E-ISSN 2534-9821
 

Case Report 


A histopathological perspective for carpal tunnel syndrome

Bulent Karslioglu, Metin Uzun, Cihangir Tetik, Ali Cagri Tekin, Fatma Tokat, Elif Ilgaz Aydinlar.

Abstract
Background: Carpal tunnel syndrome(CTS) is the most frequent compressive neuropathy of upper extremity .Median nerve is compressed under flexor retinaculum because of primary or secondary reasons. Although primary CTS may have different causes, idiopathic CTS’s ethiology is unclear We aimed to evaluate tenosynovial tissue change under flexor retinaculum as a cause of idiopathic CTS even more as a possible cause of recurrent CTS.
Materials and Methods: We operated 175 patients with carpal tunnel syndrome who had median nerve compression .110 patients were diagnosed as idiopathic CTS were included at our study. Open carpal tunnel release was performed by same surgeon and synovial samples were taken from synovial connective tissue under median nerve for pathological examination.
Results: All patients were followed-up 22 months ( 12 to 35 months ) prospectively. Mean age was 45 years( 22 to 65). Preop VAS score was 6 post op VAS score was 1. Synovial hypertrophy was detected at 38 of 110 patients(34%). Other pathological results were; 13 reactive synovitis (11%), 8 ganglion(7.2%) , 51 fibrohyaline nodulation(46.3%).
Conclusions: We recommend the evalution of tenosynovial tissue under flexor retinaculum after releasing the retinaculum. If there is an inflammation or a hypertrofi or a mass effect, surgeon must do partial tenosynovectomy to decrease the volume of the carpal tunnel and to prevent recurrence.

Key words: carpal tunnel, surgery, recurrence, synovial


 
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How to Cite this Article
Pubmed Style

Karslioglu B, Uzun M, Tetik C, Tekin AC, Tokat F, Aydinlar EI. A histopathological perspective for carpal tunnel syndrome. Int J Med Rev Case Rep. 2019; 3(7): 440-443. doi:10.5455/IJMRCR.carpal-tunnel-syndrome


Web Style

Karslioglu B, Uzun M, Tetik C, Tekin AC, Tokat F, Aydinlar EI. A histopathological perspective for carpal tunnel syndrome. http://mdpub.net/?mno=26866 [Access: September 20, 2019]. doi:10.5455/IJMRCR.carpal-tunnel-syndrome


AMA (American Medical Association) Style

Karslioglu B, Uzun M, Tetik C, Tekin AC, Tokat F, Aydinlar EI. A histopathological perspective for carpal tunnel syndrome. Int J Med Rev Case Rep. 2019; 3(7): 440-443. doi:10.5455/IJMRCR.carpal-tunnel-syndrome



Vancouver/ICMJE Style

Karslioglu B, Uzun M, Tetik C, Tekin AC, Tokat F, Aydinlar EI. A histopathological perspective for carpal tunnel syndrome. Int J Med Rev Case Rep. (2019), [cited September 20, 2019]; 3(7): 440-443. doi:10.5455/IJMRCR.carpal-tunnel-syndrome



Harvard Style

Karslioglu, B., Uzun, . M., Tetik, . C., Tekin, . A. C., Tokat, . F. & Aydinlar, . E. I. (2019) A histopathological perspective for carpal tunnel syndrome. Int J Med Rev Case Rep, 3 (7), 440-443. doi:10.5455/IJMRCR.carpal-tunnel-syndrome



Turabian Style

Karslioglu, Bulent, Metin Uzun, Cihangir Tetik, Ali Cagri Tekin, Fatma Tokat, and Elif Ilgaz Aydinlar. 2019. A histopathological perspective for carpal tunnel syndrome. International Journal of Medical Reviews and Case Reports, 3 (7), 440-443. doi:10.5455/IJMRCR.carpal-tunnel-syndrome



Chicago Style

Karslioglu, Bulent, Metin Uzun, Cihangir Tetik, Ali Cagri Tekin, Fatma Tokat, and Elif Ilgaz Aydinlar. "A histopathological perspective for carpal tunnel syndrome." International Journal of Medical Reviews and Case Reports 3 (2019), 440-443. doi:10.5455/IJMRCR.carpal-tunnel-syndrome



MLA (The Modern Language Association) Style

Karslioglu, Bulent, Metin Uzun, Cihangir Tetik, Ali Cagri Tekin, Fatma Tokat, and Elif Ilgaz Aydinlar. "A histopathological perspective for carpal tunnel syndrome." International Journal of Medical Reviews and Case Reports 3.7 (2019), 440-443. Print. doi:10.5455/IJMRCR.carpal-tunnel-syndrome



APA (American Psychological Association) Style

Karslioglu, B., Uzun, . M., Tetik, . C., Tekin, . A. C., Tokat, . F. & Aydinlar, . E. I. (2019) A histopathological perspective for carpal tunnel syndrome. International Journal of Medical Reviews and Case Reports, 3 (7), 440-443. doi:10.5455/IJMRCR.carpal-tunnel-syndrome