Olgun Bingöl, Güzelali Özdemir, Burak Kulakoğlu, Alper Deveci, Erman Ceyhan

Erişkin basit dirsek çıkıklarının tanısında deniz dalgası benzeri işaret kullanılabilir mi?

Amaç: Dirsek, yetişkinlerde en çok çıkık olan ikinci ana eklemdir. Bu çalışmanın amacı, erişkin basit dirsek çıkığında ‘deniz dalgası benzeri işaret’ kullanımının güvenilirliğininin değerlendirilmesidir. Yöntem: Çalışmaya basit dirsek çıkığı olan rastgele seçilmiş 12 yetişkin vaka dahil edildi. Tüm hastaların redüksiyon öncesi ve redüksiyon sonrası radyografileri değerlendirildi. Dirsek redüksiyonunun değerlendirilmesinde kesin tanı yöntemi olarak BT kullanıldı. Değerlendirmeler beş ortopedi asistanı (Grup I), 10 yıldan az mesleki deneyime sahip beş ortopedi uzmanı (Grup II) ve 10 yıldan fazla mesleki deneyime sahip beş ortopedi uzmanı (Grup III) tarafından yapılmıştır. Çalışmadaki 15 hekimden redüksiyonu ve ‘deniz dalgası benzeri işareti’ değerlendirmeleri istendi. Bulgular: Radyografide deniz dalgası benzeri işaretin özgüllüğü %96,6 ve bu değerlendirmenin pozitif prediktif değeri %99,1 olarak tespit edildi. Dirsek eklemindeki redüksiyonun değerlendirilmesi açısından gruplar arasında istatistiksel olarak anlamlı farklılıklar vardı. Genç uzmanlarda doğru yanıt oranları diğer iki gruba göre anlamlı derecede düşük olarak gözlemlendi (p

Could Sea Wave-Like Sign Be Used in the Diagnosis of Adult Simple Elbow Dislocations?

Purpose: The elbow is the second most dislocated major joint in adults. This study aimed to evaluate the reliability of the use of ‘sea wave-like sign’ in adult simple elbow dislocation. Methods: The study included 12 randomly selected adults with simple elbow dislocation cases. All patients were evaluated with pre-reduction and post-reduction radiographs. The definitive diagnosis of reduction was made with postreduction CT. Evaluations were performed by five orthopedic residents (Group I), five orthopedic specialists with less than 10 years of professional experience (Group II), and five orthopedic specialists with more than 10 years of professional experience (Group III). They were requested to fill out a questionnaire including the reduction and ‘sea wave-like sign’. Results: The specificity of the sea wave-like sign on radiography was 96.6% and the positive predictive value of this evaluation was 99.1%. There were statistically significant differences between the groups in terms of evaluation of the reduction of the elbow joint. The correct response rates in young specialists were significantly lower than the other two groups (p

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