{"id":8280,"date":"2019-07-18T10:59:29","date_gmt":"2019-07-18T11:59:29","guid":{"rendered":"https:\/\/turanuslu.net\/?p=8280"},"modified":"2025-01-21T18:20:17","modified_gmt":"2025-01-21T18:20:17","slug":"el-bilegi-sirti-sikisma-sendromu","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/ar\/el-bilegi-sirti-sikisma-sendromu\/","title":{"rendered":"El Bile\u011fi S\u0131rt\u0131 S\u0131k\u0131\u015fma Sendromu"},"content":{"rendered":"<h1>El Bile\u011fi S\u0131rt\u0131 S\u0131k\u0131\u015fma Sendromu<\/h1>\n<p><img decoding=\"async\" class=\"lazyload alignleft wp-image-8281 size-medium\" src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/el-bilegi-sirti-sikismasi-300x300.jpg\" data-orig-src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/el-bilegi-sirti-sikismasi-300x300.jpg\" alt=\"El Bile\u011fi S\u0131rt\u0131 S\u0131k\u0131\u015fma Sendromu\" width=\"300\" height=\"300\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27300%27%20height%3D%27300%27%20viewBox%3D%270%200%20300%20300%27%3E%3Crect%20width%3D%27300%27%20height%3D%27300%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/el-bilegi-sirti-sikismasi-66x66.jpg 66w, https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/el-bilegi-sirti-sikismasi-150x150.jpg 150w, https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/el-bilegi-sirti-sikismasi-200x200.jpg 200w, https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/el-bilegi-sirti-sikismasi-300x300.jpg 300w, https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/el-bilegi-sirti-sikismasi-400x400.jpg 400w, https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/el-bilegi-sirti-sikismasi.jpg 600w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>El Bile\u011fi S\u0131rt\u0131 S\u0131k\u0131\u015fma Sendromu (ESSS), tekrarlayan dorsofleksiyon hareketleri s\u0131ras\u0131nda ortaya \u00e7\u0131kan ve \u00f6zellikle sportif aktivitelerle ilgilenen ki\u015filerde s\u0131k rastlanan bir a\u011fr\u0131 sendromudur. Jimnastik sporuyla ilgilenenlerde el bile\u011fi a\u011fr\u0131s\u0131 oran\u0131 %50\u2019den fazlad\u0131r. Distal radius stres k\u0131r\u0131\u011f\u0131, skafoid stres k\u0131r\u0131\u011f\u0131, capitatumun avask\u00fcler nekrozu, ulnar carpal abutment ve ESSS, bu grup i\u00e7erisinde s\u0131k g\u00f6r\u00fclen el bile\u011fi lezyonlar\u0131d\u0131r.<\/p>\n<h2>El Bile\u011fi S\u0131rt\u0131 S\u0131k\u0131\u015fma Sendromunun Nedenleri ve Bulgular\u0131<\/h2>\n<ul>\n<li><strong>Distal Radius Fizeal Stres K\u0131r\u0131\u011f\u0131:<\/strong> \u00d6zellikle 12-14 ya\u015f aras\u0131ndaki jimnastik\u00e7ilerde, haftada 35 saatten fazla \u00e7al\u0131\u015fma durumunda yayg\u0131nd\u0131r. \u0130lk a\u015famada radyolojik bulgu yoktur ve istirahatle a\u011fr\u0131lar ge\u00e7er. \u0130lerleyen a\u015famalarda ulnar abutment semptomlar\u0131 ile kal\u0131c\u0131 hasar g\u00f6r\u00fclebilir.<\/li>\n<li><strong>Skafoid Kemi\u011fin Stres K\u0131r\u0131\u011f\u0131:<\/strong> Nadir g\u00f6r\u00fclen bir durumdur ve anatomik enfiye \u00e7ukurunda hassasiyet olu\u015fturur. Sintigrafik ve MR ile te\u015fhis edilir. 2-4 ayl\u0131k istirahat ve splint tedavisi gerektirir.<\/li>\n<li><strong>Capitatumun Avask\u00fcler Nekrozu:<\/strong> Cerrahi m\u00fcdahale gerektirebilecek ciddi bir durumdur.<\/li>\n<li><strong>Eklem Kaps\u00fcl\u00fcn\u00fcn Kal\u0131nla\u015fmas\u0131:<\/strong> ESSS genellikle el bile\u011fi s\u0131rt\u0131ndaki eklem kaps\u00fcl\u00fcn\u00fcn iltihab\u0131 veya sinovitine ba\u011fl\u0131d\u0131r. \u0130lerlemi\u015f vakalarda osteofitler olu\u015fabilir.<\/li>\n<\/ul>\n<h2>El Bile\u011fi S\u0131rt\u0131 S\u0131k\u0131\u015fma Sendromunun Tan\u0131s\u0131<\/h2>\n<p>X-ray g\u00f6r\u00fcnt\u00fcleri genellikle normaldir. Ancak CT veya MR, osteofit olu\u015fumlar\u0131n\u0131 ve di\u011fer yap\u0131sal bozukluklar\u0131 g\u00f6sterebilir. Sintigrafi ve MR, \u00f6zellikle erken te\u015fhis i\u00e7in \u00f6nemli bir rol oynar. Distal radiusun dorsal y\u00fcz\u00fcnde ya da skafoid ve lunatumun arka y\u00fcz\u00fcnde meydana gelen de\u011fi\u015fiklikler tan\u0131da belirleyici olabilir.<\/p>\n<h2>El Bile\u011fi S\u0131rt\u0131 S\u0131k\u0131\u015fma Sendromu Tedavisi<\/h2>\n<h3>Konservatif Tedavi Y\u00f6ntemleri<\/h3>\n<p>Vakalar\u0131n \u00e7o\u011funda a\u015fa\u011f\u0131daki y\u00f6ntemler ba\u015far\u0131l\u0131 sonu\u00e7lar verir:<\/p>\n<ul>\n<li>El bile\u011finin istirahat ettirilmesi,<\/li>\n<li>Splint kullan\u0131m\u0131,<\/li>\n<li>Nonsteroidal antiinflamatuar ila\u00e7lar (SOAR\u0130),<\/li>\n<li>B\u00f6lgesel enjeksiyonlar.<\/li>\n<\/ul>\n<p>Tedavi sonras\u0131 aktivitelerin k\u0131s\u0131tlanmas\u0131 olduk\u00e7a \u00f6nemlidir. Fizik tedavi ve rehabilitasyon ile bile\u011fin g\u00fcc\u00fc ve hareket kabiliyeti geri kazan\u0131labilir.<\/p>\n<h3>Cerrahi M\u00fcdahale<\/h3>\n<p>\u0130lerlemi\u015f vakalarda a\u015fa\u011f\u0131daki cerrahi prosed\u00fcrler uygulanabilir:<\/p>\n<ul>\n<li>Osteofitlerin cerrahi olarak \u00e7\u0131kar\u0131lmas\u0131,<\/li>\n<li>Posterior interosseoz sinirin serbestle\u015ftirilmesi,<\/li>\n<li>Gizli gangliyonlar\u0131n veya skafoidolunat ba\u011f dokusu zedelenmelerinin onar\u0131lmas\u0131.<\/li>\n<\/ul>\n<p>Cerrahi m\u00fcdahale sonras\u0131 iyile\u015fme s\u00fcreci dikkatle takip edilmeli ve profesyonel bir tedavi plan\u0131 uygulanmal\u0131d\u0131r.<\/p>\n<p><a href=\"https:\/\/www.youtube.com\/channel\/UC-EH3FtNo45g8-ja6zGzfTA\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"lazyload wp-image-2466 size-full alignleft\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27300%27%20height%3D%27150%27%20viewBox%3D%270%200%20300%20150%27%3E%3Crect%20width%3D%27300%27%20height%3D%27150%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/abone-olun.jpg\" alt=\"Kanal\u0131m\u0131za abone olun\" width=\"300\" height=\"150\" \/><\/a><br \/>\n<a href=\"http:\/\/turanuslu.net\/ar\/randevu\/\"><img decoding=\"async\" class=\"lazyload alignleft wp-image-2465 size-full\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27300%27%20height%3D%27150%27%20viewBox%3D%270%200%20300%20150%27%3E%3Crect%20width%3D%27300%27%20height%3D%27150%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/randevu-alin.jpg\" alt=\"Randevu al\u0131n\" width=\"300\" height=\"150\" \/><\/a><\/p>\n<p>El bile\u011fi problemlerinizle ilgili Kad\u0131k\u00f6y A\u011fr\u0131 Merkezi\u2019nde uzman ekibimizle kapsaml\u0131 tedavi ve fizik tedavi \u00e7\u00f6z\u00fcmleri sunuyoruz. Detayl\u0131 bilgi almak ve randevu olu\u015fturmak i\u00e7in <strong>90 530 343 7499<\/strong> numaral\u0131 telefondan Turan Uslu ile ileti\u015fime ge\u00e7ebilirsiniz.<\/p>","protected":false},"excerpt":{"rendered":"<p>El Bile\u011fi S\u0131rt\u0131 S\u0131k\u0131\u015fma Sendromu El Bile\u011fi S\u0131rt\u0131 S\u0131k\u0131\u015fma Sendromu [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8281,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[50],"tags":[33,1443,59,1444,1445],"class_list":["post-8280","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dirsek-agrilari","tag-bilek-agrilari","tag-bilek-agrilari-neden-olur","tag-el-bilegi-agrisi","tag-el-bilegi-hastaligi","tag-el-bilegi-sikismasi"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/el-bilegi-sirti-sikismasi.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/8280","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/comments?post=8280"}],"version-history":[{"count":4,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/8280\/revisions"}],"predecessor-version":[{"id":11138,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/posts\/8280\/revisions\/11138"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media\/8281"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/media?parent=8280"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/categories?post=8280"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/ar\/wp-json\/wp\/v2\/tags?post=8280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}