Prematüre ve miadında yenidoğanlarda ayak morfolojisi

Amaç: Bu çalışmada prematüre ve miadında yenidoğanlarda ayak morfolojisine ait değerlerin araştırılması amaçlandı. Yöntem: Yaşları 35-37 gebelik haftası arasında değişen 60 (30 erkek, 30 kız) prematüre yenidoğan ile miadında doğan 60 (30 erkek, 30 kız) yenidoğan üzerinde çalışıldı. Olguların bimalleolar genişliği, topuk genişliği, ayak uzunluğu ve ayak genişliği değerlendirildi. Bulgular: Miadında yenidoğanlarda prematüre yenidoğanlara göre daha yüksek değerler bulundu. Miadında yenidoğan erkeklerde doğum kilosu, boy, ayak uzunluğu ve topuk genişliği, prematüre yenidoğanlarda ise sadece bimalleolar genişlik kızlarda karşıt cinse göre daha fazla idi. Sonuç: Bu bulgular prematüre ve miadında yenidoğan olguların değerlendirilmesinde kullanılabilir. Ayak uzunluğu ölçümü anatomi, patolojik anatomi (fötopatoloji), adli tıp, radyoloji, obstetri ve pediatri gibi tıbbi branşlarda gestasyonel yaşın belirlenmesinde yararlı olabilir.

Foot morphology in premature and term infants

Objective: The aim of this study was to examine values of foot morphology in premature and term infants. Methods: We studied 60 premature infants (30 male, 30 female) aged 35-37 post menstrual week, and 60 term infants (30 male, 30 female). Bimalleolus width, heel width, foot length and foot width were determined in all infants. Results: All values were statistically higher in term infants. Birth weight, length, foot length and heel width were higher in male newborns, only bimalleolus width was higher in premature female infants. Conclusion: These findings might be useful in examination of premature and term infants. Foot length measurement might be useful in assessment of gestational age in several branches of medicine such as anatomy, pathologic anatomy (fetopathology), forensic medicine, medical imaging, obstetrics and pediatrics.

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Sadler TW. Langman’s medical embriyology. 6th ed. USA: Williams & Wilkins; 1990.
Altınkaynak S, Alp H, Yaman S, Arıkan D, Tan H. Düşük ve yüksek rakımda fetal hayat geçiren yenidoğanlarda fiziksel büyüme. XLII. Milli Pediatri Kongresi; 1998; Kayseri. D26.
Kulkarni ML, Rajendran NK. Values for foot length in newborns. Indian Pediatr 1992;29:507-9.
Crelin ES. The development of the human foot as a resume of its evolution. Foot Ankle 1983;3:305-21.
Collins P. Neonatal anatomy and growth. In: Williams PL, Warwich R, Dyson M, Bannister LH, editors. Gray's Anatomy 38th ed. London: Churchill Livingstone; 1995. p.343-73.
Dubowitz LMS, Dubowitz V. Clinical assessment of gestational age in the newborn infant. Pediatr 1970;77:1-10.
Mercer BM, Sklar S, Shariatmadar A, Gillieson MS, D’Alton ME. Fetal foot length as a predictor of gestational age. Am J Obstet Gynecol 1987;156:350-5.
Hern WM. Correlation of fetal age and measurements between 10 and 26 weeks of gestation. Obstet Gynecol 1984;63:26-32.
Munsick RA. Similarities of Negro and Caucasion fetal extremity lengths in the interval from 9 to 20 weeks of pregnancy. Am J Obstet Gynecol 1987;156:183-5.
Platt LD, Medearis AL, DeVore GR, Horenstein JM, Carlson DE, Brar HS. Fetal foot length: Relationship to menstrual age and fetal measurements in the second trimester. Obstetrics & Gynecology 1988;71:526-31.
Lacerda CAM. Foot length growth related to crown-rump length, gestational age and weigth in human staged fresh fetuses. Surg Radiol Anatomy 1990;12:103-7.
Finnstrom O. Studies on maturity in newborn infants. Acta Paediatr Scand 1977;66:601-4.
Campbell J, Henderson A, Campbell S. The fetal femur/foot length ratio: A new parameter to assess dysplastic limb reduction. Obstetrics & Gynecology 1988;72:181-4.
Johnson MP, Barr M, Treadwell MC, Michaelson J, Isada NB, Pryde PG, et al. Fetal leg and femur/foot length ratio: A marker for trisomy 21. Am J Obstet Gynecol 1993;169:557-63.
Johnson MP, Michaelson JE, Barr M, Treadwell MC, Isada NB, Domprowski MP, et al. Sonographic screening for trisomy 21: Fetal humerus:foot length ratio, a useful new marker. Fetal Diagnosis Therapy 1994;9:130-8.
Grist TM, Fuller RW, Albiez KL, Bowie JD. Femur length in the US prediction of trisomy 21 and other choromosomal abnormalities. Radiology 1990;174:837-9.
Hirve SS, Ganatra BR. Foot tape measure for identification of low birth weigth newborns. Indian Pediatr 1993;30:25-9.
Behrman RE, Kliegman RM, Gotoff SF. The fetus and the neonatal infant. In: Behrman RE, Kliegman RM, Gotoff SF, editors. Nelson textbook of pediatrics. Philadelphia: WB Saunders Comp.; 1992. p.456-8.

ISSN: 2602-3741
Yayın Aralığı: Yılda 6 Sayı
Başlangıç: 1997
Yayıncı: SELÇUK ÜNİVERSİTESİ > TIP FAKÜLTESİ

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