The Effect of gluteus medius and minimus muscle thickness on developmental hip dysplasia up to three months of age. Gluteus medius ve minimus kas kalınlığının üç aya kadar gelişimsel kalça displazisi üzerine etkisi.
Pamukkale Medical Journal, cilt.16, sa.1, ss.29-36, 2023 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 16 Sayı: 1
- Basım Tarihi: 2023
- Doi Numarası: 10.31362/patd.1127536
- Dergi Adı: Pamukkale Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.29-36
- Anahtar Kelimeler: Developmental dysplasia of hip, gluteus medius muscle, gluteus minimus muscle, Graf method, hip ultrasound
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: To investigate whether there is a difference in the gluteus medius and minimus muscle thicknesses between the cases with Graf method type IIa and normal subjects. Material and methods: A total of 200 cases, 1-3 months old infants, who applied to our hospital for developmental hip dysplasia ultrasound scanning between January 2021 and March 2021 were included in our study. The cases were evaluated with a standard coronal plane with a 9-12 Mhz linear array probe according to the Graf method at the level of the triradiate cartilage by the same radiologist. The largest gluteus medius and minimus muscle thickness were measured. Results: The female to male ratio was 0.9. and the mean age was 45.9±13.7 days. The present study had 159 (79.5%) Graf type I (Group A) and 41 newborns (20.5%) with Graf type IIa (Group B). Demographic and clinical characteristics were similar in both groups (p>0.05). The mean lengths of the gluteus medius and minimus muscles were similar in newborns with Graf type I and IIa (p=0.975 and p=0.069, respectively). A significant difference was found in the mean length of the gluteus minimus muscle between male and female newborns (p=0.001). The muscle length was statistically shorter in the female newborns than the male newborns (3.4±0.5 mm vs. 3.6±0.5 mm). Conclusion: Since there was no difference in gluteal muscle thickness between mature and immature hips; Gluteal muscle lengths are not a diagnostic landmark in the hip ultrasound scan.