Ulnar sinirin dirsek seviyesinde s\u0131k\u0131\u015fmas\u0131d\u0131r. Duyu kusuru \u00f6zellikle 5. parma\u011f\u0131n tamam\u0131nda ve 4. parma\u011f\u0131n ulnar taraf\u0131nda olmak \u00fczere her iki parma\u011f\u0131nda hem palmar hemde dorsal y\u00fcz\u00fcnde belirgindir. % 20 vakada sinirin duysal inervasyonuna ba\u011fl\u0131 olarak duyu kusuru 3. parma\u011fa kadar yay\u0131labilmektedir.
\n
\nParestezi \u015fikayeti genelde elbile\u011finin proksimaline yay\u0131lma g\u00f6stermez. Duyu bozuklu\u011fu kas g\u00fcc\u00fc kayb\u0131ndan daha belirgin olup, kas g\u00fcc\u00fc kayb\u0131 olan hastalarda yetersiz ulnar deviasyondan dolay\u0131 kaba kavrama bozulmu\u015ftur. \u0130ki nokta ay\u0131r\u0131m\u0131n\u0131n bozulmas\u0131 duyu muyanesinde olduk\u00e7a \u00f6nemlidir. Duyu kusurunun sadece palmar y\u00fczde bulunmas\u0131 s\u0131k\u0131\u015fman\u0131n bilek seviyesinde oldu\u011funu d\u00fc\u015f\u00fcnd\u00fcrmelidir.<\/p>\n
Bilek seviyesinde veya daha distaldeki ulnar sinir s\u0131k\u0131\u015fmalar\u0131nda, elin dorsal y\u00fcz\u00fcn\u00fcn duysal inervasyonunu sa\u011flayan dorsal kutan\u00f6s dallar\u0131n kurtulmas\u0131 bu b\u00f6lgedeki duyunun normal kalmas\u0131n\u0131n sebebidir. Medial \u00f6nkol duyu kusurundan \u015fikayet eden hastalarda brakial pleksusun medial kordundan kaynaklanan antebrakial kutan\u00f6s sinir, alt brakial pleksus ve spinal kord lezyonlar\u0131 ay\u0131r\u0131c\u0131 tan\u0131da dikkate al\u0131nmal\u0131d\u0131r.<\/p>\n
Fizik muayenede 1. dorsal interosseos ve hipotenar b\u00f6lgedeki atrofi dikkat \u00e7ekicidir. \u0130leri vakalarda son iki parmak metakarpofalangeal eklem hiperekstansiyonu ve interfalangeal eklem hiperfleksiyonu ile ortaya \u00e7\u0131kan ve pen\u00e7e eli deformitesi bu hastalar i\u00e7in olduk\u00e7a tipik g\u00f6r\u00fcn\u00fcmd\u00fcr.<\/p>\n
Dorsal, palmar interosseos kaslarda ve adduktor pollisiste kas g\u00fcc\u00fc kayb\u0131 mevcuttur. I. dorsal interosseos, adduktor pollisis ve fleksor pollisis kas g\u00fcc\u00fc kayb\u0131na ba\u011fl\u0131 olarak lateral kavrama bozulmu\u015f olup, lateral kavramada fleksor pollisis longus kas\u0131 kullan\u0131l\u0131r. B\u00f6ylece lateral kavramada I. parma\u011f\u0131n lateral kenar\u0131 yerine parmak ucu kullan\u0131l\u0131r (Froment\u2019s sign). Radial sinir paralizisinde metakarpofalangeal eklemler sabitlendikten sonra parmaklar\u0131n abduksiyon ve adduksiyonunun de\u011ferlendirilmelisi, radial sinir paralizisinin ulnar sinir paralizisi olarak de\u011ferlendirilmesi hatas\u0131n\u0131 \u00f6nleyecektir.<\/p>","protected":false},"excerpt":{"rendered":"
Kubital Kanal Sendromu Ulnar sinirin dirsek seviyesinde s\u0131k\u0131\u015fmas\u0131d\u0131r. Duyu kusuru […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[50],"tags":[822,823,110,841,842,843],"class_list":["post-213","post","type-post","status-publish","format-standard","hentry","category-dirsek-agrilari","tag-dirsek","tag-dirsek-agrilari","tag-dirsek-agrisi","tag-kubital-kanal","tag-kubital-kanal-sendromu","tag-kubital-kanal-sendromu-tedavisi"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/213","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/comments?post=213"}],"version-history":[{"count":1,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/213\/revisions"}],"predecessor-version":[{"id":10675,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/posts\/213\/revisions\/10675"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/media?parent=213"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/categories?post=213"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/de\/wp-json\/wp\/v2\/tags?post=213"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}