Graf Tip 2a Kalçalarda Sonografik Bozulma ile İlişkili Faktörlerin İncelenmesi

Year 2022, Volume: 17 Issue: 1, 23 - 28, 21.03.2022

Duran Topak , Kamil Doğan , Mustafa Abdullah Özdemir , Burak Kuşçu , Ahmet Temiz Ökkeş Bilal

https://doi.org/10.17517/ksutfd.1000330

Abstract

Özet
Amaç: Bu çalışmanın amacı; Gelişimsel kalça displazisi (GKD) nedeniyle sonografik tarama sırasında Tip2a kalça tespit edilen 4-8 haftalık çocuk, kalçanın sonografik bozulması ile ilişkili risk faktörlerini belirlemektir.
Gereç ve Yöntemler: Ocak 2018-Aralık 2020 arasında, tek bir merkezde GKD taraması nedeniyle başvuran 4-8 haftalık 1746 çocuğun, 3492 kalçası retrospektif olarak incelendi. Hastanemize başvuran ve sonografik incelemesinde Tip2a tespit edilen ve 4 hafta sonraki kontrolüne gelerek sonografik inceleme yapılan 195’i (%70) kadın, 84’ü (%30) erkek toplam 279 çocuğun 360 kalçası çalışmaya alındı.
Bulgular: Olguların 91’i (%32.6) sağ, 107’si (%38.3) sol, 81’i (%29) bilateral olmak üzere incelenen 360 kalçanın sonraki sonografik incelemelerinde, %85’inin (n=306) kendiliğinden düzeldiği ve %15’inin (n=54) sonografik olarak kötüleştiği görülmüştür. Makat geliş ve nörolojik hastalık (p=0,000) ile sonografik bozulma arasında ise istatistiksel olarak anlamlı bir ilişki olduğu tespit edilmiştir (sırasıyla; p=0,002, p=0,000). Sonografik bozulma riski makat gelişi olanlarda olmayanlara göre 5,3 kat, nörolojik hastalığı olanlarda olmayanlara göre 9,6 kat daha yüksek bulunmuştur.
Sonuç: GKD nedeniyle yapılan sonografik tarama sırasında Graf Tip2a kalça tespit edilen çocuklarda, nörolojik hastalık ve makat geliş varlığı sonografik kötüleşme için bağımsız risk faktörüdür. Bu çocukların takiplerinde dikkatli olunması ve ailelerin bilgilendirilmesi önemlidir.

Keywords

Gelişmsel Kalça Displazisi (gkd), Sonografik tarama, Graf Tip 2a

Supporting Institution

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Project Number

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Thanks

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Examination of Factors Associated With Sonographic Defects in Graf Type 2a Hips

Abstract

Abstract
Objective: The aim of this study is to determine the risk factors associated with sonographic deterioration of the hip in children aged 4-8 weeks with Type 2a hip detected during sonographic screen due to developmental dysplasia of the hip (DDH).
Material-Methods: 3492 hips of 1746 children aged 4-8 weeks who applied for DDH screening in a single center between January 2018 and December 2020 were retrospectively examined. A total of 360 hips of 279 children, of which 195 (70%) were women and of which 84 were men (30%), who applied to our hospital and diagnosed with Type 2a in the sonographic examination and were followed up 4 weeks later and underwent sonographic examinations, were included in this study.
Results: In the subsequent sonographic examinations of 360 hips, of which 91 (32.6%) were right, of which 107 (38.3%) were left, of which 81 (29%) were bilateral hips of cases, 85% of the hips (n=306) recovered spontaneously and 15% (n=54) deteriorated sonographically. On the other hand, it was seen that there was a statistically significant correlation between breech presentation and neurological disease (p=0.000) and sonographic deterioration (p=0.002, p=0.000, respectively). The risk of sonographic deterioration was found to be 5.3 times higher in those with breech presentation than in those without, and 9.6 times higher in those with neurological disease than in those without.
Conclusion: Neurologic disease and breech presentation are independent factor for sonographic deterioration in children with Graf Type 2a hip detected during sonographic screening for DDH. It is important to be careful in the follow-up of these children and to inform the families.

Keywords

Developmental Dysplasia of the Hip (DDH), Sonographic screening, Graf Type 2a

Project Number

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