Toygun Kağan EREN, Kubilay Uğurcan CERİTOĞLU, Hakan YOLAÇAN, Cem Nuri AKTEKİN

Askerlik Çağında Ayak Deformiteleri ve Omurga Anomalileri Prevelansı: Kesitsel Çalışma

Askerlik Başvurusu Yapan Olgularda Ayak Deformiteleri ve Omurga Anomalileri Prevalansı ve İlişkisi: Kesitsel Çalışma Amaç: Askerlik çağındaki erkeklerde pes kavus, planus ve spinal anomalilerin prevalansını ve ilişkisini araştırmak.Amaç: Askerlik çağındaki erkeklerde pes kavus, planus ve spinal anomalilerin prevalansını ve ilişkisini araştırmak. Gereç ve Yöntem: Ocak 2019-Kasım 2019 tarihleri arasında askeri okul sağlık tarama programı için hastaneye başvuran 3524 hasta incelendi. Hastaların tamamı 22-30 yaş arasındaydı. Dışlama kriterleri; ayak ve/veya omurgalara ilişkin travma ve ameliyat öyküsü, sistemik musküler veya nörolojik hastalıklar, inflamatuar hastalıklar. Hastalar, radyolojik olarak; Pes planus, pes kavus deformiteleri, skolyoz, lomberizasyon, sakralizasyon ve spinia bifida deformiteleri açısından değerlendirildi. Ayak ve omurga anomalilerinin ilişkisi incelendi. Olgular Vücut Kitle İndeksine (VKİ) göre gruplara ayırıldı. Ayak ve omurga anomalileri ile VKİ ilişkisi değerlendirildi. Bulgular: Çalışmaya 450 oldu dahil edildi. Ortalama yaş 22,9 ±3,01 olarak bulundu. Ortalama VKİ ise 23,04 ±2,3 olarak bulundu. Hastaların 343’ünün (%80) normal VKİ değerine sahipken 82’sinin (%18,9) fazla kilolu, 3’ünün (%1) ise obez olduğu görüldü. 22 hastada (% 4,9) ayak deformitesi olduğu görüldü (21 hastada pes planus 1 hastada pes kavuş). Omurga deformitesi görülen hasta sayısı ise 82’ydi (%18,2). En sık görülen omurga deformitesi, 32 (%7,1) olgu ile posterior füzyon defektiydi. Hastalarda ayak deformitesi görülme sıklığı, omurga deformitesi görülme sıklığı ilişkisi incelendiğinde gruplar arasında anlamlı fark bulunamadı. (p =0,779) Hastalar VKİ açısından gruplandırıldığında, gruplar arasında anlamlı fark bulunmadı. Sonuç: Hastalarda pes planus görülme sıklığı pes kavus sıklığından daha fazla olduğu görülmüştür. En sık görülen omurga anomalisi posterior füzyon defekti olmuştur. Pes planus veya pes kavus sıklığının omurga anomalileri ile ilişkisi bulunmamıştır Prevalence and Relationship of Foot Deformities and Spinal Anomalies in Army Recruits: Cross-sectional study Aim: To investigate the prevalence and relationship of pes cavus, planus and spinal anomalies in military age males. Material and Methods: 3524 patients which applied to hospital for military school health screening program were recorded between January 2019 and November 2019. All of the patients were between 22 and 30 years old. Exclusion criteria were; trauma and surgery history regarding foot and / or vertebrae, systemic muscular or neurological diseases, inflamatuar diseases. Patients were radiologically evaluated for pes planus, pes cavus deformities and scoliosis, lumbarization, sacralization and spina bifida anomalies. The relationship between foot deformities and spine anomalies was examined. Cases were divided into groups according to Body Mass Index (BMI). The relationship between foot and spine anomalies and BMI was also evaluated. Results: 450 patients were included in the study. The mean age was 22.9 ±3.01 years. The mean BMI was 23.04 ±2.3. While 343 (80%) of the patients had normal BMI, 82 (18.9%) were overweight and 3 (1%) were obese. Foot deformity was observed in 22 (4.9%) patients (21 patients with pes planus and 1 patient with pes cavus). The number of patients with spinal deformity was 82 (18.2%). The most common spinal anomaly was posterior fusion defect with 32 (7.1%) cases. When the relationship between the prevalance foot deformities and spinal anomalies was examined, no significant difference was found between the groups. (p = 0.779) When the patients were grouped in terms of BMI, no significant difference was found between the groups. Conclusion: The prevalance of pes planus was higher than the prevalance of pes cavus in the patients. The most common spinal anomaly was posterior fusion defect. The frequency of pes planus or pes cavus was not found to be associated with spinal anomalies.

Anahtar Kelimeler:

ayak deformitesi, omurga deformitesi, pes planus, skolyoz, pes kavus

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