{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T02:13:21Z","timestamp":1794536001663,"version":"4.9.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nAbstract\n\n \n\nObjective: Surgical carpal tunnel release is very effective for symptom relief in carpal tunnel syndrome, and it remains the preferred choice of treatment. However, refractory symptoms following surgical release are not uncommon. We aimed to assess the usefulness of ultrasonography for determining the potential causes of ongoing symptoms following surgical release.\n\n \n\nMethods: This retrospective study included 34 patients (32 women; mean age, 54.7\u00b116.65 years;range: 30 to 81 years) with carpal tunnel syndrome who underwent surgical carpal tunnel release.\n\n \n\nResults: A pathology related to the cause of the ongoing symptoms was detected by ultrasonography in 25 (74.5%) patients. The most common pathological findings were median nerve swelling (70.6%), incomplete transection of the transverse carpal ligament (23.5%) and perineural fibrosis (17.6%).\n\n \n\nConclusion: In the majority of the patients the pathology related to the ongoing symptoms was detected by ultrasonography, suggesting that ultrasonography could be used as a complementary imaging method for identifying the causes of failure following surgical carpal tunnel release. Detection of an ongoing pathology might help clinicians in managing persistent disease cases and aid in planning an exploration.\n\n \n\n \n\n\u00d6zet\n\n \n\n \n\nAma\u00e7: Karpal t\u00fcnel sendromunda (KTS), karpal t\u00fcnelin cerrahi y\u00f6ntemle gev\u015fetilmesi \u015fikayetlerin ortadan kald\u0131r\u0131lmas\u0131nda olduk\u00e7a etkili bir tedavi y\u00f6ntemidir. Ancak cerrahiye ra\u011fmen \u015fikayetlerin devam etmesi nadir bir durum de\u011fildir. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 KTS\u2019da cerrahi giri\u015fim sonras\u0131 devam eden semptomlar\u0131n olas\u0131 nedenlerini saptamada ultrasonografinin g\u00fcc\u00fcn\u00fc belirlemektir.\n\n \n\n\u00c7al\u0131\u015fma plan\u0131: Otuz d\u00f6rt hasta geriye d\u00f6n\u00fck olarak de\u011ferlendirilmi\u015ftir.\n\n \n\nBulgular: Ultrasonografi 25 hastada (%74.5) devam eden \u015fikayetlerin nedenini belirlemede ba\u015far\u0131l\u0131 olmu\u015ftur. En yayg\u0131n patolojik bulgu median sinirde \u00f6dem (%70.6), transvers karpal ligaman\u0131n yetersiz gev\u015fetilmesi (%23.5) ve perin\u00f6ral fibrozis (%17.6) idi. Bununla birlikte dokuz (%26.5) hastada ultrasonografi \u015fikayetleri a\u00e7\u0131klayabilecek herhangi bir patoloji ortaya koyamam\u0131\u015ft\u0131r.\n\n \n\n\u00c7\u0131kar\u0131mlar: \u00c7al\u0131\u015fmaya dahil olan vakalar\u0131n \u00e7o\u011funda ultrasonografi cerrahiye sonras\u0131 var olan \u015fikayetlerin etiyolojisini ortaya koyabilmi\u015ftir. Bu sonu\u00e7 cerrahi giri\u015fime ra\u011fmen \u0131srarc\u0131 veya tekrarlayan \u015fikayetlerin de\u011ferlendirilmesinde ve tedavinin \u015fekillendirilmesinde ultrasonografinin tamamlay\u0131c\u0131 bir y\u00f6ntem olarak kullan\u0131labilece\u011fini g\u00f6stermektedir.<\/jats:p>","DOI":"10.3944\/aott.2015.14.0198","type":"journal-article","created":{"date-parts":[[2015,3,6]],"date-time":"2015-03-06T09:50:45Z","timestamp":1425635445000},"page":"126-132","source":"Crossref","is-referenced-by-count":4,"title":["Correlations between ultrasonography findings and surgical findings in patients with refractory symptoms after primary surgical release for carpal tunnel syndrome"],"prefix":"10.5152","volume":"49","author":[{"given":"Nuri","family":"Karabay","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tulgar","family":"Toros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erkin","family":"Cetinkol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sait","family":"Ada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2954\/2907","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:09:55Z","timestamp":1763464195000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2954"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2015,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.14.0198","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}