Short-term results of robinson type 2B2 clavicular fractures treated conservatively or surgically

WOS: 000377511000013PubMed ID: 26881465The most frequently treated injuries, representing approximately 82% of all clavicular fractures, involve the midshaft clavicle. Historically, most acute displaced midshaft clavicular fractures were treated nonsurgically. However, the outcomes of nonsurgical treatment have recently been thought to be not as good as expected in the past, and the trend is to treat these fractures surgically. The goal of this study was to evaluate the short-term clinical outcomes of Robinson type 2B2 clavicular fractures treated conservatively vs with locked plate fixation. Among 59 patients included in the study, 30 patients (mean age, 45 +/- 13.7 years; range, 30-62 years) treated conservatively were designated as group A, and 29 patients (mean age, 38.8 +/- 11.1 years; range, 20-60 years) treated with locked plate fixation were designated as group B. All patients were evaluated using Oxford and Constant scoring systems at final follow-up. Mean follow-up was 18 months (range, 12-24 months). In group A, mean Constant score was 70.5 +/- 15.1 (range, 98-43) and mean Oxford score was 46.6 +/- 1.3 (range, 49-44) at final follow-up. In group B, mean Constant score was 89.2 +/- 8 (range, 100-77) and mean Oxford score was 46.5 +/- 1.2 (range, 48-44) at final follow-up. Callus was detected radiographically in both groups at 6-week follow-up. Patients in groups A and B started active range-of-motion exercises at weeks 6 and 3 after treatment, respectively. Locked plate fixation of Robinson type 2B2 clavicular fractures can be the first treatment option because of good clinical results, low complication rates, and good cosmesis

The evaluation of morphometry of nasal bone and pyriform aperture using multidetector computed tomography

WOS: 000345012000097PubMed ID: 25377975Introduction: The aim of this study was to measure nasal bone (NB) and pyriform aperture (PA), morphometrically. Besides, the different types of NB and PA were classified and determined the sexual differences. Materials and Methods: Our study was performed on 120 (60 women, 60 men) multidetector computed tomography images obtained from patients who underwent radiologic examination in the Department of Radiology of Meram Faculty of Medicine, Necmettin Erbakan University. The right, left, and median heights of NB; the superior and inferior widths of NB; the width of PA; and the distance between rhinion and anterior nasal spine (as the height of PA) were measured. Frontonasal and internasal angles were also determined. All data were analyzed statistically using Student's t-test. Results: The other data of men were higher than of women except for the superior and inferior widths of NB and the frontonasal angle. We also determined the ratio of the height of PA to the height of NB on median plane and the ratio of the height of PA to the width of PA. They were found less than 2.0 in 64.2% and 100% of the cases, respectively. The NB and PA were classified into 8 and 7 different types, respectively. Conclusions: The knowledge of the morphometric data and different types of the NB and PA is essential for sex determination, all surgical procedures related to this area, and nasal reconstructions

The evaluation of morphometry of the mastoid process using multidetector computed tomography in a living population

WOS: 000347954400096PubMed ID: 25490574The aim of this study was to examine the relationships of the bony landmarks on the lateral surface of the mastoid process (MP). It was also the target of this study to reveal the importance of sexual dimorphism in terms of the mastoid triangle. Our study was performed on 140 (70 women, 70 men) multidetector computed tomography images obtained from patients who underwent radiologic examination at the Department of Radiology of Meram Medical Faculty, Necmettin Erbakan University. The height of the MP was measured using 2 different ways. The distance between the mastoid apex and the midpoint of the distance of the porion and the mastoid notch was measured (mastoid height 1). Then, the distance between the Frankfurt horizontal plane and the mastoid apex was measured (mastoid height 2). The distances between porion-mastoid notch, porion-mastoid apex, porion-asterion, asterion-mastoid apex, articular tubercle-asterion, articular tubercle-mastoid apex, as well as the right and the left MP were also measured. Finally, the angles between porion-mastoid apex-asterion, mastoid apex-asterion-porion, and asterion-porion-mastoid apex were measured. All data were analyzed statistically using the Student's t-test. According to the results of the measurements, all right and left parameters of the men were higher than the women's right and left sides except for the angle between asterion-porion-mastoid apex. In addition, all right and left parameters were almost the same in both sexes. Having the knowledge of measurements of the distances between the major landmarks of the temporal bone is essential to avoid possible complications during facial, mastoid, and especially sigmoid sinus surgeries

Üst ekstremitede arteriyel ve muskuler varyasyonlar

Rutin öğrenci diseksiyonlarımızda, bir erkek kadavranın sol üst ekstremitesinde arteriyel ve müsküler varyasyonlar gözlendi. Arteria radialis’in yüzeyelde olduğu, arcus palmaris superficialis’in sadece a. ulnaris tarafından oluşturulduğu, m. palmaris longus’un yoklu- ğu ve m. extensor digiti miniminin üç adet tendona sahip olduğu tespit edildi. Varyasyonlar embriyolojik kökenli olduğundan aynı bölgede farklı yapılarda normalin dışında görünümler birliktelik gösterebilir. Bu yüzden anatomik ve klinik çalışmalarda bir varyas- yon tespit edildiğinde aynı bölgede diğer yapılarda da farklılık gözlenebileceği akılda tutulmalıdı

3-10 yaşındaki çocuklarda medial longitudunal arkın gelişimi

Purpose: It is very important to follow the development of the medial arch in children and to detect it in the early period in case of developmental deficiency. The aim of this study is to determine the development of medial arch in children by investigating the change in plantar contact area ratio and pressure with age. Materials and Methods: 51 (16 girls, 35 boys) healthy children (3-10 years old) whose consent was obtained by their families with the randomization method evaluated on the foot sole pressure measuring device were included in our study. For evaluation, medial and lateral of the anterior part of the foot, medial and lateral of the middle part, and medial and lateral of the posterior part of the foot were divided into six. In our study, the ratio of the contact surfaces of the determined areas of the foot to the entire foot sole area and the sole pressure per unit surface were statistically evaluated according to age. The obtained data were analyzed with descriptive statistics and percentage analyzes in the SPSS 11 package program. Results: As a result of the statistical analysis, no statistically significant difference was found between the plantar pressure and contact area ratio values of the right and left foot regions (p>0.05). In the analysis of the plantar pressure value according to age, there was no significant difference between the 9th and 10th ages of 3,4 and 5 years of age only in the medial of the midfoot (p>0.05). In plantar contact area ratios; While there was a significant increase in the medial part of the anterior part of the foot and the lateral part of the posterior part of the foot above the age of 8, there was a significant decrease in the medial part of the middle part of the foot (p0,05). Plantar basınç değerinin yaşa göre analizinde ise sadece orta ayağın medialinde 3,4 ve 5 yaşlarının 9 ve 10. yaşlarla anlamlı fark çıkmamıştır (p>0,05). Plantar temas alan oranlarında ise; ayağın ön kısmının mediali ve ayağın arka kısmının lateralinde8 yaş üstünde anlamlı artış varken, ayağın orta kısmının medialinde anlamlı azalış dikkat çekmiştir (p<0,05). Sonuç: Elde ettiğimiz sonuçlara MLA gelişiminde 8 yaşın önemli olduğu ve arkın gelişmesiyle ayak temasının ayağın ön kısmının medialinden, ayağın arka kısmının lateraline aktarıldığı belirlenmiştir

Responsiveness to parenteral iron therapy in children with oral iron-refractory iron-deficiency anemia

WOS: 000331063500007PubMed ID: 24087940Intravenous (IV) ferric iron (Fe)-carbohydrate complexes are used for treating Fe deficiency in children with iron-refractory iron-deficiency anemia (IRIDA). An optimal treatment has yet to be determined. There are relatively little publications on the responsiveness to IV iron therapy in children with IRIDA. Patients and Method: This study analyzed responses to IV iron sucrose therapy given to 11 children, ranging in age from 2 to 13 years (mean 4.8 years), with iron-deficiency anemia who were unresponsive to oral iron therapy. Results: The hemoglobin and ferritin values (mean) of the 11 children with IRIDA were 7.7 g/dL and 4.8 ng/mL at diagnosis. Both hemoglobin and ferritin levels increased to 9.5 g/dL, and 24 ng/mL, respectively, at 6 weeks after the first therapy. Although the level of hemoglobin was steady at 6 months after the first, and 6 weeks after the second therapy, the ferritin levels continued to increase up to 30 ng/mL and 47 ng/mL at 6 months after the first and 6 weeks after the second therapy, respectively. Conclusion: We recommend that IRIDA should be considered in patients presenting with iron-deficiency anemia of unknown cause that is unresponsive to oral iron therapy. Our results suggest that IV iron therapy should be administered only once in cases of IRIDA. Continued administration of IV iron would be of no benefit to increase hemoglobin levels. On the contrary, ferritin levels may continue to increase resulting in untoward effects of hyperferritinemia