Deniz ŞENOL, Davut ÖZBAĞ, Furkan ÇEVİRGEN, Fatih ÇAVUŞ, Muhammed Furkan ARPACI

Farklı Radius Başı Tiplerinin Morfometrik Karşılaştırılması

Bu çalışmanın amacı radius başı (RB) tiplerinin morfometrik ölçüm farklılıklarını belirlemektir. Çalışmaya 49 kuru radius kemiği dahil edildi. Radius tipleri belirlendikten sonra dijital kumpas ile morfometrik ölçümler ya-pıldı. Parametreler; radius uzunluğu, radius yüksekliği, RB’nın enine çapı, RB’nın ön-arka çapı, tuberositas radii’nin enine çapı ve yüksekliği, incisura ulnaris’in uzunluğu ve enine çapı olarak belirlendi. RB sınıflandırma-sında sonuç olarak; 20 kemiğin düzensiz, 15 kemiğin oval ve 14 kemiğin yuvarlak tipte olduğu belirlendi. Tüm grup ortalamaları; RB uzunluğu, RB yüksekliği, RB transvers çapı, RB ön-arka çapı için sırasıyla 207,99± 21,97 mm, 9,45±1,68 mm, 19,94±3,15 mm, 20,20±3,09 mm. olarak hesaplandı. Tüm grup ortalamaları; tuberositas radii enine çapı ve tuberositas radii yüksekliği, incisura ulnaris’in yüksekliği, incisura ulnaris’in enine çapı için sırasıyla 12,07±1,3 mm, 25,36±2,78 mm, 13,86±1,56 mm, 5,27±0,8 mm olarak hesaplandı. One Way Anova analizi sonuçlarına göre, RB tipleri arasında istatistiksel olarak anlamlı bir fark bulunmadı (p>0,05). Tüm parametrelerde RB tipleri arasında istatistiksel olarak anlamlı bir fark bulunmadı (p>0,05).

MORPHOMETRIC COMPARISON OF DIFFERENT RADIAL HEAD TYPES

The aim of this study is to determine morphometric measurements difference of radial head (RH) types. 49 dry radial bones were included in the study. After determining the types of radius, morphometric measurements were made with digital calliper. The parameters were determined as the length of radius, height of the radius, transverse diameter of RH, anterior-posterior diameter of RH, radial tuberosity transverse diameter and height, length and transverse diameter of ulnar notch. As the result of RH classification, it has been determined that; 20 bones had irregular, 15 bones had oval and 14 bones had round type. In order to on all group average; radius length of RH, the height of RH, transverse diameter of RH, anteroposterior diameter of RH were calculated as 207.99±21.97 mm, 9.45±1.68 mm, 19.94±3.15 mm, 20.20±3.09 mm respectively. In order to on all group aver-age; transverse diameter of radial tuberosity, height of radial tuberosity, the height of ulnar notch, transverse diameter of ulnar notch were 12.07±1.3 mm, 25.36±2.78 mm, 13.86±1.56 mm, 5.27±0.8 mm respectively. Ac-cording to the results of One Way Anova analysis, no statistically significant difference was found between RH types (p>0.05). No statistically significant difference was found between RH types in all parameters.

PDF

___

Captier, G. Canovas, F. Mercier, N. Thomas, E. Bonnel, F. (2002). Biometry of the radial head: biomechanical implications in pronation and supination. Surg Radiol Anat, 24, 295-301.
Caputo, A.E. Mazzocca, A.D. Santoro, V.M. (1998). The nonarticulating portion of the radial head: Anatomic and clinical correlations for internal fixation. J Hand Surg Am, 23, 1082-1090.
Chien, H.Y. Chen, A.C. Huang, J.W. Cheng, C.Y. Hsu, K.Y. (2010). Short- to Medium term outcomes of radial head replacement arthroplasty in posttraumatic unstable elbows: 20 to 70 months follow-up. Chang Gung Med J, 33, 668-678.
Giannicola, G. Manauzzi, E. Sacchetti, F.M. Greco, A. Bullitta, G. Vestri, A. Cinotti, G. (2012). Anatomical variations of the proximal radius and their effects on osteosynthesis. J Hand Surg Am, 37, 1015-1023.
Gupta, C. Kalthur, S.G. Malsawmzuali, J.C. D’Souza, A.S. (2015). A morphological and morphometric study of proximal and distal ends of dry radii with its clinical implications. Biomed J, 38(4), 323-328.
Koslowsky, T.C. Beyer, F. Germund, I. Mader, K. Krieglstein, C.F. Koebke, J. (2007). Morphometric parameters of the radial neck: an anatomical study. Surg Radiol Anat, 29, 279-284.
Leung, A.G. Peterson, H.A. (2000). Fractures of the proximal radial head and neck in children with emphasis on those that involve the articular cartilage. J Pediatr Orthop, 20, 7-14.
Mazzocca, A.D. Cohen, M. Berkson, E. Nicholson, G. Carofino, B.C. Arciero, R. Romeo, A.A.(2007). The anatomy of the bicipital tuberosity and distal biceps tendon. J Shoulder Elbow Surg, 16, 122-127.
Nicholson, L.T. Skaggs, D.L. (2019). Proximal Radius Fractures in Children. J Am Acad Orthop Surg, 1, 27(19), e876-e886.
Noonan, K.J. Price, C.T. (1998). Forearm and distal radius fractures in children. J Am Acad Orthop Surg, 6, 146-156.
Peterson HA. (2007). Proximal radius. in: Peterson HA, ed: Epiphyseal Growth Plate Fractures (ss.695). New York: Springer Berlin Heidelberg.
Popovic, N. Djekic, J. Lemaire, R. Gillet, P. (2005). A comparative study between proximal radial morphology and the floating radial head prosthesis. J Shoulder Elbow Surg, 14, 433-440.
Puchwein, P. Heidari, N. Dorr, K. Struger, L. Pichler, W. (2013). Computer aided analysis of radial head morphometry. Orthopedics, 36, e51-57.
Roidis, N. Stevanovic, M. Martirosian, A. Abbott, D.D.Mc Pherson, E.J. Itamura, JM. (2003). A radiographic study of proximal radius anatomy with implications in radial head replacement. J Shoulder Elbow Surg, 12, 380-384.
Swieszkowski, W. Skalski, K. Pomianowski, S. Kedzior, K. (2001). The anatomic features of the radial head and their implication for prosthesis design. Clin Biomech (Bristol, Avon), 16, 880-887.
Tejwani, N.C. Mehta, H. (2007). Fractures of the radial head and neck: current concepts in management. J Am Acad Orthop Surg, 15, 380-387.
Van Riet, R.P. Van Glabbeek, F. Neale, P.G.Bimmel, R. Bortier, H. Morrey, B.F., …An, K.N. (2004). Anatomical considerations of the radius. Clin Anat, 17, 564-569.
Zimmerman, R.M. Kalish, L.A. Hresko, M.T. Waters, P.M. Bae, D.S. (2013). Surgical management of pediatric radial neck fractures. J Bone Joint Surg Am, 95, 1825-1832.