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Öğe Case report: Seronegative spondyloarthropathy in FMF: Accompaniment or manifestation?(2005) Baysal Ö.; Baysal T.; Altay Z.; Öner T.The arthritis of Familial Mediterranean Fever (FMF) is characterized either by repeated attacks of synovitis and polyserositis of short duration or, less commonly, by protracted monoarthritis that may persist for many weeks or months. Sacroiliac joint involvement in FMF is reported to be rare and limited to a few number of series. It is still controversial that seronegative spondyloarthropathy (SNSA) seen in FMF indicates a SNSA being musculoskeletal component of FMF or just an accompaniment. We present a FMF case who had protracted arthritis, inflammatory back pain and sacroiliitis refractory to colchicine treatment. The findings of the patient could only be relieved by spesific SNSA treatment suggesting that SNSA may be a manifestation of FMF.Öğe The clinical effects of somatotype difference on isokinetic knee muscle strength and dynamic balance scores(Turkish Society of Physical Medicine and Rehabilitation, 2018) Şenol D.; Özbağ D.; Kafkas M.E.; Açak M.; Baysal Ö.; Kafkas A.Ş.; Taşkıran C.Objectives: The aim of this study was to present the somatotype features of young individuals without any symptoms and to identify whether isokinetic knee muscle strength and dynamic balance scores are affected by somatotype difference. Patients and methods: A total of 146 participants (88 males, 58 females; mean age 22.5±1.9 years; range 19 to 28 years) who had no symptoms were included in this study. Somatotypes of the participants were calculated using the Heath-Carter formula, and anthropometric measurements were taken from each participant. Knee flexion and extension muscle strengths at angular speeds of 90°/sec, 120°/sec and 150°/ sec were measured from the dominant and non-dominant limbs of the participants. Total balance, anterior/posterior balance, and medial/ lateral measurements were made to evaluate dynamic balance performances. Results: Six different somatotypes were found. Endomorphic mesomorph was the most common somatotype in 56 participants. There was no significant somatotype difference in men and women for dominant and non-dominant knee extension and flexion peak strength values at angular speeds of 90°/sec, 120°/sec and 150°/sec (p>0.05). No significant difference was found between the balance scores of men and women who had different somatotypes (p>0.05). Conclusion: Anatomic structure of the body, which is suitable for the sports branch, has an increasing effect on performance. © 2018 by Turkish Society of Physical Medicine and Rehabilitation.Öğe Epidemiologic features of the patients with cerebral palsy in the vicinity of Malatya(2003) Baysal Ö.; Fidan F.; Kabasakal S.; Altay Z.E.; Aykol G.Epidemiologic studies have great value in Cerebral Palsy (CP) where preventive care, early diagnosis and early treatment are considered to be basic in patient management. This study was held to describe the epidemiologic features of 130 CP patients being followed-up by Malatya Inonu University Physical Medicine and Rehabilitation Department. The age and gender of the patients, mother age and occupation, father age and occupation, family structure, number of brother and sister, social security status, economic status, mother and father relationship, etiologic factors that could be detected were investigated. The mean age of the patients were 51.5±36.6 (9-168) months. There were 79 (60.8%) male and 51 (39.2%) female patients. The types of the disease were spastic in 76.9%, dyskinetic in 11.5%, hypotonic in 3.8% and mixed in 7.7%. While the etiologic factors were prenatal 10.7%, natal 16.3%, postnatal 9.2% and mixed 53.8%. Any risk factor could not be detected in 10% of the patients. Asphyxia was the first (52.3%) among the natal factors. Our results revealed that there were preventable risk factors playing role in the etiology of CP and the development of CP seems to be an indicator of socioeconomic and sociocultural development of the society.Öğe The medial approach for arthroscopic-assisted fixation of lateral tibial plateau fractures(SAGE Publications Ltd, 2014) Elmali N.; Baysal Ö.; Karakaplan M.; Gülabi D.; Sağlam F.Objectives: Tibial plateau fractures are complex injuries involving the weight bearing surface of the tibia. Open reduction and internal fixation with plates and screws is an established method of treatment for complex fractures (Schatzker types V–VI). Arthroscopically assisted techniques have been used successfully for simple fractures (Schatzker types I–III). Historically, arthroscopic-assisted reduction for lateral tibial plateau fractures have been performed through a laterally based metaphyseal window. We found this technique to have several limitations, including bone grafting through a short subchondral tunnel. Also, there was a risk of lateral vascular supply distrubtion. We proposed that medial window approach technique would provide a longer tunnel for subchondral support and aid in fracture reduction. We aimed to present our initial experiences in first seven cases approaching lateral tibial plateau fractures through a medial metaphyseal window. Methods: Our series involves 7 patients with 5 Schatzker type II and 2 Schatzker type III lateral tibial plateau fractures treated by a single surgeon, using a medial approach for the arthroscopic assisted fixation. There were 5 males and 2 females. The average age at the time of surgery was 34.2 years, (29-52). All of the patients underwent plain radiography and CT scanning in each knee Time from injury to surgery was 7.2 days (4-12 days). Length of follow up was 9 months (6-22 months). There was 2 lateral meniscus tear that treated with partial meniscectomy and 1 MCL injury that treated conservativeely. Surgery was performed in four steps. First step was diagnostic arthroscopy of the injured knee,, second step was reduction of the fracture using a sylindiric tube with fluoroscopic guidance, third step was the arthroscopic verification of the fracture reduction, and finally percutaneous osteosynthesis of the fracture.Care is taken to keep the flow to gravity or, if using a pressure controlled pump, to set the pressure at approximately 40 millimeters of mercury. This will help alleviate the risk of compartment syndrome. Compartment firmness should be continuously monitored throughout the procedure. Results: No complications related to the procedure were observed. All patients reported a relevant reduction in pain, were able to mobilize with full weight bearing in the average 12 weeks (9–15 weeks). No secondary loss of reduction was observed in radiological controls; No revision surgery was required. Functional assessment according to HSS (hospital for special surgery) of the patients were excellent in 5 cases, good in 2 cases. Conclusion: Because depressed fragments are elevated from distal cortical windows, the importance of an intact, or easily restored, “cortical envelope” is paramount. In most Schatzker Type II and III fractures, the cortical envelope is either intact or can easily be restored with a clamp. The main advantage of medial approach for these fracture patterns is the creation of a long tunnel for subchondral support, the ease of fracture reduction and saving the lateral vascular supply. © The Author(s) 2014.Öğe The value of mammographic magnification technique in the evaluation of hand and wrist radiographs in rheumatoid arthritis(2002) Baysal Ö.; Baysal T.; Alkan A.; Fidan F.; Altay Z.; Ersoy Y.The purpose of this study was to determine the efficacy of direct magnification radiographs in comparison to optically magnified conventional radiographs in the diagnosis of erosive changes and joint space narrowing seen in the hand and wrists of rheumatoid arthritis patients. In thirty one rheumatoid arthritis patients (26 women and 5 men) dominant hand conventional radiographs magnified with a hand lens and direct magnified radiographs (1.5X) using the standart magnification equipment of the mammography unit were compared. A scoring system was used in the evaluation of erosive changes and joint space narrowings. Total scores of both erosions (p<0.0001) and joint space narrowing (p<0.02) were significantly higher in direct magnification radiographs compared to optically magnified conventional radiographs. In early rheumatoid patients, with a disease duration of less than one year, total score of erosions was significantly higher in direct magnification technique compared to optical magnification technique (p<0.001). Our findings revealed that, direct magnification radiographs obtained using standart magnification equipment of the mammographv unit were superior to opticallv magnified conventional radiographs in demonstrating erosive changes particularly in the hands and wrists of patients with early rheumatoid arthritis.
