Poland sendromlu bir olguda �st ekstremite kas zay�fl���

�al�k K�t�kc�, Ebru; Vardar Ya�l�, Naciye; �nal �nce, Deniz; Sa�lam, Melda; Ar�kan, H�lya; G�ne� Yal��n, Ebru

Cilt : 3 Say� : 1 Y�l : 2024

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Poland sendromlu bir olguda �st ekstremite kas zay�fl�� [Respir Case Rep]

Respir Case Rep. 2014; 3(1): 66-70 | DOI: 10.5505/respircase.2014.68442

Poland sendromlu bir olguda �st ekstremite kas zay�fl��

Ebru �al�k K�t�kc�¹, Naciye Vardar Ya�l�¹, Deniz �nal �nce¹, Melda Sa�lam¹, H�lya Ar�kan¹, Ebru G�ne� Yal��n²
¹Hacettepe �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Fizyoterapi Ve Rehabilitasyon B�l�m�
²Hacettepe �niversitesi, T�p Fak�ltesi, �ocuk Sa�l�� Ve Hastal�klar� Anabilim Dal�, G��s Hastal�klar� �nitesi

Poland sendromu, pektoralis major kas�n�n k�smen veya tamamen yoklu�u ile karakterize nadir g�r�len bir sendromdur. Bu �al��mada; 13 ya��nda Poland sendromu tan�l� olgu klinik, laboratuar ve fonksiyonel �zellikleri ile sunulmaktad�r. Olgunun sa� taraf pektoral kas hipoplazisi yan�nda brakidaktilisi vard�. Solunum fonksiyonlar� ve solunum kas kuvveti normal s�n�rlardayd�. Akci�er grafisi normal olarak izlendi. El dinamometresi ile �st ekstremite kaslar�nda (omuz abdukt�r, horizontal addukt�r, horizontal abdukt�r, dirsek fleks�r kaslar� ve el kavrama) kuvvet kayb� saptand�. Post�r analizinde, hastan�n orta �iddetli post�r bozukluklar� oldu�u bulundu. Poland sendromu, g�r�n�m defektine ek olarak ayn� zamanda kas zay�fl��, postural deformiteler ve egzersiz kapasitesinde azalma gibi fonksiyonel etkilere yol a�abilmektedir.

Anahtar Kelimeler: Poland anomalisi, pektoral kas, kas kuvveti dinamometreleri, kas kuvveti, solunum kaslar�

Upper extremity muscle weakness in a case with Poland syndrome

Ebru �al�k K�t�kc�¹, Naciye Vardar Ya�l�¹, Deniz �nal �nce¹, Melda Sa�lam¹, H�lya Ar�kan¹, Ebru G�ne� Yal��n²
¹Hacettepe University, Faculty Of Health Sciences, Department Of Physiotherapy And Rehabilitation
²Hacettepe University, Faculty Of Medicine, Department Of Pediatry, Unit Of Pediatric Chest Diseases

Poland syndrome is a rare genetic disorder characterized by a partial or total absence of the pectoralis major muscle. In this study, a case of a 13-year-old diagnosed with Poland syndrome is presented with clinical, laboratory, and functional findings. The case presented with brachydactyly and right side pectoral muscle hypoplasia. The respiratory functions and respiratory muscle strength were within normal limits. Chest X-ray was normal. The loss of strength in the upper extremity muscles (shoulder abductors, horizontal adductors, horizontal abductors, elbow flexors, and hand grip) was determined with a hand-held dynamometer. The posture analysis revealed that the patient had moderate to severe postural disorders. In addition to the appearance defect, Poland syndrome can also lead to functional effects such as muscle weakness, postural deformities, and decrease in the exercise capacity at the same time.

Keywords: Poland anomaly, pectoralis muscle, muscle strength dynamometers, muscle strength, respiratory muscles

Sorumlu Yazar: Ebru �al�k K�t�kc�, T�rkiye
Makale Dili: T�rk�e

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H�zl� Arama

Poland sendromlu bir olguda �st ekstremite kas zay�fl���

Upper extremity muscle weakness in a case with Poland syndrome

Poland sendromlu bir olguda �st ekstremite kas zay�fl��