Üst Ekstremite Tuzak Nöropatileri

Tuzak nöropatiler periferik sinirlerin üzerindeki akut, intermittant, tekrarlayıcı veya devamlı baskı altında kalması sonucunda belli noktalarda ortaya çıkan, motor, duyu ve otonom bozuklukların eşlik ettiği tablodur. Tuzak nöropatiler, daha çok üst ekstremitede görülür; bunlar arasında da en sık görülenleri, median sinirin bilek seviyesinde sıkışması olan karpal tünel sendromudur. Tanıda doğru bir öykü, fizik muayene, özel testler(Tinel testi, Phalen testi), radyolojik incelemeler ve elektrofizyolojik incelemeler destekleyici yöntemler olarak kullanılmaktadır. Tuzak nöropati oluşumunda travma, vasküler patolojiler, inflamatuar ve otoimmün hastalıklar, endokrin ve metabolik bozukluklar, hormonal ve tümöral nedenler etkilidir. Tuzak nöropatilerde sinirin duysal alanına lokalize parestezi olması, yanma, karıncalanma, batma, kaşıntı, kas ağrısı bulunması, özellikle gece ağrısının fazla olması, kronik basıda kas güçsüzlüğü ve atrofisinin olması gibi klinik özellikleri bulunabilir. Tedavide splintleme, enjeksiyonlar, fizik tedavi modaliteleri ve cerrahi uygulamalar yer almaktadır.

Anahtar Kelimeler:

Karpal tünel sendromu, üst ekstremite, Median Sinir, Ulnar Sinir

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