Burcu DUYUR ÇAKIT, Mehmet Onat ÇAKIT, Zuhal ÖZERİ, Seçil Pervane VURAL, Lokman KUVAN, Hatice Rana ERDEM

EL OSTEOARTRİTİNDE EL KAVRAMA VE PARMAK UCU KAVRAMA GÜCÜ İLE RADYOLOJİK EVRELEMENİN İLİŞKİSİ

AMAÇ: Çalışmamızın amacı, farklı el eklemlerindeki el osteoartritinin (EOA) radyolojik evresi ile el kavrama gücü ve parmak ucu kavrama güçlerinin ilişkisini değerlendirmektir. GEREÇ VE YÖNTEM: Çalışmaya 46-85 yaş arası, 55 (17 erkek, 38 kadın) EOA hastası ve 45-86 yaş arası 49 (31 kadın, 18 erkek) EOA olmayan sağlıklı kontrol dahil edildi. Hastaların el grafileri Kellgren Lawrence (KL) skalasına gore skorlandı. El kavrama ve parmak ucu kavrama gücü Jamar dinamometre ve pincmetre kullanılarak ölçüldü. Görsel analog skala (GAS) , ağrı değerlendirmek için kullanıldı. Elin değerlendirilmesi her iki elde Heberden ve Bouchard nodüllerinin palpasyonu ve birinci karpometakarpal (KMK) eklemde krepitasyon aranması ile yapıldı. BULGULAR: Ağrının ciddiyetinin değerlendirildiği GAS düzeyi hasta grubunda kontrol grubuna gore belirgin olarak yüksekti (p0,05). El kavrama (r=-0,253, p

THE RELATIONSHIP BETWEEN RADIOLOGIC SEVERITY AND GRIP AND PINCH STRENGTH IN HAND OSTEOARTHRITIS

OBJECTIVE: The aim of this study is to investigate the relationship between pinch and grip strength and the radiologic severity of hand osteoarthritis (HOA) in different hand joints. MATERIAL AND METHODS: Fifty-five patients (17 male, 38 female) with HOA between ages 46-85 and 49 control subjects (31 female, 18 male) without HOA between ages 45-86 were included in the study. Hand radiograph of the patients were scored according to Kellgren Lawrence (KL) scale. Grip and pinch strength of hands was measured using a Jamar dynamometer and a pinchmeter. Visual analogue scale (0-10 scale) was used for pain intensity. Examination of hand consisted of palpation of Heberden and Bouchard knodes and crepitation of first carpometacarpal (CMC) joints in both hands. RESULTS: Severity of pain by VAS was significantly higher in the patient group than in the controls (p0,05). There were negative but weak correlations between grip strength (r=-0,253, p

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