Avtor/Urednik		Jesenšek-Papež, Breda
Naslov		Ocjena oštećenja osjtenih i motoričkih živčanih vlakana kod sindroma karpalnog tunela s obzirom na trajanje bolesti
Tip		monografija
Kraj izdaje		Zagreb
Založnik		Sveučilište u Zagrebu, Medicinski fakultet
Leto izdaje		2001
Obseg		str. 98
Jezik		cro
Abstrakt		Introduction. Carpal tunnel syndrome (CTS) is the most common compressive, canalicular neuropathy. Its clinical picture depends on the duration and degree of the compression of the median nerve (MN). The first symptoms affect the sensory nerve fibers, but as the compression persists motor nerve fibers undergo damage as well. The intensity of the injury to individual nerve fibers varies. Clinical symptoms and signs alone are not sufficient for us to confirm the diagnosis. Electrodiagnostic tests are needed for this purpose. Patients and methodology. 44 subjects with CTS were included in the study. Their average age was 47.8 years (ranging from 20 to 60 years). The sample consisted of 26 (59.09%) women and 18 (40.91%) men. 77 hands (40 rights ones and 37 left ones) were analyzed altogether. 47 healthy subjects of comparable gender and age structure to those of the CTS patients served as a control group. The CTS patients were divided into four groups according to the duration of their disease. The first group consisted of those who experienced symptoms for up to six months, the second those from seven to twelve months, the third those from thirteen months and the fourth group those who had problems for over nineteen months. The Mendelec, Saphire 1L device was used tocarry out electrophysiological tests of motor nerve functions and motor nerve functions and motor conduction testing. In evaluating these we considered the electrophysiological parameters of the distal latency, the amplitude of M wave and the motor conduction velocity. In order to get optimal insight into the condition of sensory nerve fibers, we analyzed mediansensory ortodromic stimulation in the area of the middle phalanx of the second, the third and the fourth fingers. In addition, we placed the recording electrode over the median nerve 14 cm away from the wrist. (Abstract truncated at 2000 charactes).
Deskriptorji		ELECTROMYOGRAPHY NEURAL CONDUCTION CARPAL TUNNEL SYNDROME SENSATION DISORDERS MOTOR NEURONS CAUSALGIA TIME FACTORS