123

Under our supervision there were 60 patients with carpal canal stenosis who received conservative treatment in the emergency traumatology department of the Republican Scientific Center for Emergency Medical Care of Khorezm Branch Family doctors clinic, Tashkent. Of these, there are 26 men, 34 women. At the age of 30 – 40 years – 17 patients, 41-50 years – 19 patients, 51-60 years – 18 patients and 61 and above years – 6 patients. The patients were divided into 2 groups: The main group was 30 patients, treated according to the method we developed using platelet-rich plasma. The control group received treatment using traditional methods using glucocorticosteroids. The treatment results showed an improvement in performance when using PRP therapy in the main group up to 93.5 %, compared to the control group up to 73%.

  • Read count 123
  • Date of publication 15-01-2024
  • Main LanguageIngliz
  • Pages16-24
English

Under our supervision there were 60 patients with carpal canal stenosis who received conservative treatment in the emergency traumatology department of the Republican Scientific Center for Emergency Medical Care of Khorezm Branch Family doctors clinic, Tashkent. Of these, there are 26 men, 34 women. At the age of 30 – 40 years – 17 patients, 41-50 years – 19 patients, 51-60 years – 18 patients and 61 and above years – 6 patients. The patients were divided into 2 groups: The main group was 30 patients, treated according to the method we developed using platelet-rich plasma. The control group received treatment using traditional methods using glucocorticosteroids. The treatment results showed an improvement in performance when using PRP therapy in the main group up to 93.5 %, compared to the control group up to 73%.

№ Name of reference
1 Zhivolupov , S.A. On the issue of the role of anti-inflammatory drugs in the complex therapy of patients with carpal tunnel syndrome / S.A. Zhivolupov , I.N. Samartsev, R.Z. Nazhmudinov , M.N. Vorobyova, A.I. Vlasenko // MS. – 2021. – No. 19. – P.120-3. Bersnev, V.P. Kokin G. S. Izvekova T. S. Practical guide to nerve surgery / Bersnev V.P. Kokin G.S. Izvekova T.S. – St. Petersburg: Smart Doctor, 2017. Vol . C. 568. Golubev, V.L. Tunnel syndromes of the hand / V.L. Golubev, D.M. Merkulova, O. R., Orlova, A. B. Danilov // Russian Medical Journal – 2009. – No. 0. – P.7-12. Kipervas I.P. Tunnel syndromes. / Kipervas I.P.// M.: Newdiamed , 2010. - P. 138. Kiselev, V.N. The use of local administration of corticosteroids in the treatment of carpal tunnel syndrome / V.N. Kiselev, N.Yu. Alexandrov, M.M. Korotkevich // Neuromuscular diseases. – 2018. – T. 8, No. 1. – P. 10-19. Kiselev, V.N. Comprehensive assessment of the duration of the effect of a single local injection of corticosteroids for carpal tunnel syndrome in combination with regular wrist joint orthosis / V.N. Kiselev, N.Yu. Alexandrov, T.M. Alekseeva // Annals of Clinical and Experimental Neurology. – 2020. – No. 14(2). – pp. 37–42. Kiselev, V.N. Treatment of carpal tunnel syndrome with serial local administration of corticosteroids in combination with wrist joint orthosis / V.N. Kiselev, N.Yu. Alexandrov, T.M. Alekseeva, K.K. Samochernykh // Modern problems of science and education. – 2020. – No. 6. – P. 155. –165 Rocio V.F.F. Comprehensive diagnosis of compression-ischemic neuropathies of the hands. – dissertation for the scientific degree of candidate of medical sciences , 2018 -126 p. Merkulov, Yu.A. Clinical experience of using ipidacrine for tunnel neuropathy / Yu.A. Merkulov, A.M. Magomedova, A.M. Hamburg, D.M. Merkulova // Russian neurological journal. – 2020. – No. 25(2). – pp. 42-46. The relationship between the cross-sectional area of the median nerve and the degree of its damage in neuropathy at the wrist level (carpal tunnel syndrome) / N.Yu. Alexandrov, E.Yu. Maletsky , F.R. Villar Flores [et al.] // Bulletin of the North-Western State Medical University. I. I. Mechnikova. – 2013. – Vol. 5, No. 2. – P. 19–24. Samartsev, I.N. Modern strategy for differential diagnosis and treatment of compression-ischemic neuropathy of the median nerve at the level of the carpal tunnel (clinical study) / I. N. Samartsev, N. A. Rashidov, S. A. Zhivolupov , M. N. Vorobyova // Consilium Medicum . – 2017. – No. 19. – P. 58-66. Bagatur , A. Bifid median nerve causing carpal tunnel syndrome: MRI and surgical correlation / A. Bagatur , M. Yalcinkaya , A. Anca // Orthopedics. – 2013. – Vol. 36, No. 4. – P. 451-6. Chammas , M, J. Boretto , L. Burmann [et al.] Carpal tunnel syndrome Part I (anatomy, physiology, etiology and diagnosis) / M. // Brazilian Orthopedics Review. – 2014. – Vol. 49, No. 5. – P. 7 . Clinical features of 1039 patients with neurophysiological diagnosis of carpal tunnel syndrome / DB Nora, J. Becker, JA Ehlers [et al.] // Clin Neurol Neurosurg . – 2004. – Vol. 107, No. 1. – P. 64-9. Comparison of surgical decompression and local steroid injection in the treatment of carpal tunnel syndrome: 2-year clinical results from a randomized trial / D. Ly-Pen, JL Andreu, I. Millan [et al.] // Rheumatology. – 2012. – Vol. 51, No. 8. – P. 1447-54. Detection of peripheral nerve pathology: comparison of ultrasound and MRI / CM Zaidman , MJ Seelig , JC Baker [et al.] // Neurology. – 2013. – Vol. 80, No. 18. – P. 1634–1640. Effects of local corticosteroid injection on electrical properties of a beta-fibers in carpal tunnel syndrome / F. Ginanneschi , G. Filippou , M. Bonifazi [et al.] // Journal of molecular neuroscience. – 2014. – Vol. 52(4). – P. 525-30. Effects of steroid with repetitive procaine HCl injection in the management of carpal tunnel syndrome: an ultrasonographic study / O. Karadas , OK Omac , F. Tok [et al.] // Journal of the neurological sciences. – 2012. – Vol. 316 (1-2). – P. 76-78. Ehler , E. Median nerve ultrasonography in carpal tunnel syndrome / E. Ehler // Clin Neurophysiol Pract . – 2017. – Vol. 2. – P. 186-7. Electrosonodiagnosis in carpal tunnel syndrome: a proposed diagnostic algorithm based on an analytical literature review / G. Goldberg, JM Zeckster , R. Mummanenu [et al.] // PM R. – 2016. – Vol. 8(5). – P.463–74. .Evaluation of the scratch collapse test for the diagnosis of carpal tunnel syndrome / HS Makanji , SJ Becker, CS Mudgal [et al.] // J Hand Surg Eur. – 2014. – Vol. 39. – P. 181–186. Fowler, JR The sensitivity and specificity of ultrasound for the diagnosis of carpal tunnel syndrome: a meta-analysis / JR Fowler, JP Gaughan , AM Ilyas // Clin Orthop Relat Res. – 2011. – Vol. 469, No. 4. – P. 1089-94. Habib, G.S. A novel approach of local corticosteroid injection for the treatment of carpal tunnel syndrome / G.S. Habib, S. Badarny , H. Rawashdeh // Clin Rheumatol . – 2006. – Vol. 25, No. 3. – P. 338–340. Intracarpal steroid injection is safe and effective for short-term management of carpal tunnel syndrome / T. Armstrong, W. Devor , L. Borschel [et al.] // Muscle & Nerve. – 2004. – Vol. 29, No. 1. – P. 82–8. Intracarpal steroid injection is safe and effective for short-term management of carpal tunnel syndrome / T. Armstrong, W. Devor , L. Borschel [et al.] // Muscle & Nerve. – 2004. – Vol. 29, No. 1. – P. 82–8. Katz, JN Carpal tunnel syndrome / JN Katz, BP Simmons // N Engl J Med. – 2002. – Vol. 346. – P. 1807–12. Musicians Have Thicker Median Nerve Cross Sectional Area and More Symptoms of Carpal Tunnel Than Non-Musicians / E. Pratt, H. Vauth , G. McIlvan [et al.] // Med Probl Perform Art. – 2020. – Vol. 35, No. 3. – P 138-144. .Occurrence of bifid median nerve in healthy and carpal tunnel syndrome patients / E. Trachani , A. Rigopoulou , D. Veltsista [et al.] // J Electromyogr Kinesiol . – 2018. – Vol. 39. – P. 77-80. Randomized Prospective Comparison of Ultrasound-Guided and Landmark-Guided Steroid Injections for Carpal Tunnel Syndrome / F. Eslamian , B. Eftekharsadat , A. Babaei-Ghazani [et al.] // J Clin Neurophysiol . 2017. – Vol. 34, No. 2. – P. 107-13. Randomized Prospective Comparison of Ultrasound-Guided and Landmark-Guided Steroid Injections for Carpal Tunnel Syndrome / F. Eslamian , B. Eftekharsadat , A. Babaei-Ghazani [et al.] // J Clin Neurophysiol . 2017. – Vol. 34, No. 2. – P. 107-13. Tascioglu , F. Low-level laser in the treatment of carpal tunnel syndrome: Clinical, electrophysiological, and ultrasonographical evaluation / F. Tascioglu // Rheumatology International. – 2012. – Vol. 32(2). – P. 409-15. Trehan , SK Cubital tunnel syndrome: diagnosis and management / SK Trehan , JR Perziale , E. Akelman // Med Health R I. – 2012. – Vol. 95(11). – P. 349-352. Yücel , H. Choosing the most effective scoring method for carpal tunnel syndrome / H. Yucel , H. Seithanoglu // Act a Orthop Traumatol Turc . – 2015. – Vol. 49(1). – P. 23–29.
Waiting