Extracorporeal Shockwave Therapy and Knee Osteoarthritis: Defining a Placebo Group

Tanigor, Goksel/0000-0001-6456-7012;WOS: 000543033600019PubMed: 32418659[No abstract available

Joint Restriction Caused by Traconia Fish Poison: A Case Report

Traconia fish is a member of the Trichinidea family, all members are poisonous. In the literature, edema develops in the affected area after trachonia fish bite, followed by a wide spectrum of cases ranging from subcutaneous inflammation to myonecrosis. In this case report, we present a patient who was injured with the back spines of traconia fish and had limited edema and range of motion. The absence of pain in the joint restriction that developed over time and the normal bilateral hand radiography exclude us from the diagnosis of complex regional pain syndrome. The patient was treated with self-adherent wrap to reduce swelling in addition to soft tissue mobilization, range of motion exercises, and a contracture splint that forced metacarpophalangeal joints into flexion to increase joint mobility. We applied 15 sessions of treatment to the patient. On the post-rehabilitation examination, we found that the edema in the dorsum of the left hand decreased. We measured the range of motion of the patient as normal

RETRACTED: Osteoporotic hip fracture costs in the elderly Turkish population (vol 45, pg 316, 2011) (Retracted article. See vol. 46, pg. 324, 2012)

WOS: 00030053030001

Bisphosphonate-Related Osteonecrosis of the Jaw Bones in a Patient with Ankylosing Spondylitis Receiving Anti-Tumor Necrosis Factor Treatment

WOS: 000299651800010Bisphosphonate-related osteonecrosis of the jaw bones is a rare, but well-recognized pathology, occurring mainly in patients receiving parenteral and high doses of bisphosphonates for the treatment of skeletal metastasis and/or hypercalcemia associated with cancer. However, to a lesser extent, this complication may also occur in patients receiving oral bisphosphonates for the treatment of osteoporosis. In this article, we present a 58-year-old female patient with ankylosing spondylitis (AS) who developed mandible osteonecrosis following long-term oral alendronate treatment for osteoporosis. Dental tooth extraction possibly triggered the occurrence of mandible osteonecrosis in this patient. This patient is notable for receiving concomitant anti-tumor necrosis factor (anti-TNF) treatment. To our knowledge, occurrence of bisphosphonate-related jaw osteonecrosis in a patient with AS receiving concomitant anti-TNF treatment has not been reported previously in the literature

Pelvic Digit

WOS: 000343521400014Pelvic digit is an unusual developmental anomaly in which bone develops in soft tissues adjacent to normal skeletal bone. It is an asymptomatic entity that is usually discovered incidentally. The importance of recognizing pelvic digit is in distinguishing it from post-traumatic ossification and avulsion injuries of the pelvis. We report pelvic digits discovered in plain films of two patients who presented with hip pain. One patient has accompanying femoroacetabular impingement on the same side, which may explain the presence of hip pain

Acceptability, validity and reliability of the Turkish QUALIOST(A (R)) in postmenopausal women with osteoporosis

WOS: 000315290900030PubMed ID: 22585357The quality-of-life questionnaire in osteoporosis (QUALIOST(A (R))) is commonly used and accepted generic instrument in osteoporosis. This study aimed to translate QUALIOST(A (R)) into Turkish language and assess its reliability, validity and acceptability in women with postmenopausal osteoporosis (PMO). After the questionnaire was translated into Turkish, it was administered to 110 with PMO. The reliability studies were assessed by test-retest reliability (ICC) and internal consistency (Cronbach's alpha). Construct validity was assessed by using correlating QUALIOST(A (R)) with SF-36. Results showed that ICC values were 0.92, 0.91 and 0.92, for physical domain, emotional domain and total QUALIOST(A (R)) scores, respectively. Similarly, Cronbach's alpha was acceptable in all domains (0.85, 0.83 and 0.84, respectively). Significant moderate-to-high correlations were obtained between QUALIOST(A (R)) and SF-36 dimensions (r value between -0.39 and -0.72, p < 0.001). Also, there were moderate-high correlations between the domains of questionnaire and pain intensity and disease duration (r value between 0.35 and 0.45, p < 0.05). In conclusion, this study, which reported firstly psychometric properties and usefulness of the Turkish QUALIOST(A (R)), showed that it is a potentially useful measure with a high validity and reliability standards

Osteoporotic hip fracture costs in the elderly Turkish population

WOS: 000208713300006PubMed ID: 22032996Objective: This study was designed to determine the length of hospital stay and treatment costs of patients with osteoporotic hip fractures in Turkey. Methods: A total of 1,118 osteoporotic hip fractures taken from patient records in 35 hospitals connected to a Disease Related Group (DRG) network were included in the study. Inclusion criteria were patients over the age of fifty with a diagnosis of a single, low-energy fracture located at the neck, head, or intertrochanteric region. of the femur treated with total/hemi-arthroplasty, screw or nail methods. We examined the demographics, location of fracture, treatment type, length of hospital stay (LOS), direct cost and cost extrapolation based on the numbers of hospitals, beds and patient by hospital. Results: Of the 1,118 patients (mean age: 75.3 +/- 9.9 years), 62.8% were female. The main fracture type was of the femur neck without precise localization. The average LOS was 11.0 +/- 7.9 days. The total weighed cost of all 1,118 hip fractures was $2,249,885 per year, indicating an average direct medical cost of$3,119 per patient in the 35 DRG hospitals. Based on this sample, the estimated total number of patients is 15,602 by number of hospitals; 8,521 by number of hospital beds and 9,365,by number of hospitalization, costing $31,530 million;$14,793 million and $18,948 million, respectively. Conclusion: Diverse results in cost estimations of osteoporotic hip fractures reflect the incoherence of data as well as a lack of standardization of health care services. Therefore, ICD and DRG coding needs to be improved and a national database must be created at least for the invoices of importation of prostheses to fully be able to calculate the burden of osteoporosis across Turkey.Sanofi-Aventis TurkeySanofi-AventisThis study was financed through a grant by Sanofi-Aventis Turkey and prepared and conducted by G&G Consulting Ltd., Turkey. We thank Cagla ISMAN, MD and Prof. Sule OKTAY, MD, PhD. from KAPPA Consultancy Training Research Ltd, Istanbul, who provided editorial support funded by Sanofi-Aventis Turkey

The relation between vitamin D and postural balance according to clinical tests and tetrax posturography

WOS: 000378856200037PubMed ID: 27190466[Purpose] To evaluate the association between Vitamin D and risk of falling, balance, and lower extremity neuromuscular function in women aged 60 and above by using Tetrax posturography. [Subjects and Methods] A total 200 women were classified based on their 25-OH-vitamin D (25(OH)D) values: hypo-vitaminosis group (less than 50.0 nmol/l) and normal group (50.0 more). Balance was measured using a Tetrax (R) posturography device (Sunlight Medical Ltd, Israel). Falling risk, stability index (SI), and weight distribution index (WDI) were calculated. Short Physical Performance Battery (SPPB) and International Physical Activity Questionnaire (IPAQ) were used as the clinical tests. [Results] Standing balance, gait, chair stand performance and total SPPB scores were significantly better in the patients with serum 25(OH) D levels higher than 50.0 nmol/l. Similarly, falling risk and SI values in the most of the postures were significantly higher in the hypovitaminosis group. There were significant associations between serum 25(OH) D levels with SPPB total score and Tetrax-measured falling risk. [Conclusion] This study showed better balance control, lower extremity function, and reduced falling risk in patients with serum 25(OH) D levels higher than 50.0 nmol/l in women aged 60 and above

Prevalence of symptomatic knee, hand and hip osteoarthritis among individuals 40 years or older: a study conducted in izmir city

WOS: 000326203600003PubMed ID: 23999509Objective: This cross-sectional study was conducted to determine the prevalence of symptomatic knee, hand and hip osteoarthritis among men and women at or over 40 years of age, living in the Bayrakli Adalet district of Izmir. Methods: The study included a sample size of 522 people calculated using the Epi Info (TM) software. Demographic information, weight, height and body mass index were recorded. Patients were physically examined for evidence of osteoarthritis, such as joint tenderness, range of motion deficiency, deformity, 1st carpometacarpal joint involvement and Heberden's and/or Bouchard's nodes. One hundred and ninety-one individuals were suspected of having knee/hand/hip osteoarthritis and 152 of these were called in for radiographs. Results: The prevalence of symptomatic knee, hand and hip osteoarthritis of adults aged >= 40 years was 20.9%, 2.8% and 1.0%, respectively. Symptomatic knee and hand osteoarthritis was significantly higher among women (p<0.05). However, there was no significant difference between two genders regarding symptomatic hip osteoarthritis. Conclusion: Knee osteoarthritis is frequent in the region in which the study was conducted. An effective health policy regarding osteoarthritis can be created following further studies with larger samples representing the entire country