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    Gait abnormalities following slipped capital femoral epiphysis
    (2019) Ucpunar, Hanifi; Beng, Kubilay
    Aim: The aim of this study was to compare the gait function following slipped capital femoral epiphysis (SCFE) with the healthy controls.Material and Methods: We included 31 of 76 SCFE patients who were treated with in situ pinning between 2005 and 2013. We excluded patients with radiographic or clinical evidence of a contralateral slip, less than 2-years follow-up, incomplete epiphyseal closure, musculoskeletal abnormalities that can affect gait, avascular necrosis or chondrolysis and needed revision surgery. To measure the patients’ quality of life and physical function Harris hip score and the Pediatric Outcomes Data Collection Instruments (PODCI) scores were used. All patients and control group were underwent whole-body motion analysis.Results: The mean age of patients when gait analyses were performed was 16.5 ± 2.5 years, and mean body mass index (BMI) was 27.78 ± 5.6 kg/m2. A control group was formed from volunteers whose mean age was 17.84 ± 1.47 years that ranged between 16 and 20 years, with a mean BMI of 27.72 ± 2.61 kg/m2. Significant gait deviations were detected in SCFE patients such as (SCFE versus control group); Pelvis tilt range of motion (ROM) (3.5±1.5 - 2.3±0.5, p=0.01), Hip flexion ROM (35.1±3.7 - 39.8±4.6, p0.01), Pelvis obliquity ROM (5.5±2.3 - 9.5±2.8, p0.01), Hip abduction ROM (10.8±2.9 - 12.9±3.4, p=0.02), Knee Abduction ROM (15.2±6.1 - 10.7±6.9, p=0.01), Mean FPA (-11.1±7.7 - -5.2±6.5, p=0.01), Ankle rotation ROM (31.2±1.7 - 22.9±6.7, p=0.01), Mean thorax tilt (5.6±5.4 - 1.4±4.4, p0.01), Spine tilt ROM (5.1±3.3 - 7.8±3.4, p=0.02). Conclusion: Significant gait deviations were identified in patients with unilateral-SCFE in comparison with age and BMI matched healthy controls. Three-dimensional gait analysis can be used as an objective method for evaluation of functional outcomes of SCFE.
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    The value of standard chest radiography in the diagnosis of scoliosis
    (2019) Kockara, Nizamettin; Ucpunar, Hanifi
    Aim: The aim of this study was to evaluate the benefits and limitations of chest radiographs in scoliosis screening and to compare these results with spine orthoroentgenogram. Material and Methods: We performed a retrospective, repeated cross-sectional evaluation of 5160 digital standing posterior-anterior chest x-rays of patients, ages from 21 to 44 years old, obtained at our institution. The chest radiography was taken to the hospital for military check-ups. All posterior-anterior chest radiographs between January 2016 and December 2017 were gathered. We compared the spinal curvature types and Cobb angles detected in the chest radiographs (n=62) with the curvature types and Cobb angles detected on spine orthoroentgenogram radiographs. Results: According to the type of major spinal curvature, overall matching of chest x-ray with the radiography of the spine orthoroentgenogram was 71% (44 of 62 cases). Measured mean Cobb angle on the chest x-rays and spine orthoroentgenogram was 9.8 (5.4) and 12.8 (6.5) respectively (p=0.009). Chest radiographs were 81% sensitivity and 50% specificity according to spine orthoroentgenogram, which was accepted as the gold standard in the diagnosis of scoliosis according to the spinal curvature. Conclusions: The data obtained in our study can be considered as a valuable reference in the consultation of asymptomatic thoracic scoliosis detected on the routine chest radiograph and the necessity of examination of the axial skeletal with spine orthoroentgenogram.