İsmail Gökhan ŞAHİN, Leyla BOZATLI, Zeynep Anıl ŞAHİN, IŞIK GÖRKER

Çocukluk ve Ergenlikte Ortopedik Yaralanmalar ve Dikkat Eksikliği Hiperaktivite Bozukluğu Arasındaki İlişkinin Değerlendirilmesi

Amaç: Dikkat eksikliği hiperaktivite bozukluğu (DEHB), çocukluk çağında tekrarlayan travma ve ekstremite yaralanmalarına en fazla neden olan nörogelişimsel bozukluktur. Karşıt olma karşı gelme bozukluğu (KOKGB) ve davranım bozukluğu (DB) ise DEHB’ye en sık eşlik eden durumlar olarak bilinmektedir. Çalışmamızda pediatrik travma hastalarında, ekstremite travmaları ve DEHB alt grupları arasındaki korelasyon, kontrol grubu ile karşılaştırılarak araştırılmıştır. Amacımız pediatrik ekstremite travmaları açısından yüksek riskli olguların saptanması ve erken tanı ile olası ekstremite yaralanmalarının önlenmesidir. Gereç ve Yöntem: Eylül 2018-Şubat 2019 tarihleri arasında ekstremite yaralanması bulunan (grup 1) ve travmatik olmayan nedenlerle başvuran (grup 2) toplam 60 çocuk ardışık olarak çalışmaya dahil edildi. Katılımcılar Conners Ebeveyn Değerlendirme Ölçeği ve Güçler Güçlükler Anketi kullanılarak ön değerlendirmeye tabi tutuldu. Riskli olarak saptanan olgular Trakya Üniversitesi Tıp Fakültesi Hastanesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Kliniği’ne detaylı değerlendirme için yönlendirildi. Bulgular: DEHB tanısı alan olguların sayısı travma grubunda anlamlı olarak daha yüksek saptandı (p=0,042), ancak DEHB alt grupları arasında ve KOKGB ve DB’yi karşılayan olgular arasında, pediatrik travma açısından anlamlı fark saptanmadı. Sonuç: Bulgularımız, güncel literatürün büyük çoğunluğu ile uyumlu olup DEHB, travma grubunda anlamlı olarak daha yüksek saptanmıştır. Pediatrik travma hastalarında olası ekstremite yaralanmalarını önlemek için DEHB’ye dair semptomatoloji dikkate alınmalıdır.

Evaluation of the Relationship Between Orthopedic Injuries and Attention Deficit Hyperactivity Disorder in Childhood and Adolescence

Aim: Attention deficit hyperactivity disorder (ADHD) is the most neurodevelopmental disorder in childhood, which causes repetitive trauma and extremity injuries. Oppositional defiant disorder (ODD) and conduct disorder (CD) are the most comorbid conditions of ADHD. Our study investigated the correlation between extremity trauma and ADHD’s subgroups in pediatric trauma patients and comparison with the control group. Our aim was to detect high-risk patients in pediatric extremity injuries and to prevent possible extremity injuries with early diagnosis. Materials and Methods: Between September 2018 and February 2019, 60 pediatric patients with extremity injuries (group 1) and non-traumatic reasons (group 2) were included in this prospective study consecutively. Patients were evaluated with the Conner’s Parent Rating Scale and Strength and Difficulties Questionnaire for ADHD subgroups, ODD and CD. Patients who received an initial diagnosis were evaluated by the Child and Adolescent Psychiatry Department of Trakya University Medical Hospital. Results: Patients who were diagnosed as ADHD were significantly higher in the trauma group (p=0.042), but no statistical significance was found in any subgroups of ADHD, ODD and CD. Conclusion: Our results were in accordance with the vast majority of current literature in which ADHD was found to be significantly higher in the trauma group. ADHD must be considered in pediatric trauma patients to prevent possible extremity injuries

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