Karpal Tünel Sendromunun Tedavisinde Kullanılan Karpal Ligaman Traksiyon Aletinin Ultrasonografik Olarak Tedaviye Katkısının Ölçülmesi

Abstract

Objective: The aim of this study is to figure out the wrist traction effectiveness of ultrasound which is used to treat the carpal tunnel syndrome (CTS), determine whether the ultrasound (US) applied in patients with a diagnosis of CTS can be used for follow up before and after the treatments. Material and Methods: 28 patients (45 hands) which has been diagnosed idiopathic CTS with the electrophysiological studies were included in the study. For treatment wrist traction device for the application of traction (C-TRACTM brand) was used on all patients. All the patients have been carried out with the US two times before and after the treatment.US examinations were performed with a 12-MHz linear probe (Toshiba, Aplio500, Tokyo, Japan) device. In all cases, the measured distance between the bones carpal tunnel at the level of the input and output measurements and the fact whether there is a difference between the median nerve cross-sectional area measurements, were assessed by the groups’t-test. Results: On the 45 wrists included in the study, two US measurements before and after the usage of wrist traction device, the carpal tunnel at the level of the input and output of measured between distances of bone were found statistically significant difference (p 0,05). Conclusion: Our study is the first study evaluating the effectiveness of US and CTS carpal ligament traction in the literature. Considered in patients with CTS and US measurements can be carried out in a short time and can be performed in a dynamic way without the exposure to radiation