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Türkiye’de 6 ay ile 8 yaş arası sağlıklı çocuklarda asetabular indeks değerleri: Kesitsel radyolojik çalışma

Year 2013, Volume: 47 Issue: 1, 38 - 42, 05.04.2013

İbrahim Akel Murat Songur Sevilay Karahan Guney Yilmaz H. Gokhan Demirkiran Yucel Tumer

Abstract

Amaç: Bu çalışmada Türkiye’de 6 ay ile 8 yaş arası çocuklarda asetabular indeks değerlerini yaş, cinsiyet ve tarafa göre belirlemek ve hafif ve ağır displazi için açısal sınır değerlerini bulmak amaçlandı.
Çalışma planı: Türkiye’de 6 ay ile 14 yaş arası çocuklarda karşılaşılan tedavi edilmemiş kalça çıkığı sıklığını araştırmak için oluşturulan veri havuzundan yararlanıldı. Gelişimsel kalça displazisi dışı nedenlerle çekilen pelvis ve alt karın radyografilerinden oluşan bu havuzda 19 ilden toplanan 6 ay ile 8 yaş arası çocukların uygun grafilerinde asetabular indeks değerlerinin yaş, cinsiyet ve tarafa göre dağılımları incelendi.
Bulgular: Değerlendirmeye alınan 2788 çocuğun 21’inin (%0.75) 33 kalçasının çıkık ya da yarı çıkık olduğu saptandı. Kalça patolojisi olmayan 2767 çocuğun 5534 kalçasının asetabular indeks değerleri ölçüldü. Dört yüz doksan üç (%17.8) çocuğun 723 (%13) kalçasının asetabular indeks değerinin 1 standart sapmanın üzerinde 2 standart sapmanın altında, 118 (%4.3) çocuğun 147 (%2.65) kalçasının asetabular indeks değerinin 2 standart sapmanın üzerinde olduğu saptandı. Asetabular indeks değerlerinin yaşla azaldığı gözlendi.
Çıkarımlar: Çalışmada Türk toplumundaki 6 ay ile 8 yaş arası çocuklardaki normal asetabuler indeks açıları tanımlanmış ve her yaş grubu için hafif displazi ve ağır displazi sınırları belirlenmiştir.

Keywords

Asetabuler indeks; çocuklar; displazi; Türk

References

  • Thieme WT, Thiersch JB (translators). Classic. Translation: Hilgenreiner on congenital hip dislocation. J Pediatr Orthop 1986;6:202-14
  • Broughton NS, Brougham DI, Cole WG, Menelaus MB. Reliability of radiological measurements in the assessment of the child's hip. J Bone Joint Surg Br 1989;71:6-8.
  • Tönnis D. Normal values of the hip joint for the evaluation X-rays in children and adults. Clin Orthop Relat Res 1976; (119):39-47.
  • Ozçelik A, Omero¤lu H, Inan U, Ozyurt B, Seber S. Normal values of several acetabular angles on hip radiographs obtained from individuals living in the Eskiflehir region. Acta Orthop Traumatol Turc 2002;36:100-5.
  • Akpınar F, Tosun N, Bozkurt M, Üner A, Aydınlıo¤lu A, Do¤an A, et al. Normal çocukların kalça grafileri üzerine çok parametreli bir arafltırma. Acta Orthop Traumatol Turc 1996; 30:259-68.
  • Tan L, Aktas S, Copuroglu C, Ozcan M, Ture M. Reliability of radiological parameters measured on anteroposterior pelvis radiographs of patients with developmental dysplasia of the hip. Acta Orthop Belg 2001;67:374-9.
  • Omero¤lu H, Ozçelik A, Inan U, Seber S. Assessment of the correlation between commonly used radiographic parameters in normal, subluxated and dislocated hips. J Pediatr Orthop B 2006;15:172-7.
  • Boniforti FG, Fujii G, Angliss RD, Benson MK. The reliabil- ity of measurements of pelvic radiographs in infants. J Bone Joint Surg Br 1997;79:570-5.
  • Omero¤lu H, A¤ufl H, Biçimo¤lu A, Tümer Y.Evaluation of experienced surgeons’ decisions regarding the need for sec- ondary surgery in developmental dysplasia of the hip. J Pediatr Orthop 2012;32:58-63.

Acetabular index values in healthy Turkish children between 6 months and 8 years of age: a cross-sectional radiological study

Year 2013, Volume: 47 Issue: 1, 38 - 42, 05.04.2013

İbrahim Akel Murat Songur Sevilay Karahan Guney Yilmaz H. Gokhan Demirkiran Yucel Tumer

Abstract

Objective: The aim of this study was to determine the normal acetabular index values in children between 6 months and 8 years of age based on sex, age and side and to define the cutoff values for mild and severe acetabular dysplasia.
Methods: The records collected from the data pool that was gathered to define the prevalence of untreated congenital hip dislocation in Turkish children between 6 months and 14 years of age was used. The acetabular index was measured on pelvic and abdominal radiographs of children between 6 months and 8 years of age, taken in 19 different cities for non-dysplasia related causes. The distribution of the index values based on age, sex and side.
Results: Thirty-three hips of 21 children (0.75%) out of 2788 children were found to be subluxated or luxated. Acetabular index values of 5534 hips of 2767 children were measured. Acetabular index values of 723 (13%) hips of 493 children (17.8%) were found to be between 1 and 2 standard deviations. Acetabular index values of 147 hips (2.65%) of 118 children (4.3%) were calculated to be above 2 standard deviations. There was a negative correlation between the acetabular index and age.
Conclusions: The study defines the normal acetabular index values in healthy Turkish children between 6 months and 8 years of age and the expected acetabular index values for mild and severe dysplasia.

Keywords

Acetabular index children dysplasia Turkish

References

  • Thieme WT, Thiersch JB (translators). Classic. Translation: Hilgenreiner on congenital hip dislocation. J Pediatr Orthop 1986;6:202-14
  • Broughton NS, Brougham DI, Cole WG, Menelaus MB. Reliability of radiological measurements in the assessment of the child's hip. J Bone Joint Surg Br 1989;71:6-8.
  • Tönnis D. Normal values of the hip joint for the evaluation X-rays in children and adults. Clin Orthop Relat Res 1976; (119):39-47.
  • Ozçelik A, Omero¤lu H, Inan U, Ozyurt B, Seber S. Normal values of several acetabular angles on hip radiographs obtained from individuals living in the Eskiflehir region. Acta Orthop Traumatol Turc 2002;36:100-5.
  • Akpınar F, Tosun N, Bozkurt M, Üner A, Aydınlıo¤lu A, Do¤an A, et al. Normal çocukların kalça grafileri üzerine çok parametreli bir arafltırma. Acta Orthop Traumatol Turc 1996; 30:259-68.
  • Tan L, Aktas S, Copuroglu C, Ozcan M, Ture M. Reliability of radiological parameters measured on anteroposterior pelvis radiographs of patients with developmental dysplasia of the hip. Acta Orthop Belg 2001;67:374-9.
  • Omero¤lu H, Ozçelik A, Inan U, Seber S. Assessment of the correlation between commonly used radiographic parameters in normal, subluxated and dislocated hips. J Pediatr Orthop B 2006;15:172-7.
  • Boniforti FG, Fujii G, Angliss RD, Benson MK. The reliabil- ity of measurements of pelvic radiographs in infants. J Bone Joint Surg Br 1997;79:570-5.
  • Omero¤lu H, A¤ufl H, Biçimo¤lu A, Tümer Y.Evaluation of experienced surgeons’ decisions regarding the need for sec- ondary surgery in developmental dysplasia of the hip. J Pediatr Orthop 2012;32:58-63.
There are 9 citations in total.

Details

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

İbrahim Akel This is me

Murat Songur This is me

Sevilay Karahan This is me

Guney Yilmaz This is me

H. Gokhan Demirkiran This is me

Yucel Tumer This is me

Publication Date April 5, 2013
Published in Issue Year 2013 Volume: 47 Issue: 1

Cite

APA Akel, İ., Songur, M., Karahan, S., Yilmaz, G., et al. (2013). Acetabular index values in healthy Turkish children between 6 months and 8 years of age: a cross-sectional radiological study. Acta Orthopaedica Et Traumatologica Turcica, 47(1), 38-42.
AMA Akel İ, Songur M, Karahan S, Yilmaz G, Demirkiran HG, Tumer Y. Acetabular index values in healthy Turkish children between 6 months and 8 years of age: a cross-sectional radiological study. Acta Orthopaedica et Traumatologica Turcica. April 2013;47(1):38-42.
Chicago Akel, İbrahim, Murat Songur, Sevilay Karahan, Guney Yilmaz, H. Gokhan Demirkiran, and Yucel Tumer. “Acetabular Index Values in Healthy Turkish Children Between 6 Months and 8 Years of Age: A Cross-Sectional Radiological Study”. Acta Orthopaedica Et Traumatologica Turcica 47, no. 1 (April 2013): 38-42.
EndNote Akel İ, Songur M, Karahan S, Yilmaz G, Demirkiran HG, Tumer Y (April 1, 2013) Acetabular index values in healthy Turkish children between 6 months and 8 years of age: a cross-sectional radiological study. Acta Orthopaedica et Traumatologica Turcica 47 1 38–42.
IEEE İ. Akel, M. Songur, S. Karahan, G. Yilmaz, H. G. Demirkiran, and Y. Tumer, “Acetabular index values in healthy Turkish children between 6 months and 8 years of age: a cross-sectional radiological study”, Acta Orthopaedica et Traumatologica Turcica, vol. 47, no. 1, pp. 38–42, 2013.
ISNAD Akel, İbrahim et al. “Acetabular Index Values in Healthy Turkish Children Between 6 Months and 8 Years of Age: A Cross-Sectional Radiological Study”. Acta Orthopaedica et Traumatologica Turcica 47/1 (April 2013), 38-42.
JAMA Akel İ, Songur M, Karahan S, Yilmaz G, Demirkiran HG, Tumer Y. Acetabular index values in healthy Turkish children between 6 months and 8 years of age: a cross-sectional radiological study. Acta Orthopaedica et Traumatologica Turcica. 2013;47:38–42.
MLA Akel, İbrahim et al. “Acetabular Index Values in Healthy Turkish Children Between 6 Months and 8 Years of Age: A Cross-Sectional Radiological Study”. Acta Orthopaedica Et Traumatologica Turcica, vol. 47, no. 1, 2013, pp. 38-42.
Vancouver Akel İ, Songur M, Karahan S, Yilmaz G, Demirkiran HG, Tumer Y. Acetabular index values in healthy Turkish children between 6 months and 8 years of age: a cross-sectional radiological study. Acta Orthopaedica et Traumatologica Turcica. 2013;47(1):38-42.