Prevalence of the absence of palmaris longus muscle assessed by a new examination test (Hiz-Ediz Test) in the population residing in the area of Van, Turkey

Abstract

Objectives: The primary goal of this trial was to show the compatibility between a new test technique (Hiz-Ediz test) for detection of palmaris longus muscle (PLM) agenesis, which we recently developed, and the former tests, the Schaeffer and Mishra's second tests. Materials and methods: One thousand cases were enrolled in this trial. Schaeffer's test, Mishra's second test and Hiz-Ediz tests were applied to all cases. Examinations were performed to determine differences between genders and both hands. Consistency between all three tests was investigated. Results: In the Hiz-Ediz test, PLM agenesis was determined in 15.1%. No significant difference was found between the rates of unilateral and bilateral tendon agenesis determined by three tests (p>0.05). When the consistency of the three tests was evaluated using the kappa test, full consistency was determined between Mishra's second and the Hiz-Ediz test; however, full consistency was not determined between the Schaffer's and the other two tests. But, no statistical difference was found between the three tests. Conclusion: Our results indicate that the prevalence of PLM agenesis is consistent with the available data. The Hiz-Ediz test can be applied easily and safely to determine and to visualize the PLM agenesis, when compared to the Mishra's second test and the Schaeffer's test.

Keywords

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Yeni bir muayene tekniği ile (Hız-Ediz Test) palmaris longus kası yokluğunun Van, Türkiye yöresinde ikamet eden popülasyondaki prevelansı

Öz

Amaç: Bu çalışmanın ana amacı Palmaris Longus Kası (PLK) agenezinin tespiti için yeni geliştirdiğimiz bir test tekniği ile (Hız-Ediz test), önceki testler arasındaki (Schaeffer ve Mishra ikinci testleri) arasındaki uyumluluğu göstermek idi. Gereç ve yöntem: Bu çalışmaya 1000 olgu alındı. Tüm olgulara Schaeffer testi, Mishra ikinci testi ve Hız-Ediz testi uygulandı. Cinsiyetler ve her iki el arasındaki farklar tespit edilmeye çalışıldı. Her üç test arasındaki tutarlılık araştırıldı. Bulgular: Hız-Ediz testinde, PLK agenezi olguların %15.1'inde tespit edildi. Üç test tarafından tespit edilen unilateral ve bilateral tendon agenezi oranları açısından testler arasında herhangi bir fark yoktu (p>0.05). Her üç testin tutarlılığı kappa test ile değerlendirildiğinde Mishra ikinci test ve Hız-Ediz test arasında tam tutarlılık tespit edildi; bununla birlikte Schaeffer ve diğer iki test arasında tam tutarlılık tespit edilmedi. Ancak, üç test arasında istatistiksel bir fark bulunmadı. Sonuç: PLK agenezi prevelansının textbook bilgileri ile uyumlu olduğunu göstermektedir. Hız-Ediz testi, Mishra ve Schaeffer ikinci testleri ile kıyaslandığında PLK agenezisini görmede ve tespit etmede kolay ve güvenilir olarak uygulanabilir.

Anahtar Kelimeler

• Palmaris longus kası, tendon, agenezi, değerlendirme, Türkiye, Hız-Ediz test

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