TY  - JOUR
T1  - BİSEPS UZUN BAŞI TENDON SUBLUKSASYONUNDA BİSEPS-GLENOİD AÇISI VE SUBSKAPULARİS TENDON PATOLOJİLERİ ARASINDAKİ İLİŞKİNİN MRG İLE DEĞERLENDİRİLMESİ
TT  - Evaluation of the Relationship between Biceps-Glenoid Angle and Subscapularis Tendon Pathologies in the Biceps Long Head Tendon Subluxation with MRI
AU  - Şahan, Mehmet Hamdi
AU  - Asal, Neşe
PY  - 2018
DA  - December
DO  - 10.24938/kutfd.470512
JF  - The Journal of Kırıkkale University Faculty of Medicine
JO  - Kırıkkale Uni Med J
PB  - Kirikkale University
WT  - DergiPark
SN  - 2148-9645
SP  - 300
EP  - 305
VL  - 20
IS  - 3
LA  - tr
AB  - Amaç:Manyetik rezonansgörüntülemede (MRG)biseps uzun başı tendonunda (BUBT) subluksasyon tespitedilen olgularda biseps-glenoid açısındaki değişkenliklerin tespiti vesubskapularis tendon patolojileri ile ilişkisinin değerlendirilmesi amaçlandı.Gereç ve Yöntem:Ocak2014-Mart2018 tarihleri arasında Kırıkkale Üniversitesi Tıp Fakültesi Radyoloji AnabilimDalı’nda çekilen omuz manyetik rezonans görüntüleri incelendi.BUBT’dasubluksasyon olan 30 hasta ve subluksasyon olmayan 32 kontrol hastasıkarşılaştırıldı. T2 ağırlıklı oblik-koronal MRG görüntülerde, BUBT’unsupraglenoid tuberküle yapışma düzeyinden geçen kesitte, biseps tendonunaçizilen paralel çizgi ile glenoid kemik çatıya çizilen teğet çizgi arasındakibiseps glenoid açısı ölçüldü. Ayrıca subskapularis tendon patolojileri normal,parsiyel ve tam kat yırtık açısından analiz edildi.Bulgular:BUBT’dasubluksasyon olan grupta 12 erkek, 18 kadın olup yaş ortalaması61.0±13.6yıl idi. BUBT’da subluksasyon olmayan grupta 14 erkek, 18 kadınolup yaş ortalaması 55.9±14.0 yıl idi. Subluksasyon olan grupta biseps-glenoidaçı ortalaması 84.1º±4.9º ve subluksasyon olmayan grupta 92.8º±4.7º idi(p<0.05). BUBT’da subluksasyon olan olguların da %80’inde subskapularistendon patolojisi mevcuttu.Sonuç:BUBT’dasubluksasyon olan hastalarda, biseps-glenoid açı değerleri, subluksasyonolmayanlara göre düşüktür. BUBT subluksasyonu tanısında arada kalınan olgulardabiseps-glenoid açı ölçümü yardımcı olabilir. Ayrıca BUBT subluksasyonuna,subskapularis tendon patolojileri sıklıkla eşlik etmektedir.
KW  - Biseps
KW  - subluksasyon
KW  - manyetik rezonans görüntüleme
KW  - rotator manşet
N2  - Objective:Theaim of this study was to determine the variability of biceps-glenoid angle inpatients with subluxation of the long head of the biceps tendon (LHBT) inmagnetic resonance imaging (MRI) and to evaluate the relationship betweensubscapular tendon pathologies.Material and Method:ShoulderMRIs taken in Kirikkale University Medical School Radiology Department betweenJanuary 2014 and March 2018 were reviewed. Thirty patients with subluxation inBUBT and 32 control patients without subluxation were compared. In theT2-weighted oblique-coronal MRI images, the biceps-glenoid angle between theparallel line drawn to the biceps tendon and the tangent line drawn on theglenoid bone roof was measured in the cross-section at the level ofsupraglenoid tubercle adhesion of BUBT. In addition, subcapularis tendonpathologies were analyzed for normal, partial and full-thickness tear.Results:Therewere 12 males and 18 females in the subluxation group in BUBT and the mean agewas 61±13.6 years. There were 14 males and 18 females in the non-subluxationgroup in BUBT and the mean age was 55.9±14 years. The mean biceps-glenoid anglewas 84.1º±4.9º in the subluxation group and 92.8º±4.7º in the non-subluxationgroup, showing a statistically significant difference (p<0.05). Subcapularistendon pathology was present in 80%of patients with subluxation in BUBT.Conclusion:Inpatients with subluxation in BUBT, biceps-glenoid angle values are lower thanthose with non-subluxation. Biceps-glenoid angle measurement may be helpful in caseswhere diagnosis of BUBT subluxation is obscure. In addition, subcapularistendon pathologies frequently accompany BUBT subluxation.
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UR  - https://doi.org/10.24938/kutfd.470512
L1  - https://dergipark.org.tr/en/download/article-file/606565
ER  -