MRI ile kübital tünel çalışmasında kübital tünel ve ulnar sinirin morfolojik özellikleri


Büyükmumcu M., Kabakçı A. D. A.

20th National Anatomy Congress, 27–31 August 2019, Istanbul, Turkey, İstanbul, Türkiye, 27 - 31 Ağustos 2019, cilt.13, sa.127, ss.134, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Cilt numarası: 13
  • Basıldığı Şehir: İstanbul
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.134
  • Bezmiâlem Vakıf Üniversitesi Adresli: Hayır

Özet

Objective: The most common site of ulnar nerve (UN)

entrapment neuropathy is the cubital tunnel (CT). Although

the floor of the CT is carved out by the capsule of the elbow

and the ulnar collateral ligament, the cubital tunnel retinaculum

(CTR) and flexor carpi ulnaris aponeurosis carve out the

roof of it. Having knowledge these morphological structures

will contribute to the determination of the treatment methods.

Methods: The healthy and sick elbow’s MRI of 31 patients,

who consulted The Hospital of Necmettin Erbakan University

Meram School of Medicine with pain at medial of the elbow

and early diagnosis of cubital tunnel syndrome were viewed,

prospectively. Anteroposterior and mediolateral diameter of

the CT and UN were measured. Width, thickness and length

of CTR and the UN length in the CT were measured and the

UN’s position was determined under CTR. The cubital angle

and at 3 level the UN groove’s base angle were measured.

Results: At healthy elbow; the maximum width of CTR was

determined 1.31 mm and 1.03 mm in extantion and 90° flexion

position, respectively. These values were measured as 1.2 mm

and 1.03 mm at sick elbow, respectively. In the healthy and sick

elbow, there is a significant difference with both thickness and

length of CTR between positions. Diameter values of all

parameters with elbow position were seen to be changed. It was

observed that the UN groove’s base angle was widened distally.