Sakroiliiti taklit eden hodgkin lenfoma: Olgu sunumu]

Musculoskeletal syndromes may be associated with neoplastic diseases. We hereby report a case of sacroiliitis that was diagnosed as Hodgkin's lymphoma during the follow-up process. Though sacroiliitis was confirmed with magnetic resonance imaging (MRI), a diagnosis of malignancy associated with sacroiliitis may be delayed and cause a clinical challenge. We aimed to discuss the presentation of lymphoma with sacroiliac joint involvement and its probable mechanisms and review the literature

Bilateral Quadriceps and Concomitant Unilateral Triceps Tendon Rupture in a Chronic Hemodialysis Patient

Spontaneous bilateral quadriceps rupture is rarely seen in systemic diseases. Although the underlying mechanism in tendon rupture is not clearly understood, β2-amyloidosis, chronic acidosis, impaired collagen metabolism, accumulation of uremic toxins and secondary hyperparathyroidism are held to be responsible. The patients with bilateral spontaneous quadriceps rupture can be able to achieve significant functional improvement with the postoperative rehabilitation program. In this article, we aimed to present a patient with hemodialysis who developed spontaneous bilateral quadriceps and unilateral triceps rupture and discuss in company with the literature

The Role of Pyhsical Therapy Modalities in the Treatment of the Carpal Tunnel Syndrome: A Review of the Literature

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy caused by the compression of the median nerve at the wrist in the carpal canal. Although many diseases cause CTS, the etiology is usually idiopathic. There are various conservative treatment options including wrist splinting, nonsteroidal antiinflammatory drugs, local steroid injection and physical therapy modalities. The most prominent physical therapy modalities in the literature are therapeutic ultrasound and low-level laser therapy. Although CTS is the most well-defined and studied entrapment neuropathy, the effectiveness of the treatment modalities and superiority to each other is still controversial. In this review, the use of physical therapy modalities as the conservative treatment options of CTS are thoroughly examined and the most effective treatment methods are intended to reveal

Unilateral RS3PE Syndrome

[No Abstract Available

Bilateral rapidly destructive hip osteoarthritis: a case report

WOS: 000365455800010PubMed: 25866987Although hip osteoarthritis usually shows a slow progression, a rapidly destructive osteoarthritis is observed in approximately 10% of patients. We aimed to present a case with rapidly destructive osteoarthritis in bilateral hip joints. A 78-year-old male patient was admitted due to pain in hip joints. On examination, hip movements were minimally painful and limited. The patient was able to walk independently with a cane. When he re-applied six months later, hip movements were severely limited and painful. In plain radiographs, while a slight narrowing in hip joint space, sclerosis and minimal osteophyte had been observed at the first observation, extreme narrowing, subluxation, flattening of femoral head, increased sclerosis, resorption in femoral head and acetabulum were detected six months later. We consider that hip osteoarthritis in elderly people should be monitored at frequent intervals to assess both clinic and radiological progression

The Role of pyhsical therapy modalities in the treatment of the carpal tunnel syndrome: a review of the literature

Karpal tünel sendromu (KTS), median sinirin el bileğinde karpal tünelde kompresyonu sonucu en sık görülen tuzak nöropatidir. KTSye neden olan birçok hastalık olmasına rağmen genellikle idiopatiktir. KTSnin tedavisinde konservatif yöntemler arasında; istirahat splintleri, steroid olmayan anti-infamatuvar ilaçlar, lokal steroid enjeksiyonu ve fzik tedavi yer alır. Fizik tedavi modaliteleri içinde literatürde en fazla ön plana çıkan terapötik ultrason ve düşük doz lazer tedavisidir. KTS, en iyi tanımlanmış ve üzerinde en çok araştırma yapılan tuzak nöropati olmasına rağmen, tedavide kullanılan bu yöntemlerin etkinlikleri ve birbirlerine üstünlükleri tartışmalıdır. Bu derlemede, KTS tedavisinde uygulanan konservatif tedavi seçenekleri arasından fzik tedavi modaliteleri ve bunların etkinlikleri incelenerek, etkin tedavi yöntemlerinin ortaya konması amaçlanmıştır. (Türk Osteoporoz Dergisi 2014;20: 125-31)Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy caused by the compression of the median nerve at the wrist in the carpal canal. Although many diseases cause CTS, the etiology is usually idiopathic. There are various conservative treatment options including wrist splinting, nonsteroidal antiinfammatory drugs, local steroid injection and physical therapy modalities. The most prominent physical therapy modalities in the literature are therapeutic ultrasound and low-level laser therapy. Although CTS is the most well-defned and studied entrapment neuropathy, the effectiveness of the treatment modalities and superiority to each other is still controversial. In this review, the use of physical therapy modalities as the conservative treatment options of CTS are thoroughly examined and the mos

Bilateral obstetric brachial plexus paralysis: a case report

We aim to report a case with bilateral obstetric brachial plexus paralysis rarely seen after cesarean section. A28-month-old girl was admitted to our outpatient clinic with weakness in both upper extremities. Shoulderswere adducted and internally rotated, elbows were extended with flexion fingers. The 37-year-old mother,fetal breech presentation, premature birth and probably traction forces applied at birth were consideredamong the risk factors. With this case, it is emphasized that obstetric brachial plexus paralysis occurs rarelybilateral and after cesarean section

Are Bone Turnover Markers Related with Fracture Risk in Initial Diagnose Postmenopausal Osteoporosis? a Cross-Sectional Clinical Study

Amaç: Bu çalışmada ilk defa osteoporoz tanısı alan postmenopozal kadınlarda FRAX değerlendirme aracı ile hesaplanan 10 yıllık kırık riski ile kemik döngüsü belirteçleri (KDB) arasındaki ilişkiyi inceledik.Gereç ve Yöntem: İlk defa osteoporoz tanısı alan ve sekoner osteoporoz nedenlerinin dışlandığı 61 postmenopozal kadın hasta çalışmaya dahil edildi. Boy ve kilo ölçümleri, ek hastalıklar, menopoz yaşı, laboratuvar incelemeler kaydedildi. Dual enerji x-ray absorbsiyometri ile lumbar ve femur boynu, femur total T skorları ölçüldü. KDB olarak serum osteokalsin (OK) ve idrar deoksipridinolin düzeyi ölçüldü. FRAX ile 10 yıllık kalça ve majör osteoporotik kırık riski hesaplandı.Bulgular: Hastaların ortalama yaşı 61±39 yıl idi. Menopoz yılı ortanca değeri 15,13 yıl idi (minimum: 2, maksimum: 40). On yıllık ortanca kalça kırık riski ve majör osteoporotik kırık riski sırasıyla %1,10 (minimum: 0, maksimum: 23), %6,9 (minimum: 3, maksimum: 34) olarak hesaplandı. KDB ile kırık riski arasında anlamlı ilişki saptanmadı. Menopoz süresi ile kalça ve majör osteoporotik kırık riski arasında pozitif yönde anlamlı ilişki saptandı (p=0,031, r=0,276; p=0,025, r=0,287). Vücut kitle indeksi ve kalça kırık riski arasında negatif yönde anlamlı ilişki saptandı (p=0,002, r=-0,392).Sonuç: Biz çalışmamızda yeni tanı alan postmenopozal osteoporoz hastalarında kırık riski ve KDB arasında anlamlı ilişki saptamadık. Farklı hasta gruplarında KDB ile kırık riski arasındaki ilişkileri araştıran daha ileri çalışmalara ihtiyaç vardıObjective: In this study, we investigated the relationships between 10 year fracture risk calculated with FRAX assessment tool and bone turnover markers (BTM) in women with diagnosed as postmenopausal osteoporosis for the first time.Materials and Methods: After exclusion of the causes of secondary osteoporosis 61 postmenopausal women diagnosed with osteoporosis for the first time were enrolled. Height and weight measurements, comorbid diseases, menopause age, and laboratory investigations were recorded. Lumbar and femur neck and femur total T scores were measured by dual-energy x-ray absorptiometry (DXA). As BTM, serum osteocalcin (OC) and urine deoxypridinoline levels were measured. 10-year fracture risk of hip and major osteoporotic fracture was calculated with FRAX assessment tool.Results: The mean age of patients was 61±39 years. Median value of menopause year was 15.13 years (min: 2, max: 40). The median 10-year hip fracture and major osteoporotic fracture risks were calculated as 1.10% (min: 0, max: 23), 6.9% (min: 3, max: 34) respectively. There was no significant relationship between BTM and fracture risk. Positive significant correlation was found between menopause year and hip fracture risk, and between menopause year and major osteoporotic fracture risks (p=0.031, 0.276; p=0.025, r=0.287). Negative significant correlation was detected between body mass index and hip fracture risk (p=0.002, r=-0.392).Conclusion: In our study, we couldn't find relationship between BTM and fracture risks assessed by using FRAX tool in patients with initially diagnosed of postmenopausal osteoporosis. Further studies are needed to investigate the relationship between BTM and fracture risk in different patient groups

Assessment of cognitive functioning in adult women with low vitamin D level using mini mental state examination and montreal cognitive assessment

WOS: 000404688300002Objective: The aim of the study was to evaluate cognitive functioning in adult women with low level vitamin D and to investigate the relationship between vitamin D and cognitive functioning. Materials and Methods: Seventy-one women patients aged 18-50 with 25-OH vitamin D-3 level 0.05). Patients in group 1 had their vitamin D levels significantly lower and PTH levels higher than group 2 (p0.05). Although there was a relationship between education and MOCA and MMSE scores, we didn't find any significant relationship between age and vitamin D levels and MOCA and MMSE scores. Conclusion: Although approximately 50% of adult women whose vitamin D levels were low had reduced cognitive function, there was no relationship between vitamin D levels and cognitive functions