ABS TRACT Objective: To investigate the impact of morphometric characteristics of neural foramen (NF) and intervertebral disc (ID) on magnetic resonance imaging (MRI) to the treatment outcomes after transforaminal epidural steroid injection (TFESI).Few clinical and radiological features are suggested predicting treatment success after epidural steroid injection.However, the impact of morphometric characteristics of the relevant NF to the response to TFESI is unknown.Material and Methods: This study was carried out prospectively with the participation of 45 patients who were treated with single level TFESI to L5 nerve root.Pain intensity, disability, and depression levels were assessed at baseline, 3rd week and 3rd month.The morphometrics of the relevant NF and ID were evaluated on sagittal MRI scans and compared between patients who responded and did not respond to the treatment.Results: The interrater reliability of all morphometric measurements of NF and ID performed by 2 physicians were high or excellent.Pain, depression, and disability scores were improved significantly at 3rd month compared to baseline.No statistically significant difference was found between responders and non-responders regarding morphometric evaluation (p>0.05).Conclusion: The results of the present study indicate that MRI based morphometric parameters like disc height, pedicle length, minimum and maximum foraminal width, foraminal crosssectional area (CSA), and nerve root CSA have no effect on the efficacy of TFESI.
Anatomical variations include the absence of a muscle or tendon or its presence as an accessory muscle or tendon. Clinically, anatomic variations play an important role in diagnosis and theraphy. In anatomy dissection laboratory, during routine dissection for educational purposes, a 83 -year- old male cadaver was dissected and a two-headed accessory muscle was observed on the plantar surface of the left foot. The medial and lateral heads of the muscle were observed close to the medial and lateral plantar neurovascular bundles. The accessory muscle was pierced by the tendon of the flexor digitorum longus muscle and both muscles were inserted to the distal phalanx of the fifth toe. The variations of the accessory muscles should be taken into consideration in surgical interventions, since, they may change the course of the intervention or as in the case of abductor hallucis muscle, they may be used in reconstructive procedures as grafts. Therefore, it is crucial for surgeons, orthopedic physicians, and anatomists to have a detailed knowledge of the intrinsic muscles of the foot.22-07-2024
Objective: Hypermobility is the excessive range of motion of joints, and related to various musculoskeletal and extra-articular problems that may significantly impair quality of life (QoL) by causing pain.The aim of the study is to examine the prevalence of hypermobility in young adults, and its relationship with pain in various regions of body and QoL.Methods: Two hundred and twenty five volunteers, aged between 17 and 23, were classified as subjects-with-hypermobility or subjectswithout-hypermobility according to the Beighton Criteria.Chronic pain was identified by using Nordic Pain Questionnaire, QoL was identified by Short Form-36 (SF-36) Questionnaire.Pain presence in 9 body regions and SF-36 scores were compared between groups using chi-square test and Independent Samples T-test, respectively.Results: Of the participants, 164 (64%) were female, 91 (36%) were male, 119 (46.7%) had hypermobility.Upper back was the body region with the highest pain prevalence where 79% of hypermobile and 74% of non-hypermobile subjects reported pain at least once in past 12 months.Pain prevalence in body regions did not differ between groups (p>0.05).In terms of QoL, physical and mental component scores of SF-36, as well as all subgroup scores except social function were significantly lower in hypermobile subjects (p<0.05). Conclusion:Pain prevalence in different body regions did not differ between subjects with and without hypermobility whereas the QoL Amaç: Hipermobilite eklem hareket açıklığının normal olan değerlerden fazla olması olarak tanımlanmaktadır.Çeşitli muskuloskeletal yaralanmalar ve ekstra-artiküler problemlerle ilişkilidir ve vücudun farklı bölgelerinde kronik ağrılara sebep olarak yaşam kalitesini (YK) belirgin şekilde etkileyebilir.Bu çalışmanın amacı, genç yetişkinlerde hipermobilitenin görülme sıklığını incelemek ve hipermobilitenin vücudun çeşitli bölgelerindeki ağrı prevelansı ve YK üzerindeki etkisini araştırmaktır.Yöntemler: Araştırmaya yaşları 17-23 arası olan toplam 255 gönüllü katıldı.Katılımcılar Beighton Hipermobilite Kriterleri'ne göre hipermobilitesi olan veya olmayan bireyler olarak sınıflandırıldı.Nordic Ağrı Anketi ile kronik ağrının varlığı ve lokalizasyonu; Kısa Form-36 (KF-36) anketi ile de YK değerlendirildi.Gruplar vücudun 9 bölgesi için bildirilen ağrı açısından ki-kare testiyle, KF-36 anket skorları açısından ise Bağımsız Örneklem t-testiyle karşılaştırılarak değerlendirildi.Bulgular: Katılımcıların 164'ü kadın (%64) 91'i erkek (%36) idi.Katılımcıların 119'unda (%46,7) hipermobilite saptandı.Sırt bölgesi katılımcıların en sık ağrı
'/%3e%3cpath fill='%23fff' d='m8.751-17.959 10.11 11.373L3.997-9.844l13.94-6.1-7.692 13.129z'/%3e%3c/svg%3e)