Çocuklarda Alt Ekstremite Aşırı Kullanım Yaralanmaları: Tek Merkezli Gözlemsel Çalışma

Öz

Çocuklarda spor katılımının artmasıyla alt ekstremite aşırı kullanım yaralanmaları daha sık görülmektedir. Türkiye’den bu yaralanmaların spor tipi, cinsiyet ve tutulum özellikleriyle ilişkisini değerlendiren yerel klinik veriler sınırlıdır. Bu çalışma, Ankara’daki tek merkezli pediatrik ortopedi kohortunda alt ekstremite aşırı kullanım yaralanmalarının klinik dağılımını incelemeyi amaçladı. Eylül 2022-Şubat 2026 arasında alt ekstremite ağrısı nedeniyle başvuran ve Sever hastalığı, Osgood-Schlatter hastalığı, Sinding-Larsen-Johansson hastalığı, Iselin hastalığı veya stres kırığı tanısı alan çocukların kayıtları retrospektif olarak incelendi. Düzenli spor katılımı, önceki altı ay içinde haftada en az üç gün ve günde en az bir saat aynı spor veya fiziksel aktiviteye sürekli katılım olarak tanımlandı. Sıklıklar ki-kare testi ile karşılaştırıldı. Çalışmaya 69 çocuk dahil edildi (52 erkek, 17 kız; ortalama yaş 11.8 yıl, aralık 8-15). Olguların 54’ünde (%78.3) düzenli spor/aktivite öyküsü vardı ve 55 olguda (%79.7) tutulum unilateraldi. En sık tanı tipleri Osgood-Schlatter hastalığı ve Sever hastalığıydı. Iselin hastalığı kızlarda daha sık görülen tek klinik tanıydı. (P=0.0012). Basketbol en sık bildirilen spor olup onu futbol izledi; basketbol ve futbolla ilişkili yaralanmalar yalnızca erkeklerde, voleybolla ilişkili yaralanmalar ise yalnızca kızlarda gözlendi. Tüm olgular konservatif olarak tedavi edildi. Pediatrik alt ekstremite aşırı kullanım yaralanmaları, özellikle koşma ve sıçrama içeren düzenli aktivitelerle yakından ilişkiliydi. Tanı dağılımı, ilişkili spor türleri ve cinsiyete bağlı katılım örüntüleri coğrafi ve kültürel özelliklere göre değişebilir.

Anahtar Kelimeler

• Çocuklarda aşırı kullanım yaralanması
• Osgood-Schlatter hastalığı
• Sever hastalığı
• Sinding-Larsen-Johansson hastalığı
• Iselin hastalığı
• Stres kırığı

Etik Beyan

Bu çalışma için Ufuk Üniversitesi Tıp Fakültesi Etik Kurulu tarafından onay alınmıştır (Tarih: 17.10.2025, No: 25.10.17.06/02).

Lower Extremity Overuse Injuries in Children: A Single-Center Observational Study

Öz

With increasing sports participation among children, lower-extremity overuse injuries are being encountered more frequently. Single-center clinical data from Türkiye evaluating their relationship with sport type, sex, and involvement patterns remain limited. This study aimed to examine the clinical distribution of lower-extremity overuse injuries in a single-center pediatric orthopaedic cohort in Ankara. The records of children who presented with lower-extremity pain between September 2022 and February 2026 and were diagnosed with Sever’s disease, Osgood-Schlatter disease, Sinding-Larsen-Johansson disease, Iselin disease, or stress fracture were retrospectively reviewed. Regular sports participation was defined as participation in the same sport or physical activity for at least three days per week and at least one hour per day during the previous six months. Frequencies were compared using the chi-square test.

Sixty-nine children were included (52 boys, 17 girls; mean age 11.8 years, range 8–15). Regular sports/activity participation was present in 54 cases (78.3%), and unilateral involvement was observed in 55 cases (79.7%). The most common diagnoses were Osgood-Schlatter disease and Sever’s disease. Iselin disease was the only diagnosis more frequent in girls (P=0.0012). Basketball was the most frequently reported sport, followed by football. Basketball- and football-related injuries occurred only in boys, whereas volleyball-related injuries occurred only in girls. All patients were treated conservatively. Pediatric lower-extremity overuse injuries were closely associated with regular running- and jumping-based activities. Diagnostic distribution, sport type, and sex-related participation patterns may vary according to geographical and cultural characteristics.

Anahtar Kelimeler

• Overuse Injury in children
• Osgood-Schlatter Disease
• Sever Disease
• Sinding-Larsen-Johansson Disease
• Iselin Disease
• Stress Fracture

Etik Beyan

Ethics Committee Approval: This study was approved by the Ufuk University Faculty of Medicine Ethics Committee (Date: 17.10.2025, No: 25.10.17.06/02).

Kaynakça

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