Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Radius-Ulna Distal Epifiz Hatlarının El Dominansisi Açısından Değerlendirilmesi: 4 Yıllık Retrospektif Özgün Araştırma
The Evaluation of Radius-Ulna Distal Epiphyses in Terms of Hand Dominance: Retrospective Original Research for 4 Years
Yusuf ATANa , Aysun BARANSEL ISIRb , Murat AKBABAb , Zekeriya TATAROĞLUc , Feyza GELEBEKd , Hikmet Ergin DÜLGERe
aBilecik Şeyh Edebali Üniversitesi Tıp Fakültesi, Adli Tıp ABD, Bilecik, Türkiye
bGaziantep Üniversitesi Tıp Fakültesi, Adli Tıp ABD, Gaziantep, Türkiye
cKonya Şehir Hastanesi, Adli Tıp Kliniği, Konya, Türkiye
dGaziantep Üniversitesi Tıp Fakültesi, Radyodiagnostik ABD, Gaziantep, Türkiye
eAdli Tıp Kurumu İzmir Grup Başkanlığı, İzmir, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2024;21(3):150-5
doi: 10.5336/forensic.2024-103778
Article Language: TR
Full Text
ÖZET
Amaç: Genetik ve genetik dışı birçok faktör kemik gelişimi ve morfolojisi üzerinde etkilidir. Adli bilimlerde kemik yaşı tespiti, kişinin morfolojik özellikleri ile birlikte vücudun belli kısımlarının direkt grafilerinin çekilerek bu bölgelerdeki kemik yapıların incelenmesi ve rutin adli tıp uygulamalarında kullanılan atlaslardaki karşılığına göre yapılır. Bu çalışmada, adli bilimlerin en temel konularından biri olan yaş tespitinde el dominansisinin kemik yaşı üzerindeki etkisinin irdelenmesi amaçlanmıştır. Gereç ve Yöntemler: Yaş tespiti açısından rapor düzenlenen 62 olgunun radius ve ulna kemiklerinin distal epifiz hatları; kemik yaşı açısından bilateral mukayese edilerek cinsiyet, başvuru nedeni, gebelik durumu ve el dominansisine göre irdelendi. Elde edilen veriler SPSS for Windows 24.0 sürümü ile istatistiksel olarak analiz edildi. p değerinin 0,05'in altında olduğu durumlar istatistiksel olarak anlamlı sonuçlar şeklinde değerlendirildi. Bulgular: Olguların 58'i (%93,5) kadın, 4'ü (%6,5) erkekti. En sık başvuru nedeni (%58,1) erken yaşta evlilik idi. Yüzde 56,9'unun öz geçmişinde gebelik öyküsü mevcuttu. Olguların %48,4'ünde her iki el bileğindeki kemik yaşı benzer saptandı. Gebeliği olmayan vakaların %62,5'inde her iki el bileğindeki kemik yaşı aynı bulundu (p=0,005). Sonuç: Çalışmada el dominansisine göre radius ve ulna kemik yaşları arasında istatistiksel olarak her ne kadar anlamlı farklılık saptanmasa da direkt grafi çekilerek kullanılan yaş tespiti yönteminde dominant elin kullanılmaması gerektiğinin önemi saptanmış ve bu konuda çözüm önerileri belirtilmiştir.

Anahtar Kelimeler: Kemik yaşı; el dominansisi; gebelik; adli tıp
ABSTRACT
Objective: Many genetic and non-genetic factors affect bone development and morphology. Bone age determination in forensic sciences is made by evaluating the morphological characteristics, as well as by taking radiographs of certain parts of the body, examining the bone structures, and according to the atlases used in forensic medicine practices. It is aimed to examine the effect of hand dominance on bone age in age determination. Material and Methods: Distal epiphyses of radius and ulna bones of 62 cases for which age determination was examined; they were compared bilaterally in terms of bone age and examined according to gender, reason for admission, pregnancy status and hand dominance. The data obtained was analyzed statistically with SPSS for Windows 24.0 version. A p-value of less than 0.05 was considered to show a statistically significant result. Results: 58 cases (93.5%) were female and 4 cases (6.5%) were male. The most common origin (58.1%) was early marriage. There was a history of pregnancy in 56.9% of the cases. In 48.4% of the cases, the bone age in both wrists was found to be similar. In 62.5% of cases without pregnancy, the bone age in both wrists was found to be the same (p=0.005). Conclusion: Although no statistically significant difference was found between radius and ulna bone ages according to hand dominance in the study, it was determined that the dominant hand should not be used in the age determination method used by direct radiography, and solution suggestions were stated on this issue.

Keywords: Bone age; hand dominance; pregnancy; forensic medicine
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