The aim of this study was to evaluate the effectiveness of extracorporeal shock wave therapy (ESW... more The aim of this study was to evaluate the effectiveness of extracorporeal shock wave therapy (ESWT) in patients with subcalcaneal pain syndrome. A total of 23 women and seven men aged 20 to 60 yrs, with subcalcaneal pain were enrolled in the study. Patients had not received any steroid injections within the last six months and could not be relieved with medical treatment. AOFAS, FADI, Roles and Maudsley scores were compared using dependent groups' t-test. Mann-Whitney U test was used to compare patients with morning pain and those with all day long lasting pain, and patients having symptoms for shorter or longer than a year. AOFAS, FADI, Roles and Maudsley scores before and following the treatments were significantly different (p
Nutrition knowledge plays a pivotal role in shaping dietary habits and food choices, particularly... more Nutrition knowledge plays a pivotal role in shaping dietary habits and food choices, particularly in the realm of sports nutrition. This study investigates the effects of a series of nutrition education sessions conducted by a registered dietitian on energy availability, various anthropometric measurements, eating attitudes, and sports nutrition knowledge in young female endurance athletes aged 15-18 years (football, basketball, volleyball) who engage in training for more than 10 h per week (n = 83). Participants were randomly divided into two groups with 45 individuals receiving six physical nutrition education lectures, and the remaining 38 participants receiving no nutrition education. Participants completed the low energy availability in females questionnaire (LEAF-Q), Eating Attitude Test (EAT-26), and Sports Nutrition Knowledge Questionnaire (SNKQ). Energy and nutrient intakes were evaluated through 3-day food records, while exercise energy expenditure was assessed using 3-day activity logs. All of the questionnaires were repeated after 6 months. At baseline, the prevalence of LEA among athletes was determined to be 63.8%. In the intervention group, energy availability (EA) and SNKQ scores increased, and LEAF-Q scores decreased significantly (p < 0.05). However, there was no significant change in EAT-26 scores between the two groups. Energy intake, weight, fat-free mass, and resting metabolic rate have been increased significantly in the intervention group (p < 0,05). These findings suggest that nutrition education proves beneficial in enhancing dietary intake, positively influencing body composition, and improving nutrition knowledge, ultimately contributing to increased energy availability in female athletes over the short term.
Journal of the American Podiatric Medical Association, Nov 1, 2022
Background: Although flexible flatfoot (FF) in children is a foot deformity that is frequently en... more Background: Although flexible flatfoot (FF) in children is a foot deformity that is frequently encountered in daily orthopedics practice, its etiology is still controversial. The aim of this study was to determine whether there is a weakness in muscle strength and proprioception in patients with FF. Methods: The study group consisted of 16 cases with FF, and the control group consisted of 25 volunteers with normal feet. An isokinetic dynamometer was used to assess muscle strength and proprioception of movement directions of plantarflexion, dorsiflexion, eversion (EV), and inversion (INV) in both groups. Results: There was no statistically significant difference between the groups in strength of plantarflexion and dorsiflexion muscles, whereas in the control group, proprioception of all four movement directions and strengths of the EV and INV muscles were found to be statistically significantly higher (P &lt; .05). Conclusions: There is weakness in EV and INV muscle strength and proprioception disorder in patients with FF. We recommend conducting further studies that validate muscle weakness and proprioception disorders with different study designs and evaluate the effectiveness of improving muscle strength and proprioception weakness in FF.
Objectives: All-arthroscopic surgery and mini-open surgery for repairing rotator cuff tears are w... more Objectives: All-arthroscopic surgery and mini-open surgery for repairing rotator cuff tears are widely used and clinically developed. The purpose of our study is to compare the functional results, isokinetic shoulder muscle strength and shoulder position sense of patients who have undergone all-arthroscopic and mini-open surgery to repair their rotator cuff tears. Material and Methods: The results from 28 patients (20 females and 8 males) with isolated rotator cuff tears were evaluated. Twelve had have all-arthroscopic surgery (ASR) (mean age 54.3 yrs) and 16 had have mini-open surgery (MOP) (mean age 51.5 yrs). Clinical and functional results were compared using the American Shoulder and Elbow Surgeons (ASES), and Disabilities of the Arm, Shoulder and Hand (DASH) indices. Shoulder Muscle Strength and shoulder joint position sense were measured with an isokinetic dynamometer (CSMI Humac Norm, USA). Results: Mean age of the patients was 52.8 yrs (min-max: 40-67). Mean post-operative ASES and DASH scores of ASR-operated patients were 78 and 18.8, respectively. MOP-implemented patients had mean ASES and DASH scores of 86 and 13.6, respectively. As for functional results, there was no statistically significant difference (p>0.05). For patients who went through either surgery, there were no statistically significant different result in terms of isokinetic shoulder muscle strength (internal rotation, external rotation, adduction, abduction) and joint position sense results (p>0.05). Conclusion: There were no significant differences between two methods in means of functional outcomes, joint strength and position sense. But, these two methods should be investigated by more comprehensive studies.
Proprioception is a conscious and/or unconscious perception of position change in an extremity or... more Proprioception is a conscious and/or unconscious perception of position change in an extremity or joint in space. In our study our purpose was to evaluate whether the lower extremity proprioception in long term, is altered following tibia plateau fractures and to assess its relation with age and type of fracture. This retrospective study includes the evaluation of proprioception in 38 tibia plateau fracture patients (29 male, 9 female) of various types who were operated with open reduction and internal fixation (ORIF) technique in our clinic, by comparison of both operated knee and unaffected knee. The mean age of the patients were 38,8 (range, 20-60) and mean follow-up time was 56 months (range, 13-120 months). Proprioception measurements were assessed at 30° and 60° of knee flexion degrees both passively and actively. There were no significant difference between the operated knee and unaffected knee by mean absolute angular deviation values at passive (p = 0,22) or active 60° (p = 0,22). Accordingly passive (p = 0,47) and active 30° (p = 0,62) mean absolute angular deviation values showed no significant difference. Our study has indicated that proprioception at the operated extremity is not significantly different from the unaffected knee in tibia plateau fractures at long term follow-up.
D vitamini yetersizliğinin temel nedenleri yetersiz alım, güneş ışığından kısıtlı yararlanma, der... more D vitamini yetersizliğinin temel nedenleri yetersiz alım, güneş ışığından kısıtlı yararlanma, deri ve böbrekte yetersiz sentezdir. Vitamin D, güneş ışığı ile temas sonucunda deride üretilen, yağda çözünen, secosteroid yapıda bir prohormondur. Çeşitli metabolik değişikliklerle vücutta kalsitriol olarak bilinen, kalsiyum ve fosfor metabolizmasında önemli rol oynayan bir hormona dönüşür. D vitamininin immün sistem, hücresel proliferasyon, diferansiasyon, hormon regülasyonu gibi kemik dokusu dışı etkilerinin anlaşılması bu hormonun tekrar gündeme gelmesine neden olmuştur. Böylece birçok sistem üzerindeki etkiler her geçen gün aydınlatılmaya devam edilmektedir. Bu ilişkiler göz önüne alındığında; D vitamininin, fiziksel ve atletik performansı etkileme potansiyeli olabileceği akla gelmektedir. Bu derleme ile güncel literatür taranarak spor hekimlerinin konuya daha fazla özen göstermeleri gereği gündeme getirilmektedir. Anahtar sözcükler: D vitamini, güneşte kalma süresi, sporcu performansı, kronik hastalıklar SUMMARY EFFECTS OF VITAMIN D IN ATHLETES Major causes of vitamin D deficiency are inadequate intake, limited exposure to sunlight and inadequate synthesis in skin and kidney. Vitamin D is a lipid soluble secosteroid prohormone, which is produced in the skin tissue by sunlight exposure. After a variety of processes, it is converted to calcitriol hormone, which plays an important role in calcium and phosphorus metabolism. Understanding the extraosseous effects of vitamin D on immune system, cell proliferation, differentiation and hormone regulation made it popular again. Its efficacy on different systems is being unveiled day by day. These effects and regulatory relationships suggest
Bu çalışma futbolcuların diz kuvvet değerleri arasındaki denge oranlarını araştırmak ve Türkiye S... more Bu çalışma futbolcuların diz kuvvet değerleri arasındaki denge oranlarını araştırmak ve Türkiye Süper Lig futbolcularında diz eklemi normatif izokinetik kuvvet değerlerini incelemek amacıyla tasarlandı. Çalışmaya 153 profesyonel futbolcu (yaş 25.2 ± 4.1 yıl; boy 180.9 ± 6.2 cm; vücut ağırlığı 77.7 ± 6.8 kg) katıldı. Diz fleksör (hamstring grubu: H) ve diz ekstansör (quadriceps grubu: Q) izokinetik kuvvetleri, konsantrik modda 60, 180, 240 ve 300°/sn açısal hızlarda izokinetik dinamometre kullanılarak ölçüldü. Fleksör/ekstansör kuvvet oranı (H/Q) hesaplandı. Futbolcuların 34'ünde (%22.2) %10'un üzerinde, 11'inde (%7.2) ise %15'in üzerinde fleksiyon eksikliği saptandı. Yine 31 futbolcuda (%20.3) %10'un üzerinde, dokuzunda (%5.9) ise %15'in üzerinde ekstansiyon eksikliği belirlendi. Hem fleksiyon hem de ekstansiyon eksikliği %10'un üzerinde olan futbolcu sayısı 13 (%8.5) iken, %15'in üzerinde olanların sayısı ise yalnızca iki (%1.3) idi. Çalışmadan elde edilen verilerle Türkiye Süper Lig futbolcularında diz eklemi normatif izokinetik kuvvet değerleri gözlenmiş oldu ve kuvvet eksikliği oranları saptandı.
THE EFFECTIVENESS OF SHOCK WAVE TREATMENT IN
SUBCALCANEAL PAIN SYNDROME
The aim of this study... more THE EFFECTIVENESS OF SHOCK WAVE TREATMENT IN
SUBCALCANEAL PAIN SYNDROME
The aim of this study was to evaluate the effectiveness of extracorporeal
shock wave therapy (ESWT) in patients with subcalcaneal pain syndrome.
A total of 23 women and seven men aged 20 to 60 yrs, with subcalcaneal
pain were enrolled in the study. Patients had not received any steroid
injections within the last six months and could not be relieved with medical
treatment. AOFAS, FADI, Roles and Maudsley scores were compared using
dependent groups’ t-test. Mann-Whitney U test was used to compare patients
with morning pain and those with all day long lasting pain, and patients
having symptoms for shorter or longer than a year. AOFAS, FADI, Roles
and Maudsley scores before and following the treatments were significantly
different (p<0.05). Daily pain pattern and duration of pain from the onset
of the symptoms were evaluated, and ESWT was found to be effective in
all groups. According to these results, the non-invasive ESWT method can
easily be used in patients suffering from subcalcaneal pain. However,
there is still need for further studies to determine the best modality of this
treatment option.
Key words: ESWT, pain, calcaneus, heel spur
BILATERAL MASS ON THE BACK, ELASTOFIBROMA DORSI:
A CASE REPORT
Elastofibroma dorsi is a soft ... more BILATERAL MASS ON THE BACK, ELASTOFIBROMA DORSI:
A CASE REPORT
Elastofibroma dorsi is a soft tissue mass which is rarely considered
in the differential diagnosis during physical examination. It can easily be
missed during the examination of patients who are admitted to health
care facilities with complaint of back and shoulder pain. In this article, a
64 years old lady is presented, whose complaint was a lump at her upper
back. She was admitted to the clinic with a swelling on the upper back of
her body, which has emerged during exercise three months earlier. In her
physical examination a mass at the right inferior scapular region was
identified, and which became more prominent with the abduction of the
arm. MRI revealed a soft tissue mass. The patient was voluntarily taken
under follow-up, with characteristic symptoms and findings for
elastofibroma dorsi. Hereby we aimed to remind about elastofibroma
dorsi in the light of current literature.
Key words: Elastofibroma dorsi, tumor, soft tissue, back
Objective: The patients are frequently referred to swimming for conservative follow-up and treatm... more Objective: The patients are frequently referred to swimming for conservative follow-up and treatment of scoliosis. However, there are also studies reporting high scoliosis prevalence in swimmers. The aim of this study is to define the scoliosis incidence in adolescent swimmers and evaluate the effect of swimming on radiological parameters in swimmers with scoliosis. Material and Methods: The medical reports of the swimmers who have applied to sports medicine outpatient clinic in our institution for license renewal were retrospectively reviewed. The swimmers with positive Adam's forward bending tests determined during physical examination were subjected to radiological evaluation and the whole spine was evaluated with anteroposterior and lateral orthoroentgenograms. The swimmers were demanded to continue swimming and called for follow up 1 year later. The swimmers with scoliosis who continued swimming and applied for follow-up one year later were evaluated radiologically. Results: Six hundred and seventy-nine swimmers were examined. Twenty eight (4.1%) swimmers, [11 male (39%), 17 female (61%); mean age 12.6 (min 10, max 17) years] with positive Adam's bending test were further evaluated radiologically. These swimmers were called for follow up 1 year later. Seventeen swimmers who continued swimming and applied for follow up were evaluated radiologically. Sagittal and coronal plan parameters of the spine were measured on the first and the second radiographs. These parameters were compared statistically. There was no statistically significant difference among proximal thoracic, main thoracic, main lumbar curves and thoracic kyphosis and lumbar lordosis degrees on the first and the follow-up radiographs of the athletes who continued swimming. Conclusions: Swimming was found to have no effect on spinal sagittal plane parameters in swimmers with scoliosis. Moreover we found that it has not provided any improvement or stability also in the coronal plane deformity after 1 year follow up. According to our results, it may be concluded that swimming is not effective in the conservative treatment of scoliosis.
Bu çalışmada Ön çapraz bağ (ÖÇB)'ı sağlam ve ÖÇB'si kopuk olan hastalar arasındaki patellar yükse... more Bu çalışmada Ön çapraz bağ (ÖÇB)'ı sağlam ve ÖÇB'si kopuk olan hastalar arasındaki patellar yükseklik ve tibial tüberkül troklear oluk mesafesi (TT-TGd) arasındaki farkların değerlendirilmesi amaçlanmıştır. GEREÇ VE YÖNTEM: 18-40 yaşları arasında toplam 2019 hasta (1015 ÖÇB kopuk ve 1004 ÖÇB sağlam) çalışmaya dahil edildi. Patellar yükseklik ölçümünü belirlemek için Insall Salvati indeksi (ISI) kullanıldı. TT-TGd, aksiyel manyetik rezonans görüntüleri ile ölçüldü. İki ortopedi cerrahı, gözlemci içi ve gözlemciler arası güvenilirliği değerlendirmek için bağımsız olarak iki hafta ara ile 50 hastanın görüntüsünü inceledi. Ortalama patellar yükseklik ve TT-TGd ölçümleri ÖÇB'si kopuk olan hasta grubu ve sağlam ÖÇB'si olan kontrol grubu ile karşılaştırıldı. BULGULAR: Gözlemci içi ve gözlemciler arası uyum her iki ölçüm için de mükemmeldi (tüm ölçümler için p=0.001 ve k> 0.850). Patellar yükseklik ve TT-TGd, ÖÇB kopuk olan hastalarda kontrol grubuna göre anlamlı olarak daha yüksekti (sırasıyla 1.09 ± 0.37 ile 1.06 ± 0.56, p<0.001, 10.0 ± 3.3'e karşı 8.5 ± 3.0, p<0.001). ISI kadınlarda erkeklere göre anlamlı olarak daha yüksekti (1.13'e karşı 1.07, p<0.001). TT-TGd açısından cinsiyetler arasında anlamlı fark yoktu (9.5'e 9.3, p=0.792). SONUÇ: ÖÇB'si kopuk olan hastalarda patella yüksekliği ve TT-TGd anlamlı olarak artmış olmasına rağmen, bu farklılıklar normal aralıkta oldukları için klinik olarak önemli değildir.
Journal of the American Podiatric Medical Association, 2021
Background No detailed comparative studies have been performed regarding plantar pressure changes... more Background No detailed comparative studies have been performed regarding plantar pressure changes between proximal dome and distal chevron osteotomies. This study aimed to compare radiographic and plantar pressure changes after distal chevron and proximal dome osteotomies and to investigate the effect of radiographic and plantar pressure changes on clinical outcomes. Methods This study included 26 and 22 patients who underwent distal chevron and proximal dome osteotomies, respectively. Visual analog scale (VAS) and American Orthopaedic Foot & Ankle Society (AOFAS) forefoot scores were used to evaluate pain and functional outcomes. Hallux valgus angle, intermetatarsal angle, talar–first metatarsal angle, and calcaneal inclination angle were measured in the evaluation of radiographic outcomes. Preoperative and postoperative plantar pressure changes were evaluated. Results There were no statistically significant differences between the two groups in age, body mass index, or AOFAS foref...
Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 2021
Gait analysis and gait indices are frequently used to evaluate gait pathologies and outcomes. The... more Gait analysis and gait indices are frequently used to evaluate gait pathologies and outcomes. The aim of this study is to investigate the differences in gait parameters of dizygotic twin athletes according to each other and athletes group who are similar age but non-twin. Eighty-four athletes without any disease that could cause gait pathology were included the study. Time-distance measurements, kinematic – kinetic variables, and gait deviation index (GDI) of the gait functions of twin athletes (17 boys and 25 girls, height: 153.9 ± 15 cm, weight: 45.9 ± 12 kg, leg length 80.5 ± 11 cm) were compared with each other and with 42 sex and age matched non-twins athletes (height: 155 ± 15 cm, weight: 47 ± 14 kg, leg length 80.6 ± 9.8 cm, mean age 11.8 ± 2.29, range 6–15 years). No statistically significant difference was found about the time, distance parameters and GDIs in comparison of twin athletes with each other and the non-twin group. Additionally, kinetic and kinematic variables we...
SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital, 2018
D upuytren's disease (DD), also known as palmar fibromatosis, is a proliferative fibroplasia of p... more D upuytren's disease (DD), also known as palmar fibromatosis, is a proliferative fibroplasia of palmar aponeurosis. The condition is a major cause of morbidity and causes progressive and irreversible flexion contractures in the fingers, which in turn affects patients' daily activities and reduces their quality of life. Although the etiology of DD is unknown, it has been shown to originate from an autosomal dominant inheritance with incomplete penetrance. [1] Diabetes mellitus, long-term use of anticonvulsants due to epilepsy, liver disease, HIV infection, complex regional pain syndrome, myocardial infarction, alcohol consumption and/or smoking, and trauma are the risk factors for DD. The disease is clinically categorized into early, active, and advanced stages. In the early stage, the integrity of the skin is compromised. Nodules and cords are seen during the active stage. In the advanced stage, fibrocytes and contracture develop. [2-4] Objectives: We investigated the use of extracorporeal shock wave therapy (ESWT) in patients with Dupuytren's Disease (DD) palmar nodules in an attempt to reduce the contracture, alleviate the pain (if any), increase the range of motion and quality of life, and delay a probable surgery in the long term. Methods: Patients with DD who presented to our hand surgery clinic and fulfilled the inclusion criteria were enrolled. The treatment was performed by the same physician using the ESWT device once a week for six weeks. The patients were evaluated with the VAS score, Quick-DASH questionnaire, and MAYO wrist score, and their grip strength was measured using a Jamar dynamometer. Results: The mean age of the 23 patients included in the study was 51 years. There was a significant improvement in the second measurement of VAS and DASH scores compared with the preoperative values. The increase in the second and final follow-up measurements of the MAYO score and grip strength results compared with the preoperative values was found significant. The table-top test results turned negative in 16 patients. Conclusion: We can suggest that ESWT in the early term can be preferred over costly injections and surgical intervention options as it increases the quality of life and delays the recurrence of contractures.
The aim of this study was to evaluate the effectiveness of extracorporeal shock wave therapy (ESW... more The aim of this study was to evaluate the effectiveness of extracorporeal shock wave therapy (ESWT) in patients with subcalcaneal pain syndrome. A total of 23 women and seven men aged 20 to 60 yrs, with subcalcaneal pain were enrolled in the study. Patients had not received any steroid injections within the last six months and could not be relieved with medical treatment. AOFAS, FADI, Roles and Maudsley scores were compared using dependent groups' t-test. Mann-Whitney U test was used to compare patients with morning pain and those with all day long lasting pain, and patients having symptoms for shorter or longer than a year. AOFAS, FADI, Roles and Maudsley scores before and following the treatments were significantly different (p
Nutrition knowledge plays a pivotal role in shaping dietary habits and food choices, particularly... more Nutrition knowledge plays a pivotal role in shaping dietary habits and food choices, particularly in the realm of sports nutrition. This study investigates the effects of a series of nutrition education sessions conducted by a registered dietitian on energy availability, various anthropometric measurements, eating attitudes, and sports nutrition knowledge in young female endurance athletes aged 15-18 years (football, basketball, volleyball) who engage in training for more than 10 h per week (n = 83). Participants were randomly divided into two groups with 45 individuals receiving six physical nutrition education lectures, and the remaining 38 participants receiving no nutrition education. Participants completed the low energy availability in females questionnaire (LEAF-Q), Eating Attitude Test (EAT-26), and Sports Nutrition Knowledge Questionnaire (SNKQ). Energy and nutrient intakes were evaluated through 3-day food records, while exercise energy expenditure was assessed using 3-day activity logs. All of the questionnaires were repeated after 6 months. At baseline, the prevalence of LEA among athletes was determined to be 63.8%. In the intervention group, energy availability (EA) and SNKQ scores increased, and LEAF-Q scores decreased significantly (p < 0.05). However, there was no significant change in EAT-26 scores between the two groups. Energy intake, weight, fat-free mass, and resting metabolic rate have been increased significantly in the intervention group (p < 0,05). These findings suggest that nutrition education proves beneficial in enhancing dietary intake, positively influencing body composition, and improving nutrition knowledge, ultimately contributing to increased energy availability in female athletes over the short term.
Journal of the American Podiatric Medical Association, Nov 1, 2022
Background: Although flexible flatfoot (FF) in children is a foot deformity that is frequently en... more Background: Although flexible flatfoot (FF) in children is a foot deformity that is frequently encountered in daily orthopedics practice, its etiology is still controversial. The aim of this study was to determine whether there is a weakness in muscle strength and proprioception in patients with FF. Methods: The study group consisted of 16 cases with FF, and the control group consisted of 25 volunteers with normal feet. An isokinetic dynamometer was used to assess muscle strength and proprioception of movement directions of plantarflexion, dorsiflexion, eversion (EV), and inversion (INV) in both groups. Results: There was no statistically significant difference between the groups in strength of plantarflexion and dorsiflexion muscles, whereas in the control group, proprioception of all four movement directions and strengths of the EV and INV muscles were found to be statistically significantly higher (P &lt; .05). Conclusions: There is weakness in EV and INV muscle strength and proprioception disorder in patients with FF. We recommend conducting further studies that validate muscle weakness and proprioception disorders with different study designs and evaluate the effectiveness of improving muscle strength and proprioception weakness in FF.
Objectives: All-arthroscopic surgery and mini-open surgery for repairing rotator cuff tears are w... more Objectives: All-arthroscopic surgery and mini-open surgery for repairing rotator cuff tears are widely used and clinically developed. The purpose of our study is to compare the functional results, isokinetic shoulder muscle strength and shoulder position sense of patients who have undergone all-arthroscopic and mini-open surgery to repair their rotator cuff tears. Material and Methods: The results from 28 patients (20 females and 8 males) with isolated rotator cuff tears were evaluated. Twelve had have all-arthroscopic surgery (ASR) (mean age 54.3 yrs) and 16 had have mini-open surgery (MOP) (mean age 51.5 yrs). Clinical and functional results were compared using the American Shoulder and Elbow Surgeons (ASES), and Disabilities of the Arm, Shoulder and Hand (DASH) indices. Shoulder Muscle Strength and shoulder joint position sense were measured with an isokinetic dynamometer (CSMI Humac Norm, USA). Results: Mean age of the patients was 52.8 yrs (min-max: 40-67). Mean post-operative ASES and DASH scores of ASR-operated patients were 78 and 18.8, respectively. MOP-implemented patients had mean ASES and DASH scores of 86 and 13.6, respectively. As for functional results, there was no statistically significant difference (p>0.05). For patients who went through either surgery, there were no statistically significant different result in terms of isokinetic shoulder muscle strength (internal rotation, external rotation, adduction, abduction) and joint position sense results (p>0.05). Conclusion: There were no significant differences between two methods in means of functional outcomes, joint strength and position sense. But, these two methods should be investigated by more comprehensive studies.
Proprioception is a conscious and/or unconscious perception of position change in an extremity or... more Proprioception is a conscious and/or unconscious perception of position change in an extremity or joint in space. In our study our purpose was to evaluate whether the lower extremity proprioception in long term, is altered following tibia plateau fractures and to assess its relation with age and type of fracture. This retrospective study includes the evaluation of proprioception in 38 tibia plateau fracture patients (29 male, 9 female) of various types who were operated with open reduction and internal fixation (ORIF) technique in our clinic, by comparison of both operated knee and unaffected knee. The mean age of the patients were 38,8 (range, 20-60) and mean follow-up time was 56 months (range, 13-120 months). Proprioception measurements were assessed at 30° and 60° of knee flexion degrees both passively and actively. There were no significant difference between the operated knee and unaffected knee by mean absolute angular deviation values at passive (p = 0,22) or active 60° (p = 0,22). Accordingly passive (p = 0,47) and active 30° (p = 0,62) mean absolute angular deviation values showed no significant difference. Our study has indicated that proprioception at the operated extremity is not significantly different from the unaffected knee in tibia plateau fractures at long term follow-up.
D vitamini yetersizliğinin temel nedenleri yetersiz alım, güneş ışığından kısıtlı yararlanma, der... more D vitamini yetersizliğinin temel nedenleri yetersiz alım, güneş ışığından kısıtlı yararlanma, deri ve böbrekte yetersiz sentezdir. Vitamin D, güneş ışığı ile temas sonucunda deride üretilen, yağda çözünen, secosteroid yapıda bir prohormondur. Çeşitli metabolik değişikliklerle vücutta kalsitriol olarak bilinen, kalsiyum ve fosfor metabolizmasında önemli rol oynayan bir hormona dönüşür. D vitamininin immün sistem, hücresel proliferasyon, diferansiasyon, hormon regülasyonu gibi kemik dokusu dışı etkilerinin anlaşılması bu hormonun tekrar gündeme gelmesine neden olmuştur. Böylece birçok sistem üzerindeki etkiler her geçen gün aydınlatılmaya devam edilmektedir. Bu ilişkiler göz önüne alındığında; D vitamininin, fiziksel ve atletik performansı etkileme potansiyeli olabileceği akla gelmektedir. Bu derleme ile güncel literatür taranarak spor hekimlerinin konuya daha fazla özen göstermeleri gereği gündeme getirilmektedir. Anahtar sözcükler: D vitamini, güneşte kalma süresi, sporcu performansı, kronik hastalıklar SUMMARY EFFECTS OF VITAMIN D IN ATHLETES Major causes of vitamin D deficiency are inadequate intake, limited exposure to sunlight and inadequate synthesis in skin and kidney. Vitamin D is a lipid soluble secosteroid prohormone, which is produced in the skin tissue by sunlight exposure. After a variety of processes, it is converted to calcitriol hormone, which plays an important role in calcium and phosphorus metabolism. Understanding the extraosseous effects of vitamin D on immune system, cell proliferation, differentiation and hormone regulation made it popular again. Its efficacy on different systems is being unveiled day by day. These effects and regulatory relationships suggest
Bu çalışma futbolcuların diz kuvvet değerleri arasındaki denge oranlarını araştırmak ve Türkiye S... more Bu çalışma futbolcuların diz kuvvet değerleri arasındaki denge oranlarını araştırmak ve Türkiye Süper Lig futbolcularında diz eklemi normatif izokinetik kuvvet değerlerini incelemek amacıyla tasarlandı. Çalışmaya 153 profesyonel futbolcu (yaş 25.2 ± 4.1 yıl; boy 180.9 ± 6.2 cm; vücut ağırlığı 77.7 ± 6.8 kg) katıldı. Diz fleksör (hamstring grubu: H) ve diz ekstansör (quadriceps grubu: Q) izokinetik kuvvetleri, konsantrik modda 60, 180, 240 ve 300°/sn açısal hızlarda izokinetik dinamometre kullanılarak ölçüldü. Fleksör/ekstansör kuvvet oranı (H/Q) hesaplandı. Futbolcuların 34'ünde (%22.2) %10'un üzerinde, 11'inde (%7.2) ise %15'in üzerinde fleksiyon eksikliği saptandı. Yine 31 futbolcuda (%20.3) %10'un üzerinde, dokuzunda (%5.9) ise %15'in üzerinde ekstansiyon eksikliği belirlendi. Hem fleksiyon hem de ekstansiyon eksikliği %10'un üzerinde olan futbolcu sayısı 13 (%8.5) iken, %15'in üzerinde olanların sayısı ise yalnızca iki (%1.3) idi. Çalışmadan elde edilen verilerle Türkiye Süper Lig futbolcularında diz eklemi normatif izokinetik kuvvet değerleri gözlenmiş oldu ve kuvvet eksikliği oranları saptandı.
THE EFFECTIVENESS OF SHOCK WAVE TREATMENT IN
SUBCALCANEAL PAIN SYNDROME
The aim of this study... more THE EFFECTIVENESS OF SHOCK WAVE TREATMENT IN
SUBCALCANEAL PAIN SYNDROME
The aim of this study was to evaluate the effectiveness of extracorporeal
shock wave therapy (ESWT) in patients with subcalcaneal pain syndrome.
A total of 23 women and seven men aged 20 to 60 yrs, with subcalcaneal
pain were enrolled in the study. Patients had not received any steroid
injections within the last six months and could not be relieved with medical
treatment. AOFAS, FADI, Roles and Maudsley scores were compared using
dependent groups’ t-test. Mann-Whitney U test was used to compare patients
with morning pain and those with all day long lasting pain, and patients
having symptoms for shorter or longer than a year. AOFAS, FADI, Roles
and Maudsley scores before and following the treatments were significantly
different (p<0.05). Daily pain pattern and duration of pain from the onset
of the symptoms were evaluated, and ESWT was found to be effective in
all groups. According to these results, the non-invasive ESWT method can
easily be used in patients suffering from subcalcaneal pain. However,
there is still need for further studies to determine the best modality of this
treatment option.
Key words: ESWT, pain, calcaneus, heel spur
BILATERAL MASS ON THE BACK, ELASTOFIBROMA DORSI:
A CASE REPORT
Elastofibroma dorsi is a soft ... more BILATERAL MASS ON THE BACK, ELASTOFIBROMA DORSI:
A CASE REPORT
Elastofibroma dorsi is a soft tissue mass which is rarely considered
in the differential diagnosis during physical examination. It can easily be
missed during the examination of patients who are admitted to health
care facilities with complaint of back and shoulder pain. In this article, a
64 years old lady is presented, whose complaint was a lump at her upper
back. She was admitted to the clinic with a swelling on the upper back of
her body, which has emerged during exercise three months earlier. In her
physical examination a mass at the right inferior scapular region was
identified, and which became more prominent with the abduction of the
arm. MRI revealed a soft tissue mass. The patient was voluntarily taken
under follow-up, with characteristic symptoms and findings for
elastofibroma dorsi. Hereby we aimed to remind about elastofibroma
dorsi in the light of current literature.
Key words: Elastofibroma dorsi, tumor, soft tissue, back
Objective: The patients are frequently referred to swimming for conservative follow-up and treatm... more Objective: The patients are frequently referred to swimming for conservative follow-up and treatment of scoliosis. However, there are also studies reporting high scoliosis prevalence in swimmers. The aim of this study is to define the scoliosis incidence in adolescent swimmers and evaluate the effect of swimming on radiological parameters in swimmers with scoliosis. Material and Methods: The medical reports of the swimmers who have applied to sports medicine outpatient clinic in our institution for license renewal were retrospectively reviewed. The swimmers with positive Adam's forward bending tests determined during physical examination were subjected to radiological evaluation and the whole spine was evaluated with anteroposterior and lateral orthoroentgenograms. The swimmers were demanded to continue swimming and called for follow up 1 year later. The swimmers with scoliosis who continued swimming and applied for follow-up one year later were evaluated radiologically. Results: Six hundred and seventy-nine swimmers were examined. Twenty eight (4.1%) swimmers, [11 male (39%), 17 female (61%); mean age 12.6 (min 10, max 17) years] with positive Adam's bending test were further evaluated radiologically. These swimmers were called for follow up 1 year later. Seventeen swimmers who continued swimming and applied for follow up were evaluated radiologically. Sagittal and coronal plan parameters of the spine were measured on the first and the second radiographs. These parameters were compared statistically. There was no statistically significant difference among proximal thoracic, main thoracic, main lumbar curves and thoracic kyphosis and lumbar lordosis degrees on the first and the follow-up radiographs of the athletes who continued swimming. Conclusions: Swimming was found to have no effect on spinal sagittal plane parameters in swimmers with scoliosis. Moreover we found that it has not provided any improvement or stability also in the coronal plane deformity after 1 year follow up. According to our results, it may be concluded that swimming is not effective in the conservative treatment of scoliosis.
Bu çalışmada Ön çapraz bağ (ÖÇB)'ı sağlam ve ÖÇB'si kopuk olan hastalar arasındaki patellar yükse... more Bu çalışmada Ön çapraz bağ (ÖÇB)'ı sağlam ve ÖÇB'si kopuk olan hastalar arasındaki patellar yükseklik ve tibial tüberkül troklear oluk mesafesi (TT-TGd) arasındaki farkların değerlendirilmesi amaçlanmıştır. GEREÇ VE YÖNTEM: 18-40 yaşları arasında toplam 2019 hasta (1015 ÖÇB kopuk ve 1004 ÖÇB sağlam) çalışmaya dahil edildi. Patellar yükseklik ölçümünü belirlemek için Insall Salvati indeksi (ISI) kullanıldı. TT-TGd, aksiyel manyetik rezonans görüntüleri ile ölçüldü. İki ortopedi cerrahı, gözlemci içi ve gözlemciler arası güvenilirliği değerlendirmek için bağımsız olarak iki hafta ara ile 50 hastanın görüntüsünü inceledi. Ortalama patellar yükseklik ve TT-TGd ölçümleri ÖÇB'si kopuk olan hasta grubu ve sağlam ÖÇB'si olan kontrol grubu ile karşılaştırıldı. BULGULAR: Gözlemci içi ve gözlemciler arası uyum her iki ölçüm için de mükemmeldi (tüm ölçümler için p=0.001 ve k> 0.850). Patellar yükseklik ve TT-TGd, ÖÇB kopuk olan hastalarda kontrol grubuna göre anlamlı olarak daha yüksekti (sırasıyla 1.09 ± 0.37 ile 1.06 ± 0.56, p<0.001, 10.0 ± 3.3'e karşı 8.5 ± 3.0, p<0.001). ISI kadınlarda erkeklere göre anlamlı olarak daha yüksekti (1.13'e karşı 1.07, p<0.001). TT-TGd açısından cinsiyetler arasında anlamlı fark yoktu (9.5'e 9.3, p=0.792). SONUÇ: ÖÇB'si kopuk olan hastalarda patella yüksekliği ve TT-TGd anlamlı olarak artmış olmasına rağmen, bu farklılıklar normal aralıkta oldukları için klinik olarak önemli değildir.
Journal of the American Podiatric Medical Association, 2021
Background No detailed comparative studies have been performed regarding plantar pressure changes... more Background No detailed comparative studies have been performed regarding plantar pressure changes between proximal dome and distal chevron osteotomies. This study aimed to compare radiographic and plantar pressure changes after distal chevron and proximal dome osteotomies and to investigate the effect of radiographic and plantar pressure changes on clinical outcomes. Methods This study included 26 and 22 patients who underwent distal chevron and proximal dome osteotomies, respectively. Visual analog scale (VAS) and American Orthopaedic Foot & Ankle Society (AOFAS) forefoot scores were used to evaluate pain and functional outcomes. Hallux valgus angle, intermetatarsal angle, talar–first metatarsal angle, and calcaneal inclination angle were measured in the evaluation of radiographic outcomes. Preoperative and postoperative plantar pressure changes were evaluated. Results There were no statistically significant differences between the two groups in age, body mass index, or AOFAS foref...
Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 2021
Gait analysis and gait indices are frequently used to evaluate gait pathologies and outcomes. The... more Gait analysis and gait indices are frequently used to evaluate gait pathologies and outcomes. The aim of this study is to investigate the differences in gait parameters of dizygotic twin athletes according to each other and athletes group who are similar age but non-twin. Eighty-four athletes without any disease that could cause gait pathology were included the study. Time-distance measurements, kinematic – kinetic variables, and gait deviation index (GDI) of the gait functions of twin athletes (17 boys and 25 girls, height: 153.9 ± 15 cm, weight: 45.9 ± 12 kg, leg length 80.5 ± 11 cm) were compared with each other and with 42 sex and age matched non-twins athletes (height: 155 ± 15 cm, weight: 47 ± 14 kg, leg length 80.6 ± 9.8 cm, mean age 11.8 ± 2.29, range 6–15 years). No statistically significant difference was found about the time, distance parameters and GDIs in comparison of twin athletes with each other and the non-twin group. Additionally, kinetic and kinematic variables we...
SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital, 2018
D upuytren's disease (DD), also known as palmar fibromatosis, is a proliferative fibroplasia of p... more D upuytren's disease (DD), also known as palmar fibromatosis, is a proliferative fibroplasia of palmar aponeurosis. The condition is a major cause of morbidity and causes progressive and irreversible flexion contractures in the fingers, which in turn affects patients' daily activities and reduces their quality of life. Although the etiology of DD is unknown, it has been shown to originate from an autosomal dominant inheritance with incomplete penetrance. [1] Diabetes mellitus, long-term use of anticonvulsants due to epilepsy, liver disease, HIV infection, complex regional pain syndrome, myocardial infarction, alcohol consumption and/or smoking, and trauma are the risk factors for DD. The disease is clinically categorized into early, active, and advanced stages. In the early stage, the integrity of the skin is compromised. Nodules and cords are seen during the active stage. In the advanced stage, fibrocytes and contracture develop. [2-4] Objectives: We investigated the use of extracorporeal shock wave therapy (ESWT) in patients with Dupuytren's Disease (DD) palmar nodules in an attempt to reduce the contracture, alleviate the pain (if any), increase the range of motion and quality of life, and delay a probable surgery in the long term. Methods: Patients with DD who presented to our hand surgery clinic and fulfilled the inclusion criteria were enrolled. The treatment was performed by the same physician using the ESWT device once a week for six weeks. The patients were evaluated with the VAS score, Quick-DASH questionnaire, and MAYO wrist score, and their grip strength was measured using a Jamar dynamometer. Results: The mean age of the 23 patients included in the study was 51 years. There was a significant improvement in the second measurement of VAS and DASH scores compared with the preoperative values. The increase in the second and final follow-up measurements of the MAYO score and grip strength results compared with the preoperative values was found significant. The table-top test results turned negative in 16 patients. Conclusion: We can suggest that ESWT in the early term can be preferred over costly injections and surgical intervention options as it increases the quality of life and delays the recurrence of contractures.
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Papers by canan aydın
SUBCALCANEAL PAIN SYNDROME
The aim of this study was to evaluate the effectiveness of extracorporeal
shock wave therapy (ESWT) in patients with subcalcaneal pain syndrome.
A total of 23 women and seven men aged 20 to 60 yrs, with subcalcaneal
pain were enrolled in the study. Patients had not received any steroid
injections within the last six months and could not be relieved with medical
treatment. AOFAS, FADI, Roles and Maudsley scores were compared using
dependent groups’ t-test. Mann-Whitney U test was used to compare patients
with morning pain and those with all day long lasting pain, and patients
having symptoms for shorter or longer than a year. AOFAS, FADI, Roles
and Maudsley scores before and following the treatments were significantly
different (p<0.05). Daily pain pattern and duration of pain from the onset
of the symptoms were evaluated, and ESWT was found to be effective in
all groups. According to these results, the non-invasive ESWT method can
easily be used in patients suffering from subcalcaneal pain. However,
there is still need for further studies to determine the best modality of this
treatment option.
Key words: ESWT, pain, calcaneus, heel spur
A CASE REPORT
Elastofibroma dorsi is a soft tissue mass which is rarely considered
in the differential diagnosis during physical examination. It can easily be
missed during the examination of patients who are admitted to health
care facilities with complaint of back and shoulder pain. In this article, a
64 years old lady is presented, whose complaint was a lump at her upper
back. She was admitted to the clinic with a swelling on the upper back of
her body, which has emerged during exercise three months earlier. In her
physical examination a mass at the right inferior scapular region was
identified, and which became more prominent with the abduction of the
arm. MRI revealed a soft tissue mass. The patient was voluntarily taken
under follow-up, with characteristic symptoms and findings for
elastofibroma dorsi. Hereby we aimed to remind about elastofibroma
dorsi in the light of current literature.
Key words: Elastofibroma dorsi, tumor, soft tissue, back
SUBCALCANEAL PAIN SYNDROME
The aim of this study was to evaluate the effectiveness of extracorporeal
shock wave therapy (ESWT) in patients with subcalcaneal pain syndrome.
A total of 23 women and seven men aged 20 to 60 yrs, with subcalcaneal
pain were enrolled in the study. Patients had not received any steroid
injections within the last six months and could not be relieved with medical
treatment. AOFAS, FADI, Roles and Maudsley scores were compared using
dependent groups’ t-test. Mann-Whitney U test was used to compare patients
with morning pain and those with all day long lasting pain, and patients
having symptoms for shorter or longer than a year. AOFAS, FADI, Roles
and Maudsley scores before and following the treatments were significantly
different (p<0.05). Daily pain pattern and duration of pain from the onset
of the symptoms were evaluated, and ESWT was found to be effective in
all groups. According to these results, the non-invasive ESWT method can
easily be used in patients suffering from subcalcaneal pain. However,
there is still need for further studies to determine the best modality of this
treatment option.
Key words: ESWT, pain, calcaneus, heel spur
A CASE REPORT
Elastofibroma dorsi is a soft tissue mass which is rarely considered
in the differential diagnosis during physical examination. It can easily be
missed during the examination of patients who are admitted to health
care facilities with complaint of back and shoulder pain. In this article, a
64 years old lady is presented, whose complaint was a lump at her upper
back. She was admitted to the clinic with a swelling on the upper back of
her body, which has emerged during exercise three months earlier. In her
physical examination a mass at the right inferior scapular region was
identified, and which became more prominent with the abduction of the
arm. MRI revealed a soft tissue mass. The patient was voluntarily taken
under follow-up, with characteristic symptoms and findings for
elastofibroma dorsi. Hereby we aimed to remind about elastofibroma
dorsi in the light of current literature.
Key words: Elastofibroma dorsi, tumor, soft tissue, back