10 research outputs found
Proximal tibiofibular synostosis
A 22-year-old male patient admitted to our clinic with mild pain in left
knee. Pain had started 10 years ago and there was no history of trauma.
Pain was increased with kneeling. No abnormality was detected on
physical examination. Imaging results revealed proximal tibiofibular
synostosis in left knee
Can a Hip Diagnosed as Graf Type 1According to Graf Checklist Deteriorate Over Time? A Case Series and Evaluation of the Graf Method.
According to the Graf method, mature Type 1 hips will not worsen overtime. However, some cases have been reported in literature of hips which were initially Graf Type 1 hips and then worsened later. Our aim is to show the mistakes of the hip sonograms, which had been diagnosed as a mature Graf Type 1 hips
Atypical femoral fracture following zoledronic acid treatment
A 68-year-old female patient admitted to our clinic with right anterior
thigh pain ongoing for six months and which increased in last two
months. The patient had no trauma history. The patient had been
followed-up for 15 years because of osteoporosis and administrated
alendronate and ibandronate treatment for 10 years. Patient had three
shots of zoledronate once a year during the last three years. Her pain
was increasing when she was walking. Physical examination revealed pain
in her right thigh. Radiogram showed thickened lateral cortex of the
subtrochanteric area. Magnetic resonance imaging also showed thickening
and edema of the same area. These images were correlated with atypical
fracture in right femoral subthrochanteric zone. Dual energy X-ray
absorptiometry revealed that T score was -3.3 in lumbar region and -2.5
in femoral neck. Zoledronate treatment was ended. Prophylactic surgical
fixation was performed with titanium elastic nails
Bilateral congenital dislocation of the patella associated with synostosis of proximal tibiofibular and proximal radioulnar joints: A case report
congenital dislocation of the patella is a rare and difficult pathology
to treat. We present a case of bilateral congenital dislocation of the
patella with synostosis of proximal tibiofibular and proximal radioulnar
joints without genu valgum deformity of both knees in a 30-year-old man.
To our knowledge, congenital dislocation of the patella associated with
synostosis of proximal tibiofibular and proximal radioulnar joints has
not been reported in the literature yet
Distal oblique metatarsal osteotomy technique in hallux valgus deformity: Clinical and radiological results
Objectives: This study aims to evaluate the radiological and functional
outcomes of hallux valgus patients treated with distal oblique
metatarsal osteotomy technique.
Patients and methods: Twenty-six feet of 22 patients (4 males, 18
females; mean age 46.2 +/- 18 years: range, 16 to 70 years) who were
diagnosed as hallux valgus between March 2013 and April 2016 and who
underwent distal oblique metatarsal osteotomy were included in this
retrospective study. American Orthopedic Foot and Ankle Society/Hallux
Metatarsophalangeal-Interphalangeal Scale (AOFASIHMIS) was used for
clinical and functional evaluation. The hallux valgus angle (HVA),
intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA),
sesamoid position, first metatarsal length and forefoot bone and soft
tissue width were measured for radiological evaluation.
Results: The mean follow-up time was 33.1 +/- 9.8 months. The AOFAS/HMIS
score increased significantly postoperatively (p=0.001). In the footwear
section of the AOFAS/HMIS, the median preoperative score of 5 (range.
0-5) increased to 10 (range. 5-10) at the postoperative period
(p=0.001). Hallux valgus angle, IMA, DMAA, and first metatarsal length
significantly decreased when compared to preoperative measurements.
Forefoot bone width also decreased significantly from 9.3 cm (range,
7.5-11.5 cm) to 8.8 cm (6.8-10.3 cm) (p=0.001).
Conclusion: Distal oblique metatarsal osteotomy is a safe method for
hallux valgus deformity. Forefoot width reduction. decrease of soft
tissue tension. sesamoid reduction, and plantar fascia relaxation are
the crucial benefits of this method
Situs inversus of the fibula: medialized fibula
Congenital extremity anomalies are caused by pathological changes during
the development process of the embryo. Exposure to toxins during 4-12
weeks of pregnancy may lead to extremity anomalies. In this article, we
present a girl patient born as one of triplets at the 31st week and
fifth day of pregnancy with meningomyelocele, Arnold-Chiari type 2
malformation, developmental dysplasia of the right hip, hypothyroidism,
and lower extremity anomaly. Mother had a history of antenatal usage of
sodium valproate. Radiographic examination of the lower extremity showed
medial location of the fibula
Is routine coracoplasty necessary in isolated subscapularis tears?
Objectives: This study aims to investigate the effect of simultaneous
coracoplasty on postoperative clinical outcomes of patients undergoing
shoulder arthroscopy due to the tear of the isolated subscapularis.
Patients and methods: The study included 53 patients (16 males, 37
females; mean age 55.8 years; range, 44 to 70 years) who underwent
arthroscopic repair for isolated subscapularis tear (type 2 and type 3)
with anterior shoulder pain and tenderness. All patients had a
coracohumeral distance of less than 7 mm on the preoperative magnetic
resonance images and a minimum follow-up period of two years. Patients
were divided into two groups as group 1 including patients who underwent
coracoplasty and group 2 including those who did not undergo
coracoplasty. Patients were evaluated pre- and postoperatively by the
University of California Los Angeles (UCLA) shoulder score and the
simple shoulder test (SST) score.
Results: There were no significant differences between the groups in
terms of age, gender and follow-up time (p>0.05). The preoperative mean
UCLA score was 19.65 for group 1 and 20.45 for group 2. The
postoperative mean UCLA scores were 27.92 and 29.00, respectively. The
preoperative mean SST score was 4.9 for group 1 and 5.1 for group 2. The
postoperative mean SST scores were 10.0 and 9.5, respectively.
Functional scores increased significantly in both groups postoperatively
when compared to the preoperative values (p<0.01). However, there was no
statistically significant difference in terms of the increase in UCLA
and SST scores between the two groups (p>0.05).
Conclusion: We believe that concomitant coracoplasty during arthroscopic
repair may not be a necessary routine in the treatment of isolated
subscapularis tears
Do intra-articular pathologies accompanying symptomatic acromioclavicular joint degeneration vary across age groups?
Objectives: This study aims to evaluate the accompanying intra-articular
pathologies in patients who underwent arthroscopic distal clavicle
resection (DCR) for symptomatic acromioclavicular (AC) joint
degeneration based on age groups and to reveal which additional
pathologies should be considered across different age groups during
physical examination of patients suspected of AC joint degeneration.
Patients and methods: The study included 156 patients (55 males, 101
females; mean age 57.2 +/- 10.0 years; range, 35 to 80 years) who
underwent arthroscopic DCR between January 2006 and December 2017 and
had at least one clinical positive test for AC joint degeneration during
the preoperative physical examination. The patients were divided into
three groups as those aged <50 years (group 1), between 50-65 years
(group 2), and >65 years (group 3). The concomitant infra-articular
pathologies were evaluated across different age groups and compared
between the groups.
Results: Concomitant intra-articular pathologies were detected in 117
(75\%) of a total of 156 patients. Additional pathology rate increased
with increasing age (p=0.002). More than one concomitant Miraarticular
pathologies were detected in 37 patients (23.7\%). This rate increased
with increasing age (p=0.002). The number of patients with superior
labrum anterior posterior (SLAP) lesion as the only additional pathology
was 33 (21.2\%). This rate decreased with increasing age (p=0.015). In
group 1, the rate of concomitant SLAP lesion was 44.1\%.
Conclusion: The high incidence of intra-articular pathologies
accompanying symptomatic AC joint degeneration raises the importance of
careful physical examination, detailed imaging, and arthroscopic surgery
to obtain good results in patients scheduled for DCR. The frequency of
AC joint degeneration and concomitant SLAP lesions, particularly in
younger patients, should be considered during clinical examinations
Partial and full-thickness rotator cuff tears in patients younger than 45 years
Objective: The aim of this study was to evaluate the results of the
arthroscopic repair in patients with partial and full thickness rotator
cuff tears and less than 45 years of age.
Methods: Fifty patients (26 women and 24 men; mean age: 41.4 +/- 3.96
years; range: 31-45) with rotator cuff tear, and who were treated with
the arthroscopic repair, were included in the study. Twenty patients had
full thickness and 30 had partial-thickness tears. The final functional
evaluation was conducted at a mean of 42.4 months (range, 24 to 95
months; SD:13.3). The American Shoulder and Elbow Surgeon (ASES)
self-report score and the University of California at Los Angeles
Shoulder Score (UCLA Shoulder Score) were used as validated scoring
systems.
Results: At the final follow-up, the mean ASES and UCLA scores improved
significantly to 72.3 and 26.5, respectively, in the full-thickness
group (p<0.01). The mean ASES and UCLA scores improved significantly to
70.7 and 25.3, respectively, in the bursal-side group (p<0.01). The mean
ASES and UCLA scores improved significantly to 75.3 and 27.1,
respectively, in the joint-side group (p<0.01). There were no
significant differences between the groups according to the
postoperative ASES score (p>0.06) and UCLA score (p<0.37).
Conclusion: The arthroscopic repair of the joint-sided tears and
bursal-sided tears has good functional outcomes as full thickness
rotator cuff tears, and the surgical option should be considered in
younger population if the conservative treatment fails