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The Morphometry of the Foot in Fetal Human Cadavers

Yıl 2023, Cilt: 6 Sayı: 3, 352 - 359, 01.07.2023
https://doi.org/10.19127/bshealthscience.1258260

Öz

Foot and associated formations have important functions in the musculoskeletal system. Recognition of normal parameter values related to the fetus in fetal development is important for the derivation of fetal growth curves, as each society determines its own normal values for its own population. There are limited number of studies on foot morphology in particular. Therefore, the aim of our study was to determine the measurements of morphological characteristics in human fetuses depending on gestational age, gender and side. Our study was carried out on 30 fetuses. Bilateral acropodian-pternion measurement (AP), the pternion measurement of 2nd, 3rd, 4th, 5th fingers (2P, 3P, 4P, 5P), metatarsaltibia-metatarsalfibula measurement (MT-MF), lengths of the 1., 2., 3rd, 4th, 5th toes (1TL, 2TL, 3TL, 4TL, 5TL), malleolus width (MW), proximal metatarsal width (PMW), distal metatarsal width (DMW), lateral forefoot length ( LFL), the length of the sole of the foot with the medial malleol (MMFL), the length of the sole of the foot (LMFL) with the lateral malleol, and the length of the lower leg (LLL) were measured on all fetuses. Furthermore, the foot index (FI), lower limb length (LL), and leg index (LI) values were also calculated. The difference between trimesters was found statistically significant for all parameters measured except bilateral AI, and right BI measurements. All parameters except left LMFL at 2nd trimester and PMW at 3rd trimester were higher in female fetuses. However, the difference between genders was not statistically significant (p>0.05). The difference between trimesters was significant for all measurements. Furthermore, a correlation was detected between many parameters. In our study, it was found that foot measurements in fetal cadavers did not change with gender, but increased as the week of gestation increased. It was concluded that the data obtained from our study would be useful for further studies as well as recognition of fetal foot anatomy in obstetrics, perinatology, fetopathology, and pediatric surgery.

Kaynakça

  • Akman B, Güven M, Kocadal AO. 2017. Çocuklarda ayağın radyografik değerlendirmesi. TOTBID, 16: 389–398.
  • Bek P. 2018. Ayak bileği ve ayak problemleri. Hipokrat Yayınevi, Ankara, Türkiye, 1. baskı, ss. 47-55.
  • Canbaloğlu AE. 2019. Fetal kadavralarda ayak morfometrisi ve parametrelerin altın oranla ilişkisi. Yüksek Lisans Tezi, Süleyman Demirel Üniversitesi, Sağlık Bilimleri Enstitüsü, Isparta, Türkiye, ss. 3-14.
  • Dere F. 2018. Anatomi atlası ve ders kitabı. Nobel Tıp Kitapevi, Adana, Türkiye, 8. baskı, ss. 1111.
  • Dudek R.W. 2015. Embryology. İrez TEM, editor. İstanbul Tıp Kitabevi, İstanbul, Türkiye, 6. baskı, ss. 18-60.
  • Gameraddin M, Salih S, Yousef M. 2014. Evaluation of gestational age with fetal foot length using ultrasonography. J Am Sci, 10(1): 5-7.
  • Geldenhuys E, Coldrey J, Wright C, Nel D, Roberts D, Boyd TK, Odendaal H, Network, P. 2017. Fetal foot lenght at delivery as a tool for determining gestation lenght in non-macerated stillbirths. Int J Gynaecol Obstet, 138: 107-112.
  • Hensinger R. 1992. Standarts and measurements: Fetus and neonate. In: Polin RA, Fox WW, editors. Fetal and Neonatal Physiology. WB Saunders Co, Philadelphia, USA, pp. 1687-1696.
  • Joshi K, Marahatta SB, Karki S, Tamrakatr S. Shrestha NC. 2011. Fetal foot lenght and femur / foot lenght ratio: significant in nepalese context. NJR, 1: 15-22.
  • Malas M, Desdicioğlu K, Cankara N, Evcil EH., Özgüner G. 2007. Fetal dönemde fetal yaşın belirlenmesi. SDÜ Tıp Fak Derg, 14: 20-24.
  • Malas M, Doğan Ş, Evcil EH, Desdicioğlu K, Tağıl SM, Sulak O, Çetin E. 2005. Fetal dönemde üst ve alt ekstremite arasında büyüme oranı. SDÜ Tıp Fak Derg, 12: 1-8.
  • Meirowitz N, Ananth CV, Smulian JC, Mclean DA, Guzman ER, Vintzileos AM. 2000. Foot length in fetuses with abnormal growth. J Ultrasound Med, 19: 201-205.
  • Rhoades RA BD. 2017. Tıbbi fizyoloji: klinik tıbbın temelleri. Ağar EAM, Yıldırım M, editor. İstanbul Medikal Sağlık ve Yayıncılık Hiz. Tic. Ltd. Şti., 4. basım, ss. 840.
  • Snell R. 2004. Clinical Anatomy. Lippincott Williams & Wilkins, Philadelphia, USA, pp. 551.
  • Tuncer I. 2017. The development of the extremities of Turkish fetuses during the fetal period. IJRS, 70-73.
  • Whitworth M, Bricker L, Mullan C. 2015. Ultrasound for fetal assessment in early pregnancy. CDSR, 7: CD007058.
  • Wong H. 2017. A revisit of the fetal foot lenght and fetal measurements in early pregnancy sonography. IJWHC, 13: 199-204.
  • Wyk L, Smith J. 2016. Postnatal foot lenght to determine gestational age: a pilot study. J Trop Pediatr, 62: 144-151.
  • Xiao M, Luximon Y, Luximon A. 2012. Foot structure and anatomy. Gooneltilleke R, editor. CRC Press, Philadelphia, USA, pp. 21-35.
  • Yüksel K, Günyeli I, Doğanay M, Uğur M, Mollamahmutoğlu L. 2006. Ultrasonographic assessment of the fetal foot length for gestational age estimation. GORM, 12: 27-29.

The Morphometry of the Foot in Fetal Human Cadavers

Yıl 2023, Cilt: 6 Sayı: 3, 352 - 359, 01.07.2023
https://doi.org/10.19127/bshealthscience.1258260

Öz

Foot and associated formations have important functions in the musculoskeletal system. Recognition of normal parameter values related to the fetus in fetal development is important for the derivation of fetal growth curves, as each society determines its own normal values for its own population. There are limited number of studies on foot morphology in particular. Therefore, the aim of our study was to determine the measurements of morphological characteristics in human fetuses depending on gestational age, gender and side. Our study was carried out on 30 fetuses. Bilateral acropodian-pternion measurement (AP), the pternion measurement of 2nd, 3rd, 4th, 5th fingers (2P, 3P, 4P, 5P), metatarsaltibia-metatarsalfibula measurement (MT-MF), lengths of the 1., 2., 3rd, 4th, 5th toes (1TL, 2TL, 3TL, 4TL, 5TL), malleolus width (MW), proximal metatarsal width (PMW), distal metatarsal width (DMW), lateral forefoot length ( LFL), the length of the sole of the foot with the medial malleol (MMFL), the length of the sole of the foot (LMFL) with the lateral malleol, and the length of the lower leg (LLL) were measured on all fetuses. Furthermore, the foot index (FI), lower limb length (LL), and leg index (LI) values were also calculated. The difference between trimesters was found statistically significant for all parameters measured except bilateral AI, and right BI measurements. All parameters except left LMFL at 2nd trimester and PMW at 3rd trimester were higher in female fetuses. However, the difference between genders was not statistically significant (p>0.05). The difference between trimesters was significant for all measurements. Furthermore, a correlation was detected between many parameters. In our study, it was found that foot measurements in fetal cadavers did not change with gender, but increased as the week of gestation increased. It was concluded that the data obtained from our study would be useful for further studies as well as recognition of fetal foot anatomy in obstetrics, perinatology, fetopathology, and pediatric surgery.

Kaynakça

  • Akman B, Güven M, Kocadal AO. 2017. Çocuklarda ayağın radyografik değerlendirmesi. TOTBID, 16: 389–398.
  • Bek P. 2018. Ayak bileği ve ayak problemleri. Hipokrat Yayınevi, Ankara, Türkiye, 1. baskı, ss. 47-55.
  • Canbaloğlu AE. 2019. Fetal kadavralarda ayak morfometrisi ve parametrelerin altın oranla ilişkisi. Yüksek Lisans Tezi, Süleyman Demirel Üniversitesi, Sağlık Bilimleri Enstitüsü, Isparta, Türkiye, ss. 3-14.
  • Dere F. 2018. Anatomi atlası ve ders kitabı. Nobel Tıp Kitapevi, Adana, Türkiye, 8. baskı, ss. 1111.
  • Dudek R.W. 2015. Embryology. İrez TEM, editor. İstanbul Tıp Kitabevi, İstanbul, Türkiye, 6. baskı, ss. 18-60.
  • Gameraddin M, Salih S, Yousef M. 2014. Evaluation of gestational age with fetal foot length using ultrasonography. J Am Sci, 10(1): 5-7.
  • Geldenhuys E, Coldrey J, Wright C, Nel D, Roberts D, Boyd TK, Odendaal H, Network, P. 2017. Fetal foot lenght at delivery as a tool for determining gestation lenght in non-macerated stillbirths. Int J Gynaecol Obstet, 138: 107-112.
  • Hensinger R. 1992. Standarts and measurements: Fetus and neonate. In: Polin RA, Fox WW, editors. Fetal and Neonatal Physiology. WB Saunders Co, Philadelphia, USA, pp. 1687-1696.
  • Joshi K, Marahatta SB, Karki S, Tamrakatr S. Shrestha NC. 2011. Fetal foot lenght and femur / foot lenght ratio: significant in nepalese context. NJR, 1: 15-22.
  • Malas M, Desdicioğlu K, Cankara N, Evcil EH., Özgüner G. 2007. Fetal dönemde fetal yaşın belirlenmesi. SDÜ Tıp Fak Derg, 14: 20-24.
  • Malas M, Doğan Ş, Evcil EH, Desdicioğlu K, Tağıl SM, Sulak O, Çetin E. 2005. Fetal dönemde üst ve alt ekstremite arasında büyüme oranı. SDÜ Tıp Fak Derg, 12: 1-8.
  • Meirowitz N, Ananth CV, Smulian JC, Mclean DA, Guzman ER, Vintzileos AM. 2000. Foot length in fetuses with abnormal growth. J Ultrasound Med, 19: 201-205.
  • Rhoades RA BD. 2017. Tıbbi fizyoloji: klinik tıbbın temelleri. Ağar EAM, Yıldırım M, editor. İstanbul Medikal Sağlık ve Yayıncılık Hiz. Tic. Ltd. Şti., 4. basım, ss. 840.
  • Snell R. 2004. Clinical Anatomy. Lippincott Williams & Wilkins, Philadelphia, USA, pp. 551.
  • Tuncer I. 2017. The development of the extremities of Turkish fetuses during the fetal period. IJRS, 70-73.
  • Whitworth M, Bricker L, Mullan C. 2015. Ultrasound for fetal assessment in early pregnancy. CDSR, 7: CD007058.
  • Wong H. 2017. A revisit of the fetal foot lenght and fetal measurements in early pregnancy sonography. IJWHC, 13: 199-204.
  • Wyk L, Smith J. 2016. Postnatal foot lenght to determine gestational age: a pilot study. J Trop Pediatr, 62: 144-151.
  • Xiao M, Luximon Y, Luximon A. 2012. Foot structure and anatomy. Gooneltilleke R, editor. CRC Press, Philadelphia, USA, pp. 21-35.
  • Yüksel K, Günyeli I, Doğanay M, Uğur M, Mollamahmutoğlu L. 2006. Ultrasonographic assessment of the fetal foot length for gestational age estimation. GORM, 12: 27-29.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

İdris Deniz 0000-0003-4337-3248

Muzaffer Şeker 0000-0002-6852-3030

Duygu Akın Saygın 0000-0003-4260-9263

Mehmet Tuğrul Yılmaz 0000-0001-5744-0902

Mine Argalı Denız 0000-0001-8055-9530

Erken Görünüm Tarihi 8 Haziran 2023
Yayımlanma Tarihi 1 Temmuz 2023
Gönderilme Tarihi 7 Mart 2023
Kabul Tarihi 20 Nisan 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 6 Sayı: 3

Kaynak Göster

APA Deniz, İ., Şeker, M., Akın Saygın, D., Yılmaz, M. T., vd. (2023). The Morphometry of the Foot in Fetal Human Cadavers. Black Sea Journal of Health Science, 6(3), 352-359. https://doi.org/10.19127/bshealthscience.1258260
AMA Deniz İ, Şeker M, Akın Saygın D, Yılmaz MT, Argalı Denız M. The Morphometry of the Foot in Fetal Human Cadavers. BSJ Health Sci. Temmuz 2023;6(3):352-359. doi:10.19127/bshealthscience.1258260
Chicago Deniz, İdris, Muzaffer Şeker, Duygu Akın Saygın, Mehmet Tuğrul Yılmaz, ve Mine Argalı Denız. “The Morphometry of the Foot in Fetal Human Cadavers”. Black Sea Journal of Health Science 6, sy. 3 (Temmuz 2023): 352-59. https://doi.org/10.19127/bshealthscience.1258260.
EndNote Deniz İ, Şeker M, Akın Saygın D, Yılmaz MT, Argalı Denız M (01 Temmuz 2023) The Morphometry of the Foot in Fetal Human Cadavers. Black Sea Journal of Health Science 6 3 352–359.
IEEE İ. Deniz, M. Şeker, D. Akın Saygın, M. T. Yılmaz, ve M. Argalı Denız, “The Morphometry of the Foot in Fetal Human Cadavers”, BSJ Health Sci., c. 6, sy. 3, ss. 352–359, 2023, doi: 10.19127/bshealthscience.1258260.
ISNAD Deniz, İdris vd. “The Morphometry of the Foot in Fetal Human Cadavers”. Black Sea Journal of Health Science 6/3 (Temmuz 2023), 352-359. https://doi.org/10.19127/bshealthscience.1258260.
JAMA Deniz İ, Şeker M, Akın Saygın D, Yılmaz MT, Argalı Denız M. The Morphometry of the Foot in Fetal Human Cadavers. BSJ Health Sci. 2023;6:352–359.
MLA Deniz, İdris vd. “The Morphometry of the Foot in Fetal Human Cadavers”. Black Sea Journal of Health Science, c. 6, sy. 3, 2023, ss. 352-9, doi:10.19127/bshealthscience.1258260.
Vancouver Deniz İ, Şeker M, Akın Saygın D, Yılmaz MT, Argalı Denız M. The Morphometry of the Foot in Fetal Human Cadavers. BSJ Health Sci. 2023;6(3):352-9.