Serebral Palsili Pediatrik Hastalarda Femoral Anteversiyon ve Femur Boyun-Şaft Açılarının Değerlendirilmesi ve Literatürün Tekrar Değerlendirilmesi

Amaç: Serebral palsi (SP), gelişimini tamamlamamış beyin hasarı sonucu oluşan kronik, sensorimotor bir hastalıktır. Bu çalışmada pediatrik SP’li hastalarda femoral anteversiyon (FA) ve femur boyun-şaft (FNS) açılarını değerlendirdik ve sağlıklı popülasyon ve hasta grubunun kendi içinde tutulum alt tiplerine ve Kaba Motor Fonksiyonel Sınıflandırma Sistemi’ne (GMFCS) göre bir fark olup olmadığını araştırdık. Gereç ve Yöntem: Spastik SP tanısı alan ve cerrahi uygulanan 30 hasta (20 kadın, 10 erkek; ortalama yaş 10 yıl 8 ay; dağılım 4-14 yıl) geriye dönük olarak değerlendirildi. Çalışmada 30 hastanın 51 kalçası incelendi. Otuz hastanın 11’i kuadriplejik, 10’u diplejik ve dokuzu hemiplejikti. GMFCS’ye göre II. düzeyde dokuz, III. düzeyde sekiz, IV. düzeyde altı ve düzey V’te yedi hasta bulunmaktaydı. Hasta ve kontrol grubunun bilgisayarlı tomografi görüntüleri hastanenin radyolojik dosyalarından değerlendirildi. Tüm hastaların FA ve FNS açıları ölçüldü ve elde edilen değerler karşılaştırıldı. Bulgular: FNS açısı (p

Evaluation of Femoral Anteversion and Femoral Neck-Shaft Angles in Cerebral Palsy and a Review of the Literature

Aim: Cerebral palsy (CP) is a chronic, sensorimotor disease as a result of damage in the brain that has not completed its development. In this study, we evaluated femoral anteversion (FA) and femoral neck-shaft (FNS) angles in pediatric patients with CP and studied whether there was a difference between the healthy population and patient group according to involvement subtypes or Gross Motor Functional Classification System (GMFCS). Materials and Methods: Thirty patients (20 females, 10 males; mean age 10 years 8 months; range 4 to 14 years) diagnosed with spastic CP, who had undergone surgery, were evaluated retrospectively. Of thirty patients, eleven were quadriplegic, ten were diplegic and nine were hemiplegic. Fifty-one hips of 30 patients were investigated in the study. According to the GMFCS, there were nine patients at level II, eight at level III, six at level IV, and seven at level V. X-rays and computed tomograhy images of the patient and control group were evaluated by radiological files of the hospital. FA and FNS angles of all patients were measured and the obtained values were compared. Results: The FNS angle (p

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