Menopozun Proksimal Femur Açı Parametrelerine Etkisi Üzerine Radyografik Bir Çalışma

Öz

Amaç: Bu çalışmada menopozun pelvik anteroposteriyor radyografi parametrelerinden femur inklinasyon açısı (FİA) ve femur Alsberg açısı (FAA) üzerindeki etkisini incelemek amaçlanmıştır.
Yöntem: Ekim 2019—Haziran 2020 döneminde ortopedi ve travmatoloji kliniğimize gelen ve anteroposteriyor pelvik röntgeni çekilen menopozlu (menopoz grubu) ve düzenli menstrüel sikluslu (kontrol grubu) toplam 133 kadına ait FİA ve FAA verileri retrospektif olarak incelendi.
Bulgular: Menopoz ve kontrol grupları arasında yaş (p<0,001), sağ FAA değeri (p<0,001) ve de sağ ve sol FİA değerleri (sırasıyla p<0,001 ve p=0,026) bakımından istatistiksel olarak anlamlı farklılık vardı. Sadece sol FAA değerleri iki grup arasında anlamlı farklılık göstermedi (p=0,446). Tüm parametre ölçümleri menopoz grubunda daha yüksekti.
Sonuç: Menopozlu kadınlarda FİA ve FAA değerlerinin daha yüksek olması menopozun ileriki yaşlarda ortaya çıkmasına ve yaşam tarzında değişikliklere neden olmasına bağlanabilir. Kemik morfometrisine dair çalışmalarda kemik yapı ve metabolizmasını çeşitli şekillerde etkileyebilecek olan menopoz varlığının da dikkate alınmasını tavsiye etmekteyiz.

Anahtar Kelimeler

• Alsberg açısı
• inklinasyon açısı
• menopoz durumu
• proksimal femur
• radyografi

A Radiographic Study on the Effect of Menopause on Proximal Femoral Angle Parameters

Öz

Aim: In this study we aimed to investigate the effects of menopause on the femoral inclination angle (FIA) and femoral Alsberg angle (FAA) parameters in pelvic anteroposterior radiography.
Methods: The FIA and FAA data were retrospectively reviewed in a total of 133 female subjects with natural menopause (the menopause group) and regular menstrual cycles (the control group) who were admitted to our orthopedics and traumatology clinic and underwent anteroposterior pelvic X-ray examination between October 2019 and June 2020.
Results: There was a statistically significant difference between the menopause and control groups in terms of age (p<0.001), right-side FAA values (p<0.001), and right- and left-side FIA values (p<0.001 and p=0.026, respectively). Only the left-side FAA values did not differ significantly between the groups (p=0.446). All parameter measurements were higher in the menopause group.
Conclusion: The finding that the FIA and FAA values were higher in the menopause group could be attributed to the fact that menopause occurs in the later decades of life and brings along changes in lifestyle. We recommend that the presence of menopause as a factor that can affect bone structure and metabolism in various ways should also be considered in studies on bone morphometry.

Anahtar Kelimeler

• Alsberg angle
• inclination angle
• menopause status
• proximal femur
• radiography

Kaynakça

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