Yıl: 2020 Cilt: 54 Sayı: 1 Sayfa Aralığı: 15 - 19 Metin Dili: İngilizce DOI: doi:10.5152/j.aott.2020.01.451 İndeks Tarihi: 20-11-2020

Center-edge angle values in healthy children between 5 and 14 years old in Turkey

Öz:
Objective: The aim of this study was to determine the center-edge angle (CEA) values according to age, gender and side in healthy children between 5 and 14 years old in Turkey and to find out the angular limit values for mild and severe dysplasia. Methods: The data pool that was gathered to investigate the frequency of hip dislocation in children between 6 months and 14 years old in Turkey was used. The data pool consists of pelvis and lower abdomen radiographs obtained for reasons other than hip dysplasia. Lower abdomen/pelvis radiographies of children between 5 and 14 years old were extracted from the data pool and were evaluated. Distribution of CEA values according to age, gender and side was examined. Measurements were performed by a single investigator on computer by using a standard method. Reliability of the measurements was tested by three different investigators on randomly selected films by using the standard method. Results: CEA values of 3192 hips of 1596 children, who had no hip pathology, were measured. Mean CEA value was found as 26.2°±5.5°. The mean CEA was 26.2°±5.3° in males (%54) and 26.2°±5.7° in females (%46) (p=0.224). Mean values for the right and left hips were 25.7°±5.4° and 26.6°±5.6°, respectively. CEA value of 449 (14%) hips of 333 (20.8%) children was at the limit of mild dysplasia and CEA value of 70 (2.2%) hips of 58 (3.6%) children was at the limit of severe dysplasia. CEA values had increased by age and mild and severe dysplasia limits were determined for every age group. Conclusion: The mild and severe dysplasia values that are defined according to ages in Turkish population will guide the investigators in the diagnosis, follow-up and treatment planning of developmental dysplasia.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik
  • Tönnis D. Normal values of the hip joint for the evaluation of X-rays in children and adults. Clin Orthop Relat Res 1976; 119: 39-47. [CrossRef]
  • Bracken J, Tran T, Ditchfield M. Developmental dysplasia of the hip: Controversies and current concepts. J Paediatr Child Health 2012; 48: 963-72. [CrossRef]
  • Vedantam R, Bell MJ. Dynamic ultrasound assessment for monitoring of treatment of congenital dislocation of the hip. J Pediatr Orthop 1995; 15: 725-8 . [CrossRef]
  • American Academy of Pediatrics. Clinical practice guideline: Early detection of developmental dysplasia of the hip. Committee on Quality Improvement, Subcommittee on Developmental Dysplasia of the Hip. American Academy of Pediatrics. Pediatrics 2000; 105: 896-905. [CrossRef]
  • Wiberg G. Studies on dysplastic acetabula and congenital subluxation of the hip joint; with special reference to the complications of osteoarthritis. Acta Chir Scand 1939; 83(Suppl 58): 1-130.
  • Tönnis D. Congenital dysplasia and dislocation of the hip in children and adults. Springer-Verlag Berlin and Heidelberg GmbH & Co. KG. 1987; p. 11-385. [CrossRef]
  • Akel I, Songur M, Karahan S, Yılmaz G, Demirkıran HG, Tumer Y. Acetabular index values in healthy Turkish children between 6 months and 8 years of age: A cross-sectional radiological study. Acta Orthop Traumatol Turc 2013; 47: 38-42. [CrossRef]
  • Ralis Z, Mc Kibbin B. Changes in shape of the human hip joint during its development and their relation to its stability. J Bone Joint Surg Br 1973; 55: 780-5. [CrossRef]
  • Shi YY, Liu TJ, Zhao Q, Zhang LJ, Ji SJ, Wang EB. The normal centre-edge angle of Wiberg in the Chinese population: A population-based cross-sectional study. J Bone Joint Surg Br 2010; 92: 11447. [CrossRef]
  • 10. Okoseimiema SC, Udoaka AI. Radiologic determination of acetabula index and centre edge angle in South-South Nigerian population. Br J Dairy Sci 2013; 3: 22-5.
  • 11. Umer M, Thambyah A, Tan WT, Das De S. Acetabular morphometry for determining hip dysplasia in the Singaporean population. J Orthop Surg 2006; 14: 27-31. [CrossRef]
  • 12. Fredensborg N. The CE angle of normal hips. Acta Orthop Scand 1976; 47: 403-5. [CrossRef]
  • 13. Tarek AA. Hip morphologic measurements in an Egyptian population. Orthopedics 2011; 34: 262.
  • 14. Inoue K, Wicart P, Kawasaki T, et al. Prevalence of hip osteoarthritis and acetabular dysplasia in French and Japanese adults. Rheumatology (Oxford) 2000; 39: 745-8. [CrossRef]
  • 15. Aktas S, Pekindil G, Ercan S, Pekindil Y. Acetabular dysplasia in normal Turkish adults. Bull Hosp Jt Dis 2000; 59: 158-62.
  • 16. Polat G, Şahin K, Arzu U, Kendirci AŞ, Aşık M. Prevalence of asymptomatic femoroacetabular impingement in Turkey; Cross sectional study. Acta Orthop Traumatol Turc 2018; 52: 49-53. [CrossRef]
  • 17. Mandal S, Bhan S. The centre-edge angle of Wiberg in the adult Indian population. Bone Joint Surg Br 1996; 78: 320-1. [CrossRef]
  • 18. Buller LT, Rosneck J, Monaco FM, Butler R, Smith T, Barsoum WK. Relationship between proximal femoral and acetabular alignment in normal hip joints using 3-dimensional computed tomography. Am J Sports Med 2012; 40: 367-75. [CrossRef]
  • 19. Tallroth K, Lepistö J. Computed tomography measurement of acetabular dimensions: Normal values for correction of dysplasia. Acta Orthop 2006; 77: 598-602. [CrossRef]
  • 20. Zeng Y, Wang Y, Zhu Z, Tang T, Dai K, Qiu S. Differences in acetabular morphology related to side and sex in a Chinese population. J Anat 2012; 220: 256-62. [CrossRef]
APA TUĞRUL A, GÜNEY Y, Aydin B, AKEL İ, DURGUT F, ŞENARAN H (2020). Center-edge angle values in healthy children between 5 and 14 years old in Turkey. , 15 - 19. doi:10.5152/j.aott.2020.01.451
Chicago TUĞRUL Ali İhsan,GÜNEY Yılmaz,Aydin Bahattin Kerem,AKEL İbrahim,DURGUT Fatih,ŞENARAN Hakan Center-edge angle values in healthy children between 5 and 14 years old in Turkey. (2020): 15 - 19. doi:10.5152/j.aott.2020.01.451
MLA TUĞRUL Ali İhsan,GÜNEY Yılmaz,Aydin Bahattin Kerem,AKEL İbrahim,DURGUT Fatih,ŞENARAN Hakan Center-edge angle values in healthy children between 5 and 14 years old in Turkey. , 2020, ss.15 - 19. doi:10.5152/j.aott.2020.01.451
AMA TUĞRUL A,GÜNEY Y,Aydin B,AKEL İ,DURGUT F,ŞENARAN H Center-edge angle values in healthy children between 5 and 14 years old in Turkey. . 2020; 15 - 19. doi:10.5152/j.aott.2020.01.451
Vancouver TUĞRUL A,GÜNEY Y,Aydin B,AKEL İ,DURGUT F,ŞENARAN H Center-edge angle values in healthy children between 5 and 14 years old in Turkey. . 2020; 15 - 19. doi:10.5152/j.aott.2020.01.451
IEEE TUĞRUL A,GÜNEY Y,Aydin B,AKEL İ,DURGUT F,ŞENARAN H "Center-edge angle values in healthy children between 5 and 14 years old in Turkey." , ss.15 - 19, 2020. doi:10.5152/j.aott.2020.01.451
ISNAD TUĞRUL, Ali İhsan vd. "Center-edge angle values in healthy children between 5 and 14 years old in Turkey". (2020), 15-19. https://doi.org/doi:10.5152/j.aott.2020.01.451
APA TUĞRUL A, GÜNEY Y, Aydin B, AKEL İ, DURGUT F, ŞENARAN H (2020). Center-edge angle values in healthy children between 5 and 14 years old in Turkey. Acta Orthopaedica et Traumatologica Turcica, 54(1), 15 - 19. doi:10.5152/j.aott.2020.01.451
Chicago TUĞRUL Ali İhsan,GÜNEY Yılmaz,Aydin Bahattin Kerem,AKEL İbrahim,DURGUT Fatih,ŞENARAN Hakan Center-edge angle values in healthy children between 5 and 14 years old in Turkey. Acta Orthopaedica et Traumatologica Turcica 54, no.1 (2020): 15 - 19. doi:10.5152/j.aott.2020.01.451
MLA TUĞRUL Ali İhsan,GÜNEY Yılmaz,Aydin Bahattin Kerem,AKEL İbrahim,DURGUT Fatih,ŞENARAN Hakan Center-edge angle values in healthy children between 5 and 14 years old in Turkey. Acta Orthopaedica et Traumatologica Turcica, vol.54, no.1, 2020, ss.15 - 19. doi:10.5152/j.aott.2020.01.451
AMA TUĞRUL A,GÜNEY Y,Aydin B,AKEL İ,DURGUT F,ŞENARAN H Center-edge angle values in healthy children between 5 and 14 years old in Turkey. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(1): 15 - 19. doi:10.5152/j.aott.2020.01.451
Vancouver TUĞRUL A,GÜNEY Y,Aydin B,AKEL İ,DURGUT F,ŞENARAN H Center-edge angle values in healthy children between 5 and 14 years old in Turkey. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(1): 15 - 19. doi:10.5152/j.aott.2020.01.451
IEEE TUĞRUL A,GÜNEY Y,Aydin B,AKEL İ,DURGUT F,ŞENARAN H "Center-edge angle values in healthy children between 5 and 14 years old in Turkey." Acta Orthopaedica et Traumatologica Turcica, 54, ss.15 - 19, 2020. doi:10.5152/j.aott.2020.01.451
ISNAD TUĞRUL, Ali İhsan vd. "Center-edge angle values in healthy children between 5 and 14 years old in Turkey". Acta Orthopaedica et Traumatologica Turcica 54/1 (2020), 15-19. https://doi.org/doi:10.5152/j.aott.2020.01.451