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Objective: the present study aimed to compare the isometric strength and endurance of shoulder abduction and internal and external rotation between operated shoulders and nonoperated, contralateral shoulders of patients who underwent reverse shoulder replacement due to unilateral rotator cuff tear arthropathy. Patients and methods: with a diagnosis of cuff tear arthropathy, 41 consecutive patients (mean age of 70.8 years; age range, 57 to 84; 36 females, 5 males) who underwent unilateral reverse shoulder arthroplasty were reviewed based on functional and radiological data. In all cases, cuff tear arthropathy was unilateral and contralateral shoulder was asymptomatic, with normal shoulder function. The average length of follow-up was 34 months (range of 12–67). To assess patients' functional level, the Constant score and the Disabilities of the Arm, Shoulder, and Hand (the Quick-DASH) outcome measure were used preoperatively and at the final examination. The primary outcomes of the present study were measurement of isokinetic strength and endurance of shoulder abduction and internal and external rotation using an isokinetic evaluator. Results: patients exhibited marked improvement in functional level as reflected by a significant increase in the mean Constant score from 38 preoperatively to 65 at the final follow-up (p = 0.03). The functional improvement was supported by a decrease in the mean Quick-DASH from 64 preoperatively to 26 at the final follow-up (p = 0.018). In the comparison of the isokinetic strength and endurance of shoulder abduction, no statistical difference was observed between operated shoulders and contralateral shoulders (p > 0.05). However; the strength and endurance of internal and external rotation were lower in operated shoulders than in contralateral shoulders (p < 0.05). Similarly, there was no statistically significant difference in comparisons of the durability of abduction (p > 0.05); however, the durability of internal and external rotation were significantly lower in operated shoulders (p < 0.05). Conclusion: in terms of durability and strength of abduction, similar results with the unaffected shoulder may be accomplished; nonetheless, the surgeon should be aware that durability and strength of rotation would be weak. Level of evidence: Level III, Therapeutic Study., NA

Objective The aim of this study was to determine the effect of intravenous (IV) tranexamic acid (TRX) use on visual clarity during arthroscopic rotator cuff repair. Methods This prospective, randomized, double-blinded, placebo-controlled study was conducted in patients scheduled for an arthroscopic rotator cuff repair. In total, 60 patients were randomly distributed into two groups: control (28 patients: 11 male, 17 female; mean age=53 years, age range=19-65) and TRX (32 patients: 15 male, 17 female; mean age=50, age range=18-69). In the TRX group, the arthroscopy was performed through the bolus IV administration of 10 mg/kg TRX in 100 ml isotonic saline solution. In the control group, the arthroscopy was performed through the bolus IV administration of 100 ml isotonic saline solution. In both the groups, the IV administration was carried out after the induction of anesthesia. At the end of each procedure, the surgeon rated the visual clarity on a scale from 1 to 10. In addition, operation time (minutes), irrigation amount used in operation (lt), and the need of pressure increase because of bleeding were recorded. Results No adverse effects were seen during the study period. Visual clarity in TRX group was significantly better than the control group (the mean visual clarity scores=8.1/10 (range=7-10) vs 7/10 (range=5-9); p=0.018). The amount of solution was significantly less in the TRX group (10.2 lt (range=3.5-21)) than in the control group (15.8 lt (range=5.8-27); p=0.007, post-hoc power=95.7%), although the operation time was slightly longer in the TRX group (106 minutes (range=50-210)) than in the control group (99 minutes (range=45-165); p=0.24). Moreover, the need for the increase in pressure owing to bleeding was found significantly less in the TRX group (5.8 times (range=(0-9)) than in the control group (9.6 times (range=0-13); p=0.04, post-hoc power=94.5%). Conclusion Preoperative IV TRX administration seems to be effective in improving visual clarity and reducing the need for high pressure and the amount of irrigation fluid during the arthroscopic rotator cuff repair. Level of evidence Level II, Therapeutic study.

Context: ideal rehabilitation method following arthroscopic capsulolabral repair surgery for anterior shoulder instability has not been proven yet. Although rapid or slow protocols were compared previously, home- or hospital-based protocols were not questioned before. Objective: the aim of this prospective unrandomized controlled clinical trial is to compare the clinical outcomes of home-based and hospital-based rehabilitation programs following arthroscopic Bankart repair. Design: non-randomized controlled trial. Setting: orthopedics and physical therapy units of a single institution. Patients: fifty-four patients (49 males and 5 females) with an average age of 30.5 (9.1) years, who underwent arthroscopic capsulolabral repair and met the inclusion criteria, with at least 1-year follow-up were allocated into 2 groups: home-based (n = 33) and hospital-based (n = 21) groups. Interventions: both groups received identical rehabilitation programs. Patients in the home-based group were called for follow-up every 3 weeks. Patients in the hospital-based group admitted for therapy every other day for a total of 6 to 8 weeks. Both groups were followed identically after the eighth week and the rehabilitation program continued for 6 months. Main Outcome Measures: Clinical outcomes were assessed using Disabilities of Arm Shoulder Hand, Constant, and Rowe scores. Mann-Whitney U test was used to compare the results in both groups. Wilcoxon test was used for determining the progress in each group. Results: groups were age and gender matched (P =.61, P =.69). Average number of treatment sessions was 13.8 (7.3) for patients in the hospital-based group. Preoperative Disabilities of Arm Shoulder Hand (27.46 [11.81] vs 32.53 [16.42], P =.22), Constant (58.23 [14.23] vs 54.17 [10.46], P =.13), and Rowe (51.72 [15.36] vs 43.81 [19.16], P =.12) scores were similar between groups. Postoperative scores at sixth month were significantly improved in each group (P =.001, P =.001, and P =.001). No significant difference was observed between 2 groups regarding clinical scores in any time point. Conclusions: we have, therefore, concluded that a controlled home-based exercise program is as effective as hospital-based rehabilitation following arthroscopic capsulolabral repair for anterior shoulder instability., NA

Aims The present study aimed to investigate the long-term functional results of scapulothoracic fusion using multifilament cables in patients with facioscapulohumeral dystrophy (FSHD) to identify if the early improvement from this intervention is maintained. Patients and Methods We retrospectively investigated the long-term outcomes of 13 patients with FSHD (18 shoulders) in whom scapulothoracic fusion using multifilament cables was performed between 2004 and 2007. These patients have previously been reported at a mean of 35.5 months (24 to 87). There were eight men and five women with a mean age of 26 years. Their mean length of follow-up of our current study was 128 months (94 to 185). To evaluate long-term functional results, the range of shoulder flexion and abduction, Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores were analyzed with a comparison of preoperatively, interim and at the final outcomes. The fusion was examined radiographically in all. Results The complication rate was 33% (six of 18 scapulothoracic fusions) in 13 patients, which comprised failure of fusion in four shoulders (four patients) all occurring within the first year postoperatively. In two shoulders (one patient) wound problems arose due to attribution from the cables which required shortening but the fusion developed satisfactorily. At the final examination, the mean QuickDASH score and range of movement significantly improved in all but one patient (p < 0.001, p < 0.001 and p < 0.001). In the comparison of 13 patients’ mid- and long-term results, the mean QuickDASH score decreased from 9.8 (sd 6.7; 3 to 26) in the third year to 9.1 (sd 5.6; 3 to 22) in the tenth year (p = 0.7); the mean range of shoulder flexion and abduction decreased from 129° (sd 22°; 90° to 160°) and 124° (sd 12; 100° to 150°) at the mid-term to 103° (sd 12°; 80° to 120°) and 101° (sd 8°; 80° to 120°) at the long-term, respectively (p = 0.78 and p = 0.65). Conclusion Scapulothoracic fusion using a multiple cabling method can confer a considerable improvement in clinical and functional outcomes for most patients with FSHD after a long follow-up period. The technique requires careful execution to avoid complications. Cite this article: Bone Joint J 2018;100-B:953–6.

Objective: This study aimed to present middle-term functional and radiological outcomes of the transfer of the lesser tuberosity in the management of reverse Hill-Sachs lesions following posterior dislocations of the shoulder. Patients and methods: With a diagnosis of neglected posterior shoulder dislocation (8 locked, 5 recurrent), 13 male patients (age range: 28-72; mean age: 39.3 years) who underwent the transfer of the lesser tuberosity due to reverse Hill-Sachs lesions, were retrospectively reviewed based on functional and radiological data. The etiologies were: epilepsy in 9 patients, a traffic accident in 2 patients, and fall in 2 patients. To assess the patients' functional level, American Shoulder and Elbow Surgeons (ASES) and Constant Scores were used, and the patients' range of motion at the last follow-up was measured. To evaluate the development of arthrosis, the final follow-up control plain radiographs were examined. The average size of the defects calculated from the axial computed tomography sets was 27% (range: 20%-40%). Results: The average length of follow-up was 30 months (range: 12-67 months). At the last follow-up visit, the main ASES and Constant Scores were 78 and 85, respectively, and the average degrees of flexion, abduction, and external rotation were 163,151, and 70 respectively. The concentric reduction was observed postoperatively. Conclusion: McLaughlin procedure appears to be a safe and effective method in the treatment of neglected posterior shoulder dislocations with reverse Hill-Sachs lesion. Level of Evidence: Level IV, Therapeutic study. (C) 2017 Turkish Association of Orthopaedics and Traumatology., NA

BACKGROUND Facioscapulohumeral dystrophy (FSHD) is an autosomal-dominant myopathy characterized by facial and shoulder girdle muscle weakness with scapular winging. Scapulothoracic arthrodesis is a successful treatment approach for patients with

Introduction The purpose of this study is to investigate the incidence of os acromiale in patients who had reverse shoulder arthroplasty (RSA) for rotator cuff tear arthropathy and the effect of presence of os acromiale on the functional results. Hypothesis We hypothesize than in the presence of os acromiale, the contraction strength of the deltoid would decrease due to the dynamic downward depression of the bony fragment leading to less favorable clinical results. Material and method A total 46 patients with a mean age of 70.8 who had RSA and a minimum follow-up of 24 months were included in this study. Preoperative radiographs, computerized tomography scans and magnetic resonance images were examined to determine the presence of os acromiale. Results A total of 10 patients out of 46 (22%) with os acromiale, all of which were of mesoacromion type, were followed up for 59.7 months. While both groups had significant improvements in Constant, Q-DASH and VAS scores compared to their preoperative status, a significant difference between the groups could not be found. The radiological evaluation showed that the average acromiohumeral distance significantly increased postoperatively in both groups. The acromiohumeral distance was significantly shorter in patients with os acromiale. Discussion While the presence of os acromiale does not have an adverse effect on the clinical results of the RSA, the loose fragment can migrate distally in the postoperative period due to the tension in the deltoid. Level of evidence III, case-control study.

This study assessed the effect of the time interval from initial injury to surgery and the presence of associated fracture on functional outcomes after acute posterior elbow fracture dislocation. Twenty-six pediatric patients were evaluated with respect to operation time point (within 24 h vs. later) and associated fracture retrospectively. The Mayo Elbow Performance Index (MEPI) score was used to assess functional results. The MEPI score was 91 (80-100) in patients with one associated fracture and 83 (75-95) (P=0.02) in patients with more than one associated fracture. The MEPI score in patients treated within 24 h was 90.3 (75-95) and in those treated later than 24 h, it was 88.6 (75-100) (P=0.6). Treatment time (within 24 h vs. later) does not affect outcomes, but increasing numbers of associated injuries affect outcomes negatively. Level of study: Level IV case series.

Background: Latissimus dorsi (LD) and teres major (TM) tendon transfers are effective surgical procedures to improve shoulder abduction and external rotation for children with obstetrical brachial plexus palsy (OBPP). Open pectoralis major (PM) tendon Z-plasty and arthroscopic subscapularis (SS) release are 2 options for the release of internal rotation contractures to enhance muscle transfers. This study compared the functional results of LD and TM tendon transfers with open PM tendon Z-plasty or arthroscopic SS release. Methods: the study included 24 patients who underwent LD and TM tendon transfers for OBPP (9 arthroscopic SS release, 15 open PM tendon Z-plasty) with a mean follow-up of 41.33 months (range, 36-60 months) and 47.2 months (range, 36-60 months), respectively. Functional evaluation was made according to range of motion and Mallet scoring system. Results: shoulder abduction–external rotation degrees and scores in all sections of the Mallet scoring system significantly increased in both groups (P, NA

Introduction Recurrent haemarthrosis in haemophilic patients result with arthropathy of the radiocapitellar joint and blockage of the forearm rotation. Aim The aim of this study is to evaluate the mid-term results of radial head excision with partial synovectomy in severe haemophilic patients retrospectively. Methods Persistent pain and decreased forearm rotation were the main indications for radial head excision. Between 2002 and 2013, radial head excisions were performed for 14 elbows of 14 patients. Eleven patients were haemophilia A, whereas two patients were haemophilia B patients and the remaining one had von Willebrand (Type 3) disease. The mean age of the patients was 29 at the time of the surgery. The mean follow-up was 51 (12–155) months. VAS (visual analogue score) for pain, forearm rotation, qDASH and MEPS (Mayo Elbow Performance Score) were used as the primary outcome parameters. Results The mean VAS decreased significantly from 6.5 preoperatively to 2.2 at the final follow-up (P = 0.0003). The mean forearm rotation increased from 40° to 115° respectively (P = 0.0007). In two patients, efficacious rotation increase was not achieved due to distal radioulnar joint problems. The mean qDASH score and MEPS were 18.1 and 87.5 at the latest follow-up, respectively, where four patients had excellent and 10 patients had good results. Conclusions Radial head excision is a safe and effective procedure for haemophiliac patients with radiocapitellar arthropathy and decreased forearm rotation. Distal radioulnar joint should be evaluated preoperatively which may impair the results.

Only a few randomised, controlled studies have compared different non-operative methods of treatment of mid-shaft fractures of the clavicle.In this prospective, randomised controlled study of 60 participants (mean age 31.6 years; 15 to 75) we compared the broad arm sling with the figure of eight bandage for the treatment of mid-shaft clavicle fractures. Our outcome measures were pain, Constant and American Shoulder and Elbow Surgeons scores and radiological union.The mean visual analogue scale (VAS) pain score on the first day after treatment was significantly higher (VAS 1 6.8; 4 to 9) in the figure of eight bandage group than the broad arm sling group (VAS 1 5.6; 3 to 8, p = 0.034). A mean shortening of 9 mm (3 to 17) was measured in the figure of eight bandage group, versus 7.5 mm (0 to 24) in the broad arm sling group (p = 0.30).The application of the figure of eight bandage is more difficult than of the broad arm sling, and patients experience more pain during the first day when treated with this option. We suggest the broad arm sling is preferable because of the reduction of early pain and ease of application.Cite this article: Bone Joint J 2015;97-B:1562–5.

Infection after open fractures is a common complication. Treatment options for infections developed after intramedullary nailing surgery remain a topic of controversy. We therefore used a rat fracture model to evaluate the effects of infection on osseous union when the implant was maintained.In a rat model, (1) does infection alter callus strength; (2) does infection alter the radiographic appearance of callus; and (3) does infection alter the histological properties of callus?An open femoral fracture was created and fixed with an intramedullary Kirschner wire in 72 adult male Sprague-Dawley rats, which were divided into two study groups. In the infection group, the fracture site was contaminated with Staphylococcus aureus (36 animals), whereas in the control group, there was no bacterial contamination (36 animals). No antibiotics were used either for prophylaxis or for treatment. We performed biomechanical (maximum torque causing failure and stiffness), radiographic (Lane and Sandhu scoring for callus formation), and histologic (scoring for callus maturity) assessments at 3 and 6 weeks. The number of bacteria colonies on the femur, wire, and soft tissue inside knee were compared to validate that we successfully created an infection model. The number of bacteria colonies in the soft tissue inside the knee was higher in the infection group after 6 weeks than after the third week, demonstrating the presence of locally aggressive infection.Infection decreased callus strength at 6 weeks. Torque to failure (299.07 ± 65.53 Nmm versus 107.20 ± 88.81, mean difference with 95% confidence interval, 192 [43-340]; p = 0.007) and stiffness at 6 weeks (11.28 ± 2.67 Nmm versus 2.03 ± 1.68, mean difference with 95% confidence interval, 9 [3-16]; p = 0.004) both were greater in the control group than in the group with infection. Radiographic analysis at 6 weeks demonstrated the fracture line was less distinct (Lane and Sandhu score of 2-3) in the infection group and complete union was observed (Lane and Sandhu score of 3-4) in the control group (p = 0.001). Semiquantitative histology scores were not different between the noninfected controls and the rats with infection (score 10 versus 9).Retaining an implant in the presence of an underlying infection without antibiotic treatment leads to weaker callus and impedes callus maturation compared with noninfected controls in a rat model. Future studies might evaluate whether antibiotic treatment would modify this result.This model sets the stage for further investigations that might study the influence of different interventions on fracture healing in implant-associated osteomyelitis. Future observational studies might also evaluate the histological properties of callus in patients with osteomyelitis.

OBJECTIVES In arthroscopic rotator cuff surgery for postoperative analgesia opioids, nonsteroid analgesics, and local anesthetics can be used. This study aimed to compare the effectiveness, additional analgesic requirements, patients satisfaction, and complications of single-shot interscalene and supraclavicular blocks. METHODS After obtaining the ethics committee's approval and informed consent, 50 ASA I-II patients were randomized to either the interscalene (GISB) or supraclavicular (GSCB) group. Preoperatively, patients received an ultrasonography-guided block using 30 ml of 0.5% bupivacaine. In the postoperative period, morphine patient-controlled analgesia was administered as a 0.3-mg/h basal dose and 1-mg bolus dose, with a 20-min lockout time. Postoperative visual analog scale (VAS; 0-10 cm) scores of the patients were evaluated at 4, 8, 12, and 24 h postoperatively; additional analgesic requirements, adverse effects, and complications were recorded. Patient satisfaction (PS) scores were evaluated after 24 h. RESULTS VAS scores at 4 h were lower in the GSCB group than in the GISB group, and the VAS scores at 8, 12, and 24 h were lower in the GISB group than in the GSCB group, with no statistical significance. Additional analgesic requirements was 28% in the GISB group and 68% in the GSCB group (p < 0.05). Total morphine consumption was lower in the GISB group than in the GSCB group (18.95±9.2 mg vs. 30.6 ± 9.6 mg; p < 0.001). PS scores were higher in the GISB group than in the GSCB group (7.0±1.0 vs. 6.1±0.9; p < 0.01). Adverse effects and complication rates were similar in both the groups. In GISB group, seven patients (28%) had nausea/vomiting, whereas in the GSCB group, 12 patients (48%) had nausea/vomiting. This difference was statistically insignificant. CONCLUSION Supraclavicular block can be considered as an alternative to interscalene block for arthroscopic shoulder surgery.

Objective: The aim of this study was to evaluate the long-term radiological and functional results of distraction interposition arthroplasty using an Achilles tendon allograft.Methods: The study included 5 patients (3 females and 2 males; mean age: 31 years, range: 25 to 41 years) who underwent distraction interposition arthroplasty for stiff elbow and arthrosis due to intrinsic factors between 2001 and 2010. Interposition with fresh-frozen Achilles allograft and collateral ligament reconstruction were performed in all patients. Mean follow-up period was 87.6 (range: 40 to 131) months. Mean distraction time with an external fixator was 7 (range: 6 to 8) weeks. Elbow motion was allowed in the first postoperative day in all patients. Radiological evaluation was performed pre- and postoperatively. Elbow ROM, and the Mayo Elbow Performance Score (MEPS) and DASH scores were recorded for functional evaluation.Results: Mean preoperative flexion-extension range was 24° (range: 0° to 80°) and mean supination-pronation range was 15°. Two patients had elbow ankylosis in 90° and 60° of flexion at the preoperative examination. Mean postoperative flexion-extension range increased significantly to 81° (range: 50° to 110°) (p, Amaç: Bu çalışmada Aşil tendon allogrefti kullanılarak yapılan distraksiyon interpozisyon artroplastisinin uzun dönem radyolojik ve fonksiyonel sonuçlarının değerlendirilmesi amaçlandı.Çalışma planı: 2001-2010 yılları arasında intrensek kaynaklı dirsek sertliği ve artrozu nedeniyle distraksiyon interpozisyon artroplastisi uygulanan 5 hasta (3 kadın, 2 erkek; ortalama yaş: 31, dağılım: 25-41) çalışmaya alındı. Tüm hastalarda taze donmuş Aşil allogrefti ile interpozisyon ve kollateral bağ rekonstrüksiyonu uygulandı. Hastaların ortalama takip süresi 87.6 (dağılım: 40-131) ay idi. Eksternal fiksatörle distraksiyon ortalama 7 (dağılım: 6-8) hafta uygulandı. Tüm hastalara ameliyattan sonra 1. gün dirsek hareketine başlandı. Hastaların ameliyat öncesi ve sonrası radyolojik değerlendirmeleri yapıldı. Yine, ameliyat öncesi ve sonrası, hastaların dirsek eklemi hareket açıklığı, Mayo Dirsek Performans Skoru ve DASH skorları ölçülerek fonksiyonel değerlendirmeleri yapıldı.Bulgular: Hastaların ameliyat öncesi ortalama fleksiyon–ekstansiyon arkı 24° (dağılım: 0°-80°), supinasyon-pronasyon arkı 15° idi. İki hastanın ameliyat öncesi muayenesinde 90° ve 60° fleksiyonda dirsek ankilozu mevcuttu. Son kontrollerde ortalama fleksiyon-ekstansiyon arkının anlamlı olarak 81 dereceye (dağılım: 50°-110°) yükseldiği görüldü (p

Objective: The aim of this study was to clinically and radiologically evaluate patients treated with plate osteosynthesis with structural allografts for severely valgus-impacted fractures of the proximal humerus.Methods: The study included 10 patients (average age: 57 years; range: 34 to 77 years) with valgus-impacted Neer Type 4 proximal humerus fractures. Fractures were classified according to the Robinson classification. Patients were called for an up-to-date examination and evaluated radiologically and clinically with Constant and DASH scores.Results: Average follow-up period was 22.5±12.2 (range: 12 to 50) months. Average DASH score at the final follow-up was 7.6±4.5 (range: 2.5 to 16.7) and average Constant score was 87.7±4.4 (range: 83 to 94). None of the cases had early or late head collapse. There was no avascular necrosis. One early screw penetration was observed.Conclusion: Surgical treatment of valgus-impacted proximal humerus fractures achieved successful results. However, the cavity under the humeral head may lead to failure due to mechanical insufficiency. Plate osteosynthesis with structural allografts warrants initial mechanical support until union, thus avoiding complications related to head collapse., Amaç: Bu çalışmada yapısal allogreftlerle yapılan plak osteosentezi ile ileri derecede valgus impakte kırıkları üzerinde alınacak sonuçların klinik ve radyolojik açıdan değerlendirilmesi amaçlanmıştır.Çalışma planı: Valgus impakte Neer Tip 4 proksimal humerus kırığı tanısı alan ve ortalama yaşı 57 (dağılım: 34-77) olan 10 hasta çalışmaya dahil edilerek, kırıkları Robinson sınıflamasına göre sınıflandı. Hastalar güncel muayeneleri için çağrıldı; Constant ve DASH skorları ile klinik ve radyolojik olarak değerlendirildiler.Bulgular: Ortalama takip süresi 22.5±12.2 (dağılım: 12-50) ay olarak kaydedildi. Son kontrol sırasında ortalama DASH skoru 7.6±4.5 (dağılım: 2.5-16.7) ve Constant skoru 87.7±4.4 (dağılım: 83-94) olarak ölçüldü. Hastaların hiçbirinde erken ve geç baş çökmesi veya avasküler nekroz görülmedi. Bir hastada erken vida penetrasyonu saptandı.Çıkarımlar: Valgus impakte kırıkların cerrahi tedavisi ile başarılı sonuçlar elde edilmiştir. Bununla birlikte, humerus başının altında ortaya çıkan kavite, mekanik yetersizlik nedeniyle başarısızlığa yol açabilir. Yapısal allogreftler ile yapılan plak osteosentezi, başlangıç aşamasından kaynamaya dek yeterli mekanik desteği sağlayarak, baş çökmesi ile ilişkili komplikasyonlar oluşmasına engel olmaktadır.

Powerful contractions during epileptic seizures may cause shoulder dislocation and instability. The aim of the study is to evaluate the functional and radiographic results of the Latarjet procedure for anterior shoulder dislocation in patients with epilepsy and compare the functional results of these patients with the results of patients without epilepsy.Is latarjet procedure effective in epileptic patients as non-epileptic patients with anterior shoulder instability?Eleven shoulders of 9 patients with epileptic seizures causing anterior shoulder instability were evaluated retrospectively. All patients had a Latarjet procedure after neurologic evaluation and treatment arrangement. Epileptic seizures after the operation and shoulder dislocation after a seizure were investigated. For functional evaluation, ROWE, ASES and Constant scores were utilized whereas standard X-ray views were used for radiologic evaluation. The results of epileptic patients with Latarjet procedure were compared with non-epileptic patients (53 patients, 54 shoulders) for anterior shoulder instability.Three (33%) of the 9 epileptic patients had recurrent seizures after Latarjet procedure, whereas 1 of the 11 shoulders (9%) had dislocation after an epileptic seizure. Functional scores were found to be significantly improved in epileptic (P0.001) and non-epileptic patients (P0.001). No significant differences for functional results were found between epileptic and non-epileptic patients after Latarjet procedure for anterior instability (P0.05). One shoulder of 11 in the patients with epilepsy group (9%) and one shoulder of the 54 shoulders non-epileptic patients group (1.8%) had a redislocation. The rate of postoperative redislocation was significantly higher in patients with epilepsy (P=0.008).Epileptic patients have a high rate of recurrent seizures even with proper medical treatment. Significant functional improvements and shoulder stability may be achieved after Latarjet procedure in epileptic patients. These functional results were comparable with those of non-epileptic patients with Latarjet procedure for anterior shoulder instability.III (case-control study).

Von Willebrand disease (vWD) is the most common inherited bleeding disorder. The biggest challenge in the management of vWD is the difficulty in performing surgical procedures because of bleeding. Treatment guidelines recommend the use of pure von Willebrand factor or von Willebrand factor/factor VIII (vWF/FVIII) concentrate in patients with type 2 or type 3 vWD undergoing surgery, in patients with type 1 vWD undergoing surgery who are unresponsive, and in patients for whom desmopressin acetate is contraindicated. However, there is no consensus on the dosage and optimum levels of these factors to date. The aim of this study was to evaluate the perioperative management of patients with vWD during surgical procedures. Data pertaining to surgical procedures performed at our center from 2003 to 2014 were analyzed retrospectively. All operations, except one appendectomy, were elective, and a plan for the management of hemostasis was prepared for each patient. During this period, 37 surgical procedures (major, minor, and dental) were performed in 23 patients with vWD. Complications occurred in four out of 37 procedures (10.8%). No deaths or life-threatening bleeding occurred during any of the operations and no thromboembolic events were observed. The results from this retrospective study indicate that surgery can be safely performed by providing adequate and timely hemostasis during and after the procedure in patients with vWD. Perioperative and postoperative bleeding complications are rare when patients are closely and carefully monitored.

Latarjet, which is a coracoid bone block procedure, is an effective treatment for anterior shoulder instability with glenoid bone loss. During this reconstructive procedure the subscapularis may be tenotomized or be split to expose the glenoid neck. The aim of this study was to assess the effect of subscapularis management on functional outcomes and internal and external rotation durability and strength. Hypothesis is that the subscapularis split approach will result in better functional results and superior internal rotation strength and endurance. The study included 48 patients [median age 30 (range 16–69); 42 males, 6 females], who underwent a modified Latarjet procedure for anterior shoulder instability. There were 20 patients in the subscapularis tenotomy group and 28 patients in the subscapularis split group. The groups were compared isokinetically using a computerized dynamometer for internal and external rotation durability and strength. At the latest follow-up, the patients were evaluated with the American Shoulder and Elbow Surgeons (ASES) and ROWE scores for functional outcomes. At a median follow-up period of 25 (range 12–73) months after the Latarjet procedure, the internal rotation durability was significantly higher in the split group (p = 0.045). However, a statistically significant difference could not be found for internal and external rotational strengths (n.s.). There was also no significant difference between the final ASES and ROWE scores (n.s.). Although both approaches offer promising results, the subscapularis split approach appears to provide better internal rotation durability compared to subscapularis tenotomy. Therefore, the subscapularis split approach may be more preferable for the management of the subscapularis muscle during Latarjet procedure. Retrospective cohort study, Level III.

To investigate anatomic relation of standard and coaxial ankle arthroscopy portals with neurovascular structures during different degrees of ankle motion. Twenty posterior ankles of ten fresh cadavers were assessed. Posteromedial, posterolateral and coaxial (transmalleolar) portals were created using 4-mm Steinmann pins in accordance with the defined technique in neutral position. The ankles were then dissected, and the distance from the portals to the peroneal tendons, short saphenous vein and sural nerve was measured laterally and that from the tibial nerve, flexor hallucis longus tendon and posterior tibial artery was measured medially. Changes in the distance between these structures were noted in neutral positions, 15° of dorsiflexion and 30° plantar flexion. In the neutral position, the mean distance of the conventional posterolateral portal to the sural nerve was 6 mm (SD 2.9, range 2.7–14.5). The mean distance of the posterolateral coaxial portal to the peroneal tendon was 1.6 mm (SD 0.55, range 1.1–2.9). The mean distance of the posteromedial portal to the FHL was 2.11 mm (SD 1.1, range 0–4.7). The mean distance of the posteromedial coaxial portal to the posterior tibial artery was 6 mm (SD 1.4, range 3.9–9.5). Although not statistically significant, the distance between the portal and neurovascular structures increased in dorsiflexion for the portals placed posteriorly to the neurovascular structures and increased in plantar flexion for the portals placed anterior to the neurovascular structures. In comparison with the portals made in the neutral position, the distance between neurovascular structures and portals changes with portal placement in plantar flexion and dorsiflexion. In clinical practice, therefore, it might be safer to place the posteromedial–posterolateral portals in dorsiflexion and posterolateral–posteromedial coaxial portals in plantar flexion. The tibial nerve is closer to the posteromedial coaxial in dorsiflexion and could be in danger if making this portal with the foot in this position.

The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) is a standard shoulder assessment form, which is comprised of objective and subjective sections and prepared by shoulder and elbow surgeons. The purpose of this study was to translate the subjective part of the ASES into Turkish and establish its cultural adaptiveness and validity. The original version of the ASES was translated into Turkish in accordance with the stages recommended by Guillemin. Sixty-three patients (average age: 48.2 ± 13.4; range: 18–74 years) suffering from different shoulder complaints were included in the study. The ASES was completed twice at 3- to 7-day intervals for test–retest reliability. The intraclass correlation coefficient was used to calculate the test–retest reliability, and Cronbach’s alpha was used for internal consistency. Patients were asked to complete the short form 36 (SF-36) and the Shoulder Pain and Disability Index (SPADI) for correlation. Validity was evaluated by external correlation of the ASES with the SPADI and SF-S6 questionnaire, which may also be defined as ‘construct validity’. The results were analysed using Pearson’s correlation test. The test–retest reliability of the ASES pain and function subscales and total ASES score were 0.95, 0.86 and 0.94, respectively. Cronbach’s alpha coefficient for the total ASES was 0.88. The correlation between the total ASES and total SPADI score was −0.82; the correlation coefficient between the ASES pain subscale and SPADI pain subscale was −0.79 (p

Background Patients with obstetrical brachial plexus palsy (OBPP) sequela exhibit adduction and internal rotation contractures. The muscular imbalance may result in secondary bony changes. Tendon transfers and muscular releases may improve shoulder function in these patients. The aim of this study is to evaluate the functional and radiological results of pectoralis major tendon Z-plasty with transfer of latissimus dorsi and teres major tendons to rotator cuff tendons without release of subscapularis muscle in patients with mild sequela of OBPP. Materials and methods Twenty-six consecutive patients, who were treated with tendon transfer and met the eligibility criteria, were included in the study. No additional humeral osteotomy or subscapularis tenotomy was performed. Functional evaluation is made according to range of motion and Mallet scoring system. Preoperative radiologic evaluation was made according to the grading system of Waters. Results A significant increase in shoulder function was found in all patients. Postoperative radiographs revealed glenohumeral congruity was maintained in all patients. Improvement in shoulder abduction and external rotation was higher in patients who were operated before the age of 7. Discussion/conclusion Pectoralis major tendon lengthening with transfer of latissimus dorsi and teres major tendons to rotator cuff is an effective and reproducible technique and can improve shoulder functions in patients with OBPP. Subscapularis release is not always required to overcome internal rotation contracture. Secondary glenohumeral changes might also be prevented with this approach.

OBJECTIVES Arthroscopic rotator cuff surgery can result in severe postoperative pain. We compared a continuous subacromial infusion to a continuous interscalene block with levobupivacaine for patients undergoing arthroscopic rotator cuff surgery. METHODS Sixty patients were randomized to two groups: 1) interscalene block with 0.5% levobupivacaine (30 mL) followed by a postoperative subacromial infusion: 0.125% levobupivacaine 5 mL/h basal infusion, 5 mL bolus dose and a 20 min lockout time or; 2) interscalene block with 0.5% levobupivacaine (30 mL) followed by a postoperative interscalene infusion: 0.125% levobupivacaine 5 mL/h basal infusion, 5 mL bolus dose and a 20 min lockout time. Infusions were maintained for 48 hours. RESULTS The VAS scores in the postanesthesia care unit and at 4 h were not different. The VAS scores at 8, 12, 24, 36 and 48 h were lower than 4 in both groups; but they were significantly lower in the interscalene group. Additional analgesic requirements were lower in the interscalene group (16.6% vs 53.3%, p

Here, we report a series of 5 patients (6 shoulders) diagnosed with neuropathic arthropathy of the shoulder joint in our clinic between 2005 and 2008. Initial diagnosis, previous treatment, and radiological and clinical follow-up findings were reviewed. The mean age at diagnosis was 44.2 years. Four patients had unilateral and 1 patient had bilateral involvement. The presenting symptoms were pain, swelling, and loss in range of motion. Active forward flexion and abduction ranged from 0° to 90°. Hypoesthesia and loss of temperature sense was evident in 3 patients. Radiographs showed massive osteolysis of humeral head and glenoid process, and magnetic resonance imaging showed periarticular fluid collection, and degeneration at the rotator cuff and shoulder joint, resembling chronic septic arthritis or sarcoma. Biopsy was performed in 4 patients before definitive diagnosis, and synovial hypertrophy and necrotic bone was found. Two patients had a history of operated cervical syringomyelia, and the remaining 3 patients were later diagnosed to have syringomyelia and referred to neurosurgery clinic, where 2 of those were operated. Four patients were followed-up with symptomatic therapy, and 1 patient underwent an unsuccessful shoulder arthroplasty in another clinic. As a conclusion, neuropathic arthropathy of the shoulder is rare, and correct diagnosis is possible by careful physical and neurological examination and pathologic evaluation when needed.

Objectives: The role of intermittent ultrasound in the conservative treatment of subacromial impingement syndrome (SIS) has not been clarified. We aimed to evaluate the efficacy of ultrasound treatment in SIS.Methods: Thirty-six patients (29 females, 7 males; mean age 51 years; range 40 to 69 years) with type II SIS were randomized to two groups to receive intermittent ultrasound (group 1, n=20) and placebo ultrasound (group 2, n=16) for three weeks (15 sessions). All the patients received the same standard physical therapy and rehabilitation modalities besides ultrasound treatment. Evaluations were made before and three and six weeks after treatment. Functional results were assessed by the Constant score, pain was assessed by a visual analog scale, and range of motion was measured.Results: Within-group comparisons showed significant improvements in both groups three and six weeks after treatment (p0.05). The Constant score improved from 43.7±12.9 to 65.7±7.7 in group 1, and from 43.9±16.4 to 65.3±7.6 in group 2. Pain scores decreased from 5.5 to 2 and from 5 to 1 in group 1 and 2, respectively. Improvements in Constant scores and pain scores were similar in both groups (p>0.05).Conclusion: Our findings suggest that intermittent ultrasound added to conservative treatment of SIS do not provide an additional benefit to the patients., Amaç: Kesikli ultrasonun subakromiyal sıkışma sendromunun (SSS) tedavisindeki yeri şimdiye kadar yeterince incelenmemiştir. Bu çalışmada ultrasonun SSS’nin konservatif tedavisindeki etkisi araştırıldı.Çalışma planı: Tip II SSS tanısı konan 36 hasta (29 kadın, 7 erkek; ort. yaş 51, dağılım 40-69) randomize olarak iki gruba ayrıldı. Yirmi hastaya (grup 1) kesikli ultrason, 16 hastaya (grup 2) plasebo ultrason uygulandı. İki grupta da tedavi 15 seans (3 hafta) sürdürüldü. Tüm hastalara ultrason dışında aynı standart fizik tedavi ve rehabilitasyon programı uygulandı. Değerlendirmeler, tedaviden önce ve tedaviden üç ve altı hafta sonra yapıldı. Fonksiyonel sonuç Constant skoru, ağrı görsel analog skala ile değerlendirildi; hastaların hareket açıklıkları ölçüldü. Sonuçlar: İki grupta da tedavinin üçüncü ve altıncı haftalarındaki düzelmeler anlamlı bulundu (p0.05). Grup 1 ve 2’de tedavi öncesinde sırasıyla 43.7±12.9 ve 43.9±16.4 olan ortalama Constant skoru altıncı hafta sonunda 65.7±7.7 ve 65.3±7.6’ya yükseldi. Grup 1’de tedaviden önce 5.5 olan ağrı skoru son kontrolde 2’ye, grup 2’de ise 5’ten 1’e düştü. Constant skoru ve ağrı skorundaki düzelmeler iki grup arasında anlamlı farklılık göstermedi (p>0.05).Çıkarımlar: Bulgularımız, SSS tanısı konan hastaların konservatif tedavisinde kesikli ultrason uygulamasının ek yarar sağlamadığını göstermektedir.

Objectives: The purpose of this study was to determine the calcaneal angles on radiograms of individuals without a calcaneal fracture.Methods: We retrospectively analyzed a total of 308 digital records of lateral ankle or foot radiographs taken from 268 patients (106 males, 162 females; mean age 42 years; range 18-79 years) without a calcaneal fracture. On these radiographs, the reference lines were drawn with the use of an angle measurement software with a sensitivity of 1/100 mm and the Böhler (BA) and Gissane (GA) angles were measured. The distribution characteristics of the angles with respect to age, gender, and side of the body were analyzed and compared with those of previous studies.Results: The mean BA was 33.8±4.8° (range 20° to 46°) and the mean GA was 115.0±6.5° (range 100° to 133°). There were no significant differences for both angles with respect to measurements obtained from the right and left sides (for BA, p=0.198; for GA, p=0.601) and from both sexes (for BA, p=0.177; for GA, p=0.412). The highest (35.2°) and lowest (32.3°) means of BA were seen in the age brackets of 41-50 and 61-83 years, respectively. The corresponding age brackets for GA were 21-30 and 51-60 years with 115.7° and 114.4°, respectively. There were no significant differencesbetween the age groups for both angles (for BA, p=0.086; for GA, p=0.955). Of note, the mean BA was significantly higher than those reported in previous studies. There was no correlation between BA and GA (r=0.018; p=0.76), nor between the calcaneal angles and age (for BA, r=-0.092; p=0.11 and for GA, r=-0.070; p=0.22).Conclusion: The calcaneal angles show considerable variations in diverse ethnic groups and populations in terms of normal range, age, gender, and side. The ranges herein reported (20-46° for BA, 100-133° for GA) can be used as reference values for the Turkish population., Amaç: Kalkaneus kırığı bulunmayan kişilerin radyografilerinde ölçülen kalkaneus açılarının dağılımı ve normal sınırlarının belirlenmesi amaçlandı.Çalışma planı: Çalışmada, kalkaneus kırığı bulunmayan 268 hastaya ait (106 erkek, 162 kadın; ort. yaş 42; dağılım 18-79) 308 adet dijital yan ayak ve ayak bileği grafisi geriye dönük olarak incelendi. Bu grafiler üzerinde, 1/100 mm duyarlıkta açı ölçümü yapan bir yazılım yardımıyla referans çizgileri çizilerek, Böhler (BA) ve Gissane (GA) açıları ölçüldü. Açıların dağılım özellikleri, cinsiyet, yaş ve taraf ile olan ilişkileri incelendi. Saptanan dağılım özellikleri literatürdeki diğer çalışmaların sonuçlarıyla karşılaştırıldı. Sonuçlar: Böhler açısı ortalama 33.8±4.8° (dağılım 20°-46°), GA ise ortalama 115.0±6.5° (dağılım 100°-133°) bulundu. Her iki açı için sağ ve sol taraf ortalamaları arasında (BA için p=0.198; GA için p=0.601) ve cinsiyetler arasında (BA için p=0.177; GA için p=0.412) anlamlı fark bulunmadı. En yüksek (35.2°) ve en düşük (32.3°) ortalama BA değerleri sırasıyla 41-50 ve 61-83 yaş gruplarında görüldü. Gissane açısı için en yüksek (115.7°) ve en düşük (114.4°) ortalama değerler sırasıyla 21-30 ve 51-60 yaş grubunda idi. Yaş grupları arasında anlamlı farklılık saptanmadı (BA için p=0.086; GA için p=0.955). Ortalama BA değeri literatürdeki diğer sonuçlardan anlamlı derecede farklı bulundu. Korelasyon analizinde BA ve GA arasında anlamlı ilişki saptanmadı (r=0.018; p=0.76). Kalkaneus açılarıyla yaş arasında da anlamlı bir ilişki yoktu (BA için: r=-0.092; p=0.11 ve GA için: r=-0.070; p=0.22).Çıkarımlar: Kalkaneus açıları farklı ırk ve toplumlarda farklı normal sınırlar; yaş, cinsiyet ve tarafa göre farklı dağılım gösterebilir. Örnek grubumuzda saptanan BA için 20°-46°, GA için 100°-133° aralığı Türk toplumu için referans değerleri olarak kullanılabilir.

Objectives: We evaluated functional results of patients treated with open reduction and internal fixation with the parallel-plate technique for complex distal humerus fractures.Methods: Twenty-one patients (14 males, 7 females; mean age 47 years; range 16 to 85) underwent open reduction with olecranon osteotomy and internal fixation with the parallel-plate technique for distal humerus fractures accompanied by highly intra-articular or metaphyseal comminution (n=10), intra-articular comminution and osteoporosis (n=7), and intra-articular and metaphyseal comminution with bone loss (n=4). According to the AO classification, there were 12 C3, six C2, and three C1 type fractures. Eight patients had open fractures. The mean time to surgery was six days (range 1 to 17 days). Functional results were evaluated using the Mayo elbow performance score, Jupiter elbow score, and DASH (Disabilities of the Arm, Shoulder and Hand) score. The mean follow-up was 28 months (range 12 to 48 months).Results: The mean total range of motion was 90.2±31.1°, flexion was 118.1±17.4°, and extension was 27.8±17.4°. The mean Mayo elbow performance score and DASH score were 86.1±12.6 and 7.6±9.5, respectively. According to the Jupiter elbow scores, the results were excellent in seven patients, good in 11 patients, moderate in two patients, and poor in one patient. Radiographically, solid union was achieved in all the patients. Heterotopic ossification of varying degrees was seen in seven patients, two of whom underwent resection of heterotopic ossification due to severe limitation of movement. Debridement was performed in one patient due to the development of deep infection. Chondrolysis of the elbow occurred in one patient. Patients with open fractures had significantly lower range of motion than those with closed fractures (p0.05).Conclusion: Functional results are satisfactory in distal humerus fractures treated with stable osteosynthesis and parallel-plate technique that allow early active motion., Amaç: Kompleks humerus distal uç kırığı nedeniyle açık redüksiyon ve paralel plak tekniğiyle internal tespit uygulanan hastaların fonksiyonel sonuçları değerlendirildi.Çalışma planı: Kompleks distal uç humerus kırığı nedeniyle 21 hasta (14 erkek, 7 kadın; ort. yaş 47; dağılım 16-85) olekranon osteotomisi ile açık redüksiyon ve paralel plak tekniğiyle tedavi edildi. Kırıklara ileri derecede eklemiçi veya metafizer parçalanma (n=10), eklemiçi parçalanma ve osteoporotik özellikler (n=7), eklemiçi ve metafizer parçalanma ile birlikte kemik kaybı (n=4) eşlik etmekteydi. AO sınıflamasına göre, kırıkların 12’si C3, altısı C2, üçü C1 kırık idi. Sekiz hastada açık kırık vardı. Kırık ile ameliyat zamanı arasındaki süre ortalama altı gün (dağılım 1-17 gün) idi. Fonksiyonel sonuçlar Mayo dirsek performans skoru, Jupiter dirsek skoru ve Kol, Omuz ve El Engellilik (DASH) skoru ile değerlendirildi. Ortalama takip süresi 28 ay (dağılım 12-48 ay) idi.Sonuçlar: Toplam hareket açıklığı ortalama 90.2±31.1°, fleksiyon 118.1±17.4°, ekstansiyon 27.8±17.4° bulundu. Mayo dirsek performans skoru ortalama 86.1±12.6, DASH skoru 7.6±9.5 idi. Jupiter dirsek skoruna göre sonuçlar yedi hastada mükemmel, 11 hastada iyi, iki hastada orta, bir hastada kötü olarak değerlendirildi. Radyografik olarak, hiçbir hastada kaynama sorunuyla karşılaşılmadı. Yedi hastada (%33.3) değişik derecelerde heterotopik ossifikasyon görüldü; iki hastaya ciddi hareket kısıtlılığı nedeniyle heterotopik ossifikasyon rezeksiyonu yapıldı. Bir hastada derin enfeksiyon nedeniyle debridman yapıldı. Bir hastada ise dirsek ekleminde kondroliz gelişti. Açık kırıklı hastaların hareket açıklığı anlamlı derecede daha düşük bulunurken (p0.05). Çıkarımlar: Erken harekete izin verecek stabilitede osteosentez tekniği ve paralel plaklama tekniği ile tedavi edilen distal humerus kırıklarında fonksiyonel sonuçlar tatmin edicidir.

Objectives: Despite the developments in chemotherapy protocols, improvement in the survival rates of osteosarcoma has been limited. We evaluated the effect of certain prognosis-related proteins on survival of patients with osteosarcoma.Methods: Data from 45 patients (24 males, 21 females) who were treated and followed-up for osteosarcoma were reviewed. Following neoadjuvant chemotherapy, 41 patients underwent extremity saving surgery, and four patients underwent amputation. The most frequent localization was the lower end of the femur (n=23, 51.1%), followed by the upper end of the tibia (n=10, 22.2%). Three patients had metastasis on admission. Surgical resection samples were retrieved from the pathology archive and analyzed immunohistochemically for the expression of p-glycoprotein p170, p53, heat-shock protein 27 (HSP27), HSP90, and nm23. The effect of these proteins on prognosis and survival was assessed with survival analysis using the Kaplan-Meier method. The mean follow-up was 49.7 months (range 6 to 185 months).Results: Three patients with metastasis on admission died within five years due to pulmonary metastasis. New metastases developed in 29 patients. Total 5-year and 10-year survival rates were 60% and 43%, respectively. The corresponding diseasefree survival rates were 41% and 24%. Five-year survival was 29% in patients who developed metastasis. Among clinical factors, survival was influenced only by the presence of metastasis on admission (p=0.044). Five-year and 10-year survival rates were significantly different between patients with and without p53 positivity (p=0.04), while the other proteins were not significantly associated with survival.Conclusion: Our data suggest that p53 may be used as a prognostic marker in osteosarcoma due to its significant association with survival., Amaç: Kemoterapi rejimlerindeki gelişmelere rağmen osteosarkom sağkalımında çok az ilerleme olmuştur. Bu çalışmada, osteosarkomlu hastalarda prognoz ile ilişkili bazı proteinlerin sağkalım ile ilişkisi değerlendirildi.Çalışma planı: Tedavisi ve izlemi hastanemizde yapılan 45 hastanın (24 erkek, 21 kadın) verileri geriye dönük olarak incelendi. Osteosarkom nedeniyle, neoadjuvan kemoterapi sonrasında, 41 hastaya ekstremite koruyucu cerrahi, dört hastaya amputasyon yapılmıştı. En sık tutulum 23 hasta (%51.1) ile femur alt uç, 10 hasta (%22.2) ile tibia üst uçta görüldü. Üç hastada başvuru anında metastaz vardı. Cerrahi rezeksiyon örnekleri patoloji arşivinden çıkartılarak, p-glikoprotein p170, p53, ısı şok proteini 27 (HSP27), HSP90 ve nm23 proteinlerinin ekspresyonu immünohistokimyasal yöntemlerle incelendi. Bu proteinlerin prognoz ve sağkalım üzerindeki etkileri Kaplan-Meier yöntemi ile değerlendirildi. Hastaların ortalama takip süresi 49.7 ay (dağılım 6-185 ay) idi.Sonuçlar: Başvuru anında metastaz saptanan üç hasta beş yıl içinde akciğer metastazından yaşamını yitirdi. Yirmi dokuz hastada metastaz gelişti. Beş ve 10 yıllık genel sağkalım oranları sırasıyla %60 ve %43 bulundu. Hastalıksız sağkalım oranı ise beş yıl için %41, 10 yıl için %24 idi. Metastaz gelişen hastalarda beş yıllık sağkalım oranı %29 idi. Klinik faktörler içinde, sağkalımı anlamlı etkileyen sadece başvuru anında metastaz varlığı idi (p=0.044). p53 proteininin pozitif ve negatif ekspresyonları arasında beş yıl ve on yıllık sağkalım oranları açısından anlamlı fark görülürken (p=0.04), incelenen diğer proteinler sağkalımla ilişkili bulunmadı.Çıkarımlar: p53 ekspresyonu ile sağkalım arasındaki ilişki, p53’ün osteosarkomda prognostik gösterge olarak kullanılabileceğini düşündürmektedir.

The purpose of this study was to determine the effectiveness of the microfracture technique in the treatment of full-thickness articular cartilage lesions of the knee.In this study the midterm results of 90 patients (47 women and 43 men) with focal full-thickness articular cartilage lesions who had been managed with the microfracture technique are presented. The mean age of our patients was 34.5 years (range, 20 to 58), and 51 right and 39 left knees were treated. All of the articular lesions involved medial femoral condyles.On the basis of follow-up at a mean of 68 months (range, 24 to 108 months), mean improvements in Lysholm knee scores (from 54.2 to 84.6 points), Tegner activity scale scores (from 2.6 to 5.2 points), and Oxford knee interrogation scores (from 23.1 to 44.8 points) were observed (P.0001). Moreover, there was a strong and significant correlation between functional results and age younger than 35 years, size of defect less than 2 cm(2), non-weight-bearing surface, and body mass index lower than 25 kg/m(2), respectively (P.001).According to our midterm results, the microfracture technique is quite effective with regard to the improvement of daily activities with a favorable impact on pain relief and better functional results. Furthermore, we found that there was a correlation between functional results and age, size of defect, location of defect, and body mass index as prognostic parameters.Level IV, therapeutic case series.

Objectives: To compare 3 different fixation methods for the treatment of humeral shaft nonunions in terms of union time, functional outcome, and complications. Design: Retrospective case series. Setting: University hospital. Patients: Between 1996 and 2004, 80 patients (mean age, 49; range, 15 to 86; 30 women and 50 men) with nonunions of the humeral shaft were treated surgically in our institution. Circular external fixators (CEF) were used in 35 patients, unilateral limb reconstruction system (LRS) fixators in 24 patients and fixation with plates in 21 patients. Intervention: Surgical procedure included hardware removal in previously operated patients, autogenous grafting in all patients in the plate group and in those patients with atrophic nonunions in the external fixator groups, compression of the nonunion site in all patients. Main Outcome Measurements: Radiological union time, complications, shortening, and disabilities of the arm, shoulder, and hand (DASH) score. Results: Mean follow-up period was 48.1 months (range, 12 to 121). Mean radiological union time was 5.5 months (range, 1.5 to 12) in the CEF group, 5.2 months (range, 3 to 10) in the LRS group, and 5.7 months (range, 3 to 12) in the plate group. Mean DASH score was 23.7 in the CEF group, 18.6 in the LRS group, and 26 in the plate group. There were no statistical differences in terms of union time and the DASH score among the 3 groups. Successful union was achieved in 77 (96.3%) patients. Conclusion: Both external fixation and plate fixation produce excellent results in humeral shaft nonunions if applied properly. The procedure can be tailored to the surgeon's experience, keeping in mind that plate fixation demonstrates a longer healing time in those cases that had previous surgeries.

Background and objectives: The aim of the study were to demonstrate the possible hemodynamic changes and cerebral blood flow alterations in patients who were positioned from supine to beach chair position; and to detect if the position change causes any cortical activity alteration as measured by the 4-channeled electroencephalography monitor. Methods: 35 patients were included. Before the induction, mean arterial pressure and patient state index values were recorded (T0). After the intubation, doppler-ultrasonography of the patients’ internal carotid and vertebral arteries were evaluated to acquire cerebral blood flow values from the formula. In supine position, mean arterial pressure, patient state index and cerebral blood flow values were recorded (T1) and the patient was positioned to beach chair position. After 5 min all measurements were repeated (T2). Measurements of patient state index and mean arterial pressure were repeated after 20 (T3), and 40 (T4) min. Results: There was a significant decrease between T0 and T1 in heart rate (80.5 ± 11.6 vs. 75.9 ± 14.4 beats/min), MAP (105.8 ± 21.9 vs. 78.9 ± 18.4 mmHg) and PSI (88.5 ± 8.3 vs. 30.3 ± 9.7) (all p

The aim of this study was to report our results of glucocorticoid therapy combined with pregabalin and a home exercise program in patients with frozen shoulder.Thirty-three patients (seven males, 26 females; mean age 52, range 43-71) diagnosed with primary idiopathic frozen shoulder were included in the study. Secondary causes and systemic diseases related to frozen shoulder were excluded. Administration of 0.5 mg/kg/day methylprednisolone was halved each week and ceased at the end of first month. Pregabalin, paracetamol and proton pump inhibitor was also included in the treatment. Physical therapy as a home program was initiated as the pain subsided. Patients were evaluated using the Constant, DASH and ASES scores in the sixth week and first year. Pain was evaluated with VAS and range of motion at each visit.Patients were followed up for an average period of 21 months (range 12-37). No adverse effect related to glucocorticoid therapy was observed during the treatment. The DASH, ASES and Constant scores improved significantly in the sixth week and first year (p 0.05). Average range of motion and pain improved significantly every week until full recovery (p 0.05).Glucocorticoid therapy combined with pregabalin and a home exercise program is an effective treatment in the first stage of frozen shoulder.

Transfer of the latissimus dorsi tendon to the posterosuperior part of the rotator cuff is an option in active patients with massive rotator cuff tears to restore shoulder elevation and external rotation. However, it is unknown whether this treatment prevents progression of cuff tear arthropathy.The purpose of this study was to determine whether the observed improvement in shoulder function in the early postoperative period with latissimus dorsi tendon transfer for irreparable rotator cuff tears will be permanent or will deteriorate in the midterm period (at 1-5 years after surgery).During a 6-year period, we performed 11 latissimus dorsi tendon transfers in 11 patients for patients with massive, irreparable, chronic tears of the posterosuperior part of the rotator cuff (defined as 5 cm supraspinatus and infraspinatus tendon tears with Goutallier Grade 3 to 4 fatty infiltration on MRI), for patients who were younger than 65 years of age, and had high functional demands and intact subscapularis function. No patients were lost to followup; minimum followup was 12 months (median, 33 months; range, 12-62 months). The mean patient age was 55 years (median, 53 years; range, 47-65 years). Shoulder forward elevation, external rotation, and Constant-Murley and American Shoulder and Elbow Surgeons scores were assessed. Pain was assessed by a 0- to 10-point visual analog scale. Acromiohumeral distance and cuff tear arthropathy (staged according to the Hamada classification) were evaluated on radiographs.Shoulder forward elevation, external rotation, Constant-Murley scores, and American Shoulder and Elbow Surgeons scores improved at 6 months. However, although shoulder motion values and Constant-Murley scores remained unchanged between the 6-month and latest evaluations, American Shoulder and Elbow Surgeons scores decreased in this period (median, 71; range, 33-88 versus median, 68; range, 33-85; p = 0.009). Visual analog scale scores improved between the preoperative and 6-month evaluations but then worsened (representing worse pain) between the 6-month and latest evaluations (median, 2; range, 0-5 versus median, 2; range, 1-6; p = 0.034), but scores at latest followup were still lower than preoperative values (median, 7; range, 4-8; p = 0.003). Although acromiohumeral distance values were increased at 6 months (median, 8 mm; range, 6-10 mm; p = 0.023), the values at latest followup (median, 8 mm; range, 5-10 mm) were no different from the preoperative ones (mean, 7 mm; range, 6-9 mm; p 0.05). According to Hamada classification, all patients were Grade 1 both pre- and postoperatively, except one who was Grade 3 at latest followup.The latissimus dorsi tendon transfer may improve shoulder function in irreparable massive rotator cuff tears. However, because the tenodesis effect loses its strength with time, progression of the arthropathy should be expected over time. Nevertheless, latissimus dorsi tendon transfer may help to delay the need for reverse shoulder arthroplasty for these patients.Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.

Anconeus interpositional arthroplasty has been used in the treatment of radiocapitellar and radioulnar joint problems occurring after trauma. A 31-year-old male patient developed heterotopic ossification (HTO) in the elbow following surgical treatment of an isolated radial neck fracture. Treatment with implant removal and excision of the radial head resulted in recurrent HTO and a stiff elbow. We performed anconeus interposition arthroplasty with excision of the heterotrophic new bone and mobilization of the proximal radius. The anconeus muscle was mobilized and interposed between the proximal radius and ulna. Sixteen months after the operation, forearm rotation, elbow flexion and extension increased by 80°, 45°, and 60°, respectively. Control X-rays showed maintenance of the radiohumeral gap without any signs of HTO., Ankoneus interpozisyon artroplastisinin travma sonrası oluşan radikapitellar ve radioulnar eklem sorunlarının tedavisinde kullanılabileceği bildirilmiştir. Bu yazıda, ankoneus interpozisyon artroplastisi ile tedavi edilen 31 yaşında bir erkek hasta sunuldu. Hastada radius boyun kırığı osteosentezi sonrasında heterotopik ossifikasyon (HTO) gelişmişti. Ossifikasyon odakları temizlenip radius başı eksize edildikten sonra HTO ve dirsek sertliği tekrarlayan hastaya, tekrar ossifikasyon eksizyonu sonrasında ankoneus kası ile interpozisyon artroplastisi uygulandı. Ameliyattan 16 ay sonraki kontrolde, önkol supinasyonu, dirsek fleksiyonu ve ekstansiyonunda sırasıyla 80, 45 ve 60 derece kazanım sağlandığı görüldü. Kontrol radyografilerinde HTO’nun tekrarlamadığı ve radioulnar ve radiokapitellar eklemlerin açık olduğu izlendi.

Objective: The aim of this study was to examine the radiological and clinical short term results of the patients who underwent reverse shoulder arthroplasty for rotator cuff arthropathy.Methods: The study included 14 (2 male, 12 female) patients who underwent reverse shoulder arthroplasty for rotator cuff arthropathy between 2009 and 2010. The mean age of the patients was 74 (57–80) years and the mean follow–up period was 32 (21–40) months. Radiological methods as well as the range of motion, Quick DASH, Constant and VAS scores were used for the evaluation of patients preoperatively and at last the follow–up.Results: Mean active forward flexion, abduction and external rotation increased respectively from 44, 41 and 21 degrees preoperatively to 149, 105 and 37 degrees at the last follow–up. The mean QuickDash score was 59.1 degrees preoperatively, and 36.1 degrees at the last follow–up visit. The mean Constant score increased from 20.7 preoperatively to 58.9 at the last follow–up visit. The mean VAS score decreased from 7 preoperatively to 1.2 at the last follow–up visit. The mean acromion–humeral head distance increased from 5.3 mm preoperatively to 23.1 mm postoperatively. None of the patients had major complications.Conclusion: Reverse shoulder arthroplasty in patients with advanced stage rotator cuff tear arthropathy ensure significant improvement in terms of pain and function with the help of an appropriate rehabilitation protocol., Amaç: Bu çalışmada rotator manşet yırtığı artropatisi sebebiyle ters omuz protezi uyguladığımız hastalarımızın kısa dönem radyolojik ve klinik sonuçlarını incelemeyi amaçladık.Çalışma planı: 2009–2010 tarihleri arasında manşet yırtığına bağlı omuz artrozu olan 2 erkek, 12 kadın toplam 14 hastaya ters omuz protezi uygulandı. Hastaların ortalama yaşı 74 yıl (57–80) ve ortalama takip süresi 32 ay (21–40) idi. Hastalar ameliyat öncesinde ve son kontrollerinde radyolojik yöntemlerle ve eklem hareket açıklığı, Quick DASH, Constant, VAS skorları ile değerlendirildi.Bulgular: Ameliyat öncesi ortalama sırasıyla 44, 41 ve 21 derece olan aktif öne fleksiyon, abdüksiyon ve dış rotasyon dereceleri son kontrollerinde sırasıyla ortalama 149, 105 ve 37 derece olarak ölçüldü. Ortalama Quick DASH skoru ameliyat öncesi 59.1 iken son kontrollerinde 36.1 olduğu izlendi. Ortalama Constant skoru ameliyat öncesi 20.7 iken son kontrollerinde 58.9’a yükseldi. VAS değerlendirmesi ameliyat öncesi ortalama 7 iken son kontrollerinde 1.2’ye geriledi. Akromion humerus arası mesafe ölçümleri ameliyat öncesi ortalama 5.3 iken ameliyat sonrası ortalama 23.1’e yükseldi. Hastaların hiçbirinde erken ve geç büyük komplikasyon izlenmedi.Çıkarımlar: İleri evredeki rotator manşet yırtığı artropatisi hastalarında ters omuz protezi uygulaması ve uygun rehabilitasyon protokolü ile ağrı ve fonksiyon açısından anlamlı düzelme sağlanabilir.

A 17-year-old boy who was engaged in amateur weightlifting and body building presented with complaints of right elbow pain and limitation in elbow range of motion. Plain x-rays and magnetic resonance imaging showed an osteochondral defect in the medial third of the capitellum. At surgery, as a new technique, the lateral collateral ligament was detached from the humeral attachment to provide access to the capitellum with a clear and perpendicular exposure. Following removal of loose fragments within the joint, an osteochondral graft harvested from the lateral femoral condyle was implanted to the defect area of the capitellum. Postoperative radiologic controls showed that the defect was entirely filled by the graft with appropriate graft height. On follow-up examination at 12 months, the patient did not have any complaint about his elbow, and had no limitation of movement compared to the left elbow. Magnetic resonance imaging showed that the graft was successfully adapted to the recipient site without any sign of loosening. At final follow-up 40 months after surgery, the surface of the articular cartilage appeared normal. The range of elbow motion was preserved and the patient had no restriction in daily and sports activities. Considering technical difficulties posed by the narrow and complex structure of the elbow joint, this new technique involving detachment of the lateral collateral ligament facilitates perpendicular implantation of the graft. In our opinion, utilization of this new technique will improve functional and radiological results of osteochondral autograft transfer., On yedi yaşında, amatör olarak ağırlık kaldırma ve vücut geliştirme sporu ile ilgilenen erkek hasta, sağ dirsekte ağrı ve hareket kısıtlılığı yakınmalarıyla başvurdu. Düz radyografilerde ve manyetik rezonans görüntülemede kapitellumun 1/3 orta bölgesinde osteokondral lezyon saptandı. Ameliyatta, yeni bir yaklaşım olarak, lateral kollateral bağ humeral yapışma yerinden kaldırılarak kapitellum daha net ve dik açıyla ulaşılabilecek pozisyona getirildi. Eklem içindeki serbest fragmanların çıkarılmasından sonra, lateral femoral kondilden alınan osteokondral otogreft defekt bölgesine yerleştirildi. Ameliyat sonrası radyolojik incelemelerde, osteokondral greftin defektli bölgeyi tam doldurduğu ve greft yüksekliğinin iyi olduğu gözlendi. Hastanın 12. ay kontrolünde dirsekte hiçbir yakınması ve sol dirseğe göre hareket kısıtlılığı yoktu. Manyetik rezonans görüntülemede greftin alıcı saha içine iyi uyum gösterdiği ve gevşeme belirtisi olmadığı görüldü. Kırk ay sonra yapılan radyografik kontrolde eklem kıkırdağının yüzey bütünlüğü normal görünümdeydi; hareket açıklığının korunduğu ve hastanın sportif ve günlük etkinliklerinde herhangi bir kısıtlaması olmadığı görüldü. Lateral kollateral bağı kaldırarak uyguladığımız cerrahi teknik, dirseğin dar ve karmaşık eklem yapısından kaynaklanan teknik zorluklar göz önüne alındığında, greftin dik açıda yerleştirilmesini kolaylaştırmaktadır. Bu teknikle yapılan osteokondral otogreft naklinin daha iyi fonksiyonel ve radyolojik iyileşme sağlayacağı kanısındayız.

Objective: The aim of this study was to assess the effects of coracoid bone block (modified Latarjet) procedure on clinical and functional results in cases with glenoid bone defect accompanied with anterior shoulder instability.Methods: The study included 35 patients (average age: 35 years; range: 20 to 58 years) with glenoid bone defect and recurrent dislocations treated with the modified Latarjet procedure. There were 12 sports injuries, 5 post-epileptic cases and 18 recurrent anterior shoulder dislocation following non-sports-related injuries. Recurrence was reported in 7 patients formerly treated with the Bankart procedure. Average number of preoperative dislocations was 10.8±6.5 and average time range between the first dislocation and surgery was 14.9±13.2 months. All patients underwent preoperative diagnostic arthroscopy. Postoperative isometric exercises in braces were assigned for the first 6 weeks, followed by active strengthening exercises. Pre- and postoperative functional results were evaluated using the ASES (American Shoulder and Elbow Surgeons) and Rowe scores and pain using the VAS (Visual Analog Scale).Results: Osseous union of coracoid graft was achieved in all patients. Average follow-up was 24±12.2 (range: 12 to 74) months. No degenerative arthritis or continuing instability was detected in any of the patients. Average forward flexion was 165°±20° and external rotation 59°±13°. Mean preoperative ASES and Rowe scores of 49.6±10.6 and 47.9±21.5 increased postoperatively to 91.3±11 and 89.1±9.2, respectively. Mean VAS scores decreased significantly from 6.2±2.4 to 1.8±0.6 postoperatively (p, Amaç: Bu çalışmanın amacı anterior omuz instabilitesine eşlik eden glenoid kemik defektli olgularda korakoid kemik blok (modifiye Latarjet) prosedürünün klinik ve fonksiyonel sonuçlara etkilerinin değerlendirilmesi idi.Çalışma planı: Tekrarlayan çıkık nedeniyle başvuran ve modifiye Latarjet prosedürü ile tedavi edilen, glenoid kemik defektli 35 hasta (ortalama yaş: 35, dağılım: 20-58) çalışmaya alındı. On iki hastada spor travması, 5’inde epilepsi nöbetleri sonrası, 18’inde ise spor dışı travma sonrası tekrarlayan anterior omuz çıkığı hikayesi mevcuttu. Daha önce Bankart onarımı uygulanan 7 hastada nüks vardı. Hastaların ameliyat öncesi ortalama çıkık sayısı 10.8±6.5, ilk çıkıktan ameliyata kadar geçen ortalama süre ise 14.9±13.2 ay olarak kaydedildi. Girişim öncesinde tüm hastalara tanısal artroskopi yapıldı. Hastalara ameliyat sonrası ilk 6 hafta askı içinde izometrik egzersizler, sonrasında aktif güçlendirme egzersizleri uygulandı. Ameliyat öncesi ve sonrası fonksiyonel sonuçlar ASES (American Shoulder and Elbow Surgeons) ve Rowe skorları ile, ağrı ise VAS (Visual Analog Scale) ile değerlendirildi.Bulgular: Ortalama 24±12.2 (dağılım: 12-74) ay takip edilen hastaların tümünde greft kaynaması sağlandı. Hiçbir hastada dejeneratif artrit bulgusu ve devam eden instabilite saptanmadı. Ortalama öne fleksiyon 165°±20°, dış rotasyon 59°±13° olarak ölçüldü. Ameliyat öncesi ASES ve Rowe skorları, sırasıyla, ortalama 49.6±10.6 ve 47.9±21.5 iken bu değerlerin son kontrollerinde 91.3±11 ve 89.1±9.2’ye yükseldiği görüldü. Hastaların ortalama VAS skorları ise 6.2±2.4’ten iken ameliyat sonrasında 1.8±0.6 değerlerine geriledi (p

We reviewed 17 patients with distal intraarticular humeral type C fractures, treated by open reduction and internal fixation, followed by an early rehabilitation programme. The results, as judged by the criteria of Jupiter, were excellent in ten, good in five and fair in two. Non-union of the olecranon osteotomy occurred in one patient.

Platelet-rich plasma (PRP) is a natural concentrate of autologous growth factors now being widely tested in different fields of medicine for its potential in enhancing the regeneration of tissue with low healing potential. However, studies of PRP in enhancing rotator cuff repair have been contradictory, perhaps because of how PRP is administered. The purpose of this study is to evaluate the effect of PRP and compare two different application methods of PRP on rotator cuff healing. The supraspinatus tendons of 48 mature, male Wistar–Albino rats were detached from their insertion on the humerus. The animals were divided into four groups: (1) no repair, (2) primary repair, (3) repair plus PRP injections into the tendon–bone interface, and (4) repair plus PRP absorbed from a sponge carrier to the tendon–bone interface. The tendons were evaluated biomechanically and histologically at week 8. Cuffs repaired with PRP had significantly greater mean (SD) load-to-failure rates [11.1 (6.5) and 11.6 (3.9) N; P

Coronal plane fractures of the distal humerus involving the capitellum and trochlea are rare. Treatments have evolved from closed reduction to open reduction and internal fixation (ORIF) to achieve a stable joint that allows early mobilization.We determined the functional outcomes of treating coronal plane fractures of the distal humerus with ORIF.We reviewed the records of all patients with coronal plane fractures of the distal humerus treated by ORIF. Fractures were classified according to Bryan and Morrey. Cannulated screws were used for fixation. All patients were evaluated using the Mayo Elbow Score Performance Index (MEPI) and disabilities of the arm, shoulder, and hand (DASH) scores at least 1 year later.Of the 18 patients evaluated (12 women), the mean (SD) age was 45.3(16.5) years (range 16-70). There were seven Type-I, five Type-III, and six Type-IV fractures. Mean follow-up was 43.6 (38.1) months (range 12-120). The mean elbow range of motion in sagittal plane at last follow-up ranged from 8.9° to 132.8°. The mean MEPI score was 86.7 (15.2) points (range 60-100), corresponding to 12 excellent, 2 good, and 4 fair outcomes. The mean DASH score was 15.3 (13.5) points (range 17-35.8). Heterotrophic ossification developed in one patient with delayed fixation; 14 patients with excellent or good results returned to their previous activity levels. Functional scores did not differ by age, sex, or fracture types (P0.05 for all comparisons).ORIF with cannulated screws, which maintain a stable anatomic articular position, provides satisfactory results in coronal plane fractures of the distal humerus.Level IV case series.

Objectives: Although conventional suture techniques yield satisfactory results in the treatment of meniscal ruptures, they are inherent with long operative time and high complication rates. The purpose of this study was to evaluate the results of meniscal repair with the use of the RapidLoc device.Methods: The study included 57 consecutive patients (all males; mean age 24 years; range 17 to 33 years) who underwent meniscal repair with the RapidLoc device. The mean time from injury to surgery was 20 days (range 7 to 60 days). The mean length of meniscal ruptures was 25 mm (range 10 to 35 mm). A mean of two RapidLoc fixators were used for each rupture. Thirty patients had associated anterior cruciate ligament (ACL) rupture; of whom 17 patients underwent ACL reconstruction with hamstring autografts. Thirteen patients refused ACL reconstruction and underwent only meniscal repair. Functional results were evaluated using the Tegner activity score, Lysholm score, and IKDC (International Knee Documentation Committee) subjective knee evaluation form.Clinical assessments were made using the Barrett criteria. The mean follow-up was 39 months (range 18 to 66 months).Results: The mean operation time including diagnostic and surgical arthroscopy was 25 minutes (range 15 to 35 min). Compared to the preoperative scores, all functional scores showed significant improvements (p, Amaç: Menisküs tamirlerinde konvansiyonel dikiş yöntemleri ile oldukça tatminkar sonuçlar elde edilmesine karşın, bu yöntemlerde ameliyat süresi uzun ve komplikasyon oranı yüksektir. Bu çalışmada, RapidLoc fiksatörü kullanılarak yapılan menisküs tamirlerinin klinik sonuçları değerlendirildi.Çalışma planı: Çalışmaya RapidLoc fiksatörü ile menisküs tamiri yapılan ardışık 57 hasta (hepsi erkek; ort. yaş 24; dağılım 17-33) alındı. Travma ile ameliyat arasında geçen süre ortalama 20 gün (dağılım 7-60 gün) idi. Ortalama yırtık uzunluğu 25 mm (dağılım 10-35 mm) idi. Her bir yırtık için ortalama iki adet (dağılım 1-3) RapidLoc fiksatörü kullanıldı. Ön çapraz bağ (ÖÇB) yırtığı olan 30 hastanın 17’sine, menisküs tamiri ile beraber hamstring otogreft ile ÖÇB rekonstrüksiyonu yapıldı; 13 hastaya ise rekonstrüksiyon istemedikleri için sadece menisküs tamiri yapıldı. Hastalar Tegner aktivite skoru, Lysholm skoru ve IKDC (International Knee Documentation Committee) subjektif diz değerlendirme formuna göre değerlendirildi. Klinik değerlendirmede Barrett ölçütleri kullanıldı. Ortalama takip süresi 39 ay (dağılım 18-66 ay) idi.Sonuçlar: Menisküs tamiri sırasında tanısal ve cerrahi artroskopiyi içeren toplam ameliyat süresi ortalama 25 dakika (dağılım 15-35 dk) idi. Ameliyat öncesine göre tüm fonksiyonel sonuçlarda anlamlı düzelme görüldü (p

Objectives: We evaluated the contribution of subacromial local anesthetic and corticosteroid injection to the conservative treatment of subacromial impingement syndrome.Methods: The study included 56 patients (39 women, 17 men; mean age 50 years; range 31 to 68 years) with subacromial impingement syndrome without any rotator cuff lesion. The patients were randomly allocated to injection and control groups equal in number. The former group received a single subacromial injection of 9 ml bupivacaine and 1 ml betamethasone at the beginning of the treatment. The same physical therapy and rehabilitation program was administered to both groups, consisting of 15 sessions (3 weeks). Evaluations were made before, and three and six weeks after treatment. Functional results were assessed using the Constant score, pain was assessed using a visual analog scale, and range of motion was measured with a goniometer.Results: Compared to pretreatment values, both groups exhibited significant improvements in pain score, Constant score, and range of motion measurements at three and six weeks (p0.05). Patients receiving subacromial injection had significantly higher Constant scores at six weeks (p=0.044) and significantly greater external and internal rotation at three weeks (p=0.03). Range of motion measurements did not differ between the two groups at six weeks (p>0.05).Conclusion: Subacromial injection contributes to the success of the conservative treatment through decreasing pain and enabling more effective range of motion and strengthening exercises, both of which are associated with increased functional improvement., Amaç: Lokal anestetik ve kortikosteroid enjeksiyonunun subakromiyal sıkışma sendromunun konservatif tedavisine katkısı araştırıldı.Çalışma planı: Çalışmaya subakromiyal sıkışma sendromu tanısı konan ve rotator manşet lezyonu olmayan 56 hasta (39 kadın, 17 erkek; ort. yaş 50; dağılım 31-68) alındı. Hastalar enjeksiyon grubu ve kontrol grubu şeklinde rastgele seçimle eşit sayıda iki gruba ayrıldı. Enjeksiyon grubuna tedavinin başında subakromiyal enjeksiyonla 9 ml bupivakain ve 1 ml betametazon uygulandı. Tüm hastalara üç hafta süreli (15 seans) aynı fizik tedavi ve rehabilitasyon programı uygulandı. Değerlendirmeler tedaviden önce ve tedaviden üç ve altı hafta sonra yapıldı. Fonksiyonel durum Constant skoru, ağrı görsel analog skala ile değerlendirildi ve eklem hareket açıklığı gonyometre ile ölçüldü. Sonuçlar: İki grupta da üçüncü ve altıncı haftalarda tedavi öncesine göre ağrı skorunda, Constant skorunda ve eklem hareket açıklığı ölçümlerinde anlamlı düzelmeler elde edildi (p0.05). Enjeksiyon grubunda altıncı haftada Constant skoru (p=0.044) ve üçüncü haftadaki dış ve iç rotasyon değerleri (p=0.03) kontrol grubuna göre anlamlı derecede yüksek bulundu. Altıncı haftadaki hareket açıklığı ölçümlerinde gruplar arasında anlamlı fark bulunmadı (p>0.05). Çıkarımlar: Subakromiyal enjeksiyon uygulaması ağrıyı önemli derecede azaltarak, eklem hareket açıklığı ve güçlendirme egzersizlerinin daha etkili olarak yapılmasına ve fonksiyonel sonuçların daha başarılı olmasına katkıda bulunmaktadır.

Patients with facioscapulohumeral dystrophy (FSHD) are affected mostly by impaired shoulder function. Scapulothoracic arthrodesis was introduced to improve shoulder function. We evaluated the outcomes of scapulothoracic arthrodesis using multifilament cables, performed on 13 patients with FSHD (18 shoulders). There were eight males and five females (mean age, 29 years; range, 20-50 years). Outcome criteria were active shoulder forward flexion and abduction, the Disabilities of the Arm, Shoulder, and Hand (DASH) score, respiratory function tests, and a new shoulder function score. Patients were followed for a minimum of 24 months (average, 35.5 months; range, 24-87 months). Solid fusion was obtained in all shoulders (two after revision); active abduction range increased from 47.2 degrees +/- 11.6 degrees to 102.2 degrees +/- 10.0 degrees (mean +/- standard deviation) and anterior flexion range from 55.6 degrees +/- 16.1 degrees to 126.1 degrees +/- 20.9 degrees . The DASH score decreased from 33.6 +/- 8.9 points preoperatively to 11.6 +/- 8.0 points postoperatively. Shoulder function score increased from 15.9 +/- 2.4 points to 22.2 +/- 1.3 points. Scapulothoracic arthrodesis provides satisfactory function in patients with FSHD. Our data suggest use of multifilament cables for fixation is a reasonable option with an acceptable complication rate.Level IV, case series. See the Guidelines for Authors for a complete description of levels of evidence.

We evaluated long-term treatment results of patients with primary osteosarcoma and the effect of prognostic factors on overall survival and disease-free survival.Between 1995 and 2005, 180 patients (111 males, 69 females; mean age 21+/-10 years; range 7 to 64 years) were treated for primary osteosarcoma. Overall and disease-free survival rates were analyzed for 165 patients with high-grade osteosarcoma with the Kaplan-Meier method. The effects of potential prognostic factors were assessed, including age, gender, localization, tumor size, primary metastasis on presentation, the presence of pathologic fractures, necrosis rate, and infection. All the patients received chemotherapy before and after surgery. The mean follow-up period was 49.7 months (range 6 to 185) months.Sixty-nine patients were below 16 years of age. The most frequent involvement was in the distal femur (47.2%), followed by the proximal tibia (25%). Sixteen patients presented with a pathologic fracture, and 12 patients with metastasis. The median tumor size was 10 cm. The overall five- and 10-year survival rates were 68% and 60%, and disease-free survival rates were 50% and 44%, respectively. Only the presence of a pathologic fracture and primary metastasis on presentation were found to affect prognosis.The two conditions, primary metastasis and a pathologic fracture, found as the most important prognostic factors in our study are mainly associated with late presentation. As in every malignant disease, early admission would provide better survival rates.

Background: Osteosarcoma is a rare malignancy, and patients with this disease benefit from adjuvant chemotherapy. While cisplatin, anthracyclines and ifosfamide are the most commonly used agents in the treatment of osteosarcoma, a search for the best combination with higher efficacy and minimal toxicity continues. We planned to evaluate the efficacy of epirubicin combined with cisplatin and ifosfamide in patients with localized primary osteosarcoma. Methods: Patients with nonmetastatic extremity osteosarcoma who were older than 15 years were included in the study. The preoperative chemotherapy regimen consisted of epirubicin 90 mg/m2, cisplatin 100 mg/m2 on day 1 and ifosfamide 2.0 g/m2/day with an equivalent dose of mesna on days 2–4, repeated every 21 days. Six cycles of this combination regimen were administered (3 cycles prior to surgery and 3 cycles postoperatively). Results: Forty-five patients with localized osteosarcoma entered this phase II trial. Median follow-up was 64 months. Thirty-two patients (84%) received the assigned 6 cycles of chemotherapy. Complete and good histological response to neoadjuvant chemotherapy was 26 and 37%, respectively. The 5-year disease-free and overall survival rates were 41.9% (95% CI 33.6–50.2) and 48.2% (95% CI 39.6–56.8). The most prominent grade 4 toxicity was neutropenia occurring in 32% of patients. The lungs were the most frequent site of relapse (32%). Conclusions: The combination of cisplatin, ifosfamide and epirubicin is an active, reasonably well-tolerated regimen without grade 3 or 4 cardiac toxicity in patients with nonmetastatic extremity osteosarcoma and deserves further investigation in the context of prospective phase III trials.

We evaluated the clinical and radiographic results of minimal invasive surgery, with elevation of the head and tricortical iliac grafting for Neer type 4 impacted valgus fractures.Ten patients (6 females, 4 males; mean age 54 years; range 35 to 67 years) with Neer type 4 impacted valgus fractures of the proximal humerus underwent biological reconstruction including open reduction, elevation of the head fragment, grafting, and suture fixation of tuberosities. All the patients were assessed by computed tomography preoperatively. Tricortical iliac crest autograft was used in three patients and lyophilized iliac allograft was used in seven patients. The mean time to surgery was three days (range 1 to 10 days). Radiographic and clinical results were evaluated after a mean follow-up of 38.8 months (range 24 to 49 months). Constant and DASH (disabilities of the arm, shoulder and hand) scores were used for functional evaluation.All the fractures united within six to eight weeks. On final examinations, the mean forward flexion of the shoulder was 154 degrees (range 120 degrees to 175 degrees ) and external rotation was 44 degrees (35 degrees to 55 degrees ). The mean Constant and DASH scores were 81.5 (range 72 to 90) and 23 (range 17 to 38), respectively. The mean inclination angle of the humerus head decreased from 178 degrees (170 degrees -200 degrees ) to 134 degrees (130 degrees -145 degrees ) postoperatively. None of the patients had signs of osteonecrosis in the humeral head. All the patients were pleased with the outcome.The biologic reconstruction technique used with graft support may be an effective alternative treatment in selected patients with type 4 valgus impacted fractures of the proximal humerus.

A 27-year-old male patient presented with right-sided hip pain. Magnetic resonance imaging of the hip joint revealed an extensive intrapelvic mass adjacent to the iliopsoas muscle. Laboratory tests showed severe leukocytosis and a differential WBC count enabled the diagnosis of chronic myeloid leukemia (CML). The pelvic mass was then assessed as granulocytic sarcoma developing from CML. It should be kept in mind that the initial presenting feature of hematological diseases such as CML may be hip pain arising from CML-associated granulocytic sarcoma.

We investigated the agreement between the Blumensaat method and patellar height ratios and evaluated the reliability of the method in patellar height measurements.We retrospectively evaluated 105 digital knee x-rays of 77 patients (23 males, 54 females; mean age 32 years; range 21 to 62 years), whose radiographs were obtained at 30 degrees of knee flexion. Patellar heights were measured with the use of the Blumensaat, Insall-Salvati, modified Insall-Salvati, and Blackburne-Peel methods. Patellar height was also evaluated after standardization of the angle between the femoral shaft and the Blumensaat's line (corrected Blumensaat method). Agreement and correlations were sought between the qualitative and quantitative results of the methods, respectively.When the qualitative results were considered, agreement of the Blumensaat method was very weak with the Insall-Salvati, modified Insall-Salvati, and Blackburne-Peel methods (kappa coefficients: 0.21, -0.14, and 0.12, respectively). The corrected Blumensaat method also had a very weak agreement with the other indices (kappa coefficients: 0.27, -0.11, and 0.13, respectively). Correlation analyses of the quantitative results showed very weak to moderate correlations between the methods used. The Blumensaat method was relatively well correlated with the modified Insall-Salvati method (r=0.514, p0.05). Correlations were weak to moderate between the patellar height indices, the highest correlation being between the modified Insall-Salvati and Blackburne-Peel methods (r=0.557, p0.05).The results of the patellar height measurements obtained by the Blumensaat method do not agree with widely used patellar height indices.

Tenosynovitis of the long head of the biceps tendon, which commonly accompanies subacromial impingement syndrome, is one of the most important underlying cause of shoulder pain. We evaluated our experience with arthroscopic subacromial decompression and tenodesis of the long head of the biceps using mini-open approach.Among patients who underwent arthroscopic subacromial decompression (112 patients) alone or in combination with mini-open rotator cuff repair (55 patients), 19 patients (11%; 12 females, 7 males; mean age 47 years, range 42 to 62 years) had tenodesis of the long head of the biceps. During arthroscopy of the glenohumeral joint, the decision for tenodesis was based on the presence of irreversible findings of chronic inflammation such as atrophy, excessive fraying, or partial rupture. The patients were divided into two groups depending on the surgery, namely, mini-open rotator cuff repair (group 1, 9 patients) and arthroscopic subacromial decompression alone (group 2, 10 patients). The mean follow-up was 17.6 months in group 1 (range 12 to 28 months), and 19.6 months in group 2 (range 12 to 40 months).Seven patients in group 1 (78%) did not complain about pain, while two patients had pain after vigorous physical activity. In group 2, nine patients (90%) were pain-free, whereas one patient had moderate pain. None of the patients had any cosmetic deformity. Two patients in group 1, and one patient in group 2 had mild biceps spasms.Despite the small sample size and a relatively short follow-up period, our results for tenodesis may be regarded as satisfactory. Special attention should be paid to the arthroscopic evaluation of the biceps tendon and tenodesis may be inevitable in the presence of chronic changes.

New alternatives have been developed in rotator cuff repair with advances in arthroscopic techniques. We evaluated retrospectively the results of our patients who underwent arthroscopic-assisted mini-open rotator cuff repair.Arthroscopic subacromial decompression and mini-open repair were performed in 31 patients (8 males, 23 females; mean age 54.3 years; range 38 to 71 years) with rotator cuff tear in which the tendon tear had not been excessively retracted (till glenoid) and the muscle had not undergone fatty degeneration. Patients below 40 years of age were considered for surgery, while those between 40 to 60 years were initially treated with a rehabilitation program to relieve pain and gain motion before surgery. Surgery was reserved until after failure with a three-month rehabilitation program in patients above 60 years. Evaluations were based on physical and radiographic examinations and Constant scores. The mean follow-up period was 24.4 months (range 12 to 37 months).Twenty-five patients (81%) achieved excellent or good results and six patients (19%) had satisfactory results. The mean Constant score was 84.6. One patient developed joint stiffness unresponsive to conservative treatment. Arthroscopic capsular release followed by a heavy exercise program enabled him to return to his former sports activity level within three months.Arthroscopic-assisted repair is a superior alternative in rotator cuff surgery in selected cases because it enables the shoulder surgeon to preserve deltoid attachment and to prepare the torn tendon for an easy repair. It may result in shortened hospital stay, decreased postoperative pain, and an accelerated rehabilitation.

The proximal femur and acetabulum are frequent sites for benign active and aggressive lesions. The risk of pathologic fracture is great when a bone-destroying pathology involves an anatomic location such as the hip joint that undergoes profound mechanical loading. If the destruction involves a large area around the joint, secure fixation cannot be achieved with internal fixation implants. The study investigates use of articulated hip distraction to protect reconstructions performed for the treatment of benign active or aggressive tumors presenting with pathologic fracture.Five patients with a pathologic fracture of the proximal, intracapsular femur or the acetabulum were operated on at the authors' institution between 1997 and 1999. Following histopathologic approval of a benign tumor, all lesions were curetted, chemocauterized, and grafted and osteosynthesis was performed. The reconstruction was protected with an articulated hip distraction external fixator. All patients were mobilized in the immediate postoperative period.The patients were kept in external fixators for an average of 19.8 weeks (range: 16-24). The fixator was removed when bony consolidation was observed in anteroposterior and lateral x-rays of the lesion. The patients were followed for an average of 47 months (range: 38-56) after frame removal. None of the lesions recurred. At the last follow-up examination, all patients displayed an excellent function according to the Musculoskeletal Tumor Society Rating Scale.According to the authors' knowledge, this investigation is the first in the literature describing the use of articulated joint distraction in the treatment of benign active and aggressive lesions around the hip joint. The procedure adopts principles of joint distraction into bone tumor surgery.