Histologische Untersuchungsergebnisse des Beugesehnengleitgewebes von 35 Beugesehnensynovektomien beim Karpaltunnelsyndrom

We used the Verhoeff-van Gieson stain method to identify histopathology and to localize elastin in the subsynovial connective tissue of the tendon sheath (SSCT) of the middle finger flexor digitorum superficialis (FDS) within the carpal tunnel in 10 carpal tunnel syndrome (CTS) patients and 10 control cadaver specimens. Normal SSCT stained for elastin abundantly around blood vessels and within vessel walls. The typical pathologic findings of CTS patients SSCT included vascular proliferation, vascular hypertrophy, and vascular obstruction with wall thickening. There was a decreased amount of elastin in the blood vessel walls and around the vessels in the CTS patients as well. The changes in the carpal tunnel patients were particularly remarkable in that the patients were younger than the controls, yet showed findings more characteristic of chronic degeneration.

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Vascular pathologic changes in the flexor tenosynovium (subsynovial connective tissue) in idiopathic carpal tunnel syndrome

Jinrok

Zhao

Amadio

et al. 2004

Journal Orthopaedic Research

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Immunolocalization of collagen types in the subsynovial connective tissue within the carpal tunnel in humans

Jinrok¹,

Zhao²,

Amadio³

et al. 2005

Journal Orthopaedic Research

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The tenosynovium within the carpal tunnel consists of a single layer of synovial cells, which lines the bursae within the carpal tunnel, and the subsynovial connective tissue (SSCT), which contains the tendon vasculature and other structural elements. In this study, we used immunogold labeling to localize collagen types within the SSCT in three cadaver specimens and three patients with carpal tunnel syndrome. Positive labeling for collagen types I, 111 and VI was found with immunoelectron microscopy. Collagen types I and 111 were codistributed within the SSCT. Type VI was primarily located in microfibrillar structures between collagen bundles, between elastin and collagen bundles and between collagen bundles and cells. There was no difference in the distribution of collagen types when comparing cadaver specimens and carpal tunnel patients.

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Coexistence of Migraine and Carpal Tunnel Syndrome

KOYUNCU¹

2022

Samsun Sağlık Bilimleri Dergisi

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Amaç: Migren ve karpal tünel sendromu (KTS), toplumda sık rastlanılan iki ayrı hastalık tablosudur. Birbirinden tamamen farklı olan bu iki tablonun bazı ortak özelliklere sahip olduğu dikkatimizi çekmiştir. Bu yüzden bu iki tablonun birlikteliği var mıdır? Var ise bu birliktelik anlamlı mıdır? Sorularına cevap bulmak amacı ile bu çalışma planlanlanmıştır. Yöntem: Bu çalışma 178 KTS ve 167 migren olmak üzere toplam 345 hasta ile yürütüldü. Çalışmada iki grup oluşturuldu. Birinci grup, elektrofizyoloji laboratuvarında KTS tanısı konulan hastalardan oluştu. Bu hastalara uluslararası baş ağrısı sınıflama kriterlerine göre hazırlanan migren tarama anketi yapıldı. Bu ankete göre hastalarda migreni olanlar ve olmayanlar belirlendi. İkinci grup ise nöroloji polikliniğine başvuran ve migren tanısı konulan hastalardan oluşturuldu. Bu grup ise migren grubu olarak adlandırıldı. Bu çalışma kesitsel ve karşılaştırmalı olarak dizayn edildi. Bulgular: Dışlama kriterleri sonrası çalışmada kalan toplam 345 hastanın 178’i KTS grubunda, 167’si migren grubunda idi. KTS hastalarının %80,3'ünde migren saptanırken, migren olanların %12,6'sında KTS saptandı. Sonuç ve Öneriler: Bulduğumuz KTS grubunda yüksek oranda migren, migren grubunda ise düşük oranda KTS saptanmış olması, migren baş ağrılarının gelecekte KTS olmaya yatkınlık oluşturabileceği yargısını doğurdu. Bu görüşümüzü desteklemek için ek çalışmalara ihtiyaç olduğu kanaatindeyiz.

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Histologische Untersuchungsergebnisse des Beugesehnengleitgewebes von 35 Beugesehnensynovektomien beim Karpaltunnelsyndrom

Cited by 3 publications

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Vascular pathologic changes in the flexor tenosynovium (subsynovial connective tissue) in idiopathic carpal tunnel syndrome

Vascular pathologic changes in the flexor tenosynovium (subsynovial connective tissue) in idiopathic carpal tunnel syndrome

Immunolocalization of collagen types in the subsynovial connective tissue within the carpal tunnel in humans

Coexistence of Migraine and Carpal Tunnel Syndrome

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