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    Arthroscopic treatment of intra-artricularly localised pigmented villonodular synovitis of the ankle: 4 cases with long-term follow-up
    (ELSEVIER SCIENCE BV, 2017) Kanatli, Ulunay; Ataoglu, M. Baybars; Ozer, Mustafa; Yildirim, Ahmet; Cetinkaya, Mehmet
    Background context: Pigmented villonodular synovitis (PVNS) is a rare, locally aggressive benign proliferative pathology of synovial tissue. Lesions are classified regarding location as diffuse or localised which are same as histologically. Intra-articularly localised type is relatively rare, especially in the ankle joint. Because of the high recurrence rate and aggressive nature, localised lesions should be excised totally. Purpose: We performed a retrospective study of 4 patients with intra-articularly localised PVNS in the ankle joint who were treated by total arthroscopic excision and evaluated for functional results and recurrence rate. Study design: Case series. Patient sample: The mean age of the patients was 27 (17-46) years at the time of arthroscopic surgery. The mean follow-up time was 33 (24-48) months. Methods: Functional evaluation according to the Musculoskeletal Tumour Society Score was performed, and patients were evaluated for recurrence by MR imaging. Results: In all patients, functional results were excellent and there was no recurrence. Conclusions: This study demonstrates that the intra-articularly localised PVNS can be successfully treated with arthroscopic procedures without recurrence. (C) 2017 Published by Elsevier Ltd on behalf of European Foot and Ankle Society.
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    The effect of patient position to dexa measurement
    (2018) Ataoglu, Muhammet Baybars; Ozer, Mustafa; Ayanoğlu, Tacettin; Yıldırım, Ahmet; Hatipoglu, M. Yasin; Cetinkaya, Mehmet
    Aim: The aim was to compare and contrast the lumbal area DEXA measurements made in lateral and front-back positions in theclinically diagnosed female patients with osteoporosis.Material and methods: From the female patients that were referred to our clinic due to low energy fractures that occurred in areasother than the vertabrae, whom were thought to have osteoporotic fractures, were postmenaposal with no known history of diseases, and medication that can lead to osteoporosis and fracture, with no known previous diagnosis of osteoporosis, 39 patients have been included in the study. Anteroposterior and lateral standart lumbar DEXA measurements were performed on all patientsResults: The results of our study revealed that the the laterally performed lumbar Dual Energy X-ray Absorbsiometer (DEXA)measurements have diagnostic advantage in osteoporosis over anteroposteriorly performed measurements . The antiosteoporotic treatment would have beeen prescribed to 82% of the patients if the anteroposteriorly performed lumbar region Dual Energy X-ray Absorbsiometer (DEXA) measurements were taken into account, while when laterally performed measurements were taken into account the percentage was 97.5%.Conclusion: If lateral lumbar area Dual Energy X-ray Absorbsiometer (DEXA) measurements are used in diagnosing osteoporosismore patients would receive the required treatment and the risk of the osteoporotic low energy fractures could be lowered.
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    Multiple cervical spinous process fracture (clay shoveler fracture): Case report
    (2017) Ayanoğlu, Tacettin; Ataoglu, Muhammet Baybars; Ozer, Mustafa; Yıldırım, Ahmet; Tokgöz, Mehmet Ali
    Clay-Shoveler’s is fracture of one or more spinous processes to include lower cervical or upper thoracic vertebrae. In this article, it was aimed to investigate possible mechanisms of Clay-Shoveler’s fracture and share radiological results of q case of 11 years (2003) follow-up after the traffic accident. A 25-year-old male patient complained of neck pain spreading to both shoulders, andthere was an in-car traffic accident two weeks ago. Patient’s motion restriction was 50% for active flexion, lateral flexion and rotation, and 20% for active extension movement. Imaging revealed a minimal inferior displaced avulsion fracture in C6, C7 and T1 vertebra spinous processes. Patient returned to daily activities in 3rd month after immobilization with medical treatment and neck collar.Clay-Shoveler’s fracture is most commonly seen in T1, then C7, T2, T3 and C6. Surgical treatment is not planned because patient has no limitation of neck movements and neck pain which responds to medical treatment.