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Öğe Distal finger injuries(Medimond S R L, 2002) Ertem, K; Bora, A; Ayan, I; Karakaplan, M; Eskin, A; Bostan, H; Tas, F[Abstract Not Available]Öğe An investigation of hand dominance, average versus maximum grip strength, body mass index and ages as determinants for hand evaluation(Ios Press, 2005) Ertem, K; Harma, A; Cetin, A; Elmali, N; Yologlu, S; Bostan, H; Sakarya, BMeasurement of grip strength is an important component in hand evaluation. It assesses the patient's initial limitations and provides a quick reassessment of patient's progress throughout the treatment. This investigation was conducted to examine the determinants of hand dominance of average versus maximum grip strength, body mass index (BMI) and age for hand evaluation. Subjects were 877 apparently healthy male adult volunteers from the Inonu University - students and personnel; average age 21.14 +/- 2.09 (19-40 years). A good correlation was found between the BMI hand strength measures. Grip strength was measured instrumentally. The rule dominant hand (DH) is approximately 10% stronger than the non-dominant hand (NDH) was found to be valid for left handed persons only (7%), otherwise these measures should be considered equivalent in both hands. The difference between maximum and average of three consecutive measurement of grip strength was found significant for both hands. As the significant difference was found between RGSmax (Maximum Grip Strength of Right Hand) and RGSav (Average Grip Strength of Right Hand); LGSmax (Maximum Grip Strength of Left Hand)[LGSav (Average Grip Strength of Left Hand) measures for RDH. RGSmax and LGSmax where correlated only for LDH, Therefore, average of three consecutive measurement of grip strength is more consistent for standard hand evaluation.Öğe Magnetic resonance spectroscopy study of proton metabolite level changes in sensorimotor cortex after upper limb replantation-revascularization(Elsevier Science Inc, 2005) Ertem, K; Alkan, A; Sarac, K; Onal, C; Bostan, H; Yologlu, S; Bora, AWe aimed to investigate the changes in proton metabolite levels at the motor and somatosensory cortex by magnetic resonance spectroscopy (MRS) after upper extremity replantation or revascularization. Nine patients who referred to our clinic suffering from major total (two) and subtotal (seven) amputation of the upper extremity were enrolled in this study. Mean time value between the injury and operation was 5.1 h. Mean follow-up period or mean time between the injury and MRS analysis was 26.2 months (ranging from 7 to 41 months). Voxels JR: 2000; TE: 136 ms) were placed onto locations in the bilateral precentral and postcentral cortex area of the cerebral hemispheres that represent the upper extremity. Contralateral sides of the brain hemisphere that represent the injured extremity were accounted as control groups. Metabolite ratios [NAA (N-acetyl aspartate)/Cr (creatine) and Cho (choline)/Cr] of the motor and somatosensory cortex were calculated. The NAA/Cr and Cho/Cr metabolite ratios between the two groups were found to be insignificant, and these results may indicate that there is no remarkable somatosensorial cortex disruption or demyelination in these patients. Fifty-six percent of patients were found as functional according to Chen's scale. (C) 2005 Elsevier Inc. All rights reserved.
