Çekilmiş Dirsek Sendromunda Radyolojik Analizin Gerekliliğinin İncelenmesi

Öz

Amaç: Birinci amaç, çekilmiş dirsek hastalarının yaralanmış ve sağlam taraflarının radyolojik bulgularındaki farklılıkları araştırarak radyolojik incelemenin bu hastalardaki gerekliliğini ortaya koymaktır. İkinci amaç, nüks ile ilişkili risk faktörlerini ortaya çıkarmaktır. Materyal ve Metot: Bu retrospektif prognostik çalışmada, Ağustos 2019 ile Ocak 2022 tarihleri arasında çekilmiş dirsek nedeniyle tedavi edilen 80 hasta incelendi. Hastaların cinsiyeti, yaşı, tarafı ve yaralanma mekanizması bilgileri değerlendirildi. Radyo-kapitellar hat, radyal epifiz açı ve humero-ulnar açı hem kırık hem de sağlam taraf grafilerinde değerlendirildi. Bulgular: Radyolojik analizde gözden kaçmış kırık saptanmadı ve yaralı ve sağlam taraflar arasında radyolojik açıdan anlamlı fark bulunmadı (p>0,05). 14 hastada (%17,5) tekrarlayan çekilmiş dirsek saptandı. Tekrarlayan çekilmiş dirsek ile cinsiyet, taraf, yaralanma mekanizması ve radyolojik bulgular arasında anlamlı bir ilişki bulunmadı (p>0,05). Sonuç: Çekilmiş dirseğin radyografik değerlendirilmesi tanısal ve prognostik olarak gerekli olmasa da kırık ekartasyonu ve medikolegal kaygılar açısından radyografik incelemeler gerekebilir. Tekrarlayan çıkığı öngören belirgin bir risk faktörü yoktur.

Anahtar Kelimeler

• Çekilmiş dirsek
• Humero-ulnar açı
• Radyal epifiz açısı
• Radyolojik analiz
• Radyo-kapitellar hat

Investigating the Necessity of Radiological Analysis in Pulled Elbow

Abstract

Objective: Primary objective was to reveal the necessity of radiological analysis by investigating the differences in radiological findings in the pulled and intact sides of pulled elbow patients. The secondary goal was to examine pulled elbow patients' demographic and radiographic distributions to reveal recurrence-related risk factors. Materials and Methods: In this retrospective prognostic study, 80 patients, treated for pulled elbow between August 2019 and January 2022 were examined. The patient's gender, age, side, and injury mechanism information were evaluated. The radio-capitellar line, the radial epiphyseal angle, and the humero-ulnar angle were evaluated on both injured and intact side X-rays. Results: No missed fractures were detected, and no significant difference was found between injured and intact sides in the radiological analysis (p>0.05). Recurrent dislocations were detected in 14 patients (17.5%). No significant relationship was found between recurrent pulled elbow and gender, side, mechanism of injury, and radiological findings (p>0.05). Conclusion: Although radiographic examination of the pulled elbow is not diagnostically and prognostically necessary, radiographs of the elbow can be taken and examined regarding fracture exclusion and medicolegal concerns. There is no obvious risk factor predicting recurrent dislocation.

Keywords

• Humero-ulnar angle
• Pulled elbow
• Radiological analysis
• Radio-capitellar line
• Radial epiphyseal angle

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