Ultrasound Guıded Multisıte Injectıon Technıque in the Treatment of Frozen Shoulder.

Frozen shoulder (FS) is an elusive condition that affects patients' mental and emotional quality of their lives. Corticosteroid injection technique is one of the first-line treatment methods in the treatment of FS. Ultrasound (USG) guidance allows visualization of the shoulder anatomy and improves the accuracy of the injection site.

The effect of sagittal orientation of the acromion relative to the scapular spine on the location of rotator cuff tears.

Objective: The aim of this study was to investigate the effect of the angle between the scapular spine and acromion in the sagittal plane on the location of chronic rotator cuff tears (RCTs).

Methods: The magnetic resonance images of patients who had undergone an arthroscopic shoulder surgery were evaluated. The patients were divided into two groups: patients who had undergone RCT repair and those who had experienced different shoulder surgery as a control group.

Osteochondral Lesions of the Talus May Cause the Vacuum Phenomenon in the Ankle Joint.

The few reports available on the vacuum phenomenon in the ankle joint refer to osteoarthritic and traumatic lesions. We present the first case concomitant with an osteochondral lesion of the talus. This case report presents computed tomographic images of the ankle.

Latissimus dorsi tendon transfers: a historical journey.

Several latissimus dorsi tendon transfer techniques for shoulder problems have been previously described and developed. These techniques involve the transfer in obstetric palsy, transfer in irreparable posterosuperior rotator cuff tears and subscapularis tears, and transfer in reverse shoulder arthroplasty. We detail the differences in planning and surgery and the need for different approaches.

A Multisite Injection Is More Effective Than a Single Glenohumeral Injection of Corticosteroid in the Treatment of Primary Frozen Shoulder: A Randomized Controlled Trial.

Purpose: To investigate the possible effects of multisite injection therapy around the shoulder and prospectively compare the pain relief, range of motion (ROM), and functional scores of randomly selected patients with primary frozen shoulder using the American Shoulder and Elbow Surgeons score and the University of California-Los Angeles score after the completion of a standard physiotherapy program.

Methods: Seventy-six patients with primary frozen shoulder were randomly divided into 2 groups based on the treatment: multisite injection and single injection. In the multisite-injection group, the glenohumeral joint and posteroinferior capsule, subacromial space, posterosuperior capsule, biceps long head, and coracohumeral ligament were injected with a combination of 2 mL of triamcinolone acetonide (40 mg/mL), 4 mL of bupivacaine (0.

Can the complications of distal locking be prevented with a new nail that offers a novel locking technique in the treatment of humeral shaft fractures?

Objectives: This study aims to investigate whether complications related to distal locking can be prevented with InSafeLOCK® nail in the treatment of humeral shaft fractures.

Patients And Methods: Hospital records of 31 patients (15 males, 16 females; mean age 54.4±10.

Can subcoracoid cyst formation be a sign of anterosuperior rotator cuff tears and biceps pulley lesions? A prospective radiologic and arthroscopic correlation study.

Background: The aim of this study was to investigate the pathologies associated with subcoracoid cysts (ScCs) in patients with rotator cuff (RC) tears and the postoperative appearance of ScCs after arthroscopic repair.

Methods: A total of 114 patients who underwent arthroscopic RC repair were prospectively evaluated. The inclusion criteria were as follows: patients with or without ScCs, patients with Patte class 1 or 2 tears, and patients who were 40-65 years of age.

Dia-metaphyseal fractures of the distal tibia treated with intramedullary nails distally locked with an innovative locking system: a retrospective clinical study.

Purpose: In this study, we aimed to present our clinical and functional results of distal tibial dia-metaphyseal fractures treated with an intramedullary nail that locks distally with an innovative distal locking system called a distal supportive bolt locking screw (DSBLS).

Methods: Forty-eight patients with distal tibia dia-metaphyseal fractures operated with IMNs distally locked with DSLBS in a level I trauma center were included. Inclusion criteria were fractures of the distal tibia at one-third the distal segment level with simple articular involvement.

Radius and ulna locking intramedullary nails are safe and reliable after adolescent forearm fractures: a case-controlled study in adolescents.

The aim of this study is to compare the radiological and functional results of newly designed radius and ulna intramedullary nails (IMNs) with those of titanium elastic nails (TENs) for forearm fractures in adolescents requiring surgery. Patients aged between 10 and 17 years who underwent surgery for forearm fractures between January 2011 and January 2018 were retrospectively evaluated. Of the 45 patients who met the study criteria, 18 patients received IMNs and 27 patients received TENs.

InSafeLock humeral nail provides a safe application for proximal and distal locking screws with distal endopin - An anatomical study.

Introduction: Efforts to prevent iatrogenic neurovascular injuries with humeral intramedullary nailing lead to design new implants and inside to out distal locking technique using an endopin aims to provide a safer screw application. InSafeLock (TST, Istanbul, Turkey) humeral nail have been recently developed to minimize the possible screw related complications. The anatomical relationship between locking screws and neurovascular structures with the application time were compared between Trigen Humeral Nail (Smith and Nephew, Memphis, USA) and InSafeLock Humeral Nail.

The effectiveness of preoperative colon cleansing on post-operative surgical site infection after hip hemiarthroplasty.

Aim: This study aimed to evaluate the effectiveness of prophylactic mechanical bowel preparation in elderly patients undergoing hip hemiarthroplasty in a single training institution over a period of 2 years.

Patients And Methods: The study was conducted in a prospective-randomised manner. All patients, who underwent primary hip hemiarthroplasty for femoral neck fracture in our institution between 20 February 2015 and 29 December 2016, were included.

A patellar tendon length conservation method: Biplanar retrotubercle open-wedge proximal tibial osteotomy.

Objective: The early-period results of our technique for performing a medial biplanar retrotubercle open-wedge proximal tibial osteotomy for the surgical treatment of varus gonarthrosis were evaluated and compared with those reported in the literature.

Methods: The clinical and radiological results of a medial biplanar retrotubercle open-wedge proximal tibial osteotomy performed on 23 knees in 22 patients with medial gonarthrosis with varus alignment were analyzed.

Results: Twenty patients were female and 2 were male.

Osteosarcopenia increases hip fracture risk: A case-controlled study in the elderly.

Background: The aim of this study was to determine the relationship between bone mineral density (BMD), gluteus maximus muscle volume, and hip fracture type in patients with hip trauma.

Methods: A total of 134 patients were included in the study; 76 were in the study group [mean age 71.89 (65-80)] (hip fracture group), and 58 were in the control group [mean age 71.

Comparison of Four Different Posterior Screw Fixation Techniques for the Treatment of Thoracolumbar Junction Fractures.

Objective: The purpose of this study was to compare clinical and radiologic outcomes of patients who underwent short-segment posterior instrumentation with screw augmentation at the fracture level and long-segment instrumentation for thoracolumbar junction fractures.

Methods: Sixty-three patients were retrospectively evaluated by being divided into the following 4 groups: Groups A, B, C, and D included patients who had undergone 4-level instrumentation without insertion of screws at the fracture level, 3-level instrumentation by insertion of screws at the fracture level, 4-level instrumentation by insertion of screws at the fracture level, and 5-level instrumentation by insertion of screws at the fracture level, respectively.

Results: No significant difference was observed in preoperative local kyphosis angle (LKA) (P > 0.

Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?

Background: The purpose of this study was to determine the comparative effectiveness of the use of single fluoroscopy versus double fluoroscopy during intramedullary nailing in the oblique position for intertrochanteric femur fractures in terms of surgery and radiation time.

Methods: Fifty-two patients (20 men, 32 women; average age: 78.2 years; range: 69-88 years) were included in the study.

Is tranexamic acid safe and reliable during tibial intramedullary nailing?

Background: The aim of this study was to determine if the use of tranexamic acid (TXA) during intramedullary reaming treatment for tibial diaphyseal fractures was safe, reduced blood loss, or affected cost effectiveness.

Methods: A total of 70 patients with a tibia diaphysis fracture were randomized into 2 groups and prospectively followed for data on blood loss, thrombosis, and fracture healing. Preoperative TXA was administered intravenously to Group A, and Group B served as the control group.

Increasing the deltoid muscle volume positively affects functional outcomes after arthroscopic rotator cuff repair.

Purpose: The aim of this study was to determine the effect of changes in deltoid muscle volume (DMV) on the clinical outcomes of patients who underwent arthroscopic repair due to chronic rotator cuff rupture.

Methods: A total of 54 patients (35 females, 19 males) between 40 and 70 years of age who underwent single-row arthroscopic repair due to chronic rotator cuff tears were compared via preoperative (preop) and postoperative (postop) (6-12 months) magnetic resonance imaging (MRI) to determine the total DMV (tDMV). A clinical evaluation was performed with American Shoulder and Elbow Surgeons (ASES) and Constant scores in both the preop and postop groups.

Comparison of three different approaches for anterior knee pain after tibia intramedullary nailing.

Purpose: The aim of this study was to compare anterior knee pain and functional outcomes in patients who underwent intramedullary tibial nailing using transpatellar, medial parapatellar or suprapatellar nail entry methods.

Methods: We retrospectively reviewed patients who underwent tibial fracture repair in our clinic between January 2010 and March 2017. After applying the exclusion criteria, 58 patients were included in the study.

Association between patellofemoral congruence and patellofemoral chondropathy in patients with anterior knee pain: A T2 mapping knee MRI study.

Objectives: In this study, the T2 mapping magnetic resonance imaging technique was used to evaluate early cartilage changes associated with patellofemoral alignment and morphology.

Patients And Methods: Fifty four patients (Study group: 38 females, 16 males) with anterior knee pain and a randomly selected and age-matched 50 controls (Control group; 37 females, 13 males) were compared by two blinded authors in terms of T2 values of the patella medial, lateral facet, and trochlea, Insall-Salvatti index, lateral trochlear inclination angle, patellar tilt angle, sulcus angle, and patella medial and lateral facet lengths. The inter- and intra-observer reliability tests were assessed.

As a Definitive Choice of Treatment, Joint and Defect Spanning Multiplanar Tubular External Fixation in the Management of Pediatric Open Defective Supracondylar Humerus Fracture: A Case Report.

Introduction: Although supracondylar fractures of the humerus are common in children, open fractures of are extremely rare injuries. Gustilo- Anderson Type-III fractures in the upper extremity are primarily associated with considerable bone loss resulting from high energy trauma. In this study, a case of open pediatric supracondylar humerus fracture treated by a joint and defect spanning multiplanar tubular external fixation is presented.

Formation of a physiological reverse shoulder joint.

Congenital shoulder deformities are rarely seen in orthopaedic practice. Proximal humeral defects and glenoid hypoplasia have been reported separately in the literature. We present a case involving a 31-year-old woman having a cosmetic problem with her upper arm who was diagnosed with reverse shoulder joint deformity.