Year 2020, Volume 4 , Issue 1, Pages 71 - 75 2020-01-02

Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia
Doğu Anadolu bölgesinde bir üçüncü basamak sağlık merkezine başvuran el anomalili çocukların değerlendirilmesi

Mehmet Rauf KOÇ [1] , Sezai ÖZKAN [2] , Cihan ADANAŞ [3]


Aim: Identification and treatment management of congenital or acquired hand anomalies are serious problems for orthopedic and plastic surgeons. With the start of medical education in hand surgery as a subspecialty, the number of hand surgeons has increased, and this problem has partially been removed. This study aimed to contribute to the epidemiologic data of our country by sharing admission times and types, treatment management, and demographic data of children admitted with hand anomalies to a tertiary health center in the light of the literature. 

Methods: Pediatric patients who were admitted with hand anomalies to the hand surgery clinic between 01.12.2018 and 01.12.2019 were included in this cross-sectional study. They were classified by extended OMT (Oberg, Manske, and Tonkin) classification by using the data obtained from the hospital registry. Patients’ ages, genders, diagnoses, admission times, educational statuses, treatment plans and decisions of parents on the treatment were evaluated by a single hand surgeon available in the region. 

Results: Out of approximately 1500 patients admitted to the hand surgery clinic, 49 patients between the ages of 0 and 18 with pediatric hand anomalies were included in the study. Out of 49 patients, 7 had acquired and 42 had congenital hand anomalies. The most common congenital anomaly was trigger finger. Eleven (22.5%) of the patients were at school age, 12 (24.5%) at pre-school age, and 26 (53%) were infants, aged 2 years and below. 

Conclusion: It is highly important for patients with hand anomalies to reach the appropriate physician at the right time so that their treatment may be planned accordingly, the present anomaly does not delay the growth of the child, the deformity does not progress further and that these individuals can be brought into the society earlier. Therefore, we believe that the number of physicians should be increased due to the following reasons: Hand surgery is a new branch and these patients should be referred to subspecialists in accordance with the demands of the patients’ parents. This branch is vital for the region, and there are patients still waiting for their already planned surgery.

Amaç: Konjenital veya edinsel el anomalilerinin tanımlanması ve tedavi yönetimi ortopedik ve plastik cerrahlar için ciddi problemlerdir. El cerrahisinde tıbbi eğitimin bir alt uzmanlık olarak başlamasıyla, el cerrahlarının sayısı artmış ve bu sorun kısmen giderilmiştir. Bu çalışma, el anomalisi ile üçüncü basamak bir sağlık merkezine başvuran çocukların kabul tiplerini, tedavi yönetimini, kabul sürelerini ve demografik verilerini literatür eşliğinde paylaşarak ülkemizin epidemiyolojik verilerine katkıda bulunmayı amaçlamıştır.

Yöntemler: 01.12.2018 - 01.12.2019 tarihleri arasında el cerrahisi kliniğine el anomalisi ile başvuran pediatrik hastalar bu kesitsel çalışmaya alındı. Hastaların dosya kayıt sistemlerinden elde edilen veriler kullanılarak uzatılmış OMT (Oberg, Manske, and Tonkin) sınıflandırmasına göre sınıflandırıldı. Hastaların yaşı, cinsiyeti, tanısı, kabul süresi, eğitim durumu, tedavi planlaması ve ebeveynlerin tedaviye ilişkin kararları bölgede mevcut tek el cerrahı tarafından değerlendirildi.

Bulgular: El cerrahisi kliniğine başvuran yaklaşık 1500 hastadan 0 ile 18 yaşları arasında çocuk el anomalisi olan 49 hasta çalışmaya dahil edildi. 49 hastanın 7'sinde edinsel ve 42'sinde konjenital el anomalisi vardı. En sık görülen konjenital anomali tetik parmak idi. Hastaların 11'i (%22.5) okul çağında, 12'si (%24.5) okul öncesi yaşta ve 26'sı (%53) 2 yaş ve altı bebeklik döneminde idi.

Sonuç: El anomalisi olan hastaların uygun zamanda uygun doktora ulaşmaları, deformitenin uygun zamanda tedavi olması, mevcut anomalinin çocuğun gelişimini engellememesi, deformitenin daha da büyümemesi ve bu bireylerin topluma erkenden kazandırılması açısından çok önemlidir. El cerrahisinin bölgede yeni bir oluşum olması, bu hastaların yan dal olan el cerrahisine yönlendirilmesi, ebeveynlerin bu yönde taleplerinin olması, halen planlanan ameliyatlarını bekleyen hastaların olması nedeniyle bölgede el cerrahın olması çok önemlidir ve bu nedenlerden dolayı hekim sayısının artırılması gerektiği kanaatindeyiz.

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Primary Language en
Subjects Orthopedics
Journal Section Research article
Authors

Orcid: 0000-0002-8135-1368
Author: Mehmet Rauf KOÇ
Institution: VAN YÜZÜNCÜ YIL ÜNİVERSİTESİ, TIP FAKÜLTESİ
Country: Turkey


Orcid: 0000-0003-4444-6939
Author: Sezai ÖZKAN (Primary Author)
Institution: VAN YÜZÜNCÜ YIL ÜNİVERSİTESİ, TIP FAKÜLTESİ
Country: Turkey


Orcid: 0000-0002-3652-6072
Author: Cihan ADANAŞ
Institution: VAN YÜZÜNCÜ YIL ÜNİVERSİTESİ, TIP FAKÜLTESİ
Country: Turkey


Supporting Institution YOK
Project Number YOK
Dates

Publication Date : January 2, 2020

Bibtex @research article { josam676938, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {71 - 75}, doi = {10.28982/josam.676938}, title = {Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia}, key = {cite}, author = {Koç, Mehmet Rauf and Özkan, Sezai and Adanaş, Cihan} }
APA Koç, M , Özkan, S , Adanaş, C . (2020). Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia . Journal of Surgery and Medicine , 4 (1) , 71-75 . DOI: 10.28982/josam.676938
MLA Koç, M , Özkan, S , Adanaş, C . "Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia" . Journal of Surgery and Medicine 4 (2020 ): 71-75 <http://jsurgmed.com/en/pub/issue/51597/676938>
Chicago Koç, M , Özkan, S , Adanaş, C . "Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia". Journal of Surgery and Medicine 4 (2020 ): 71-75
RIS TY - JOUR T1 - Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia AU - Mehmet Rauf Koç , Sezai Özkan , Cihan Adanaş Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.676938 DO - 10.28982/josam.676938 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 71 EP - 75 VL - 4 IS - 1 SN - -2602-2079 M3 - doi: 10.28982/josam.676938 UR - https://doi.org/10.28982/josam.676938 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia %A Mehmet Rauf Koç , Sezai Özkan , Cihan Adanaş %T Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 1 %R doi: 10.28982/josam.676938 %U 10.28982/josam.676938
ISNAD Koç, Mehmet Rauf , Özkan, Sezai , Adanaş, Cihan . "Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia". Journal of Surgery and Medicine 4 / 1 (January 2020): 71-75 . https://doi.org/10.28982/josam.676938
AMA Koç M , Özkan S , Adanaş C . Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia. J Surg Med. 2020; 4(1): 71-75.
Vancouver Koç M , Özkan S , Adanaş C . Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia. Journal of Surgery and Medicine. 2020; 4(1): 71-75.