Üniversite Hastanesinde Radyografik Diz Osteoartritinin Yaş ve Cinsiyete Göre Özellikleri

Year 2021, Volume: 43 Issue: 2, 164 - 170, 30.03.2021

Fulya Bakılan , Merih Özgen

https://doi.org/10.20515/otd.776910

Abstract

Bu çalışmada, bir üniversite hastanesi Fizik Tedavi ve Rehabilitasyon kliniğine diz ağrısı ile başvuran hastaların oranını belirlemek ayrıca yaşa ve cinsiyete göre radyografik osteoartritin sıklığını ve karakteristik özelliklerini belirlemek amaçlanmıştır. Diz ağrısı ile başvuran 198 hasta dosyası geriye dönük incelenerek, kriterleri karşılayan 146 (105 kadın, 41 erkek) hastanın yaş, cinsiyet, radyografi bilgileri kaydedilmiştir. Radyografik olarak eklem aralığında daralmanın varlığı ve varsa hangi kompartmanda daha fazla olduğu, osteofit, skleroz araştırılmıştır. Radyografik ölçümler Kellgren Lawrance Skalasına göre yapılmıştır. 2019 yılında ayaktan hasta kliniğine başvuran hastaların %2’sinin diz ağrısı ile başvurduğu saptanmıştır. 146 hastanın 89’unda (%65.7 kadınlarda, %48.7 erkeklerde) radyografik osteoartrit saptanmıştır, 89 hastanın ise 44’ünün (%49) düzeyinin orta ve ağır (evre 3-4) olduğu gözlenmiştir. Ayrıca 69 kadın hastanın 48’inde (%69), 20 erkek hastanın ise 10’unda (%50) eklem aralığında daralma saptanmıştır. Diz ağrısıyla başvuran hastaların yarıdan fazlasında radyografik olarak osteoartrit saptanmıştır. Diz osteoartriti saptanan hastaların yarısının evresi orta-ağırdır. Kadınlarda sıklığı daha fazla saptanmış olup, 50 yaş üzerindeki kadınlarda ise şiddetinin de erkeklere göre daha fazla olduğu gözlenmiştir. Her iki cinsiyette de yaş arttıkça radyografik osteoartrit sıklığı artmıştır.

Keywords

Diz osteoartriti, Kellgren Lawrance Skalası, Radyografik diz osteoartriti

The Characteristics of Radiographic Knee Osteoarthritis According to Age and Gender at a University Hospital

Abstract

The aim of the study was to evaluate the frequency of patients who admitted to physical and rehabilitation medicine clinic of a university hospital with knee pain and to analyse the frequency and characteristics of radiographic osteoarthritis in different age groups according to gender. Patient files of 198 patients with knee pain were detected retrospectively. 146 patient (105 female, 41 male) who met our criteria included in the study and reviewed for gender, age and anterior/posterior and lateral radyographies of knee. Knee radiographies interpreted for the presence of joint space narrowing (medial-lateral), osteophyte and sclerosis. The radiographic measurements were made according to “Kellgren Lawrance Scale”. It was found that 2% of all patients admitted to the outpatient clinic had knee pain complaints in 2019. 89 (60%) of 146 patients (65.7% in female, 48.7% in male) had radiographic knee osteoartritis according to Kellgren Lawrance Scale and 44 (49%) of 89 patients were moderate to severe (Grade 3-4). There was found a narrowing in the joint space in 48 (69%) of 69 females and 10 (50%) of 20 males with knee osteoarthritis. More than half of patients with knee pain had radiographic knee osteoartritis, and about half of patients with knee osteoarthritis were moderate to severe. The frequency of radiographic osteoarthritis were higher in females, the severity were found higher in females more than males after 50 years old. Radiographic knee osteoarthritis increased with age among both males and females,

Keywords

Kellgren Lawrance Scale, Knee osteoarthritis, Radiographic knee osteoarthritis

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