Ganglion cysts in the lateral portal region of the knee after arthroscopy: report of two cases

A ganglion cyst (GC) is a mucinous or gelatinous-filled benign tumor overlying a joint or tendon sheath, which commonly arises in the dorsal and volar wrist side but may occur anywhere in the body. Although cystic lesions around the knee are common, the occurrence of GCs are rare. Ganglia may arise from intra or extra-articular, soft tissue, intraosseous, or periosteal location. Symptoms may vary according to the size and location. After the more frequent performance of magnetic resonance imaging for the assessment of a knee joint, the number of incidental, asymptomatic lesions have been increasingly diagnosed. The etiology of GC remains unclear; however, trauma and a flaw in the joint tissues may explain its appearance. The authors report two cases of women aged 47 years and 37 years who presented pain and swelling in their left knees following arthroscopic partial medial meniscectomy. The former was surgically treated and had a favorable outcome, while the latter had conservative treatment and a gloomy outcom

Ganglion cysts in the lateral portal region of the knee after arthroscopy: report of two cases

A ganglion cyst (GC) is a mucinous or gelatinous-filled benign tumor overlying a joint or tendon sheath, which commonly arises in the dorsal and volar wrist side but may occur anywhere in the body. Although cystic lesions around the knee are common, the occurrence of GCs are rare. Ganglia may arise from intra or extra-articular, soft tissue, intraosseous, or periosteal location. Symptoms may vary according to the size and location. After the more frequent performance of magnetic resonance imaging for the assessment of a knee joint, the number of incidental, asymptomatic lesions have been increasingly diagnosed. The etiology of GC remains unclear; however, trauma and a flaw in the joint tissues may explain its appearance. The authors report two cases of women aged 47 years and 37 years who presented pain and swelling in their left knees following arthroscopic partial medial meniscectomy. The former was surgically treated and had a favorable outcome, while the latter had conservative treatment and a gloomy outcom

Effect of anterior cruciate ligament reconstruction with hamstring tendons on Insall-Salvati index and anterior knee pain

WOS: 000436254500009Introduction/Objective The relationship between anterior knee pain and the Insall-Salvati ratio after anterior cruciate ligament (ACL) reconstruction with hamstring tendon were evaluated in this study. Methods We evaluated 39 patients that had an ACL reconstruction surgery with hamstring tendon. All the patients were evaluated for the Insall-Salvati ratio preoperatively and postoperatively. Fourteen patients had anterior knee pain at the end of the first year after the surgery. The patients were evaluated at the end of the first year after the surgery with the Lysholm score and the Tegner activity scale. The patients' preoperative and postoperative measurements were analyzed by using the Wilcoxon test, and the differences between the patients with anterior knee pain and those without it were analyzed by the Mann-Whitney U test. Results Preoperatively, mean Insall-Salvati ratio was found to be 0.91 +/- 0.1, whereas postoperative ratio was 0.85 +/- 0.09 (p <= 0.05). In the group without anterior knee pain, the mean Tegner activity score was 8.56 +/- 1.04, and the mean Lysholm score was 87.36 +/- 9.42. The mean Tegner activity score was 7.21 +/- 0.97 and the mean Lysholm score was 74.43 +/- 9.94 in the group with anterior pain. There was a decrease in the Insall-Salvati ratio as a result of the surgery, but patients with anterior knee pain had lower values of the Insall-Salvati ratio preoperatively. Conclusion Low preoperative Insall-Salvati ratio can be an indicator of anterior knee pain in the early period after ACL reconstruction with hamstring tendons. The mean Tegner activity score and the mean Lysholm score have higher values in the group without anterior pain postoperatively

Comparison Of Medial Arch-Supporting Insoles And Heel Pads In The Treatment Of Plantar Fasciitis

Plantar fasciitis is a disorder caused by inflammation of the insertion point of the plantar fascia over the medial tubercle of the calcaneus. Foot orthotics are used to treat plantar fasciitis. Heel pads medialise the centre of force, whereas medial arch supporting insoles lateralise the force. We assessed the clinical results of the treatment of plantar fasciitis with silicone heel pads and medial arch-supported silicone insoles

Surgical treatment results of carpal tunnel syndrome in patients with and without type 2 diabetes mellitus

WOS: 000348018900004PubMed ID: 25730996Introduction Carpal tunnel syndrome (CTS) is the most commonly seen peripheral nerve compression syndrome and CTS surgery is the most common surgery done for peripheral nerve compression syndromes. Type 2 diabetes mellitus (DM) is a systemic disease with a component of peripheral neuropathy. Objective We aimed to investigate the effects of type 2 DM on functional results in type 2 DM patients who underwent carpal tunnel surgery. Methods The study included 39 patients with carpal tunnel syndrome which was confirmed by electromyography. Twenty-one patients did not have DM, 18 patients had type 2 DM that were treated for DM and had regulated blood glucose levels. Assessments were done with the Boston scale. All operations were done by the same surgical team using the same surgical technique. Functional and symptomatic scores between the two groups were compared with the Mann-Whitney U test which is the non-parametric version of the Student's t test, and 95% confidence interval p<0.05, which is considered as statistically significant. Results In patients with type 2 DM, preoperative mean Symptom Severity Score was 3.6 +/- 0.35 (2.9 to 4.2) in the last control mean Symptom Severity Score was 1.2 +/- 0.16(1.0-1.7), and preoperative mean functional status score was 3.3 +/- 0.56(2.3 to 4.5) and in the last control mean functional status score was 1.3 +/- 0.36 (1.0 to 2.4). The patients without DM, preoperative mean Symptom Severity Score was 3.5 +/- 0.45 (2.8 to 4.2) in the last control mean Symptom Severity Score was 1.2 +/- 0.19 (1.0 to 1.6), and preoperative functional status score was 3.2 +/- 0.47 (2.4 to 4.6) in the last control mean functional status score was 1.3 +/- 0.35 (1.0 to 2.5). There was no statistically significant difference between the two groups. Conclusion Type 2 DM patients with regulated blood glucose levels can be operated without additional procedure during and after surgery for carpal tunnel syndrome like in carpal tunnel syndrome patients without DM.КРАТАК САДРЖАЈ Увод Синдром карпалног тунела (СКТ) је најчешћа локализована компресивна лезија периферног нерва, а операција СКТ је најчешћа хируршка интервенција у лечењу синдрома компресије периферног нерва. Дијабетес мелитус (ДМ) тип 2 је системско обољење с компонентом периферне неуропатије. Циљ рада Циљ истраживања је био да се испита утицај ДМ тип 2 на функционалне резултате хируршки лечених болесника са СКТ и ДМ тип 2. Методе рада Испитивањем је обухваћено 39 болесника са СКТ који је дијагностикован електромиографијом. Код 21 болесника није забележен ДМ тип 2, док је 18 испитаника лечено од овог обољења и имало регулисане вредности глукозе у крви. Процена обољења је извршена применом Бостонског теста. Операцију свих болесника извео је исти хируршки тим применом исте хируршке технике. У анализи упоређивања скора функционалног и симптоматског стања између две групе испитаника примењен је Ман–Витнијев (Mann–Whitney) U-тест, који је непараметријска верзија Студентовог t-теста. Утврђен је 95-процентни интервал поверења на p<0,05, што се сматра статистички значајним. Резултати Код болесника са ДМ тип 2 средња вредност скора тежине симптома пре операције била је 3,6±0,35 (распон 2,9–4,2), а на последњем контролном прегледу 1,2±0,16 (распон 1,0–1,7). Средња вредност скора функционалног статуса пре операције била је 3,3±0,56 (распон 2,3–4,5), а на последњем прегледу 1,3±0,36 (распон 1,0–2,4). Код болесника без ДМ средња вредност скора тежине симптома пре операције била је 3,5±0,45 (распон 2,8–4,2), а на последњем контролном прегледу 1,2±0,19 (распон 1,0–1,6). Средња вредност скора функционалног статуса пре операције код ових испитаника била је 3,2±0,47 (распон 2,4–4,6), а на последњем контролном прегледу 1,3±0,35 (распон 1,0–2,5). Статистички значајна разлика између две посматране групе испитаника није утврђена. Закључак Болесници са ДМ тип 2 и регулисаним вредностима глукозе у крви могу да се оперишу без примене додатних поступака током или након операције СКТ, а исто важи и за болеснике без ДМ

Fractures Of The Hamatum And Capitatum In A Child: A Case Report

Fractures of the carpal bones are rarely seen in children, particularly in the first decade of life. Scaphoid fractures are the most common carpal bone injuries seen during this period of life. A 5-year-old boy was referred to our clinic with right hand and wrist pain and massive swelling. The patient showed limited wrist extension and flexion with pain and swelling, but there was no neurovascular damage. Conventional X-ray and CT scans were performed. The CT results in particular showed clear non-displaced capitatum and hamatum fractures, and a short arm cast was applied. At the 18-month follow-up visit, the patient’s fractures were healed with no displacement, and full ROM was achieved with a pain-free motion

Surgical treatment results of carpal tunnel syndrome in patients with and without type 2 diabetes mellitus

Introduction. Carpal tunnel syndrome (CTS) is the most commonly seen peripheral nerve compression syndrome and CTS surgery is the most common surgery done for peripheral nerve compression syndromes. Type 2 diabetes mellitus (DM) is a systemic disease with a component of peripheral neuropathy. Objective. We aimed to investigate the effects of type 2 DM on functional results in type 2 DM patients who underwent carpal tunnel surgery. Methods. The study included 39 patients with carpal tunnel syndrome which was confirmed by electromyography. Twenty-one patients did not have DM, 18 patients had type 2 DM that were treated for DM and had regulated blood glucose levels. Assessments were done with the Boston scale. All operations were done by the same surgical team using the same surgical technique. Functional and symptomatic scores between the two groups were compared with the Mann-Whitney U test which is the non-parametric version of the Student’s t test, and 95% confidence interval p<0.05, which is considered as statistically significant. Results. In patients with type 2 DM, preoperative mean Symptom Severity Score was 3.6±0.35 (2.9 to 4.2) in the last control mean Symptom Severity Score was 1.2±0.16 (1.0-1.7), and preoperative mean functional status score was 3.3±0.56 (2.3 to 4.5) and in the last control mean functional status score was 1.3±0.36 (1.0 to 2.4). The patients without DM, preoperative mean Symptom Severity Score was 3.5±0.45 (2.8 to 4.2) in the last control mean Symptom Severity Score was 1.2±0.19 (1.0 to 1.6), and preoperative functional status score was 3.2±0.47 (2.4 to 4.6) in the last control mean functional status score was 1.3±0.35 (1.0 to 2.5). There was no statistically significant difference between the two groups. Conclusion. Type 2 DM patients with regulated blood glucose levels can be operated without additional procedure during and after surgery for carpal tunnel syndrome like in carpal tunnel syndrome patients without DM