{"id":14,"date":"2013-09-21T23:17:43","date_gmt":"2013-09-21T20:17:43","guid":{"rendered":"http:\/\/ertugrulsener.net\/?page_id=14"},"modified":"2022-02-17T12:56:00","modified_gmt":"2022-02-17T09:56:00","slug":"hastalara-bilgiler","status":"publish","type":"page","link":"http:\/\/ertugrulsener.net\/?page_id=14","title":{"rendered":"Hastalara Bilgiler"},"content":{"rendered":"<p><!-- [if gte mso 9]><xml>\n<o:OfficeDocumentSettings>\n<o:TargetScreenSize>800x600<\/o:TargetScreenSize>\n<\/o:OfficeDocumentSettings>\n<\/xml><![endif]--><\/p>\n<p><!-- [if gte mso 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Tablo\";\n\tmso-tstyle-rowband-size:0;\n\tmso-tstyle-colband-size:0;\n\tmso-style-noshow:yes;\n\tmso-style-priority:99;\n\tmso-style-parent:\"\";\n\tmso-padding-alt:0cm 5.4pt 0cm 5.4pt;\n\tmso-para-margin:0cm;\n\tmso-para-margin-bottom:.0001pt;\n\tmso-pagination:widow-orphan;\n\tfont-size:10.0pt;\n\tfont-family:\"Times New Roman\",\"serif\";}\n<\/style>\n\n\n\n<![endif]--><\/p>\n<p class=\"MsoNormal\" style=\"text-align: center;\" align=\"center\"><b style=\"mso-bidi-font-weight: normal;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00c7OCUKLARDA SPOR YARALANMALARI:<\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"text-align: center;\" align=\"center\"><b>\u00c7OCUKLARDA D\u0130Z YARALANMALARI:<\/b><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\" align=\"center\">\u00a0 \u00a0 \u00a0 Pediatrik ya\u015f grubunda g\u00f6zlenen diz yaralanmalar\u0131 s\u0131kl\u0131kla osteokondritis dissekans, diskoid menisk\u00fcs, eminensia tibialis k\u0131r\u0131klar\u0131, k\u0131smi veya total \u00f6n \u00e7apraz ba\u011f y\u0131rt\u0131klar\u0131, travmatik patella \u00e7\u0131k\u0131klar\u0131 ve MPFL yaralanmalar\u0131 olarak say\u0131labilir. Pediatrik ya\u015f grubunda uygulanan artroskopilerin en b\u00fcy\u00fck k\u0131sm\u0131, diz i\u00e7i patolojilere y\u00f6nelik yap\u0131lmaktad\u0131r.<b style=\"font-size: revert; text-align: center; color: initial; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif;\">\u00a0 \u00a0 \u00a0 \u00a0<\/b><\/p>\n<div style=\"text-align: justify;\">\n<p><b>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Osteokon<\/b><b>dritis<\/b><b>\u00a0dissekans<\/b>, en s\u0131k medial kondilin posterolateral kesiminde g\u00f6r\u00fclmekle birlikte, nadiren lateral kondilde de g\u00f6r\u00fclebildi\u011fi bildirilmektedir. Lezyonlar stabil ve anstabil olarak s\u0131n\u0131fland\u0131r\u0131l\u0131rken, stabil ve y\u00fck ta\u015f\u0131mayan yerle\u015fimli lezyonlar i\u00e7in konservatif tedavi \u00f6nerilmektedir. Anstabil lezyonlarda ise cerrahi tedavi s\u00f6z konusudur. Lezyon stabilitesinin de\u011ferlendirilmesinde alt\u0131n standart eklem artroskopisi ve MR d\u0131r.<\/p>\n<p>Tedavide bir\u00e7ok y\u00f6ntem kullan\u0131lmaktad\u0131r. Ayr\u0131lmam\u0131\u015f lezyonlarda delinme, serbest cisimlerin tespiti veya debridman\u0131, osteokondral transfer y\u00f6ntemleri ile sa\u011fl\u0131kl\u0131 eklem ve subkondral kemik elde edilmeye \u00e7al\u0131\u015f\u0131l\u0131r. Evre I lezyonlar konservatif olarak tedavi edilirken, evre II lezyonlar\u0131n tedavisinde ise drilleme ile ek olarak biyo-\u00e7\u00f6z\u00fcn\u00fcr vidalar ile tespit \u00f6nerilmektedir. Evre III lezyonlar benzer \u015fekilde drilleme ve biyo-\u00e7\u00f6z\u00fcn\u00fcr vida ile tedavi \u00f6nerilirken, evre 4 lezyonlarda ise tedavinin interfragmanter kompresyon sa\u011flayacak cihazlarla yap\u0131lmas\u0131 \u00f6nerilmektedir.\u00a0\u00c7ok b\u00fcy\u00fck boyuta sahip lezyonlarda debridman, mozaikplasti ve otolog kondrosit trasplantasyonu ile pediatrik ya\u015f grubunda da ba\u015far\u0131l\u0131 sonu\u00e7lar bildirilmi\u015ftir.<\/p>\n<p><b>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Diskoid lateral menisk\u00fcs<\/b>, lateral menisk\u00fcs\u00fcn normalden daha geni\u015f ve kal\u0131n olmas\u0131, tibial platoyu daha fazla \u00f6rtmesine yol a\u00e7an anatomik varyasyon olarak tan\u0131mlanmaktad\u0131r.\u00a0Belirti vermeyen diskoid menisk\u00fcsler, genel olarak tedavi gerektirmezler. Dizde tak\u0131lma veya atlama hissine neden olan anstabil diskoid menisk\u00fcsler ise cerrahi olarak tedavi edilirler.\u00a0Diskoid zeminde geli\u015fen y\u0131rt\u0131klar ise eri\u015fkin menisk\u00fcs y\u0131rt\u0131klar\u0131 prensipleri ile tedavi edilmelidir. Tedavide 6-8 mm. geni\u015fli\u011finde sa\u011flam ve stabil menisk\u00fcs elde edilene kadar soserizasyon ve vask\u00fcler zondaki y\u0131rt\u0131klar\u0131n tamiri ama\u00e7lanmaktad\u0131r.<\/p>\n<p>Pediatrik ya\u015f grubunda travmatik menisk\u00fcs y\u0131rt\u0131klar\u0131, eri\u015fkin ya\u015f grubuna g\u00f6re ve bu ya\u015f grubundaki di\u011fer travmatik eklem i\u00e7i yaralanmalara g\u00f6re daha az g\u00f6r\u00fclmektedir. Y\u0131rt\u0131klar\u0131n b\u00fcy\u00fck k\u0131sm\u0131, ligament\u00f6z yaralanma nedeniyle artroskopik giri\u015fim uygulanan hastalarda fark edilmektedir.<\/p>\n<p><b>\u00a0 \u00a0 \u00a0 \u00a0 Eminensia Tibialis k\u0131r\u0131klar\u0131<\/b>, pediatrik ya\u015f grubunda en s\u0131k artroskopik tedavi uygulama nedenlerinden birini te\u015fkil etmektedir.\u00a0Tespit i\u00e7in iki y\u00f6ntem kullan\u0131m g\u00f6rmektedir. Bunlar\u0131n birincisi k\u0131r\u0131\u011f\u0131n direkt kemik \u00fczerinden vida veya di\u011fer tespit materyalleri (emilebilir pin veya vida gibi) kullan\u0131larak tespiti, bir di\u011feri ise \u00f6n \u00e7apraz ba\u011f dokusunu kullanarak, s\u00fct\u00fcr veya s\u00fct\u00fcr-\u00e7apa sistemleri ile kemi\u011fin olmas\u0131 gerekti\u011fi yerine yerle\u015ftirilmesi \u015feklinde uygulanmaktad\u0131r.<\/p>\n<p>Son zamanlarda bildirilen serilerde, vida kullan\u0131lmadan, b\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131n\u0131n delinmedi\u011fi, s\u00fct\u00fcr-\u00e7apa sistemlerinin kullan\u0131ld\u0131\u011f\u0131 teknikler ile ba\u015far\u0131l\u0131 sonu\u00e7lar al\u0131nd\u0131\u011f\u0131 bildirilmi\u015ftir. Bu y\u00f6ntem, implant \u00e7\u0131kar\u0131lmas\u0131n\u0131 gerektirmemesi, b\u00fcy\u00fcme k\u0131k\u0131rda\u011f\u0131n\u0131 etkilememesi ve tespit esnas\u0131nda eminensian\u0131n daha da par\u00e7alanmas\u0131n\u0131n \u00f6nlenmesi a\u00e7\u0131s\u0131ndan avantajlara sahiptir.<\/p>\n<p><b>\u00a0 \u00a0 \u00a0 \u00a0Pediatrik \u00f6n \u00e7apraz ba\u011f yaralanmalar\u0131<\/b>. Pediatrik spor yaralanmalar\u0131n\u0131n en tart\u0131\u015fmal\u0131 konusu \u015f\u00fcphesiz pediatrik \u00f6n \u00e7apraz ba\u011f yaralanmalar\u0131n\u0131n tedavisi, zamanlamas\u0131, greft tipi ve tespit t\u00fcr\u00fcd\u00fcr. Bir taraftan \u00e7ocu\u011fun b\u00fcy\u00fcmesi, b\u00fcy\u00fcme k\u0131k\u0131rdaklar\u0131n\u0131n kapanmas\u0131 ve rehabilitasyona daha uyumlu bir hal almas\u0131, di\u011fer tarafta da \u00e7ocu\u011fun ileri derecede aktif olmas\u0131, dizini travmadan koruyamayacak olmas\u0131, dolay\u0131s\u0131yla k\u0131k\u0131rdak ve menisk\u00fcslerin zamanla daha fazla hasara u\u011frayacak olmas\u0131 sorun olu\u015fturabilecektir.<\/p>\n<\/div>\n<div style=\"text-align: justify;\"><\/div>\n<p style=\"text-align: center;\"><b style=\"mso-bidi-font-weight: normal;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00c7OCUKLARDA AYAK B\u0130LE\u011e\u0130 YARALANMALARI:<\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0<\/span>Pediatrik ya\u015f grubunda g\u00f6zlenen ayak bile\u011fi yaralanmalar\u0131, basit burkulmalardan, talusta osteokondritis dissekans, serbest cisim, artrofibrozis ve eklem i\u00e7i epifiz k\u0131r\u0131klar\u0131 gibi ciddi yaralanmalara kadar de\u011fi\u015fiklik g\u00f6sterebilmektedir.\u00a0<span style=\"mso-spacerun: yes;\">\u00a0<\/span>Eklemin k\u00fc\u00e7\u00fck olmas\u0131 nedeniyle n\u00f6rovask\u00fcler yap\u0131lara bas\u0131 olabilmekte ve basit yaralanmalarda dahi dola\u015f\u0131m bozuklu\u011fu g\u00f6r\u00fclebilmektedir.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><b style=\"mso-bidi-font-weight: normal;\">Talusta osteokondritis dissekans<\/b>, en s\u0131k cerrahi tedavi gerektiren ayak bile\u011fi problemidir. Klinik belirti ve bulgular\u0131 aras\u0131nda \u015fi\u015fme, a\u011fr\u0131, eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131nda azalma, kilitlenme ve y\u00fck verememe yer almaktad\u0131r.<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>Stabil, yer de\u011fi\u015ftirme ihtimali olmayan vakalar\u0131n hemen tamam\u0131 konservatif olarak tedavi edilirken, a\u011fr\u0131l\u0131, konservatif tedaviye diren\u00e7li vakalarda ise artroskopik drilleme \u00f6nerilmektedir. Ancak konservatif tedavi sonu\u00e7lar\u0131n\u0131n cerrahi uygulanan vakalara g\u00f6re daha k\u00f6t\u00fc sonu\u00e7land\u0131\u011f\u0131 bildirilmi\u015ftir. Ayak bile\u011fi artroskopisi, pediatrik ya\u015f grubunda s\u0131k uygulanmayan artroskopik tedavi gruplar\u0131ndan biridir.\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\"><span style=\"mso-tab-count: 1;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <\/span>Pediatrik ayakbile\u011fi k\u0131r\u0131klar\u0131nda artroskopi yard\u0131ml\u0131 tespit ile ba\u015far\u0131l\u0131 sonu\u00e7lar bildirilmektedir\u00a0Ancak bu k\u0131r\u0131klar\u0131n tedavisindeki temel sorun k\u0131r\u0131klar\u0131n rutin radyografiyle g\u00f6zden ka\u00e7abilmesidir. \u015e\u00fcphelenilen vakalarda bilgisayarl\u0131 tomografi istenilmelidir.\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: center;\"><b style=\"mso-bidi-font-weight: normal;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00c7OCUKLARDA KAL\u00c7A YARALANMALARI:<\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\"><span style=\"mso-tab-count: 1;\">\u00a0 \u00a0\u00a0<\/span>Olduk\u00e7a nadir olsa da \u00e7ocuk sporcularda femoroasetabuler s\u0131k\u0131\u015fma ve labrum y\u0131rt\u0131klar\u0131 g\u00f6r\u00fclebilmektedir. Tedavi edilmezlerse ileri ya\u015flarda fonksiyon ve i\u015f g\u00fcc\u00fc kayb\u0131na yol a\u00e7abilece\u011fi i\u00e7in <span style=\"mso-spacerun: yes;\">\u00a0<\/span>bu konular \u00fczerindeki ilgi gittik\u00e7e artmaktad\u0131r.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Kal\u00e7a artroskopisi, eri\u015fkinlerde labrum y\u0131rt\u0131klar\u0131, serbest cisim eksizyonu, osteoartrit, osteonekroz, kondral yaralanma ve enflamatuvar hastal\u0131klarda endike iken, \u00e7ocukluk ya\u015f grubunda labrum y\u0131rt\u0131klar\u0131, septik artrit, Legg-Calve-Perthes hastal\u0131\u011f\u0131 ve femur ba\u015f\u0131 epifiz kaymas\u0131 gibi hastal\u0131klarda kullan\u0131m alan\u0131 bulmaktad\u0131r. Sporcu ad\u00f6lesanlarda tan\u0131sal ama\u00e7l\u0131 olarak da kal\u00e7a artroskopisi kullan\u0131labilmektedir .<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\"><span style=\"mso-tab-count: 1;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span>\u0130zole labrum y\u0131rt\u0131klar\u0131, pediatrik ya\u015f grubunda kal\u00e7a a\u011fr\u0131s\u0131 nedenlerinden biridir. Bu y\u0131rt\u0131klar\u0131n b\u00fcy\u00fck k\u0131sm\u0131 \u00f6n tarafta yer almaktad\u0131r. Labral patolojilerin \u00e7o\u011fu konvansiyonel MR ile g\u00f6zden ka\u00e7abilmektedir. Bu hasta grubunda tan\u0131y\u0131 kesinle\u015ftirmek i\u00e7in intraartik\u00fcler kontrast <span style=\"mso-spacerun: yes;\">\u00a0<\/span>MR \u00e7ekilmesi \u00f6nerilmektedir. Literat\u00fcrde artroskopik tedavi ile y\u00fcksek oranda ba\u015far\u0131l\u0131 sonu\u00e7lar elde edilmi\u015ftir.<span style=\"mso-spacerun: yes;\">\u00a0 <\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\"><span style=\"mso-tab-count: 1;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/span>Femoroasetabuler s\u0131k\u0131\u015fma, ad\u00f6lesan sporcularda artroskopik olarak tedavi edilen bir di\u011fer hastal\u0131k grubunu te\u015fkil etmektedir. \u00d6zellikle CAM-tipi femoroasetabuler s\u0131k\u0131\u015fman\u0131n tedavisinde artroskopik kemik \u00e7\u0131k\u0131nt\u0131 eksizyonunun, a\u00e7\u0131k y\u00f6ntemler kadar etkili oldu\u011fu bildirilmi\u015ftir. Ancak pediatrik ya\u015f grubunda, epifizlerin a\u00e7\u0131k olan hastalarda ba\u015f-boyun bile\u015fkesine yap\u0131lan osteoplasti, perikondriyal halkada iyatrojenik yaralanma ve ikincil femur ba\u015f\u0131 epifiz kaymas\u0131 ile sonu\u00e7lanabilmektedir.<span style=\"mso-spacerun: yes;\">\u00a0\u00a0 <\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><br \/>\n<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: center;\"><b style=\"mso-bidi-font-weight: normal;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00c7OCUKLARDA OMUZ YARALANMALARI:<\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>\u00c7ocuklarda g\u00f6r\u00fclen omuz patolojilerinin b\u00fcy\u00fck k\u0131sm\u0131n\u0131 instabiliteler olu\u015fturmaktad\u0131r. \u0130nstabiliteler;<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>travmatik instabiliteler ve atravmatik \u00e7ok y\u00f6nl\u00fc instabiliteler \u015feklinde s\u0131n\u0131fland\u0131r\u0131lmaktad\u0131r. Tedavide konservatif veya cerrahinin bir di\u011ferine \u00fcst\u00fcnl\u00fc\u011f\u00fc \u00fczerine olduk\u00e7a az \u00e7al\u0131\u015fma ve kan\u0131t bulunmaktad\u0131r. Cerrahide ama\u00e7 eklem i\u00e7i hacmin azalt\u0131lmas\u0131 ve y\u0131rt\u0131k labrumun yerine tutturulmas\u0131d\u0131r. Be\u015f veya daha az say\u0131da \u00e7\u0131k\u0131k ge\u00e7irmi\u015f hastalar\u0131n artroskopi i\u00e7in daha uygun aday olduklar\u0131 bildirilmekle birlikte, daha fazla \u00e7\u0131k\u0131k ge\u00e7iren hastalarda a\u00e7\u0131k tamirin tekrarlama a\u00e7\u0131s\u0131ndan daha ba\u015far\u0131l\u0131 sonu\u00e7lar verdi\u011fi bildirilmektedir <\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00d6zellikle 11- 18 ya\u015f aras\u0131 hasta grubuna erken d\u00f6nemde artroskopik tamir \u00f6nerilmektedir. Tamirin de m\u00fcmk\u00fcn oldu\u011funca erken (ilk \u00e7\u0131k\u0131\u011f\u0131 takip eden 2 hafta i\u00e7inde) yap\u0131lmas\u0131yla daha ba\u015far\u0131l\u0131 sonu\u00e7lar bildirilmi\u015ftir. Ba\u015far\u0131<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>% 70 ile % 93 aras\u0131 de\u011fi\u015firken, hastalar\u0131n % 90 civar\u0131n\u0131n spora d\u00f6n\u00fc\u015f yapabildikleri, ancak buna ra\u011fmen ancak % 80\u2019i travma \u00f6ncesi performans seviyesine ula\u015fabildikleri bildirilmi\u015ftir.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0Travmatik omuz instabilitelerinin cerrahisindeki en \u00f6nemli sorunlar\u0131n ba\u015f\u0131nda ameliyat sonras\u0131 \u00e7\u0131k\u0131k, tekrarlama gelmektedir.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>\u00c7ok y\u00f6nl\u00fc instabilite (Multidirectional instability), her ne kadar \u00e7ocukluk \u00e7a\u011f\u0131 spor yaralanmalar\u0131 i\u00e7erisinde yer almasa da \u00e7ocuk sporcularda tedavi edilmesi gereken hastal\u0131k grubunu te\u015fkil etmektedir. \u00c7ok y\u00f6nl\u00fc instabilite, genellikle omuz ekleminin travma \u00f6yk\u00fcs\u00fc olmaks\u0131z\u0131n, posterior ve inferior y\u00f6nde instabil olmas\u0131 olarak tan\u0131mlanmaktad\u0131r. Konservatif tedavi ile stabil bir omuz ku\u015fa\u011f\u0131 elde etmek genellikle m\u00fcmk\u00fcn olmamaktad\u0131r. Sonu\u00e7ta semptomatik hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funa cerrahi tedavi gerekmektedir.\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00c7ocuklarda atma-f\u0131rlatma sporlar\u0131 ve ba\u015f \u00fczeri aktivitelerin sonucu olarak rotator man\u015fet patolojileri eri\u015fkinlere g\u00f6re \u00e7ok nadir g\u00f6r\u00fclmektedir.\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: center;\"><b style=\"mso-bidi-font-weight: normal;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00c7OCUKLARDA D\u0130RSEK YARALANMALARI:<\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>K\u00fc\u00e7\u00fck sporcu dirse\u011fi , f\u0131rlatma sporlar\u0131 yapan \u00e7ocuklarda kronik, tekrarlay\u0131c\u0131 valgus stresleri ile olu\u015fan hastal\u0131klar grubunu tan\u0131mlamaktad\u0131r. Nedenleri aras\u0131nda medial epikondilit, apofizit, osteokondritis dissekans gibi nedenler say\u0131labilmektedir Artrofibrozis, sinovit, ve posterior olekranon s\u0131k\u0131\u015fma da pediatrik ya\u015f grubunda g\u00f6zlenen di\u011fer eklem i\u00e7i patolojilerdir. \u00c7ocuklardaki iyile\u015fme kapasitesinin y\u00fcksek olu\u015fundan dolay\u0131 hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011fu konservatif tedavi edilmektedir. Ancak konservatif tedaviye diren\u00e7li vakalarda (en az 10 ay tedavi sonras\u0131) cerrahi<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>gerekmektedir.\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: center;\"><b style=\"mso-bidi-font-weight: normal;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00c7OCUKLARDA EL &#8211; EL B\u0130LE\u011e\u0130 YARALANMALARI:<\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\"><span style=\"mso-tab-count: 1;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>Spor kar\u015f\u0131la\u015fmas\u0131 esnas\u0131nda el \u00fczerine d\u00fc\u015fme ile radius distal u\u00e7 veya \u00f6nkol \u00e7ift k\u0131r\u0131klar\u0131, karpal k\u0131r\u0131klar ve instabiliteler, TFCC yaralanmalar\u0131 gibi yaralanmalar olduk\u00e7a s\u0131k g\u00f6zlenmektedir. K\u0131r\u0131klar\u0131n haricinde a\u015f\u0131r\u0131 kullanma veya anatomik yatk\u0131nl\u0131kla olu\u015fan TFCC yaralanmalar\u0131 s\u0131k olmamakla birlikte g\u00f6r\u00fclebilmektedir.<span style=\"mso-spacerun: yes;\">\u00a0 <\/span>TFCC patolojilerin b\u00fcy\u00fck k\u0131sm\u0131 konservatif tedaviye yan\u0131t vermekte ise de, konservatif tedaviye yan\u0131t vermeyen TFCC yaralanmalar\u0131nda, n\u00f6tral veya negatif unlar varyans durumunda artroskopi ba\u015far\u0131l\u0131 sonu\u00e7lar vermektedir<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><b style=\"mso-bidi-font-weight: normal;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00a0<\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><b style=\"mso-bidi-font-weight: normal;\"><span lang=\"TR\" style=\"font-size: 10.0pt;\">\u00a0<\/span><\/b><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7OCUKLARDA SPOR YARALANMALARI: \u00c7OCUKLARDA D\u0130Z YARALANMALARI: \u00a0 \u00a0 \u00a0 Pediatrik ya\u015f grubunda g\u00f6zlenen diz yaralanmalar\u0131 s\u0131kl\u0131kla osteokondritis dissekans, diskoid menisk\u00fcs, eminensia tibialis k\u0131r\u0131klar\u0131, k\u0131smi veya total \u00f6n \u00e7apraz ba\u011f y\u0131rt\u0131klar\u0131, travmatik patella \u00e7\u0131k\u0131klar\u0131 ve MPFL yaralanmalar\u0131 olarak say\u0131labilir. Pediatrik ya\u015f &hellip; <a href=\"http:\/\/ertugrulsener.net\/?page_id=14\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-14","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/ertugrulsener.net\/index.php?rest_route=\/wp\/v2\/pages\/14","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/ertugrulsener.net\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/ertugrulsener.net\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/ertugrulsener.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/ertugrulsener.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=14"}],"version-history":[{"count":14,"href":"http:\/\/ertugrulsener.net\/index.php?rest_route=\/wp\/v2\/pages\/14\/revisions"}],"predecessor-version":[{"id":240,"href":"http:\/\/ertugrulsener.net\/index.php?rest_route=\/wp\/v2\/pages\/14\/revisions\/240"}],"wp:attachment":[{"href":"http:\/\/ertugrulsener.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=14"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}