.212 - 216, 2019. 10.5606/ehc.2019.70229 |
| ISNAD | ALP, Nazmi Bulent vd. "Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release". (2019), 212-216. https://doi.org/10.5606/ehc.2019.70229 |
| APA | ALP N, Akdag G, MACUNLUOĞLU A (2019). Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30(3), 212 - 216. 10.5606/ehc.2019.70229 |
| Chicago | ALP Nazmi Bulent,Akdag Gokhan,MACUNLUOĞLU Aslı Ceren Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30, no.3 (2019): 212 - 216. 10.5606/ehc.2019.70229 |
| MLA | ALP Nazmi Bulent,Akdag Gokhan,MACUNLUOĞLU Aslı Ceren Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), vol.30, no.3, 2019, ss.212 - 216. 10.5606/ehc.2019.70229 |
| AMA | ALP N,Akdag G,MACUNLUOĞLU A Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(3): 212 - 216. 10.5606/ehc.2019.70229 |
| Vancouver | ALP N,Akdag G,MACUNLUOĞLU A Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(3): 212 - 216. 10.5606/ehc.2019.70229 |
| IEEE | ALP N,Akdag G,MACUNLUOĞLU A "Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release." Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30, ss.212 - 216, 2019. 10.5606/ehc.2019.70229 |
| ISNAD | ALP, Nazmi Bulent vd. "Median nerve and carpal tunnel volume changes after two different surgical methods: A comparative magnetic resonance imaging study of mini-open and endoscopic carpal tunnel release". Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30/3 (2019), 212-216. https://doi.org/10.5606/ehc.2019.70229 |
