Clinical Features of Course of Different Types of Carpal Tunnel Syndrome
نویسندگان
1 MD, ScD, Professor of the Department of Traumatology and Orthopedics of Bogomolets National Medical University, Deputy Director for Organizational and Administrative Work, Chief of Diagnostic Department SI “Institute of Traumatology and Orthopedics by NAMS of Ukraine”, Ukraine
2 MD, Doctor of Ultrasound Diagnostics, Radiologist, Diagnostic Department, SI “Institute of Traumatology and Orthopedics by NAMS of Ukraine”, Ukraine
3 MD, PhD, Chief Physician from the Medical Department, SI “Institute of Traumatology and Orthopedics by NAMS of Ukraine”, Ukraine
4 MD Associate Professor, Deputy Director for Medical Care Reform, RivneRegional Clinical Hospital named after Yu. Semenyuk, ROR, Rivnen, Ukraine
doi
10.26655/JMCHEMSCI.2023.10.23چکیده
Objective: This article aims to study clinical features of the courses of different types of CTS to improve diagnostics and substantiate tactics of treatment.Materials and methods: An analysis of a total of 172 patients (comprising 242 extremities) was conducted displaying clinical symptoms of carpal tunnel syndrome (CTS). These patients were examined and treated at the SI "ITO NAMS of Ukraine". All individuals were grouped together for the purpose of our study.Results: This article analyzes the results of examining 172 patients with clinical signs of carpal tunnel syndrome of different types: idiopathic, posttraumatic, and the one associated with orthopedic pathology, specifies clinical features in the progression of posttraumatic carpal tunnel syndrome, and the one on the background of an orthopedic pathology, additional methods of medical imaging to confirm a median nerve neuropathy in the carpal canal, objectivize its severity, and establishes the etiology of carpal tunnel syndrome, essential to decide on further treatment tactics.Conclusion: The recognized clinical characteristics present an opportunity to support the selection of an additional diagnostic procedure to validate the presence of compression-ischemic neuropathy in the median nerve, ascertain its severity, and identify the underlying causes.
