Quality and reliability of trigger finger youtube videos

Introduction. Orthopedic video contents published on YouTube are not scanned and do not go through an editorial evaluation process. It is important to determine the quality and content accuracy of health-related videos. Trigger finger is a common disease and the deterioration in quality of life. However, the quality, content and adequacy of YouTube videos as a source of information about this disease have not been evaluated. The aim of this study is to investigate the quality and adequacy of the medical content of the videos on YouTube about trigger finger disease. Methods. In September 2022, the phrase “trigger finger” was entered in the YouTube search bar and the 50 most watched videos were included in the study, provided that the language of the video was English. Who uploaded the videos, real or animated content, number of views, upload date, number of comments, number of like-dislikes and video length were recorded. 3 orthopedic surgeons and 1 hand surgeon watched the videos simultaneously and separately. JAMA, DISCERN and GQS scores were calculated. Results. Average length of 50 videos is 321 seconds, number of views is 244,150, number of days from upload date to evaluation date is 1,789 days, VPI was 94, view ratio was 300. The average scores of 4 different surgeons from the parameters used for the quality and relevance analysis of the videos: JAMA 2, DISCERN 36, and GQS 2. The scores of 4 different surgeons were statistically compatible with each other (p = 0.000). The interclass correlation coefficient (ICC) was 0.906 for the JAMA score, 0.889 for the DISCERN score, and 0.831 for the GQS score. Conclusions. YouTube videos about trigger finger were low quality and unreliable. In the light of our study and other studies, the possibility of high-quality and reliable videos for patients can be increased by the evaluation and inspection of videos present-ed by YouTube

Comparative analysis of percutaneous excision and radiofrequency ablation for osteoid osteoma

BACKGROUND This retrospective study aims to compare the efficacy of computed tomography-guided percutaneous excision and radiofrequency ablation in the treatment of osteoid osteoma. MATERIAL AND METHODS We evaluated 40 patients with osteoid osteoma who underwent either percutaneous excision or radiofrequency ablation between 2012 and 2015. The cohort consisted of 10 female and 30 male patients, with a mean age of 15.1 years (range: 4-27 years) and a mean follow-up time of 19.02 months (range: 11-39 months). Percutaneous excision was performed in 20 patients, while radiofrequency ablation was performed in the remaining 20 patients. RESULTS The success rates of percutaneous excision and radiofrequency ablation were comparable, with unsuccessful outcomes observed in 10% and 5% of patients, respectively. The reasons for failure in the percutaneous excision group were attributed to a marking error and incomplete excision of the wide-based nidus. Complications were limited to pathological fracture (n=1) and deep infection (n=1) in the percutaneous excision group, while no complications were encountered in the radiofrequency ablation group. CONCLUSIONS Both percutaneous excision and radiofrequency ablation demonstrate high success rates in treating osteoid osteoma. However, radiofrequency ablation offers the advantage of a quicker return to daily activities without the need for activity restrictions or splints. While being a more cost-effective option, percutaneous excision should be considered cautiously to minimize potential complications

What every spine surgeon should know about transforaminal lumbar interbody fusion surgery for herniated discs

WOS: 000462975000017PubMed ID: 30565176PurposeThe aim of this study is to report our experiences on managing large lumbar disc herniations with several symptoms by surgery with transforaminal lumbar interbody fusion (TLIF) and to shed light for spine surgeons about TLIF surgery.MethodsWe retrospectively evaluated our database of patients with various lumbar spine pathologies who underwent TLIF surgery from 2014 to 2017. We separated 18 patients who had been operated on for extruded disc herniation, which causes severe pain and radicular symptoms. The pain was quantified by visual analog scores (VAS). The disability status were pre-operatively and post-operatively evaluated by the Oswestry Disability Index (ODI). We evaluated the patients for at least two years. Interbody fusion was detected by routine radiographs at six, 12, and 24months after surgery.ResultsAn ODI outcomes analysis demonstrated a statistically significant improvement in the six and 24-month mean scores compared with the pre-operative scores on the same scales. Patients' mobility improved significantly after surgery, as indicated by the decrease in the Oswestry Disability Index from 72 to 23 over twoyears (p<0.001). Pain rapidly decreased in all patients and continued to decrease at the time of the latest follow-up. The mean pre-operative VAS scores for pain was 8.8; it had improved to 2.4 after surgery (p<0.05). Within the follow-up period of twoyears, the ascertained mean VAS declined from 8.8 to 1.4 (p<0.001). The average disc space height at the herniated levels was fairly well maintained. No patient had evidence of implant failure. Interbody fusion was graded as definitely solid in 100% of cases twoyears post-operatively. One patient displayed a superficial wound infection. Following appropriate debridement and antibiotics, the wound healed without sequelae. No major complications were observed, including permanent neurological deficit, pulmonary embolism, peri-operative cardiac event, or death.ConclusionsThe findings of our study and those in the literature showed that primary herniated disc patients with radicular and chronic low back pain, degenerative changes, bi-radicular symptoms, and instability are required to have fusion after a discectomy. Being a heavy-duty worker is also a criterion for fusion surgery. TLIF is performed by a unilateral approach preserving the interlaminar surface on the contralateral side, which can be used as a site for additional fusion. As an effective results TLIF procedure should be chosen for fusion surgery

Application of vac in type III open fractures

WOS: 000445434700007Aim: Functional results of patients with Type III open long bone fractures treated with vacuum-assisted closure (VAC) and approximating sutures were evaluated. Material and Method: A total of 21 patients (4 female, 17 male with a mean age of 27 years, range: 3-64 years) with Gustilo-Andersen Type 3 open fracture were included in the study. The mean follow-up period was 25.67 months (range, 9-52 months). Thirteen patients had Type IIIB and eight patients had Type IIIC open fractures. Following a large debridement and irrigation in an operating room setting, wound dimensions were measured. Subsequently, VAC was applied. During the application, skin traction sutures were applied over the vacuum sponge. During the last dressing change in which a dean granulation tissue was obtained, the wound was closed following the measurement of its dimensions. Wound dimensions measured during the large debridement in the operating room were compared with the wound dimensions measured after the final VAC application. Results: Mean duration between trauma and operation was 7.57 hours (range, 2-23 hours). The wound was closed with delayed primary suturing in seven patients. In the remaining 14 patients, wound dimensions measured following the last VAC application were found to be decreased with a mean of 40.02% (range, 20-60%). Seven patients underwent a skin graft, two had a free flap application, four had a fasciocutaneous flap, and one had a fasciocutaneous flap + graft application. Two patients underwent revision operations for graft failure. Five patients (23.8%) developed a deep wound infection. The infections resulted in osteomyelitis in two patients (9.5%). Discussion; VAC application together with skin traction sutures in Type IIIB and C open fractures decreases wound size dimension of a graft or flap to be applied. Also it may reduce the requirement for secondary interventions

A rare case of misdiagnosis: Sacrococcygeal osteoid osteoma that was treated surgically as a pilonidal sinus in a pediatric patient

WOS: 000458752400030Background. We report a misdagnosed pediatric case of osteoid osteoma in sacrococcygeal region. Previously it was said by general surgery that the source of pain was the pilonidal sinus and was therefore operated. A CT scan was taken and showed that the patient had sacrococcygeal osteoid osteoma which nidus was very close the right S4 spinal root. The lesion was therefore marked on CT scans and resected by performing an open surgery. Methods. This report reviewed the patient's medical records, imaging studies, treatment, and related literature. Results. Our patient, who had a continuous pain for 2 years, applied to our orthopedic clinic due to aches and pain at sacrococcygeal region. The characteristic clinical symptom was nocturnal pain especially night that decreases or resolves completely with salicylates. Previously it was said by general surgery that the source of pain was the pilonidal sinus and was therefore operated. Our patient who had no decrease pain after surgery was advised to use salicylate which resulted in dramatic responses. A CT scan was taken and showed that our patient had sacrococcygeal osteoid osteoma which nidus was very close the right S4 spinal root. The lesion was therefore marked on CT scans and resected by performing a mini-open surgery. Conclusion. Osteoid osteoma is a benign tumor of bone, especially in children and young adults. Often seen in the lower bones of the lower extremity, the sacral vertebra is very rare and causes severe localized pain at night. When such a chart is encountered in children and young adults, osteoid osteoma should be considered carefully in the differential diagnosis

The Effectiveness of Video-Based Game Exercise Therapy Applications in Pes Planus Rehabilitation: Protocol for a Randomized Controlled Trial

BackgroundPes planus is one of the most common foot deformities. Although there are many studies on the effectiveness of various exercise methods in pes planus rehabilitation, the number of studies on video-based game exercise therapy applications is very limited. ObjectiveThis study aims to evaluate the effectiveness of 2 video-based game exercise therapies and structured exercise practices in pes planus rehabilitation. MethodsThis study is a 3-arm, parallel-group, single-blinded randomized controlled trial. The study will include 69 patients with flexible pes planus aged between 18 and 25 years who attend the orthopedics and traumatology clinic and meet the inclusion criteria. The primary outcomes are measures of navicular drop and pedobarographic analysis before and after the intervention, and the secondary outcomes include balance, femoral anteversion, and lower extremity muscle strength. Participants will be evaluated with a navicular drop test for medial longitudinal arch height, a pedobarographic analysis system for plantar pressure analysis, a Craig test for femoral anteversion, the Becure Balance System for balance measurement, and a myometer device for lower extremity muscle strength measurement. Participants will be randomly assigned to a structured exercise group, an exergame group, or a serious game group according to their order of arrival. The structured exercise group will use a short foot exercise, a towel-picking exercise, and various walking and balance exercises. Patients in the serious play group will play the lower extremity games in the Becure Balance System. Patients in the exergame group will play balance games on the Nintendo Wii game console. All participants will participate in 18 exercise sessions (3 days a week for 6 weeks). After the treatment, the initial measurements will be repeated. ResultsThe study started in January 2023. It is expected to be completed in June 2024. ConclusionsThis study will be the first randomized controlled study to evaluate the effectiveness of 2 different video-based game exercise therapy applications in pes planus rehabilitation. Through this study, the use of video-based game exercise therapy in pes planus rehabilitation, together with the developing technology, will be a guide. In addition, a new exercise protocol, including serious game exercises, will be added to the literature. In the future, it is expected that our study on the development of different game systems, especially for the ankle, will provide pioneering feedback. Trial RegistrationClinicalTrials.gov NCT05679219; https://clinicaltrials.gov/study/NCT05679219 International Registered Report Identifier (IRRID)DERR1-10.2196/5177

Is it difficult to dominate the coronal and sagittal planes in convex rod rotation technique? The effect of the ucar convex rod rotation technique

WOS: 000433244300009PubMed ID: 29899772Study Design: Prospective multicenter study. Objective: To analyze the effect of the Ucar convex rod rotation technique on coronal and sagittal correction in the treatment of Lenke type I adolescent idiopathic scoliosis. Summary of Background Data: Various common curve correction techniques were used in scoliosis. This report describes the efficacy of the global vertebral correction technique with convex rod rotation. Materials and Methods: A total of 28 consecutive patients with Lenke type I adolescent idiopathic scoliosis managed with Ucar convex rod rotation technique between October 2012 and September 2015 were included. The average patient age was 14.8 years at the time of surgery. Measurements of curve magnitude and balance were made on standing anteroposterior, and lateral radiographs were taken before surgery, postoperatively, and at the last follow-up to assess deformity correction, spinal balance, and complications related to instrumentation. Results: The average preoperative main thoracic angle was 64.8 degrees and was decreased to 15.5 degrees postoperatively. The average preoperative T4-T12 thoracic kyphosis was 19.6 degrees and was improved to 24.8 degrees. All patients had mildly imbalanced or balanced shoulders at the final follow-up. Conclusion: Correction rates in the coronal and sagittal planes were as acceptable as those achieved with conventional methods

Is there a relation between plantar fasciitis and total cholesterol levels?

Background: The main objective of this study is to investigate the relationship between hypercholesterolemia and Plantar Fasciitis (PF). Methods: The study includes patients who presented to the orthopedics outpatient clinic with heel pain and were diagnosed with PF. The control group was composed of patients who came to the orthopedics outpatient clinic, with complaints other than heel pain. The two groups were compared in terms of epidemiological data, total cholesterol (TC) levels, and hypercholesterolemia prevalence. We also performed an in-group analysis of PF patients in terms of age, sex, body mass index, and duration of symptoms. Results: There were 238 patients (mean age, 46.7) in the PF group and 240 patients (mean age, 47.9) in the control group. There was a significant difference between the PF group and the control group in TC levels (207.6 +/- 47.5 versus 195.1 +/- 30.1, p = 0.001). Hypercholesterolemia (TC level > 240 mg/dL) was found in 22.7% (n = 54) of the patients in the PF group whereas in the control group this rate was 10.8% (n = 26) (p < 0.001). It was seen that the TC levels were significantly higher in patients over the age of 45 in the PF group (p = 0.038). We also found that TC levels were higher in PF patients with symptoms for longer than a year (p = 0.026). Conclusion: Significantly higher TC levels were found in PF patients in comparison with other orthopedic outpatients. Besides, being over the age of 45 and having a duration of symptoms longer than a year is associated with higher cholesterol levels for PF patients

Acute carpal tunnel syndrome secondary to amyloidosis

Introduction. ACTS secondary to amyloidosis is a very rare situation in the literature, and here, we present a unique case of ACTS secondary to amyloidosis. Case Report. A 61-year-old male patient was admitted to our hospital with complaints of numbness in the lateral half of his 1, 2, 3, and 4 fingers of his right hand. These complaints started acutely, and the patient did not have a history of trauma. His clinical examination was suitable for acute carpal tunnel syndrome. Discussion. Carpal tunnel syndrome, as well as acute carpal tunnel syndrome, may occur based on different causes. ACTS is very rare, especially when it is not caused by a trauma. Here, we presented a unique case of ACTS based on amyloidosis. Conclusion. It should be kept in mind when ACTS may occur in patients with the diagnosis of amyloidosis