Comparison of four different immobilization methods in the treatment of tendinous mallet finger injury

BACKGROUND: Although there is consensus that closed tendinous mallet finger injuries should be treated conservatively, the best method of immobilization to be used is not clear and the existing data in the literature are not conclusive. The aim of this study is to compare the results of four different immobilization methods used in the conservative treatment of tendinous mallet finger injury

Intraneural angioleiomyoma of the median nerve presenting as a forearm mass: A case report

Angioleiomyoma is a solitary form of leiomyoma which is typically encountered in the subcutis. They are mostly seen in lower extremities, and the upper extremity is the second most common location for these lesions. There are only a few reports about the presence of an angioleiomyoma within a peripheral nerve in the upper extremity. Here we report a 56-year-old male patient who was referred to our clinic after an attempt was made for removal of a forearm mass at another institution. The lesion was encased within the median nerve and there was an unusual hypervascularity around the tumor with numerous vessels entering the lesion. Removal of the tumor without apparent damage to nerve fascicles was possible. Histopathological examination of the excision material revealed an intraneural angioleiomyoma. Following surgery, the patient was free of any functional deficits and no evidence of recurrence was observed at one year follow-up. There is no data regarding recurrence in intraneural lesions due to the lack of a large series. It would not be wrong to recommend spare grossly uninvolved fascicles if the nerve in question is not expendable. (C) 2018 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V

GENDER ASSIGNMENT SURGERY

In the treatment of sexual identity disorders, a series of surgeries are performed according to the need to change the body appearance and physical functions of the patients in order to obtain a similar appearance to the physical characteristics of the desired gender. It is necessary to have general information about these surgeries, to inform patients, to make treatment plans and guide them. This article summarizes general information about gender reassignment surgeries

A distinctive presentation of diplopodia: a Y-metatarsal combining the extra foot and the extra digit of the main foot.

Diplopodia is a rare congenital anomaly and has been described as extra digits, metatarsals, and tarsal bones that form an extra foot or foot-like structure. Various skeletal deformities and anomalies involving other organ systems can accompany diplopodia. Treatment consists of surgery, splinting, and physical therapy, planned according to each patient's specific condition. We present a patient who had diplopodia with distinctive anatomic features (with postaxial polydactyly and without any anomaly of the tibia or fibula) compared with the previously reported cases, and concomitant anomalies, including left renal agenesis and anal atresia. (C) 2013 by the American College of Foot and Ankle Surgeons. All rights reserved

Mass Housing: User Satisfaction in Housing and its Environment in Istanbul, Turkey

Individuals' views of residential areas and the physical and social features of the environment are influenced by their individual characteristics, life quality and other requirements. Research on user satisfaction in housing and environment has become a dynamic and complex field of study. In this study, in order to assess the factors that improve satisfaction with housing and environmental quality, both the concepts of housing and its environment, and the subject of housing and environmental quality satisfaction have been investigated. Linear regression analyses have been made to assess whether there are any distinctions between the factors generally influential in satisfaction with a residential area according to demographic and socio-economic structures of users, and to determine the distinctions, if any, between the factors that affect satisfaction and values. Taking into consideration all of the characteristics that determine housing and environmental quality satisfaction as a result of these analyses, new insights into this subject have been gained by identifying these factor groups as the determinants of user satisfaction in housing and environmental quality. At the end of the regression analyses applied to these factor groups, it has been ascertained that the factors increasing levels of satisfaction vary according to the demographic and socio-economic structural differences of the users. The findings of this study bear similarity with the findings of previous studies made on this subject.Housing environment, housing satisfaction, housing and environmental quality,

A rare case in Turkey: Cutaneous myiasis after traveling

Cutaneous myiasis is a localized infectious disease which affects humans and vertebrate animals. Most common causes of cutaneous myiasis worldwide are dipterous larvae of “Dermatobia hominis” and “Cordylobia anthropophaga.” Clinical presentations include nodules, ulcers, creeping eruption, and wound infections which may be localized anywhere on skin including trunk, scalp, and extremities. Here, we present a 30-year-old female patient consulted to our clinic who presented with erythematous lesions on her lower extremities after a visit to South America. According to her travel history, laboratory and imaging results, she was diagnosed with cutaneous myiasis. Etiology, clinical presentation, and surgical treatment options of myiasis, which is very rare in Turkey, are discussed

Evaluation of Shoulder Muscle Improvement in Patients Following Free Latissimus Dorsi Muscle Pedicle Flap Transfer L'evaluation de l'amelioration du muscle de l'epaule chez les patients apres un transfert du lambeau libre du grand dorsal

Aim: This study aimed to evaluate the clinical outcomes, shoulder muscle strength, and donor site morbidity following the free latissimus dorsi (LD) muscle pedicle flap transfer. Materials: Patients with free LD muscle pedicle flap reconstructions and with asymptomatic shoulders (affected and contralateral side) were included. The follow-up duration was 12 months. The combined shoulder range of motion (ROM), Constant-Murley shoulder (CMS), and quick disabilities of the arm, shoulder, and hand (QuickDASH) scores were measured preoperatively and at 1 year postoperatively. The ratio of the isokinetic muscle strength and total work was measured with an isokinetic dynamometer (Cybex 350 (R)) both preoperatively and at sixth month postoperatively. Results: Twenty patients with a mean age of 37.06 +/- 9.74 years and a mean body mass index of 23.49 +/- 8.6 kg/m(2) were included. The difference in shoulder ROM and CMS and increase in QuickDASH were not significant at the first postoperative year. The peak torque and total work performed decreased by 13%-16% for the adductor and extensor functions at the six month postoperatively, and these differences were significant. Although the adductor peak torque was significantly lower in the postoperative test of the operated side, no significant difference was found between the operated and unaffected shoulder peak torque values. Moreover, no significant difference was noted between the operated and unaffected shoulders in all isokinetic tests pre- and postoperatively. Conclusion: The free LD muscle pedicle flap harvest did not decrease function and ROM at the first postoperative year. The muscle strength and total work of shoulders after the LD muscle transfer returned to the preoperative condition at the sixth month, except adductor and extensor muscle strengths. However, adductor and extensor muscle strengths of the operated shoulders were not significantly different postoperatively

'Switch' technique to restore pronation and radial deviation in 17 patients with brachial plexus birth palsy

We report outcomes of 17 children with brachial plexus birth palsy that underwent extensor carpi ulnaris to brachioradialis and brachioradialis to abductor pollicis longus transfers to correct supination and ulnar deviation deformity. Mean age at the time of surgery was 8.7 years and mean follow-up time was 21 months (8-44). These patients had marked increases in active forearm rotation and Canadian Occupational Performance Measure scores. Activity performance score on the measure increased from 1.1 to 6.7 and satisfaction score increased from 0.8 to 8.7 at final follow-up. We conclude from our patient series that these tendon transfers are effective in correction of the supination and ulnar deviation deformities in brachial plexus birth palsy

Effects of microarterial anastomosis torsion on survival of oblique groin flap in rats

A microanastomosis might tolerate a torsion up to 360 degrees, but the effects of arterial microanastomosis torsion on the survival of the flap it supplies are unclear. The aim of this study was to investigate the consequences of microarterial anastomosis torsion on the groin flap in rats. Forty Sprague-Dawley rats were divided into five groups. An oblique groin flap was harvested as an island flap and a patch-to-side arterial anastomosis was performed with torsion angles of 0 degrees, 90 degrees, 180 degrees, 270 degrees, and 360 degrees. Six of eight flaps in Group I (0 degrees torsion), six of eight flaps in Group II (90 degrees), three of eight flaps in Group III (180 degrees), and none of the flaps in Groups IV and V (270 degrees and 360 degrees) were found to be viable after 1 week. The patency and flap survival rates observed in Groups II, III, IV, and V were compared with those in Group I using Fisher's exact test. The patency rates and flap survival rates in Groups IV and V were significantly lower compared with those in Group I. Our data show that skin flaps can survive even if their arterial pedicle is anastomosed with a torsion of up to 180 degrees