{"id":1441,"date":"2019-10-01T12:09:15","date_gmt":"2019-10-01T09:09:15","guid":{"rendered":"http:\/\/www.drozgurcetik.com\/?p=1441"},"modified":"2023-03-25T02:46:04","modified_gmt":"2023-03-24T23:46:04","slug":"tarsal-koalisyon","status":"publish","type":"post","link":"https:\/\/www.drozgurcetik.com\/en\/tarsal-koalisyon\/","title":{"rendered":"Tarsal Koalisyon"},"content":{"rendered":"\n

Tarsal koalisyon nedir ?<\/strong><\/p>\n

Tarsal koalisyon iki veya daha fazla ayak kemi\u011fi aras\u0131nda do\u011fu\u015ftan olu\u015fan anormal ba\u011flant\u0131ya denir.\"\"<\/p>\n

En s\u0131k g\u00f6r\u00fclen tarsal koalisyon t\u00fcr\u00fc; Talus ve kalkaneus kemi\u011fi aras\u0131nda(talokalkaneal) ve Kalkaneus ve navik\u00fcla kemi\u011fi aras\u0131nda (Kalkaneonavik\u00fcler) \"\"<\/strong> olmakla birlikte ayak kemikleri aras\u0131nda farkl\u0131 yap\u0131\u015f\u0131kl\u0131klarda g\u00f6r\u00fclmektedir.<\/p>\n

Tarsal Koalisyon g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 nedir?<\/strong><\/p>\n

Toplumdaki insanlar\u0131n   %0.03- 1’inde Tarsal Koalisyon g\u00f6r\u00fclmektedir.<\/p>\n

Tarsal koalisyonun nedeni nedir ?<\/strong><\/p>\n

Tarsal koalisyonun kesin  nedeni bilinmemektedir. \u00c7ocu\u011fun anne karn\u0131ndaki geli\u015fimi esnas\u0131nda olu\u015ftu\u011fu bilinmektedir. Genetik ge\u00e7i\u015f bildirilmi\u015ftir. Tarsal koalisyon saptanan hastada di\u011fer ayakta da g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 %50-60 d\u0131r.<\/p>\n

Tarsal koalisyon ka\u00e7 tiptir?<\/strong><\/p>\n

Tarsal koalisyon kemikler aras\u0131ndaki yap\u0131\u015f\u0131kl\u0131\u011f\u0131n fibroz ve k\u0131k\u0131rdak doku(yumu\u015fak doku) ve kemik doku olmas\u0131na g\u00f6re iki tipe ayr\u0131l\u0131r.<\/p>\n

Tarsal Koalisyonda \u015fikayet nedir?<\/strong><\/p>\n

Tarsal koalisyon do\u011fumsal bir hastal\u0131k olmas\u0131na kar\u015f\u0131n bebeklik d\u00f6neminde \u015fikayete yol a\u00e7maz, hastalar genellikle 12- 16 ya\u015flar\u0131 aras\u0131nda a\u011fr\u0131 nedeni ile doktora gelir. A\u011fr\u0131 tarsal koalisyonun yerine g\u00f6re farl\u0131l\u0131klar g\u00f6sterir. \u00c7ocuk spor yapt\u0131ktan sonra, \u00f6zellikle engebeli arazide ko\u015ftuktan sonra a\u011fr\u0131 ortaya \u00e7\u0131kar. \u00c7ocuk b\u00fcy\u00fcd\u00fck\u00e7e d\u00fcztabanl\u0131\u011f\u0131nda ilerlemede olu\u015fabilir.<\/p>\n

Tarsal Koalisyonda fizik muayene bulgular\u0131 nelerdir ?<\/strong><\/p>\n

Ana muayene bulgusu d\u00fcztabanl\u0131\u011f\u0131 bulunan hastada baz\u0131 ayak bilek kemikleri aras\u0131ndaki eklem hareketinin azalmas\u0131d\u0131r. En \u00f6nemli bulgu \"\"normal ayaklarda hasta parmak ucun y\u00fckseldi\u011finde topuk kemi\u011fi bir miktar i\u00e7e d\u00f6ner. Tarsal koalisyon varl\u0131\u011f\u0131nda topuk kemi\u011findeki bu i\u00e7e d\u00f6nme ger\u00e7ekle\u015fmez.<\/strong>  Tarsal koalisyonlu hasta ayak d\u0131\u015f kenar\u0131na basarak y\u00fcr\u00fcyemez.<\/p>\n

Tarsal koalisyonda tan\u0131 nas\u0131l konulur?<\/strong><\/p>\n

Fizik muayene bulgular\u0131 ile tarsal koalisyondan \u015f\u00fcphelenilir. Ancak bunun radyolojik g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri ile kesinle\u015ftirilmesi gerekir. E\u011fer fibr\u00f6z veya k\u0131k\u0131rdak tarsal koalisyon var ise r\u00f6ntgen ile tan\u0131 konulamaz, fibr\u00f6z koalisyonda kesin tan\u0131 MR ile konulur. K\u0131k\u0131rdak tarsal koalisyonda  10 ya\u015f\u0131ndan \u00f6nce r\u00f6ntgende tan\u0131 konulmas\u0131 zordur, 10-12 ya\u015f\u0131ndan sonra k\u0131k\u0131rdak doku kemikle\u015fmeye ba\u015flad\u0131\u011f\u0131nda r\u00f6ntgen bulgusu belirgin hale gelir. Bu nedenle 10 -12 ya\u015f\u0131ndan \u00f6nce a\u011fr\u0131 \u015fikayeti ile doktora gelen hastalarda tan\u0131 koymak zor olabilir. Bu hastalarda takip devam ettirilmeli bunun 10-12 ya\u015f\u0131ndan sonra belirginle\u015febilece\u011fi aileye anlat\u0131lmad\u0131r.<\/p>\n

Tarsal koalisyonun tedavisi nedir ?<\/strong><\/p>\n

Ayak a\u011fr\u0131s\u0131 ile gelen \u00e7ocuklarda \u00f6ncelikli tedavi \u00f6zel yap\u0131m tabanl\u0131klar veya ayakkab\u0131lard\u0131r. E\u011fer a\u011fr\u0131 azal\u0131yorsa ba\u015fka bir tedaviye gerek yoktur. Yeterli olmaz ise cerrahi tedavi gerekir. Cerrahi tedavide kemikler aras\u0131ndaki yap\u0131\u015f\u0131kl\u0131k kesilerek \u00e7\u0131kart\u0131l\u0131r. E\u011fer  2 kemik aras\u0131ndaki yap\u0131\u015f\u0131kl\u0131k eklem y\u00fczeyinin %50 sinden az ise, kemi\u011fin \u00e7\u0131kar\u0131lmas\u0131 \u015fikayetleri azalt\u0131r. %50 den fazla ise o zaman cerrahi tedaviden ka\u00e7\u0131nmak gerekir, a\u011fr\u0131 ge\u00e7miyor ise kemikleri dondurmak (artrodez) iyi bir se\u00e7enek olabilir.<\/p>\n

\u015eikayete yol a\u00e7mayan tarsal koalisyonda tedaviye gerek yoktur.<\/p>\n","protected":false},"excerpt":{"rendered":"

<\/p>\n","protected":false},"author":1,"featured_media":1444,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[21,1],"tags":[],"class_list":["post-1441","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guncel-konular","category-hastalar-icin-genel-bilgiler","loop-entry clr"],"yoast_head":"\nTarsal Koalisyon - Prof. Dr. Özgür ÇET\u0130K<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.drozgurcetik.com\/tarsal-koalisyon\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tarsal Koalisyon - Prof. Dr. Özgür ÇET\u0130K\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.drozgurcetik.com\/tarsal-koalisyon\/\" \/>\n<meta property=\"og:site_name\" content=\"Prof. Dr. Özgür ÇET\u0130K\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/drozgurcetik\" \/>\n<meta property=\"article:published_time\" content=\"2019-10-01T09:09:15+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-24T23:46:04+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.drozgurcetik.com\/wp-content\/uploads\/tarsal_3.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"404\" \/>\n\t<meta property=\"og:image:height\" content=\"338\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Prof. Dr. \u00d6zg\u00fcr \u00c7ET\u0130K\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@PrfDrOzgurCetik\" \/>\n<meta name=\"twitter:site\" content=\"@PrfDrOzgurCetik\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Prof. Dr. \u00d6zg\u00fcr \u00c7ET\u0130K\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.drozgurcetik.com\\\/tarsal-koalisyon\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.drozgurcetik.com\\\/tarsal-koalisyon\\\/\"},\"author\":{\"name\":\"Prof. Dr. \u00d6zg\u00fcr \u00c7ET\u0130K\",\"@id\":\"https:\\\/\\\/www.drozgurcetik.com\\\/en\\\/#\\\/schema\\\/person\\\/90cbe12043ccfbeeea1b5095173b8263\"},\"headline\":\"Tarsal Koalisyon\",\"datePublished\":\"2019-10-01T09:09:15+00:00\",\"dateModified\":\"2023-03-24T23:46:04+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.drozgurcetik.com\\\/tarsal-koalisyon\\\/\"},\"wordCount\":534,\"publisher\":{\"@id\":\"https:\\\/\\\/www.drozgurcetik.com\\\/en\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.drozgurcetik.com\\\/tarsal-koalisyon\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.drozgurcetik.com\\\/wp-content\\\/uploads\\\/tarsal_3.jpg\",\"articleSection\":[\"Current Issues\",\"General Information for Patients\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.drozgurcetik.com\\\/tarsal-koalisyon\\\/\",\"url\":\"https:\\\/\\\/www.drozgurcetik.com\\\/tarsal-koalisyon\\\/\",\"name\":\"Tarsal Koalisyon - 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