Open AccessDiagnostics and treatment of tunnel neuropathies
Author(s) -
Oleksandr Lemeshov,
Iurii Chyrka
Publication year - 2020
Publication title -
medicina bolû
Language(s) - English
Resource type - Journals
eISSN - 2519-2752
pISSN - 2414-3812
DOI - 10.31636/pmjua.v5i1.5
Subject(s) - carpal tunnel syndrome , medicine , tarsal tunnel syndrome , entrapment neuropathy , surgery , electromyography , decompression , thoracic outlet syndrome , peripheral neuropathy , cubital tunnel syndrome , cubital tunnel , diabetes mellitus , physical medicine and rehabilitation , ulnar nerve , elbow , ankle , endocrinology
Relevance. Tunnel neuropathy – a damage of the peripheral nervous system that are common and range from 8 to 52 % of all diseases of the nervous system. Objective. To show the main features of the diagnosis and treatment of various tunnel neuropathy.Materials and Methods. Considerable experience of effective surgical treatment of tunnel neuropathies. 481 operations were performed during 2014–2019. The experience is described and structured.Results. The most common tunnel neuropathy of the upper extremity: carpal tunnel syndrome, pronator teres syndrome, cubital tunnel syndrome, Guyon's canal syndrome, radial neuropathy, thoracic outlet syndrome. Lower extremity: tarsal tunnel syndrome, Bernhardt – Roth syndrome, neuropathy of the peroneal nerve and its superficial branch. From 6.7 % to 78 % of patients with tunnel neuropathies, double crush syndrome occurs – nerve compression at two levels, which is more common in patients with diabetes mellitus. Such diseases are diagnosed clinically and instrumentally – electromyography, ultrasound, MRI. All the above pathologies are effectively treated surgically, which aims at decompression of the affected nerve. An important factor in complex treatment is early rehabilitation and physiotherapy procedures.Conclusions. Tunnel neuropathy is a common pathology that is effectively treated surgically. Diseases should be timely diagnosed to prevent severe and irreversible changes.