Şule TEMİZTÜRK, Fatih TEMİZTÜRK, KADRİYE BANU KURAN

Erkeklerde el kemik mineral yoğunluğunun yaşlara göre standart değerlerinin saptanması

Amaç: Bu çalışmada hastanemize başvuran erkeklerde, dual enerji x-ışını absorpsiyometri (DXA) ile yapılan el kemik mineral yoğunluğunun (KMY) yaşlara göre stan- dart değerlerini saptamayı, lomber ve kalça KMY’si ve el kavrama gücü ile ilişkisini değerlendirmeyi ve DXA ile yapılan el KMY ölçümünün kullanılabilirliğini araştırmayı amaçladık. Yöntemler: Kemik yoğunluğu ile ilgili doğrudan veya do- laylı hastalığı olmayan, yaşları 20 ila 87 arasında değişen toplam 239 erkek alındı. 20 ve 70 yaş arası olgular 5’erli yaş gruplarına ayrıldı. 70 yaş ve üzeri olgular aynı gruba dahil edildi. Çalışmamıza seçilen olguların yaşlara göre dominant el ve nondominant el kemik mineral yoğunlu- ğu ortalamaları ile L2-L4 ve femur boyun KMY arasındaki ilişki ayrı ayrı incelendi. Bulgular: Dominant el KMY skorları ile L2-L4 ve fe- mur boynu KMY skorları arasında anlamlı ilişki bulundu (p

Determination of the standard values of the hand bone mineral density values in males according to ages

Objective: In this study we purposed to determine stan- dard values of hand Bone Mineral Density (BMD) accord- ing to ages by Dual Energy X-Ray Absorptiometry (DXA) in males who applied to our hospital, evaluate association of hand BMD with lumbar and femur BMD and search usefulness of hand BMD measurement by DXA. Methods: Totally, 239 male included, whose ages dif- fer between 27 to 87 years, had no disease associated with bone density were included. The cases, between the ages 20 to 70 separated to age groups, comprised of 5 years. Cases, whose age is 70 and older, included in the same group. Average of dominant and nondominant hand BMD values of the chosen cases were computed according to age groups comprised of 5 years and the association with values of L2-L4 and femur neck BMD is searched separately. Results: There is significant association between domi- nant hand BMD scores with L2-L4 and femur neck BMD scores. Also there is significant association between non- dominant hand BMD scores with L2-L4 and femur neck BMD scores. Also there is asignificant association be- tween scores of hand BMD with hand grip strenght. Conclusion: In this study there is significant associa- tion between BMD scores of dominant and nondominant hand with BMD scores of L2-L4 and femur neck in all age groups. Rheumatological diseases, reflex sympathetic dystrophy, tendon and nerve lacerations of hand and fore- arm, fractures of upper extremity and hemiplegy, that can causes local osteoporosis in the hand, measurement of hand BMD can be done by DXA.

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