Abstract
Askerlik Başvurusu Yapan Olgularda Ayak Deformiteleri ve Omurga Anomalileri Prevalansı ve İlişkisi: Kesitsel Çalışma
Amaç: Askerlik çağındaki erkeklerde pes kavus, planus ve spinal anomalilerin prevalansını ve ilişkisini araştırmak.Amaç: Askerlik çağındaki erkeklerde pes kavus, planus ve spinal anomalilerin prevalansını ve ilişkisini araştırmak.
Gereç ve Yöntem: Ocak 2019-Kasım 2019 tarihleri arasında askeri okul sağlık tarama programı için hastaneye başvuran 3524 hasta incelendi. Hastaların tamamı 22-30 yaş arasındaydı. Dışlama kriterleri; ayak ve/veya omurgalara ilişkin travma ve ameliyat öyküsü, sistemik musküler veya nörolojik hastalıklar, inflamatuar hastalıklar. Hastalar, radyolojik olarak; Pes planus, pes kavus deformiteleri, skolyoz, lomberizasyon, sakralizasyon ve spinia bifida deformiteleri açısından değerlendirildi. Ayak ve omurga anomalilerinin ilişkisi incelendi. Olgular Vücut Kitle İndeksine (VKİ) göre gruplara ayırıldı. Ayak ve omurga anomalileri ile VKİ ilişkisi değerlendirildi.
Bulgular: Çalışmaya 450 oldu dahil edildi. Ortalama yaş 22,9 ±3,01 olarak bulundu. Ortalama VKİ ise 23,04 ±2,3 olarak bulundu. Hastaların 343’ünün (%80) normal VKİ değerine sahipken 82’sinin (%18,9) fazla kilolu, 3’ünün (%1) ise obez olduğu görüldü. 22 hastada (% 4,9) ayak deformitesi olduğu görüldü (21 hastada pes planus 1 hastada pes kavuş). Omurga deformitesi görülen hasta sayısı ise 82’ydi (%18,2). En sık görülen omurga deformitesi, 32 (%7,1) olgu ile posterior füzyon defektiydi. Hastalarda ayak deformitesi görülme sıklığı, omurga deformitesi görülme sıklığı ilişkisi incelendiğinde gruplar arasında anlamlı fark bulunamadı. (p =0,779) Hastalar VKİ açısından gruplandırıldığında, gruplar arasında anlamlı fark bulunmadı.
Sonuç: Hastalarda pes planus görülme sıklığı pes kavus sıklığından daha fazla olduğu görülmüştür. En sık görülen omurga anomalisi posterior füzyon defekti olmuştur. Pes planus veya pes kavus sıklığının omurga anomalileri ile ilişkisi bulunmamıştır
Prevalence and Relationship of Foot Deformities and Spinal Anomalies in Army Recruits: Cross-sectional study
Aim: To investigate the prevalence and relationship of pes cavus, planus and spinal anomalies in military age males.
Material and Methods: 3524 patients which applied to hospital for military school health screening program were recorded between January 2019 and November 2019. All of the patients were between 22 and 30 years old. Exclusion criteria were; trauma and surgery history regarding foot and / or vertebrae, systemic muscular or neurological diseases, inflamatuar diseases. Patients were radiologically evaluated for pes planus, pes cavus deformities and scoliosis, lumbarization, sacralization and spina bifida anomalies. The relationship between foot deformities and spine anomalies was examined. Cases were divided into groups according to Body Mass Index (BMI). The relationship between foot and spine anomalies and BMI was also evaluated.
Results: 450 patients were included in the study. The mean age was 22.9 ±3.01 years. The mean BMI was 23.04 ±2.3. While 343 (80%) of the patients had normal BMI, 82 (18.9%) were overweight and 3 (1%) were obese. Foot deformity was observed in 22 (4.9%) patients (21 patients with pes planus and 1 patient with pes cavus). The number of patients with spinal deformity was 82 (18.2%). The most common spinal anomaly was posterior fusion defect with 32 (7.1%) cases. When the relationship between the prevalance foot deformities and spinal anomalies was examined, no significant difference was found between the groups. (p = 0.779) When the patients were grouped in terms of BMI, no significant difference was found between the groups.
Conclusion: The prevalance of pes planus was higher than the prevalance of pes cavus in the patients. The most common spinal anomaly was posterior fusion defect. The frequency of pes planus or pes cavus was not found to be associated with spinal anomalies.
References
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- 7.Bhoir MTA, D. B.; Diwate, A. Prevalence of flat foot among 18-25 years old physiotherapy students: cross sectional study. Indian Journal of Basic and Applied Medical Research. 2014;3 (4):272-278.
- 8.Rao UB, Joseph B. The influence of footwear on the prevalence of flat foot. A survey of 2300 children. J Bone Joint Surg Br. 1992;74 (4):525-7.
- 9.Grivas TB, Stavlas P, Koukos K, Samelis P, Polyzois B. Scoliosis and cavus foot. Is there a relationship? Study in referrals, with and without scoliosis, from school screening. Stud Health Technol Inform. 2002;88 10-4.
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- 11.Flores DV, Mejía Gómez C, Fernández Hernando M, Davis MA, Pathria MN. Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings. RadioGraphics. 2019;39 (5):1437-1460.
- 12.Pourghasem M, Kamali N, Farsi M, Soltanpour N. Prevalence of flatfoot among school students and its relationship with BMI. Acta Orthopaedica et Traumatologica Turcica. 2016;50 (5):554-557.
- 13.Abdel-Fattah MM, Hassanin MM, Felembane FA, Nassaane MT. Flat foot among Saudi Arabian army recruits: prevalence and risk factors. Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit. 2006;12 (1-2):211-7.
- 14.Dowling AM, Steele JR, Baur LA. Does obesity influence foot structure and plantar pressure patterns in prepubescent children? International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity. 2001;25 (6):845-52.
- 15.Adoración Villarroya M, Manuel Esquivel J, Tomás C, Buenafé A, Moreno L. Foot structure in overweight and obese children. International journal of pediatric obesity : IJPO : an official journal of the International Association for the Study of Obesity. 2008;3 (1):39-45.
- 16.Riddiford-Harland DL, Steele JR, Storlien LH. Does obesity influence foot structure in prepubescent children? International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity. 2000;24 (5):541-544.
- 17.Tenenbaum S, Hershkovich O, Gordon B, et al. Flexible pes planus in adolescents: body mass index, body height, and gender--an epidemiological study. Foot Ankle Int. 2013;34 (6):811-7.
- 18.Carpintero P, Entrenas R, Gonzalez I, Garcia E, Mesa M. The relationship between pes cavus and idiopathic scoliosis. Spine (Phila Pa 1976). 1994;19 (11):1260-3.
- 19.Belabassi Y, Moreau J, Gheran V, et al. Synthesis and Characterization of PEGylated and Fluorinated Chitosans: Application to the Synthesis of Targeted Nanoparticles for Drug Delivery. Biomacromolecules. 2017;18 (9):2756-2766.
- 20.Kubavat D, Nagar SK, Ojaswini M, Trivedi D, Paras S, Patil S. A Study of Sacralisation of Fifth Lumbar Vertebra in Gujarat. National Journal of Medical Research. 2012;2 (02):211-213.
- 21.Fidas A, MacDonald HL, Elton RA, Wild SR, Chisholm GD, Scott R. Prevalence and patterns of spina bifida occulta in 2707 normal adults. Clinical radiology. 1987;38 (5):537-42.
- 22.Racial/ethnic differences in the birth prevalence of spina bifida - United States, 1995-2005. MMWR Morbidity and mortality weekly report. 2009;57 (53):1409-13.
Abstract
References
- 1.Pita-Fernandez S, Gonzalez-Martin C, Alonso-Tajes F, et al. Flat Foot in a Random Population and its Impact on Quality of Life and Functionality. J Clin Diagn Res. 2017;11 (4):LC22-LC27.
- 2.Aenumulapalli A, Kulkarni MM, Gandotra AR. Prevalence of Flexible Flat Foot in Adults: A Cross-sectional Study. J Clin Diagn Res. 2017;11 (6):AC17-AC20. 3.Smith MA. Flat feet in children. BMJ. 1990;301 (6758):942-3.
- 4.R A, Malar A, J H, G S. The cause and frequency of PES Planus (Flat Foot) problems among young adults. Asian Journal of Medical Sciences. 2021;12 107-111.
- 5.Golightly YM, Hannan MT, Dufour AB, Jordan JM. Racial differences in foot disorders and foot type. Arthritis Care Res (Hoboken). 2012;64 (11):1756-9.
- 6.Chang JH, Wang SH, Kuo CL, Shen HC, Hong YW, Lin LC. Prevalence of flexible flatfoot in Taiwanese school-aged children in relation to obesity, gender, and age. Eur J Pediatr. 2010;169 (4):447-52.
- 7.Bhoir MTA, D. B.; Diwate, A. Prevalence of flat foot among 18-25 years old physiotherapy students: cross sectional study. Indian Journal of Basic and Applied Medical Research. 2014;3 (4):272-278.
- 8.Rao UB, Joseph B. The influence of footwear on the prevalence of flat foot. A survey of 2300 children. J Bone Joint Surg Br. 1992;74 (4):525-7.
- 9.Grivas TB, Stavlas P, Koukos K, Samelis P, Polyzois B. Scoliosis and cavus foot. Is there a relationship? Study in referrals, with and without scoliosis, from school screening. Stud Health Technol Inform. 2002;88 10-4.
- 10.Ghayem-Hasankhani E, Omidi-Kashani F. Generalized Ligamentous Laxity; a Parameter Should not to be Forgotten in Preoperative Planning of Adolescent Idiopathic Scoliosis. Iranian Red Crescent medical journal. 2012;14 (11):702-4.
- 11.Flores DV, Mejía Gómez C, Fernández Hernando M, Davis MA, Pathria MN. Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings. RadioGraphics. 2019;39 (5):1437-1460.
- 12.Pourghasem M, Kamali N, Farsi M, Soltanpour N. Prevalence of flatfoot among school students and its relationship with BMI. Acta Orthopaedica et Traumatologica Turcica. 2016;50 (5):554-557.
- 13.Abdel-Fattah MM, Hassanin MM, Felembane FA, Nassaane MT. Flat foot among Saudi Arabian army recruits: prevalence and risk factors. Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit. 2006;12 (1-2):211-7.
- 14.Dowling AM, Steele JR, Baur LA. Does obesity influence foot structure and plantar pressure patterns in prepubescent children? International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity. 2001;25 (6):845-52.
- 15.Adoración Villarroya M, Manuel Esquivel J, Tomás C, Buenafé A, Moreno L. Foot structure in overweight and obese children. International journal of pediatric obesity : IJPO : an official journal of the International Association for the Study of Obesity. 2008;3 (1):39-45.
- 16.Riddiford-Harland DL, Steele JR, Storlien LH. Does obesity influence foot structure in prepubescent children? International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity. 2000;24 (5):541-544.
- 17.Tenenbaum S, Hershkovich O, Gordon B, et al. Flexible pes planus in adolescents: body mass index, body height, and gender--an epidemiological study. Foot Ankle Int. 2013;34 (6):811-7.
- 18.Carpintero P, Entrenas R, Gonzalez I, Garcia E, Mesa M. The relationship between pes cavus and idiopathic scoliosis. Spine (Phila Pa 1976). 1994;19 (11):1260-3.
- 19.Belabassi Y, Moreau J, Gheran V, et al. Synthesis and Characterization of PEGylated and Fluorinated Chitosans: Application to the Synthesis of Targeted Nanoparticles for Drug Delivery. Biomacromolecules. 2017;18 (9):2756-2766.
- 20.Kubavat D, Nagar SK, Ojaswini M, Trivedi D, Paras S, Patil S. A Study of Sacralisation of Fifth Lumbar Vertebra in Gujarat. National Journal of Medical Research. 2012;2 (02):211-213.
- 21.Fidas A, MacDonald HL, Elton RA, Wild SR, Chisholm GD, Scott R. Prevalence and patterns of spina bifida occulta in 2707 normal adults. Clinical radiology. 1987;38 (5):537-42.
- 22.Racial/ethnic differences in the birth prevalence of spina bifida - United States, 1995-2005. MMWR Morbidity and mortality weekly report. 2009;57 (53):1409-13.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Original research article |
| Authors | |
| Publication Date | April 30, 2023 |
| Submission Date | November 10, 2022 |
| Published in Issue | Year 2023 Volume: 56 Issue: 1 |
