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Amaç: Gelişimsel kalça displazisi (GKD) sık görülen ve erken tanı konulup tedavi edilirse başarılı sonuçlar alınabilen bir hastalıktır. Çalışmamızda GKD şüphesi dışında ki nedenlerle çocuk acil servisine başvuran 12-24 aylık çocuk hastaların çekilen pelvis grafileri incelenerek GKD rastlantısal insidansının tespit edilmesi amaçlandı. Materyal ve Metot: Çalışmamıza 1 Mayıs 2016- 9 Mart 2017 tarihleri arasında hastanemiz çocuk acil servisine çeşitli nedenlerle başvuran 12-24 ay arası çocuk hastalar dahil edildi. Bu hastaların çekilen batın grafilerine dijital kayıt sisteminden ulaşılıp, grafiler incelendi. Ölçüm için kalça kadranları, shenton-menard hattı ve asetabular indeks açısı incelenerek tanı konuldu. Elde edilen verilerle GKD rastlantısal insidansı hesaplandı. Bulgular: Toplamda 2044 değerlendirmeye alınan hastanın 152’sinde GKD varlığı tesbit edildi. GKD saptanan 152 hastanın 98’i kız,54’ü erkek idi. Bu hastaların 73’ünde bilateral kalçada patoloji görüldü. Patoloji saptanan 152 hastadan 23 hastanın patolojiden haberi yoktu. GKD tanısı alan hastaların %15.1 oranının GKD tanısı almadığı tespit edildi. Kalça çıkığı olan hastalar cinsiyete göre göre karşılaştırıldığında pearson ki-kare testine göre p<0,001 olup kız çoçuklarında anlamlı olarak yüksek tespit edildi Sonuç: GKD’li hastaların erken tanı alması ileri yaşlarda yaşayacakları geri dönüşümü olmayan kalça problemlerini ve ameliyatlarını önleyecektir. Acil hekimleri her ne şikayetle gelirse gelsin özellikle 2 yaş altı çocukların batın grafilerini incelerken GKD tanısı akıllarında bulundurmalıdırlar.
Goal: Developmental colour dysplasia (GKD) is a common and early diagnosis and treatment disease that can get successful results. In our study, except for the GKD suspicion, the purpose of the study of the pelvis graphs of 12-24 months old children who apply for child emergency services for reasons was to identify the accidental incident of GKD. Materials and Methods: From 1 May 2016 to 9 March 2017, our hospital included 12-24 months of children patients who were applying for various reasons to the child emergency service. The Western graphs of these patients were reached through the digital recording system and the graphs were examined. The measurement was diagnosed by examining the axis, shenton-menard line and asetabular index angle. According to the data obtained, the random incidence of GKD was calculated. Results: In a total of 2044 patients received assessment, the presence of GKD was confirmed in 152 of them. Of the 152 patients diagnosed with GKD, 98 were girls, and 54 were men. In 73 of these patients, bilateral column pathology was observed. Of the 152 patients diagnosed with pathology, 23 were unknown of the pathology. 15.1% of patients diagnosed with GKD were not diagnosed with GKD. Patients with scratch output compared by gender according to the pearson ki-core test p<0,001 and was significantly high in the girls' scratch Result: early diagnosis of patients with GKD will prevent the scratch problems and surgery that they will not recover in their older ages. Emergency doctors should be aware of the diagnosis of GKD, especially when examining the western graphs of children under 2 years of age.
Aim: Developmental dysplasia of hip (DDH) is a common disease that can be treated successfully if early diagnosis and treatment are possible. In our study, we aimed to determine the incidence of DDH by examining the pelvic radiographs of 12-24 months old children who were admitted to the pediatric emergency department for reasons other than suspicion of DDH. Material and Method: Between May 1, 2016 and March 9, 2017, 12-24 months old children who were admitted to our pediatric emergency department for various reasons were included in the study. The abdominal radiographs of these patients were obtained from the digital recording system and the radiographs were examined. For measurement; hip quadrants, shenton-menard line and acetabular index angle were examined and used for diagnosis. The incidence of DDH was calculated with the data obtained. Results: A total of 2044 patients were included in this study and 152 of them were diagnosed with DDH. Of the 152 patients with DDH, 98 were female and 54 were male. 73 of these patients had pathology in bilateral hips. Of the 152 patients with pathology, 23 had no information about this pathology. It was found that 15.1% of the patients diagnosed with DDH were not diagnosed with DDH. When hip dislocation was compared according to gender, pearson chi-square test was found to be p<0,001 and it was found to be significantly higher in girls. Conclusion: The early diagnosis of patients with DDH will prevent the irreversible hip problems and surgeries in older ages. Emergency physicians should keep in mind the diagnosis of DDH, especially when examining the abdominal radiographs of children under 2 years of age, regardless of their complaints.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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