This study aims to compare the findings of the shoulder ultrasonography (US) of patients with a s... more This study aims to compare the findings of the shoulder ultrasonography (US) of patients with a supraspinatus (SS) tendon rupture with those of the shoulder arthroscopy, to determine the reliability and diagnostic performance of the shoulder US in the algorithm of the SS tendon pathologic lesions and their secondary ultrasonographic findings. A prospective study conducted with patients scheduled for arthroscopy of the shoulder due to an SS tendon rupture in Yildirm Beyazit Education and Research Center and Gazi University, Ankara, Turkey. Fifty patients scheduled for an arthroscopy of the shoulder due to an SS tendon rupture were evaluated by shoulder US 1 week before the surgery. SS tendon pathologic lesions (tendinosis, partial tears, and full-thickness tears) and humeral degeneration were recorded, and the results of shoulder US were compared with those of arthroscopy. With reference to the arthroscopic data, the sensitivity of the ultrasonographic evaluation for the diagnosis of...
Introduction: Long head of biceps (LHB) pathologies are an important cause of pain and dysfunctio... more Introduction: Long head of biceps (LHB) pathologies are an important cause of pain and dysfunction. As LHB pathologies have specific components from other underlying or related pathologies, the LHB score is designed for an accurate assessment. The aim of this study was to adapt the LHB score into Turkish and to assess its validity and reliability. Materials and Methods: LHB score was translated and culturally adapted from English to Turkish, and then it was applied to 62 patients with biceps long head pathology. The reliability of the scale was checked through internal consistency and test–retest methods. Internal consistency was computed with Cronbach alpha value. Test–retest reliability was assessed using an intraclass correlation coefficient. American Shoulder and Elbow Surgeons Standard Shoulder Assessment Form and modified Constant–Murley score were used to analyze concurrent validity. Results: The Cronbach alpha value of the scale was found as .640. When the subsections of LHB...
Hip international : the journal of clinical and experimental research on hip pathology and therapy, 2021
INTRODUCTION Obesity is thought to lead to increased failure rates following total hip arthroplas... more INTRODUCTION Obesity is thought to lead to increased failure rates following total hip arthroplasty (THA). Site-specific fat distribution has been suggested to be a better indicator of risk, compared to body mass index. Fat thickness measurement methods were developed for total knee arthroplasty, however, there is limited data on the methods for THA. The aim of this study was to assess the interobserver and intraobserver reliability of a newly defined radiographic subcutaneous fat thickness ratio and investigate the correlation of this ratio with early failure following THA. METHODS 321 patients who underwent primary THA at a single institution between 2014 and 2017, with at least 1-year of follow-up and a preoperative pelvis anteroposterior x-ray radiograph were included in this study. A high hip fat thickness ratio (HFTR) was arbitrarily defined as ⩾2. Early failure was defined as revision or re-operation for any reason and death related to operation first year following THA. RESU...
Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology, 2021
OBJECTIVES Emotional and cognitive factors have been shown to affect pain, and one of the main fa... more OBJECTIVES Emotional and cognitive factors have been shown to affect pain, and one of the main factors in the development of this effect is pain catastrophizing. The present study aims to determine the effect and frequency of the pain catastrophizing in shoulder lesions and to examine the association between pain catastrophizing and to assess the pre-operative and post-operative functional outcomes. METHODS A total of 114 patients who underwent shoulder arthroscopy were included study. Pain catastrophizing scale, Tampa kinesiophobia scale, visual analog scale, and University of California at Los Angeles shoulder scale were used for evaluating patients' pre- and post-operative pain and functional situation. RESULTS Pain catastrophizing was detected 42 of 114 patients (37%). Kinesiophobia was higher in patients who catastrophized shoulder pain (p<0.0001). If participant had a labrum (p=0.038), supraspinatus (p=0.043), or biceps pathology (p=0.032), catastrophization was determi...
Objectives The aim of this study is to demonstrate the importance of clinical diagnosis by compar... more Objectives The aim of this study is to demonstrate the importance of clinical diagnosis by comparing with preoperative physical examination and magnetic resonance imaging (MRI) images in patients who were arthroscopically diagnosed as having Superior Labrum Anterior-Posterior (SLAP) II lesions. Materials and Methods 134 patients, arthroscopically diagnosed as SLAP II, established the study group, and 200 patients who underwent shoulder arthroscopy for the other pathologies established the control group. Preoperative clinical examination of the patients, MRI findings, and the arthroscopic findings of the patients were recorded. Results Out of the patients diagnosed with a SLAP II lesion, 107 (79.9) of those had an MRI finding while only 60 (30%) of the control group had it. The O'Brien test results of the patients diagnosed with SLAP were positive in 111 (82.8%) while those diagnosed with intact superior labrum were positive in 132 (66%). Of the 134 patients with a SLAP II lesion...
With the development of technology and improvement in implant options and quality, implantation o... more With the development of technology and improvement in implant options and quality, implantation of the shoulder prosthesis (SA) has increased as the other surgical implants. Thus, the rate of shoulder prosthesis procedures has also increased. A study conducted to evaluate the increment in the rate of arthroplasties performed between 2006 and 2010 found 29% for the shoulder while that was 10% for the knee and 1% for the hip. This was attributed to the increase in usage of shoulder prostheses compared to other prosthesis types and especially expansion of the indications because of the coming into use of the reverse shoulder prosthesis designs [1]. Shoulder prostheses were found to have 90% 10-year and 80% 15-year survival rates [2, 3]. In another study, the 15-year survival rate of the SA is given as 87% with 15% of complication rate [4]. Sing et al. found 20-year survival rate of the anatomic SA as 81% and stated risk factors for revision surgery [5] of which those leading are; accom...
Eklem hastaliklari ve cerrahisi = Joint diseases & related surgery, 2009
Osteochondritis dissecans (OCD) with a large subchondral bone cyst (SBC) is not common. The treat... more Osteochondritis dissecans (OCD) with a large subchondral bone cyst (SBC) is not common. The treatment of this lesion may be unsuccessful with conventional techniques. A novel surgical technique is described for the treatment of OCD with SBC of the femoral condyle. Modified osteochondral multiple autograft transfer following extraarticular curettage and bone grafting of SBC is a promising technique.
Background: To determine the distribution of intra-articular lesions according to age and gender ... more Background: To determine the distribution of intra-articular lesions according to age and gender by retrospectively examining the archive records of patients who were operated due to ankle instability. Methods: The patient records of ankle arthroscopy procedures from between February 2009 to February 2020 were retrospectively evaluated. The information about patients such as age, gender, surgical site, intra-articular and surrounding lesions (osteochondral defects, degenerative cartilage changes, synovial disorders, impingement syndromes, flexor hallucis longus lesions and the presence of os trigonum) were noted and compared statistically. Results: The incidence of concomitant intra-articular pathology was found to be 78.2% in patients who underwent ankle arthroscopy due to instability. Anterior impingement syndrome in 74.5% of patients, osteochondral lesion in 41.2%, synovial hypertrophy in 15.8%, and degenerative arthritis in 9.1% of the patients were detected. The mean age of the patients with anterior impingement syndrome (p: 0.012), osteochondral defect (p: 0.001), and degenerative arthritis (p: 0.003) was found to be significantly higher than those without. The mean age of patients without additional pathology was 33.91±12.08, patients with an additional pathology were 37.77±12.35, and patients with more than one pathologies were found to be 42.15±11.79 (p: 0.003). Conclusions: The most important finding of this study was that the presence and number of pathologies accompanying ankle instability increased with age. Considering the incidence of concomitant lesions in patients to be operated due to chronic ankle instability, detailed evaluation of preoperative magnetic resonance imaging and performing diagnostic arthroscopy may be beneficial for determining the possibility of concomitant lesions.
Background: Ankle sprains occur frequently in both athletes and the general population. The socia... more Background: Ankle sprains occur frequently in both athletes and the general population. The social and economic consequences can be significant. In an effort to understand the injury, dynamic and static structures around the ankle have been investigated in detail, but anatomical factors predisposing to lateral ankle instability have not been fully clarified. The aim of this study was to radiologically investigate the relationship between bony variations of the distal tibiofibular joint and arthroscopically proven ankle instability. Methods: Fifty patients with arthroscopically proven ankle instability and 50 patients without instability were included in this study. Measurements were obtained from a magnetic resonance imaging (MRI) section 1 cm proximal to the tibiotalar joint; distal tibiofibular joint anterior facet length ( a), posterior facet length ( b), angle between the anterior and posterior facets ( c), fibular notch depth ( d), tibia thickness ( e), and fibula thickness ( f...
This study aims to compare the findings of the shoulder ultrasonography (US) of patients with a s... more This study aims to compare the findings of the shoulder ultrasonography (US) of patients with a supraspinatus (SS) tendon rupture with those of the shoulder arthroscopy, to determine the reliability and diagnostic performance of the shoulder US in the algorithm of the SS tendon pathologic lesions and their secondary ultrasonographic findings. A prospective study conducted with patients scheduled for arthroscopy of the shoulder due to an SS tendon rupture in Yildirm Beyazit Education and Research Center and Gazi University, Ankara, Turkey. Fifty patients scheduled for an arthroscopy of the shoulder due to an SS tendon rupture were evaluated by shoulder US 1 week before the surgery. SS tendon pathologic lesions (tendinosis, partial tears, and full-thickness tears) and humeral degeneration were recorded, and the results of shoulder US were compared with those of arthroscopy. With reference to the arthroscopic data, the sensitivity of the ultrasonographic evaluation for the diagnosis of...
Introduction: Long head of biceps (LHB) pathologies are an important cause of pain and dysfunctio... more Introduction: Long head of biceps (LHB) pathologies are an important cause of pain and dysfunction. As LHB pathologies have specific components from other underlying or related pathologies, the LHB score is designed for an accurate assessment. The aim of this study was to adapt the LHB score into Turkish and to assess its validity and reliability. Materials and Methods: LHB score was translated and culturally adapted from English to Turkish, and then it was applied to 62 patients with biceps long head pathology. The reliability of the scale was checked through internal consistency and test–retest methods. Internal consistency was computed with Cronbach alpha value. Test–retest reliability was assessed using an intraclass correlation coefficient. American Shoulder and Elbow Surgeons Standard Shoulder Assessment Form and modified Constant–Murley score were used to analyze concurrent validity. Results: The Cronbach alpha value of the scale was found as .640. When the subsections of LHB...
Hip international : the journal of clinical and experimental research on hip pathology and therapy, 2021
INTRODUCTION Obesity is thought to lead to increased failure rates following total hip arthroplas... more INTRODUCTION Obesity is thought to lead to increased failure rates following total hip arthroplasty (THA). Site-specific fat distribution has been suggested to be a better indicator of risk, compared to body mass index. Fat thickness measurement methods were developed for total knee arthroplasty, however, there is limited data on the methods for THA. The aim of this study was to assess the interobserver and intraobserver reliability of a newly defined radiographic subcutaneous fat thickness ratio and investigate the correlation of this ratio with early failure following THA. METHODS 321 patients who underwent primary THA at a single institution between 2014 and 2017, with at least 1-year of follow-up and a preoperative pelvis anteroposterior x-ray radiograph were included in this study. A high hip fat thickness ratio (HFTR) was arbitrarily defined as ⩾2. Early failure was defined as revision or re-operation for any reason and death related to operation first year following THA. RESU...
Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology, 2021
OBJECTIVES Emotional and cognitive factors have been shown to affect pain, and one of the main fa... more OBJECTIVES Emotional and cognitive factors have been shown to affect pain, and one of the main factors in the development of this effect is pain catastrophizing. The present study aims to determine the effect and frequency of the pain catastrophizing in shoulder lesions and to examine the association between pain catastrophizing and to assess the pre-operative and post-operative functional outcomes. METHODS A total of 114 patients who underwent shoulder arthroscopy were included study. Pain catastrophizing scale, Tampa kinesiophobia scale, visual analog scale, and University of California at Los Angeles shoulder scale were used for evaluating patients' pre- and post-operative pain and functional situation. RESULTS Pain catastrophizing was detected 42 of 114 patients (37%). Kinesiophobia was higher in patients who catastrophized shoulder pain (p<0.0001). If participant had a labrum (p=0.038), supraspinatus (p=0.043), or biceps pathology (p=0.032), catastrophization was determi...
Objectives The aim of this study is to demonstrate the importance of clinical diagnosis by compar... more Objectives The aim of this study is to demonstrate the importance of clinical diagnosis by comparing with preoperative physical examination and magnetic resonance imaging (MRI) images in patients who were arthroscopically diagnosed as having Superior Labrum Anterior-Posterior (SLAP) II lesions. Materials and Methods 134 patients, arthroscopically diagnosed as SLAP II, established the study group, and 200 patients who underwent shoulder arthroscopy for the other pathologies established the control group. Preoperative clinical examination of the patients, MRI findings, and the arthroscopic findings of the patients were recorded. Results Out of the patients diagnosed with a SLAP II lesion, 107 (79.9) of those had an MRI finding while only 60 (30%) of the control group had it. The O'Brien test results of the patients diagnosed with SLAP were positive in 111 (82.8%) while those diagnosed with intact superior labrum were positive in 132 (66%). Of the 134 patients with a SLAP II lesion...
With the development of technology and improvement in implant options and quality, implantation o... more With the development of technology and improvement in implant options and quality, implantation of the shoulder prosthesis (SA) has increased as the other surgical implants. Thus, the rate of shoulder prosthesis procedures has also increased. A study conducted to evaluate the increment in the rate of arthroplasties performed between 2006 and 2010 found 29% for the shoulder while that was 10% for the knee and 1% for the hip. This was attributed to the increase in usage of shoulder prostheses compared to other prosthesis types and especially expansion of the indications because of the coming into use of the reverse shoulder prosthesis designs [1]. Shoulder prostheses were found to have 90% 10-year and 80% 15-year survival rates [2, 3]. In another study, the 15-year survival rate of the SA is given as 87% with 15% of complication rate [4]. Sing et al. found 20-year survival rate of the anatomic SA as 81% and stated risk factors for revision surgery [5] of which those leading are; accom...
Eklem hastaliklari ve cerrahisi = Joint diseases & related surgery, 2009
Osteochondritis dissecans (OCD) with a large subchondral bone cyst (SBC) is not common. The treat... more Osteochondritis dissecans (OCD) with a large subchondral bone cyst (SBC) is not common. The treatment of this lesion may be unsuccessful with conventional techniques. A novel surgical technique is described for the treatment of OCD with SBC of the femoral condyle. Modified osteochondral multiple autograft transfer following extraarticular curettage and bone grafting of SBC is a promising technique.
Background: To determine the distribution of intra-articular lesions according to age and gender ... more Background: To determine the distribution of intra-articular lesions according to age and gender by retrospectively examining the archive records of patients who were operated due to ankle instability. Methods: The patient records of ankle arthroscopy procedures from between February 2009 to February 2020 were retrospectively evaluated. The information about patients such as age, gender, surgical site, intra-articular and surrounding lesions (osteochondral defects, degenerative cartilage changes, synovial disorders, impingement syndromes, flexor hallucis longus lesions and the presence of os trigonum) were noted and compared statistically. Results: The incidence of concomitant intra-articular pathology was found to be 78.2% in patients who underwent ankle arthroscopy due to instability. Anterior impingement syndrome in 74.5% of patients, osteochondral lesion in 41.2%, synovial hypertrophy in 15.8%, and degenerative arthritis in 9.1% of the patients were detected. The mean age of the patients with anterior impingement syndrome (p: 0.012), osteochondral defect (p: 0.001), and degenerative arthritis (p: 0.003) was found to be significantly higher than those without. The mean age of patients without additional pathology was 33.91±12.08, patients with an additional pathology were 37.77±12.35, and patients with more than one pathologies were found to be 42.15±11.79 (p: 0.003). Conclusions: The most important finding of this study was that the presence and number of pathologies accompanying ankle instability increased with age. Considering the incidence of concomitant lesions in patients to be operated due to chronic ankle instability, detailed evaluation of preoperative magnetic resonance imaging and performing diagnostic arthroscopy may be beneficial for determining the possibility of concomitant lesions.
Background: Ankle sprains occur frequently in both athletes and the general population. The socia... more Background: Ankle sprains occur frequently in both athletes and the general population. The social and economic consequences can be significant. In an effort to understand the injury, dynamic and static structures around the ankle have been investigated in detail, but anatomical factors predisposing to lateral ankle instability have not been fully clarified. The aim of this study was to radiologically investigate the relationship between bony variations of the distal tibiofibular joint and arthroscopically proven ankle instability. Methods: Fifty patients with arthroscopically proven ankle instability and 50 patients without instability were included in this study. Measurements were obtained from a magnetic resonance imaging (MRI) section 1 cm proximal to the tibiotalar joint; distal tibiofibular joint anterior facet length ( a), posterior facet length ( b), angle between the anterior and posterior facets ( c), fibular notch depth ( d), tibia thickness ( e), and fibula thickness ( f...
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