{"id":292,"date":"2021-07-05T00:23:28","date_gmt":"2021-07-04T21:23:28","guid":{"rendered":"http:\/\/serdarcatav.com\/?page_id=292"},"modified":"2021-07-05T00:24:32","modified_gmt":"2021-07-04T21:24:32","slug":"lateral-epikondilit-tenisci-dirsegi","status":"publish","type":"page","link":"https:\/\/serdarcatav.com\/en\/bas-boyun-ve-ust-ekstemite-agrilari\/lateral-epikondilit-tenisci-dirsegi\/","title":{"rendered":"Lateral Epikondilit (Tenis\u00e7i Dirse\u011fi)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"292\" class=\"elementor elementor-292\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-75ba645 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"75ba645\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8a763b4\" data-id=\"8a763b4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ed56182 elementor-widget elementor-widget-heading\" data-id=\"ed56182\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Lateral Epikondilit<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3f5470b elementor-icon-list--layout-inline elementor-align-center elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"3f5470b\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/serdarcatav.com\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-home\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Anasayfa<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/serdarcatav.com\/agrilarimiz\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Ba\u015f, Boyun ve \u00dcst Ekstemite A\u011fr\u0131lar\u0131<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Lateral Epikondilit<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f5095d6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f5095d6\" data-element_type=\"section\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-082c98f\" data-id=\"082c98f\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1c88e3c elementor-widget elementor-widget-heading\" data-id=\"1c88e3c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Lateral Epikondilit (Tenis\u00e7i Dirse\u011fi)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-93e97d0 elementor-widget elementor-widget-text-editor\" data-id=\"93e97d0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p class=\"p2\"><span class=\"s1\">Lateral epikondilit, \u00fcst ekstremitenin en s\u0131k te\u015fhis edilen kas-iskelet sistemi bozukluklar\u0131ndan biridir. &#8220;Tenis\u00e7i dirse\u011fi&#8221; olarak da bilinen bu patoloji, bilek ekstans\u00f6r kaslar\u0131n\u0131n tendin\u00f6z k\u00f6kenli a\u011fr\u0131l\u0131 bir durumudur.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Yaralanma;<span class=\"Apple-converted-space\">\u00a0 <\/span>y\u00fcksek tekrarlama veya ile birlikte y\u00fcksek g\u00fc\u00e7 gerektiren zorlay\u0131c\u0131 aktivitelere sahip el ile oynanan sporlara (tenis, su topu, beyzbol, eskrim)<span class=\"Apple-converted-space\">\u00a0 <\/span>yan\u0131t olarak ortak ekstans\u00f6r tendonun<span class=\"Apple-converted-space\">\u00a0 <\/span>lateral humeral epikondile ba\u011flanmas\u0131 etraf\u0131ndaki strese ba\u011fl\u0131d\u0131r.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><p class=\"p2\"><span class=\"s1\">Lateral epikondilit, medial epikondilitten daha yayg\u0131nd\u0131r ve genellikle 40-60 ya\u015f aras\u0131 bireyleri etkiler ve erkekler ve kad\u0131nlar aras\u0131nda e\u015fit yayg\u0131nl\u0131k g\u00f6sterir.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Ana belirti, humerusun lateral epikondiline kar\u015f\u0131l\u0131k gelen lateral dirsek b\u00f6lgesinde lokalize olan a\u011fr\u0131d\u0131r. Tipik olarak aktivite ile ili\u015fkilidir ve bilek ve el hareketleri ile \u015fiddetlenir. A\u011fr\u0131 \u00f6n kola yay\u0131labilir ve tutu\u015fu bozabilir. Klinik muayene s\u0131ras\u0131nda, dirse\u011fin d\u0131\u015fyan taraf\u0131nda tipik bir hassasiyet s\u0131kl\u0131kla belirgin hale gelecektir. Belirti s\u00fcresi genellikle birka\u00e7 haftadan birka\u00e7 aya kadar de\u011fi\u015fir.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Birinci basamak tedavi genellikle buz uygulamas\u0131, \u00fcst ekstremitenin hareketsizli\u011fi ve NSA\u0130D&#8217;lerden olu\u015fur. \u015eok dalga<span class=\"Apple-converted-space\">\u00a0 <\/span>tedavisi, orta vadede semptomlar\u0131 azaltabilir.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><p class=\"p2\"><span class=\"s1\">Giri\u015fimsel tedavi olarak ise USG ile enjeksiyon planlan\u0131r.<span class=\"Apple-converted-space\">\u00a0 <\/span>Hasta<span class=\"Apple-converted-space\">\u00a0 <\/span>doktorun kar\u015f\u0131s\u0131na oturtulduktan sonra<span class=\"Apple-converted-space\">\u00a0 <\/span>dirsek 90 \u00b0 fleksiyona getirilir ve ba\u015f parmak yukar\u0131 bakar. USG ile ortak ekstans\u00f6r tendon, bir uzunlamas\u0131na tarama vas\u0131tas\u0131yla g\u00f6rselle\u015ftirilir: probun yak\u0131n k\u0131sm\u0131, yan epikondilin hiperekoik kemikli \u00e7izgisine yerle\u015ftirilirken, probun uzak k\u0131sm\u0131, ortak ekstans\u00f6r tendona g\u00f6re hizalan\u0131r.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Daha sonra bir 20G i\u011fne, <span class=\"Apple-converted-space\">\u00a0 <\/span>proksimal-distal y\u00f6nde yerle\u015ftirilir ve i\u011fnenin yolu boyunca, peritendin\u00f6z yumu\u015fak dokulara ve dejenere k\u0131s\u0131mlara bir miktar anestezik enjekte edildikten sonra y\u00fczeysel olarak tendonun yap\u0131\u015fma b\u00f6lgesine 1 ml uzun etkili steroid (40mg \/ ml) enjekte edilir ve ard\u0131ndan i\u011fne \u00e7\u0131kar\u0131l\u0131r.<\/span><\/p><p class=\"p2\"><span class=\"s1\">\u0130\u015flem sonras\u0131 hasta en az 10 dakika g\u00f6zlem alt\u0131nda tutulur. A\u011fr\u0131, tedaviden sonra ortaya \u00e7\u0131kabilir ve oral NSAID&#8217;lerle y\u00f6netilir. Sistematik dinlenme s\u00fcresi \u00f6nerilmemesine ra\u011fmen, hastalara ortez deste\u011fi kullanmalar\u0131 ve manuel aktivitelerini azaltmalar\u0131 tavsiye edilir.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-988d742 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"988d742\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"http:\/\/serdarcatav.com\/iletisim\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Randevu Olu\u015ftur<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Lateral Epikondilit Anasayfa Ba\u015f, Boyun ve \u00dcst Ekstemite A\u011fr\u0131lar\u0131 Lateral Epikondilit Lateral Epikondilit (Tenis\u00e7i Dirse\u011fi) Lateral epikondilit, \u00fcst ekstremitenin en s\u0131k te\u015fhis edilen kas-iskelet sistemi bozukluklar\u0131ndan biridir. &#8220;Tenis\u00e7i dirse\u011fi&#8221; olarak da bilinen bu patoloji, bilek ekstans\u00f6r kaslar\u0131n\u0131n tendin\u00f6z k\u00f6kenli a\u011fr\u0131l\u0131 bir durumudur. Yaralanma;\u00a0 y\u00fcksek tekrarlama veya ile birlikte y\u00fcksek g\u00fc\u00e7 gerektiren zorlay\u0131c\u0131 aktivitelere sahip el [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":254,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":"","_joinchat":[]},"_links":{"self":[{"href":"https:\/\/serdarcatav.com\/en\/wp-json\/wp\/v2\/pages\/292"}],"collection":[{"href":"https:\/\/serdarcatav.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/serdarcatav.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/serdarcatav.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/serdarcatav.com\/en\/wp-json\/wp\/v2\/comments?post=292"}],"version-history":[{"count":4,"href":"https:\/\/serdarcatav.com\/en\/wp-json\/wp\/v2\/pages\/292\/revisions"}],"predecessor-version":[{"id":296,"href":"https:\/\/serdarcatav.com\/en\/wp-json\/wp\/v2\/pages\/292\/revisions\/296"}],"up":[{"embeddable":true,"href":"https:\/\/serdarcatav.com\/en\/wp-json\/wp\/v2\/pages\/254"}],"wp:attachment":[{"href":"https:\/\/serdarcatav.com\/en\/wp-json\/wp\/v2\/media?parent=292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}