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Q açısı ve alt ekstremite dizilim bozukluğu arasında bir ilişki var mıdır?

Year 2012, Volume: 46 Issue: 6, 416 - 419, 21.02.2013

Abstract

Amaç: Bu çalışmanın amacı, tek taraflı patellofemoral ağrı sendromu (PFAS) olan bayanlarda Q açısı ile alt ekstremite düzgünlüğü arasındaki ilişkiyi değerlendirmekti.
Çalışma planı: Tek taraflı patellofemoral ağrısı olan seksen beş kadın, etkilenmemiş diğer tarafı kendi iç kontrolü olacak şekilde, çalışmaya dahil edildi. Etkilenen ve etkilenmemiş dizlerdeki Q açıları ve alt ekstremite düzgünlüğü karşılaştırıldı.
Bulgular: Q açısında etkilenen (19.61±4.35) ve diğer taraf (17.63±4.29) arasında anlamlı fark saptandı (p=0.00). Lateral distal femoral açıda (LDFA) da etkilenen ve diğer taraf arasında anlamlı fark görülürken (sırasıyla, 81.00±2.58 ve 81.83±3.03; p=0.03), medial proksimal tibial açıda (MPTA) anlamlı fark bulunamadı (sırasıyla, 87.88±2.63 ve 87.60±3.29; p=0.51). Hastaların etkilenen taraf Q açısı ile LDFA (r=0.001, p=0.99) ve MPTA (r=-0.051, p=0.64) arasında bir ilişki bulunmadı. Hastaların etkilenmeyen taraf Q açısı ile LDFA (r=0.179, p=0.64) ve MPTA (r=-0.146, p=0.18) arasında da bir ilişki kaydedilmedi.
Çıkarımlar: Neden ya da etki bağı kurulamamasına rağmen PFAS’nin artmış Q açısı ve azalmış LDFA ile ilişkisi olabilir. Alt ekstremite dizilim bozukluğu ile Q açısı arasında bir ilişki yoktu. Femoral anteversiyondaki değişim ile içe basarak yürümenin etkisini değerlendiren ve bu özelliklerin PFAS’ye yol açıp açmadığını araştıran geniş prospektif çalışmalara ihtiyaç vardır.

Is there any relationship between Q-angle and lower extremity malalignment?

Year 2012, Volume: 46 Issue: 6, 416 - 419, 21.02.2013

Abstract

Objective: The aim of this study was to assess the relationship between Q-angle and lower extremity alignment in women with unilateral patellofemoral pain syndrome (PFPS).
Methods: Eighty-five women with unilateral patellofemoral pain participated in the study, with each subject acting as their own internal control using the unaffected limb. Lower extremity alignment and Q-angles of the affected and unaffected knees were compared.
Results: There was a significant difference in the Q-angle between the affected (19.61±4.35) and the unaffected (17.63±4.29) side (p=0.00). There was also a significant difference in the lateral distal femoral angle (LDFA) (81.00±2.58 vs. 81.83±3.03; p=0.03) and no significant difference in the medial proximal tibial angle (MPTA) (87.88±2.63 vs. 87.60±3.29; p=0.51) between the affected and the unaffected side. There was no relationship between the Q-angle and LDFA (r=0.001, p=0.99), and MPTA (r=-0.051, p=0.64) in the affected side of the patients. There was also no relationship between the Q-angle and LDFA (r=0.179, p=0.64), and MPTA (r=-0.146, p=0.18) in the unaffected side of the patients.
Conclusion: Increased Q-angle and decreased LDFA may be associated with PFPS although cause or effect cannot be established. There was no relationship between the Q-angle and lower extremity malalignment. Large prospective longitudinal studies are needed to detect changes in the femoral anteversion and toe-in gait and to establish if these features are a cause of PFPS.

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Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Defne Kaya This is me

Mahmut Doral This is me

Publication Date February 21, 2013
Published in Issue Year 2012 Volume: 46 Issue: 6

Cite

APA Kaya, D., & Doral, M. (2013). Is there any relationship between Q-angle and lower extremity malalignment?. Acta Orthopaedica Et Traumatologica Turcica, 46(6), 416-419.
AMA Kaya D, Doral M. Is there any relationship between Q-angle and lower extremity malalignment?. Acta Orthopaedica et Traumatologica Turcica. January 2013;46(6):416-419.
Chicago Kaya, Defne, and Mahmut Doral. “Is There Any Relationship Between Q-Angle and Lower Extremity Malalignment?”. Acta Orthopaedica Et Traumatologica Turcica 46, no. 6 (January 2013): 416-19.
EndNote Kaya D, Doral M (January 1, 2013) Is there any relationship between Q-angle and lower extremity malalignment?. Acta Orthopaedica et Traumatologica Turcica 46 6 416–419.
IEEE D. Kaya and M. Doral, “Is there any relationship between Q-angle and lower extremity malalignment?”, Acta Orthopaedica et Traumatologica Turcica, vol. 46, no. 6, pp. 416–419, 2013.
ISNAD Kaya, Defne - Doral, Mahmut. “Is There Any Relationship Between Q-Angle and Lower Extremity Malalignment?”. Acta Orthopaedica et Traumatologica Turcica 46/6 (January 2013), 416-419.
JAMA Kaya D, Doral M. Is there any relationship between Q-angle and lower extremity malalignment?. Acta Orthopaedica et Traumatologica Turcica. 2013;46:416–419.
MLA Kaya, Defne and Mahmut Doral. “Is There Any Relationship Between Q-Angle and Lower Extremity Malalignment?”. Acta Orthopaedica Et Traumatologica Turcica, vol. 46, no. 6, 2013, pp. 416-9.
Vancouver Kaya D, Doral M. Is there any relationship between Q-angle and lower extremity malalignment?. Acta Orthopaedica et Traumatologica Turcica. 2013;46(6):416-9.