Yazar "Duman, Numan" seçeneğine göre listele
Listeleniyor 1 - 5 / 5
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Artroskopik olarak onarılabilen masif rotator manşet yırtıklarındaki biseps patolojilerininradyolojik ölçümlerle ilişkisi(Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, 2019) Duman, Numan; Özer, MustafaBu çalışmada artroskopik olarak onarılabilen masif rotator manşet yırtıklarındaki biseps patolojilerinin radyolojik ölçümlerle ilişkisinin araştırılması amaçlanmıştır. Yöntem: Kesitsel tipteki bu çalışma, Aralık 2015- Aralık 2018 tarihleri arasında Konya Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Ortopedi ve Travmatoloji Kliniği'nde omuz artroskopisi yapılan ve araştırmaya kabul edilme kriterlerini karşılayan (onarabilen izole supraspinatus yırtığı olan hastalar, omuz instabilitesi olmayan, ileri omuz artrozu olmayan, ek omuz patolojisi olmayan) 145 hastadan oluşmaktadır. Artroskopi sırasında saptanan biseps patolojileri 4 grup halinde sınıflandırılarak değerlendirildi. Grup-1 biseps patolojisi yok ya da biseps tendiniti, grup-2 biseps dejenerasyonu/yırtığı, grup-3 biseps instabilitesi/dislokasyonu, grup-4 ise biseps rüptürü olan hastalardan oluşmaktadır. Araştırmacı tarafından literatür taranarak oluşturulan anket formu hasta dosyalarından, ameliyat notlarından, hastaların preoperatif MR görüntüleri ve omuz direkt grafileri üzerinden yapılan ölçümlerle (humerus başının superiora yönelimi, korakohumeral mesafe, akromio humeral mesafe, kritik omuz açısı, akromial indeks, humerus başı ve glenoid üst-alt çap oranı) retrospektif olarak doldurulmuştur. Bulgular: Çalışmaya dahil edilen hastaların 89'u kadın (%61,4), 56'sı erkekti (%38,6). Lezyonların %65,5'i sağ kolda, %34,5'i sol koldaydı. Hastaların tümünde onarılabilen edilebilen masif supraspinatus yırtığı vardı. Hastaların %29'unda biseps rüptürü, %28,3'ünde biseps dejenerasyonu/yırtığı, %22,1'inde biseps patolojisi yok/ biseps tendiniti, %20,7'sinde biseps instabilitesi/dislokasyonu vardı. Grup 4'teki hastaların grup 2'deki hastalara göre istatistiki olarak anlamlı bir şekilde daha yüksek SHY mesafesine (p=0,012), grup 2'deki hastaların ise grup 4'teki hastalara göre istatistiki olarak anlamlı bir şekilde daha yüksek KH mesafesine sahip olduğu tespit edildi (p=0,042). Yapılan diğer ölçümlerde gruplar arasında anlamlı bir farklılık saptanmadı. Kritik omuz açısı ile akromial indeks arasında pozitif yönde ve orta düzeyde (rs=0,532; p<0,001), korakohumeral mesafe ile akromiohumeral mesafe arasında ise pozitif yönde, zayıf düzeyde ancak istatistiki olarak anlamlı ilişkiler saptandı (rs=0,199; p=0,016). Sonuç: Humerus başının süperiora yönelimi biseps rüptürüyle anlamlı ilişkisinin olması biseps uzun başının baş bastırıcı fonksiyonun olduğunu açıkça göstermiştir. Ayrıca biseps uzun başının humerus başının aneteriora kaymasına da engel olduğu korakohumeral mesafe ölçümlerinin anlamlı ilişkisiyle gösterilmiştir.Öğe Evaluation of the effect of vitamin D level on greater tuberosity primary bone marrow edema(Wiley, 2023) Basbug, Veysel; Yaka, Haluk; Tekin, Alper Aziz; Duman, Numan; Demiryurek, Mehmet; Ozer, MustafaIntroductionThe anabolic effects of vitamin D on bone tissue have been demonstrated in experimental studies. The aim of this study was to evaluate the relationship between greater tuberosity primary bone marrow edema (GTPBMO) and vitamin D levels. Materials and MethodsThirty-nine patients (22 females and 17 males; mean age 49.02 +/- 13.08 years) with isolated GTPBMO between March 2016 and March 2018 were included in the study. Sixty patients (34 females and 26 males; mean age 43.45 +/- 12.61 years) who did not have any shoulder complaints and fulfilled the study criteria were selected as the control group. Both groups were compared in terms of vitamin D levels. ResultsThe mean vitamin D level was 13.43 +/- 9.02 ng/mL in the GTPBMO group. In contrast, mean vitamin D level was 21.54 +/- 8.03 ng/mL in the control group (p < 0.001). In the GTPBMO group, vitamin D deficiency was detected in 31 (79.5%) patients, vitamin D insufficiency was detected in 5 (12.8%) patients, and vitamin D levels were normal in 3 (7.7%) patients. In the control group, vitamin D deficiency was detected in 29 (48.3%) patients, vitamin D insufficiency was detected in 16 (26.7%) patients, and vitamin D levels were normal in 15 (25%) patients. ConclusionThe etiology of GTPBMO has not yet been fully understood, but the results obtained in this study show that vitamin D levels were significantly lower in patients with GTPBMO. The findings suggest that low vitamin D levels may be one of the contributing factors in the etiology of GTPBMO.Öğe Radiological and clinical evaluation of long head of biceps tendon function in the glenohumeral(Turkish Joint Diseases Foundation, 2023) Duman, Numan; Özer, MustafaObjectives: The aim of the study was to investigate the relationship between biceps pathologies and radiological measurements in massive rotator cuff tears treated arthroscopically. Patients and methods: Between December 2015 and December 2018, a total of 145 patients (56 males, 89 females; mean age: 62.2 +/- 9.7 years; range, 28 to 87 years) with supraspinatus and/or infraspinatus full-thickness tear larger than 3 cm and who underwent arthroscopic rotator cuff repair were retrospectively analyzed. Biceps pathologies detected during arthroscopy were divided into four groups. Group 1: biceps tendinitis or without biceps pathology; Group 2: biceps partial/degeneration tear; Group 3: biceps dislocation/instability; Group 4: complete biceps head rupture. Radiological measurements were calculated from the preoperative magnetic resonance imaging and anteroposterior X-ray images of the patients. Results: A total of 65.5% of the lesions were on the right arm and 34.5% were on the left arm. All patients had posterior superior rotator cuff tears which could be surgically repaired. A total of 22.1% of the patients had no biceps tendinitis/biceps pathology, 20.7% had biceps instability/dislocation, 28.3% had biceps degeneration/partial rupture, and 29% of patients had biceps total rupture. Patients in Group 4 had a statistically significantly higher superior migration of the humeral head distance (p= 0.012) than Group 2, and patients in Group 2 had a statistically significantly higher coracohumeral distance (p= 0.042) than patients in Group 4. There was no significant difference in the other measurements among the groups. Conclusion: The long head of the biceps, of which function has not yet been clearly elucidated, is one of the superior and anterior stabilizing forces of the humeral head.Öğe Results of treatment for acute and chronic extensor pollicis longus tendon ruptures(Bayrakol Medical Publisher, 2022) Atilgan, Numan; Duman, Numan; Colak, Tahsin Sami; Demiryurek, MehmetAim: In this study, we aimed to observe the results of primary tendon repair in acute EPL tendon ruptures and the results of EIP tendon transfer for chronic EPL tendon ruptures. Material and Methods: The study included patients diagnosed and operated for EPL tendon rupture and followed-up in our clinic between January 2012 and December 2020. Patients were separated into two groups according to the surgical procedure. Group A consisted of 13 patients who had EIP tendon transfer, and group B consisted of 18 patients who underwent primary EPL tendon repair. Preoperative and postoperative functional results of the groups were compared. Results: Group A had EIP tendon transfer surgery; ten patients were male (76.9%), and three were female (23.1%). The injury was on the right side in 69.2% of the patients and on the left side in 30.8% of the patients. All patients in group B had primary tendon repair. In group B, 14 patients (77.8%) were males, and four were female (22.2%). The mean q DASH score was 66.53110.99 for group A and 55.66:7.78 for group B. Postoperative q DASH score was 22.76 for group A, and 11.10 for group B. The joint range of motion was similar in both groups. Discussion: In acute EPL tendon ruptures, primary tendon repair is the first treatment to be chosen, while in chronic EPL tendon ruptures, EIP tendon transfer may be the first treatment option given our clinical results.Öğe Treatment of ganglion cysts on the wrist: Why and how? Why is surgical treatment chosen for ganglion cysts?(Bayrakol Medical Publisher, 2022) Duman, Numan; Atilgan, Numan; Sami, Tahsin Colak; Demiryurek, MehmetAim: Our study aimed at comparing the results of surgical treatment and additional cortisone application to ganglion cysts aspiration formed on the wrist, and to evaluate the reasons that lead patients to treatment. Material and Methods: Patients who applied to our clinic between 2012 and 2019 were diagnosed with ganglion cysts were divided into two groups. Group A consisted of 91 patients who underwent surgical excision, and Group B consisted of 33 patients who underwent cyst aspiration with 1 ml of betamethasone administration. A total of 124 patients were evaluated regarding the cyst side, age, gender, complications after treatment modalities, preoperative and postoperative pain, and function scores. Discussion: Pain was the leading complaint in 63 (50.8%) patients in our study. Considering the current literature, the most common complaint among symptomatic patients is pain. Also, the cyst size of the group that chose surgical treatment was larger than in the group that underwent aspiration with injection. Results: In our study, it was observed that wrist ganglion cysts were more common in women than in men, they were more common on the dorsal side than on the volar side, and the first reason for choosing surgical treatment was cosmetic concerns and suspicion of the tumoral lesion after pain occurrence. The incidence of recurrence was 11.5 times higher in the patient group treated with aspiration and betamethasone injection compared to the patient group treated with surgical treatment.
