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Aim: To investigate the incidence of concomitant osteochondral lesions of the talus (OLT) and their effect on clinical outcome in anterolateral impingement syndrome (ALIS).Materials and Methods: Patients who underwent ankle arthroscopy due to ALIS of the ankle between 2012 and 2018 were retrospectively screened. The patients were divided into two groups according to the presence of OLT. Preoperatively hindfoot alignment (HA) was measured on long axial view radiographs. All measurements were performed by the experienced musculoskeletal radiologist. The association between osteochondral lesions of the talus and hindfoot alignment disorder was statistically assessed. The patients before and after surgery were evaluated with American Orthopedic Foot and Ankle Society (AOFAS) Hindfoot score for clinical performance.Results: OLT accompanied impingement syndrome in 38 (34.8%) of 109 patients examined. The preoperative and postoperative AOFAS Pain and AOFAS Function results were found no significantly different between the two groups according to the presence of OLT (n.s.). However, AOFAS Alignment results of OLT (-) Group were significantly higher than OLT (+) Group. Mean Hindfoot Angle (HA) was −3.7 ± 12.8 (varus) and 4.6 ± 11.2 (valgus) in feet with and without OLT, respectively (Table 1). In this study, there was a significant association between positive OLT and clinical varus hindfoot (p .001)Conclusion: In the current study the hindfoot alignment showed association with the location of OLT in Anterolateral Impingement Syndrome. However, it was also determined that the presence of chondral damage had no negative effect on the treatment of anterolateral impingement syndrome. It should be kept in mind that this syndrome can be accompanied by osteochondral lesions of the talus at a significant rate.

Aim: To investigate the relationship between adhesive capsulitis and serum vitamin D levels. Materials and Methods: Patients who were diagnosed with primary adhesive capsulitis between 2015 and 2019 and had regular follow-up data were retrospectively evaluated. Age, gender, body mass index, affected side, disease duration, serum 25-OH vitamin D levels, range of shoulder motion, the Visual Analog Scale (VAS) score, the Constant-Murley score, and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire score were evaluated. Patients with a diagnosis of diabetes, history of rheumatic diseases, presence of cervical pathologies, history of fracture and/or shoulder surgery, history of infection, and full-thickness rotator cuff tear were excluded from the study. The serum 25 (OH) D levels below 20 ng/ml were accepted as deficiency. The patients were divided into two groups according to the serum vitamin D level (Group 1 if 20 ng/mL and Group 2 if ≥20 ng/mL). The VAS score, functional scores, range of motion (flexion, abduction, external and internal rotation) of the patients in the two groups were compared.Results: Of the 74 patients included in the study, 59 (79.2%) were female and 15 (20.3%) were male, with a mean age of 50.6 ± 9.74 years. The mean duration of pain was 8.21 ± 2.3 months. The serum vitamin D level was below 20 ng/ml in 43 patients (58.1%) who were then allocated to Group 1, and Group 2 comprised 31 patients. The mean VAS score was 7.8 for Group 1 and 5.2 for Group 2. The mean Constant-Murley and DASH scores were 54.4 ± 15.9 and 21.6 ± 9.78, respectively in Group 1 and 52.04 ± 12.2 and 24.3 ± 6.4, respectively in Group 2. No significant difference was observed between the groups according to the range of joint motion, Constant scores, or DASH scores. Conclusion: Vitamin D deficiency may be associated with shoulder pain in patients with adhesive capsulitis. However, the serum vitamin D level had no effect on the functional results. Conclusion: In the present study, serum CRP, TNF-α and H.pylori IgA levels were significantly higher than normal pregnant women.

Aim: Total hip arthroplasty in patients with developmental dysplasia of the hip is challenging due to accompanying acetabular and femoral deformities, soft-tissue contractures and shortening of the affected limb. In addition, changed anatomy after pelvic and/or femoral osteotomies can also make the total hip arthroplasty procedure challenging. This study aimed to evaluate the effect of previous hip surgery on clinical and radiological outcomes after total hip arthroplasty in previously operated patients due to developmental dysplasia of the hip. Material and Methods: A total of 55 developmental dysplasia of the hip patients, twenty-five patients (29 hips) with a previous hip surgery (Group 1) and 30 patients (31 hips) without previous hip surgery (Group 2) were included. The primary outcome measures were major complication and revision rates. The secondary outcome measure was the Harris Hip Score.Results: Major complications were found significantly higher in group I (p = 0.009). However, no significant difference was observed between groups regarding revision rates (p = 0.514). No significant difference was observed between groups in the preoperative and the last follow-up Harris Hip scores.Conclusion: Although similar revision rates, patients with a previous hip surgery due to developmental dysplasia of the hip who underwent total hip arthroplasty are more prone to major complications than patients without previous hip surgery patients. Level of Evidence IV. Case-Control Study.

Aim: To describe the demographic and clinical features of patients diagnosed with primary antibody deficiency Material and Methods: The medical records of pediatric patients who were diagnosed with primary antibody deficiency were reviewed. Patients were diagnosed with primary antibody deficiency based on the European Society for Immunodeficiencies diagnostic criteria. Result: A total of 60 patients with primary antibody deficiency were identified; 39 patients (65%) were male and median age was 5 (1-18) years of age, while median diagnosis age was 3 (6 mo-14 yr) years. Twenty-one patients (35%) were diagnosed with transient hypogammaglobulinemia of infancy, thirteen (21.7%) with selective Ig A deficiency, five (8.3%) with congenital agammaglobulinemia, five (8.3%) with selective Ig M deficiency, five (8.3%) with unclassified hypogammaglobulinemia, four (6.7%) with Ig G subclass deficiency, two (3.3%) with severe combined immune deficiency, two (3.3%) with common variable immunodeficiency, two (3.3%) with hyper Ig M syndrome, and one patient was diagnosed with pneumococcal vaccine responsiveness, respectively. Eleven patients (18.3%) had consanguinity and six patients (10%) had family history. The most common complaint was frequent respiratory tract infections. Four patients had dermatitis in addition to infection. Three patients had hematopoietic stem cell transplantation and 23 patients (38.3%) received intravenous immunoglobulin treatment. Two patients died during the follow up. Conclusion: Our results indicated that diagnosis is delayed and the patients who are diagnosed with primary antibody deficiency frequently have respiratory tract infections.