The aim of this study was to suggest a safe management method for the diagnosis and treatment of ankle sprains in pregnant patients.Between November 2005 and January 2013, 96 pregnant patients with ankle sprains referred to the department of orthopedics and traumatology were evaluated, retrospectively. The Ottawa ankle rules were used to assess the need for radiologic evaluation. Radiological procedures: Surface USG, X-ray (0,6 mGy, mortise view), MRI (T1 and STIR) and fluoroscopy with 0,8 mGy/s doses 0,4 ms single shot views in surgery room. The results of the operated patients were evaluated with AOFAS scoring system.Forty-four (45,8%) patients were treated with conservative methods and there was no need for radiological evaluation. USG was used in 17 (17,7%), MRI in 24 (25%), X-ray in 4 (4,1%) and both USG and MRI in 7 (7,2%) patients during diagnosis. An algorithm was created for the diagnosis and treatment of pregnant patients with ankle sprains. No complications due to radiological and surgical procedures occurred over pregnancies. The AOFAS score was 83 (65-100) in the operated patients.There is no standard management method for the diagnosis and treatment of pregnant patients with ankle sprains. The algorithm presented in this study may be useful. Good results can be obtained with an appropriate preparation and surgical technique.
Static two-point discrimination (S2PD) and Semmes-Weinstein monofilament (SWM) tests are the most widely used tests for evaluation of sensory deterioration. It is a necessity to know the inter- and intra-tester reliability of these tests to determine the suitability of method. Another important point in evaluation of sensory deterioration is whether or not there is a reference point which can be compared with the test results. So, it is important to know the reliability of sensory evaluation tests on the healthy extremities. The aim of this study was to evaluate the inter- and intra-tester reliability of the S2PD and SWM tests applied to the fingers of healthy individuals. One hundred and sixty three healthy fingers from 83 individuals were included into the study. An experienced orthopaedic surgeon and a physiotherapist examined all the individuals separately. The reliability of the S2PD test was found to be little and low. The reliability of the SWM test was determined as low and moderate. The reproducibility scores of both tests were at a poor level. Therefore, in the evaluation of states with sensory deterioration, the use of the healthy contralateral extremities as a standard reference point could be considered unreliable. Prognosis, grading or follow-up of treatment should not be made according to the results of the S2PD and SWM tests only. It would be more correct to use these tests as a diagnostic tool rather than quantitative follow-up for neurological function in pathological conditions.
Aneurysmal bone cyst (ABC) is defined as an expansile and osteolytic lesion, containing cystic cavities full of blood, which although benign, has a locally destructive course. The most preferred treatment method is surgery. Curettage and bone grafts are often used. The case is here presented of an ABC located in the clavicle, which was successfully treated with fibula allograft.
We aimed to report the clinical and electrophysiological results of patients who were treated with an endoscopically assisted in situ release technique for cubital tunnel syndrome and to show safety and efficacy of this procedure.Twenty nine patients were included into the study. 13 patients (44.8%) were female, 16 patients (55.2%) were male. The mean age was 44.4 years (range; 22-66 years). Mean follow up period was 16.0 months (range; 7-42 months). We used Dellon classification for preoperative staging, and modified Bishop rating system for the evaluation of postoperative clinical results. Dynamometric and electromyographic measurements were obtained preoperatively and at final control.Preoperative Dellon's classification revealed 3 patients grade 1, 14 grade 2, and 12 grade 3. Modified Bishop score was very good for 21 patients (72.4%), good for 4 patients (13.8%), fair for 3 patient (10.3%), and poor for 1 patient (3.4%). At final control; the mean proportion of grip power and pinch strength of the affected hand to the contralateral normal hand was improved, and also nerve conduction velocity were improved in all patients. As complication, hematoma formation developed in two cases.Our study showed that endoscopically assisted decompression technique without using any special instruments can be performed successfully with a low complication rate. It is a safe and effective method in the treatment of cubital tunnel syndrome.Level IV, Therapeutic study.
Posterior interosseous nerve (PIN) resection in combination with proximal row carpectomy (PRC), is a preferred method in order to obtain rapid recovery. However, the contribution of such combination to results isn't known well.We performed a comparative study to evaluate the effects of PIN neurectomy for PRC and a systematic review of the literature was performed to identify whether such combination has an advantage.Patients with wrist diseases who underwent PRC were evaluated retrospectively. Patients without PIN neurectomy (group 1, n = 7) and with PIN neurectomy (group 2, n = 8) were compared in respect of mean age, follow-up, gender, Q-DASH, VAS, MAYO wrist scores, flexion-extension/radial-ulnar deviation range of motion at final follow-up. The MEDLINE database was searched for studies published between 2005 and 2015, as the second part of the study. The following keywords were used: "proximal," "row," "carpectomy." Studies, which met the inclusion criteria, were evaluated in terms of such combination.There were no significant difference between the groups in regard with age (P = .463), follow-up period (P = .728), the ranges of flexion-extension (P = .431) and radio-ulnar deviation (P = .689), Q-DASH (P = .452), and MAYO scores (P = .728). In the second part of the study, 12 studies met the inclusion criteria and none of them was specifically evaluating such combination. Only one study had specific comments on PRC with PIN neurectomy.According to our study (which, to our knowledge, was the first comparative study in the literature), we advocate not to combine PRC with PIN neurectomy for such an approach has no advantage.La résection interosseuse postérieure (IOP) combinée à la carpectomie proximale (CTP) est favorisée pour stimuler une convalescence rapide. Cependant, on en connaît mal l’apport sur les résultats.Les auteurs ont procédé à une étude comparative pour évaluer les effets de la neurectomie IOP pour la CTP et à une analyse bibliographique systématique pour déterminer si cette combinaison comportait des avantages.Les chercheurs ont soumis les patients ayant une maladie du poignet qui avaient subi une CTP à une évaluation rétrospective. Ils ont comparé les patients sans neurectomie IOP (groupe 1, n = 7) à ceux en ayant subi une (groupe 2, n = 8) pour ce qui est de l’âge moyen, du suivi, du sexe, des scores du poignet Q-DASH, VAS et MAYO, ainsi que de l’amplitude de flexion–extension et de déviation radio-ulnaire au suivi final. Dans la deuxième partie de l’étude, ils ont effectué des recherches dans la base de données MEDLINE pour en extraire les études publiées entre 2005 et 2015. Ils ont utilisé les mots-clés suivants: proximal, row, carpectomy. Ils ont évalué les études qui respectaient les critères d’inclusion en fonction de cette combinaison.Les chercheurs n’ont constaté aucune différence significative entre les groupes pour ce qui est de l’âge (p = 0,463), de la période de suivi (p = 0,728), de l’amplitude de flexion–extension (p = 0,431) et de déviation radio-ulnaire (p = 0,689), ainsi que des scores Q-DASH (p = 0,452) et MAYO (p = 0,728). Dans la deuxième partie de l’étude, 12 études respectaient les critères d’inclusion et aucune n’évaluait expressément cette combinaison. Une seule étude incluait des commentaires sur la CTP combinée à la neurectomie IOP.D’après la présente étude, qu’ils croient être la première étude comparative sur le sujet, les chercheurs préconisent de ne pas combiner la CTP à la neurectomie IOP, car elle ne comporte aucun avantage.
Objective: The aim of this study was to determine the prevalence of predatory journals in Orthopedics and Traumatology and to investigate the relationship of these publications with the regulations of scientific fields made in recent years in Turkey.Methods: The journals and publishers between the years 2000e2018 were screened and websites visited one by one on the basis of the orthopedic journals and publishers list determined as predators or possible predators.Orthopedic publications originated from Turkey was detected in these predatory journals.Article admissions, article processing charges, editorial and referee average response times were reviewed from the websites of journals.In addition, the effect of changing associate professorship application requirements and academic incentive regulation on the preference of predatory journals was examined.Results: Between 2000 and 2018 years 1626 issues which can be reached in 282 journals were examined.4795 articles were screened in 29 journals which have articles originated from Turkey.One hundred and six (2.21%) articles which originated from Turkey was reached in these publications.Average article processing charge was $865 ($ 0e1819).Fifty-nine of 106 (55%) articles originated from Turkey were found in only 4 journal.Journals which have articles originated from Turkey were not on the Web of Science list.The response time to the articles was between 2 and 6 weeks in these journals.After the change criteria in associate professorship in 2016, 3.32 fold increase in annual average number of publications originated from Turkey have been identified in predatory journals.After the change criteria in academic incentive regulation in 2015, 4.76 fold increase in annual average number of publications originated from Turkey have been identified in predatory journals.
