TY  - JOUR
T1  - Is there a relationship between the lengths of the ipsilateral clavicle and the ulna? An anthropometric and statistical study
TT  - Klavikula ve ulna boyları arasında anlamlı bir oran varmı? Antropometrik ve istatistiksel bir çalışma
AU  - Söylemez, Mehmet Salih
AU  - Demiroğlu, Murat
AU  - Aydın, Davut
AU  - Akpınar, Fuat
AU  - Kılıç, Bülent
AU  - Ünal, Ömer K.
AU  - Özkan, Korhan
PY  - 2019
DA  - August
DO  - 10.25000/acem.571566
JF  - Archives of Clinical and Experimental Medicine
JO  - Arch Clin Exp Med
PB  - Mustafa HASBAHÇECİ
WT  - DergiPark
SN  - 2564-6567
SP  - 86
EP  - 89
VL  - 4
IS  - 2
LA  - en
AB  - Aim: Mathematicalrelationships between bones in close proximity are useful for determining theproper length of comminuted or severely displaced bones during surgicalreconstruction. This study examined the relationship between the lengths of theclavicle and ulna to develop a length propotion formula that can facilitateobtaining the proper length of the clavicle during surgery for displaced andcomminuted fractures. Methods:The study enrolled 130 individuals (76 males, 54 females)who were healty fortheir upper extremities and was seen in our orthopedics outpatient clinicduring April 2019 to June 2019. The right and left clavicles and ulnas of eachindividual were measured. All measurements were peformed by two of the authorsin an blinded fashion.Results. Mean overall age was 32.2 years. Therewere significant correlations between the clavicle and ipsilateral ulnarlengths (p=0.001). However, there was a length difference between the right andleft clavicles. The left clavicle was 9.00 ± 2.16 mm longer than the right inmales and 7.13 ± 2.03 mm longer in females (p=0.001). There was no significantlength difference between the right and left ulnas in either sex (0.84 ± 1.033mm in males and 0.52 ± 0.818 mm in females).Conclusion.There is a significant ratio between the clavicle and ulna lengths on both theright and left sides in both sexes, but it isn’t the same for males andfemales. We propose that these length proportion formula can be used fordetermining the clavicle length for the surgical treatment of comminuted fractureswith plates and particularly with nails.
KW  - Comminuted fracture
KW  - clavicle
KW  - ulna
KW  - length ratio
N2  - Amaç:Parçalı ve deplase kırıkların cerrahi rekonstrüksiyonu sırasında opere edilenkemiğin uygun boyunun tahmin edilebilmesi için bu kemik boyu ile komşu diğerbir kemiğin matematiksel olarak boy oranının kullanılması oldukça kullanışlıdır. Bu çalışmada parçalı klavikulakırıkları cerrahi tedavisi sırasında kullanılmak üzere, klavikula ve ulnakemikleri arasında matematiksel olarak anlamlı bir boy oranı olup olmadığınınaraştırılması amaçlanmıştır. Yöntemler:Nisan-Haziran 2019 dönemi içerisinde, ortopedi ve travmatoloji polikliniğimizdegörülen üst ekstremiteleri sağlıklı 130 hasta (76 erkek, 54 kadın) çalışmaya dahiledildi. Bütün hastaların sağ ve sol ulna ve klavikulaları birbirininölçümlerine kör 2 yazar tarafından, aynı yöntemler kullanılarak ölçüldü.Bulgular:Toplamda ortalama yaş 32.2 yıl idi. Aynı taraf ulna ve klavikula boylarıarasında anlamlı bir oran olduğu saptandı (p=0.001). Aynı zamanda sağ ve sol klavikula boylarıarasında anlamlı uzunluk farkı bulunduğu görüldü. Sol klavikula, erkeklerde 9.00± 2.16 mm ve kadınlarda 7.13 ± 2.03 mm sağ klavikuladan daha uzun idi (p=0.001).Ancak her iki grupta da sağ ve sol ulna boyları arasında anlamlı bir farksaptanmadı (0.84 ± 1.033 mm erkeklerde ve 0.52 ± 0.818 mm kadınlarda).Sonuçlar:Hem kadın, hem de erkeklerde her iki tarafta klavikula ve ulna kemikleriarasında matematiksel olarak anlamlı bir oran var olduğu ortaya kondu. Ancak buoran her iki cinsiyet için farklı idi. Biz bu çalışmanın sonucuna dayanarak,parçalı klavikula kırıklarının plak ve özellikle çivi ile cerrahi tedavisisırasında, ortaya konan bu orantısal formüllerin uygun kemik boyununhesaplanarak sağlanması için kullanılabileceğini düşünmekteyiz.
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UR  - https://doi.org/10.25000/acem.571566
L1  - https://dergipark.org.tr/en/download/article-file/776751
ER  -