Medial ve Lateral Ark Açıları ile Ayak Uzunluğunun Yaş, Cinsiyet ve Taraf Farklılığı Açısından Radyolojik Olarak İncelenmesi

Amaç: Bu araştırmanın amacı; ayak direkt grafileri üzerinde Medial ark açısı ve Lateral ark açısı ile ayak uzunluğu ölçümleri yaparak elde edilen antropometrik değerlerin yaşa, cinsiyete ve tarafa bağlı olarak gösterdikleri farklılıkları belirlemek ve açıların ayak uzunluğu ile olan ilişkisini araştırmaktır. Gereç ve Yöntem: Çalışmamızda 10-86 yaş arası 370 kadın, 292 erkek olmak üzere toplamda 662 bireye ait 1324 adet yüklü lateral ayak grafisi üzerinde retrospektif olarak Medial ark açısı (MAA), Lateral ark açısı (LAA), ayak uzunluğu (AU) ölçümleri yapıldı. Çalışmaya dahil edilen bireyler 10-13, 14-17, 18-29, 30-39, 40-49, 50-59, 60-69, 70+ olmak üzere 8 ayrı yaş grubuna ayrılarak, 10-17 yaş arası bireyler adolesan, 18-86 yaş arası bireyler de yetişkin olarak değerlendirildi. Adolesan bireyler 101 kadın 116 erkek olmak üzere toplamda 217 kişi iken, yetişkin bireyler 269 kadın ve 176 erkek olmak üzere toplamda 445 kişiydi. Bulgular: Taraf yönünden yapılan değerlendirmelerde adolesan bireylerde farklılık tespit edilemedi, yetişkinlerde ise ayak uzunluğu ölçümlerinde anlamlı düzeyde farklılıklar bulundu. Cinsiyet yönünden yapılan değerlendirmelerde adolesan bireylerde MAA ve AU ölçümleri, yetişkinlerde ise MAA, LAA ve AU ölçümlerinde anlamlı düzeyde farklılıklar vardı. Yaş yönünden yapılan değerlendirmelerde adolesan bireylerde AU ölçümleri, yetişkinlerde MAA, LAA ve AU ölçümlerinde anlamlı düzeyde farklılıklar tespit etik. Adolesanlarda ayak uzunluğu ve açılar arasında anlamlı bir ilişki bulunamazken, yetişkinlerde hem sağ hem de sol tarafta ayak uzunluğu ve açılar arasında istatistiksel olarak anlamlı aynı yönlü ilişki tespit edildi. Sonuç: İncelenen parametrelerden elde edilen bu sonuçlar; klinikte ayak deformitelerinin tedavi edilmesi ve yeniden yapılandırılması süreçleri ile ayrıca antropoloji ve adli tıp çalışmalarına katkı sağlayabilir.

Anahtar Kelimeler:

Ayak morfometrisi, Radyografi, Medial ark açısı, Lateral ark açısı, Ayak uzunluğu

Radiological Research of Medial and Lateral Arch Angles and Foot Length In Terms of Age, Gender and Side Differences

Purpose: The present study aims to determine the differences of anthropometric data obtained by measuring the Medial and Lateral arch angles and foot length on direct radiographs of the foot according to age, gender and involved side and to investigate the relation between Medial and Lateral arch angles and foot length. Material and Methods: In our study, Medial arch angle (MAA), Lateral arch angle (LAA), foot length (AU) were measured on 1324 weight-bearing lateral foot radiographs of a total of 662 people, including 370 females and 292 males aged 10–86 years. Those included in this study were divided into eight different age groups, 10–13, 14–17, 18–29, 30–39, 40–49, 50–59, 60–69 and 70+ years, with those aged 10–17 years classified as adolescents and those aged 18–86 years classified as adults. The statistical analyses of adolescents and adults were made separately, in that bone development continues throughout adolescence. The study was conducted with 217 adolescents (101 female; 116 male) and 445 adults (269 female; 176 male). Results: An analysis in terms of side revealed significant differences in AU measurements in adults. There was no statistically significant difference in adolescents. An analysis in terms of gender revealed significant differences in MAA and AU in adolescents; and in MAA, LAA and AU measurements in adults. An analysis in terms of age showed significant differences in AU in adolescents; and in MAA, LAA and AU measurements in adults. There was no significant correlation was found between angles and foot length in adolescents. However, a statistically significant correlation was found between foot length and angles on both the right and left side in adults. Conclusion: The results derived from an examination of these parameters may contribute to the treatment and reconstruction processes of foot deformities in clinical practice, and also to anthropological and forensic medicine studies.

Keywords:

foot morphometry, Radiography, Medial arch angle, Lateral arch angle, Foot length,

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