Özgür SARICA, ARDA KAYHAN, Enis ÖZTÜRK, Sibel BAYRAMOĞLU, Nurten Turan GÜNER, Fatma ÖZTORA

Carpal tunnel syndrome: What is the diagnostic value of usg with high resolution transducers?

Amaç: Karpal Tünel Sendromu (KTS), median sinir tuzağına bağlı sık görülen periferal tuzak nöropatidir. Ultrasonografi (USG), son yıllarda karpal tünel ve median sinirin değerlendirilmesinde kullanılan ucuz ve rahat uygulanabilen bir tekniktir. Yöntem: KTS bulgusu, semptomları ve elektromyelografik tanısı olan 21 hastada 35 ve 20 sağlıklı olguda 40 el bileği 7.5-12 MHz prob kullanılarak USG eşliğinde değerlendirildi. Bulgular: 21 KTS ‘li olguda 35 el bileğinin tamamı ve sağlıklı 20 sağlıklı olguda 40 el bileği doğru olarak değerlendirildi. Sonuç: Yüksek rezolüsyonlu USG, KTS tanısında tercih edilecek ilk basamak görüntüleme tekniği olabilir.

Karpal tünel sendromu: Yüksek rezolüsyonlu usg’nin tanısal değeri nedir?

Objective: Carpal tunnel syndrome (CTS) is a common peripheral entrapment neuropathy, caused by the entrapment of the median nerve. Ultrasonography (USG) has been used as a cost-effective and comfortable technique in the examination of the carpal tunnel and the median nerve in the last decade. Material and Methods: Thirty-five wrists of 21 patients with the signs, symptoms and electromyelography (EMG) confirmed diagnosis of CTS and 40 wrists of healthy adults were evaluated by ultrasonography (USG), performed with a 7.5-12 MHz transducer. Results: All of the 35 wrists of 21 patients with CTS diagnosed by EMG and 40 wrists of 20 healthy adults were diagnosed accurately. Conclusion: USG may be performed as a first step test in the diagnosis of suspected CTS.

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