Bekir KARAGÖZ, Murat BAKIR, Hasan BOMBACI, Muhammet KARAASLAN

Türk erişkinlerindeki kalça eklem morfolojisinde cinsiyet farklılıkları üzerine radyografik çalışma

Amaç: Türk toplumunda herhangi bir kalça patolojisi bulunmayan kişilerin radyografilerinde ölçülen kalça eklemi fonksiyonel antropometrik ölçüm değerlerinin dağılımı ve normal sınırlarının belirlenmesi amaçlandı.Gereç ve Yöntem: Rastgele seçilen 300 hastanın dijital pelvis antero-posterior grafileri incelendi. Bu grafiler üzerinde referans çizgileri çizilerek, femur boyun açısı (FBA), kalça rotasyon merkezi (KRM), abdüktör moment kolu (AMK), vücut ağırlığı moment kolu (VMK) hesaplandı. Ölçüm sonuçlarının dağılımının cinsiyet ve yaş ile olan ilişkileri incelendi.Bulgular: FBA ortalamalarının erkeklerde anlamlı olacak düzeyde kadınlardan yüksek olduğu saptandı (p<0,05). AMK değerinin erkeklerde, VMK değerinin ise kadınlarda anlamlı düzeyde daha yüksek olduğu saptandı (p<0,05). VMK/AMK oranının kadınlarda istatistiksel olarak anlamlı olacak şekilde daha yüksek olduğu görüldü (p<0,005).Sonuç: Türk toplumuna ait AMK, VMK ve VMK/AMK ortalamalarında, kadınlar ile erkekler arasında istatistiksel olarak anlamlı farklılıklar bulunmuştur. Elde edilen verilerin protez cerrahisinde ameliyat öncesi planlamada ya da etnik özelliklere uygun protez üretiminde yol gösterici olabileceğini düşünmekteyiz.

Anahtar Kelimeler:

Femur boyun açısı, Abdüktör moment kolu, Kalça rotasyon merkezi

Radiographic study on sex differences in hip joint morphology for Turkish adults

Aim: This study aims to determine the gender differences in hip joint functional anthropometric measurement values in Turkish adults.Materials and Methods: Digital pelvis anterior-posterior radiographs of 300 randomly selected patients were analyzed. In these radiographs, reference lines were drawn and femoral neck-shaft angle (NSA), hip rotation center (HRC), abductor moment arm (AMA), body weight moment arm (BMA) were calculated. The relationship of the distribution of measurement results with gender and age was examined.Results: It was determined that the mean NSA scores in men were significantly higher than in women (p<0.05). It was determined that AMA value was significantly higher in men and BMA value was significantly higher in women (p<0.05). BMA/AMA ratio was found to be statistically significantly higher in women (p<0.005).Conclusion: Statistically significant differences were found between men and women in the mean of AMA, BMA and BMA/AMA in the Turkish population.

Keywords:

Femur neck angle, Abductor moment arm, Hip rotation center,

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