Acil servise başvuran hastalarda el bölgesindeki sesamoid kemiklerin ve aksesuar kemikçiklerin prevalansı ve dağılımı: radyografik bir çalışma

Year 2023, Volume: 48 Issue: 4, 1258 - 1264, 29.12.2023

Emre Atay , Abdülkadir Bilir , Ayşe Ertekin , Tolga Ertekin

https://doi.org/10.17826/cumj.1352091

Abstract

Amaç: Bu çalışmada acil servise herhangi bir el ve el bileği şikayeti ile başvuran hastaların radyolojik görüntülerinde aksesuar kemikçiklerin ve sesamoid kemiklerin cinsiyet, görülme sıklığı ve ekstremite tarafına göre retrospektif olarak incelenmesi amaçlanmıştır.
Gereç ve Yöntem: Bu retrospektif çalışma 500 hastanın (297 erkek, 203 kadın) radyolojik görüntüleri (dijital x-ray) üzerinde yapıldı. El iskelet deformitesi olmayan hastaların ellerinde aksesuar kemikçiklerin ve sesamoidlerin varlığı, prevalansı, birlikteliği ve dağılımı retrospektif olarak analiz edildi.
Bulgular: Aksesuar kemikçikler 500 olgunun 8'inde (%1.6) saptandı. Çalışmamızda el bileği ve el bölgesinde görülen aksesuar kemikçiklerin tamamı ulnar stiloid kemikçiklerdi. Sesamoid kemik 500 olguda (%100) metakarpofalangeal I (MCP I), 192 olguda (%38.4) metakarpofalangeal II (MCP II), 17 olguda (%3,4) metakarpofalangeal III (MCP III), 2 olguda (%0.4) metakarpofalangeal IV (MCP IV) ve 34 olguda (%6.8) metakarpofalangeal V'te (MCP V) tespit edildi.
Sonuç: Bu çalışma el sesamoid kemikleri ve aksesuar kemikçiklerin dijital röntgen görüntüleri kullanılarak Türk toplumunda görülme sıklığı açısından literatüre katkı sağlayacaktır.

Keywords

Aksesuar kemikçikler, el, insidans, radyografi, sesamoid kemikler

Prevalence and distribution of sesamoid bones and accessory ossicles in the hand region in patients presenting to the emergency department: a radiographic study

Abstract

Purpose: This study aimed to retrospectively examine the accessory ossicles and sesamoid bones of the patients who applied to the emergency department with any hand and wrist complaints, on radiological images according to gender, frequency of incidence and extremity side.
Materials and Methods: This retrospective study was performed on radiological images (digital x-ray) of 500 patients (297 men, 203 women). Presence, prevalence, coexistence and distribution of accessory ossicles and sesamoids in the hand of patients without hand skeletal deformities were retrospectively analyzed.
Results: Accessory ossicles were detected in 8 (1.6%) of 500 cases. In our study, all of the accessory ossicles seen in the wrist and the hand region were ulnar styloid ossicles. Sesamoid bone was detected in 500 cases (100%) in metacarpophalangeal I (MCP I), in 192 cases (38.4%) in metacarpophalangeal II (MCP II), in 17 cases (3.4%) in metacarpophalangeal III (MCP III), in 2 cases (0.4%) in metacarpophalangeal IV (MCP IV), and in 34 cases (6.8%) in metacarpophalangeal V (MCP V).
Conclusion: This study will contribute to the literature in terms of Turkish population incidence by using digital x-ray images for hand sesamoid bones and accessory ossicles.

Keywords

accessory ossicles, hand, incidence, radiography, sesamoid bones

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