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Öğe Assessment of patients applying for emergency services with hand injury(2019) Ekinci, Yakup; Gurbuz, Kaan; Batin, Sabri; Cirakli, AlperAim: The purpose of this study is to evaluate the data of the patients who applied the emergency department due to the hand injuries. Material and Methods: This descriptive study used electronic records of our hospital between January 2014 and December 2017. A total of 4706 patients referred to the emergency department of our hospital were enrolled and 592 hand injury patients who were consulted with the Orthopedics and Traumatology Specialist were included in the study. The diagnosis was coded according to ICD10. Results: The majority of men (77.7%) were found to have a hand injury. 29.9% of injuries occurred in summer, most frequently in August (11.3%); It was the day (20.9%) that hand injury was seen more on Thursday than other days. More than half of the patients (59.1%) had insurance from Social Security Institutions (SSI). Tendon incisions are often not accompanied by hand fractures (23.1%). Conclusion: Hand injuries are important because they cause permanent disability. This research points to many important factors for hand injuries. We hope that these demographic data will contribute to reaching different angles to prevent hand injuries by determining the time zone during the year in which our hand injuries are encountered in our region.Öğe A case of multiple trigger digits of one hand(2017) Uzun, Erdal; Ekinci, Yakup; Ulusoy, Ersin Kasim; Yetis, MehmetThe trigger finger is a tenosynovitis that causes pain, stabbing and loss of function and occurs as a result of inflammation and hypertrophy in flexor tendon and tendon sheath at the level of A1 pulley. The annual incidence of the population is 28 / 100,000 and the risk of life-time is 2-3%. It can affect all fingers mostly involving the ring, middle fingers and the thumb. Trigger finger is more common in middle-aged women rather than men mostly with predisposing factors. The treatment consists of conservative and surgical treatment. A 74-year-old woman with no other illnesses except diabetes mellitus was presented with a single-handed, multiple-patterned, surgically treated trigger finger.Öğe Complementary treatment options in carpal tunnel syndrome surgery; Prospective randomized controlled study(2018) Ekinci, Yakup; Ulusoy, Ersin Kasim; Cirakli, AlperAim: In this study, we aimed to determine the efficacy of splinting and exercise modalities in addition to surgical treatment in advanced carpal tunnel syndrome (CTS) cases. Material and Method: Patients were divided into 3 different groups according to the order of application, and after surgical intervention their treatment was continued according to the group they were in. There were 51 hands in 50 female patients in group 1 (control group); 52 hands in 51 female patients in group 2 (exercise group); 52 hands in 50 patients in group 3 (wrist splint group). Patients were given a follow-up number by computer software under which the following data were recorded: age, body mass index (BMI), date of surgery, operated side, preoperative disorders, pre and postoperative EMG findings, surgical technique, pre and postoperative visual analogue scales (VAS), pre and post-operative Boston Carpal Tunnel Questionnaire (BCTQ) and post-operative complications. Kolmogorov-Smirnov test and Spearman’s rho correlation coefficient (r) were used for statistical analysis. Results: There was no statistical difference between the groups in terms of VAS and FSS change. However, there was a statistically significant difference in terms of BSSS change. In the exercise group (Group 2) it was found that the healing was better and faster than the other groups. Conclusion: We believe that early and effective postoperative exercise, which is to be applied in addition to surgical treatment in advanced CTS cases, leads to healing of the patient and, in parallel, early return to work.Öğe Is clinical evaluation sufficient enough to diagnose the cubital tunnel syndrome(2017) Cirakli, Alper; Ekinci, Yakup; Ulusoy, Ersin Kasim; Uzun, ErdalAim: The aim of the study was to determine the diagnostic value of clinical history and neurological examination for cubital tunnel syndrome. Materials and Methods: 132 limbs of 128 patients treated with electromyography with a preliminary clinical diagnosis of cubital tunnel syndrome between the years of January 2009 and January 2016 were evaluated. Patients were evaluated according to gender, affected side and electromyography results to assess the presence of neuropathy. The obtained data were statistically analyzed by Kormogonov-Smirnov and Shapiro-Wilk test. Results: 70 patients (54%) were male and 58 (46%) were female and the average age was 40.25±12.66. The affected side was right extremity in 70 (53%) of cases and left extremity in 62 (47%) who underwent electromyography with a preliminary diagnosis of neuropathy. Symptoms were bilateral in 4 cases. As a result of electromyography 43 (32.6%) (27 male, 16 female) patients had neuropathy. Affected side in 23 of these patients (53.5%) was left limb and 20 (46.5%) was right limb and 30 of involved patients were in the range of 30-60 years. Conclusion: According to the results of our study, we found that history and neurological examination have a low efficiency in the diagnosis of cubital tunnel syndrome. This may be associated with relatively subjective evaluation of neurological examination and history and also many pathologies in the differential diagnosis of cubital tunnel syndrome. We believe that electromyelography application is required in addition to a detailed physical examination for cubital tunnel syndrome in order to avoid delayed diagnosis and incomplete/incorrect treatment.Öğe Is clinical evaluation sufficient enough to diagnose the cubital tunnel syndrome?(2017) Çıraklı, Alper; Ekinci, Yakup; Ulusoy, Ersin Kasım; Uzun, ErdalAbstract:Aim: The aim of the study was to determine the diagnostic value of clinical history and neurological examination for cubital tunnel syndrome. Materials and Methods: 132 limbs of 128 patients treated with electromyography with a preliminary clinical diagnosis of cubital tunnel syndrome between the years of January 2009 and January 2016 were evaluated. Patients were evaluated according to gender, affected side and electromyography results to assess the presence of neuropathy. The obtained data were statistically analyzed by Kormogonov-Smirnov and Shapiro-Wilk test. Results: 70 patients (54%) were male and 58 (46%) were female and the average age was 40.25±12.66. The affected side was right extremity in 70 (53%) of cases and left extremity in 62 (47%) who underwent electromyography with a preliminary diagnosis of neuropathy. Symptoms were bilateral in 4 cases. As a result of electromyography 43 (32.6%) (27 male, 16 female) patients had neuropathy. Affected side in 23 of these patients (53.5%) was left limb and 20 (46.5%) was right limb and 30 of involved patients were in the range of 30-60 years. Conclusion: According to the results of our study, we found that history and neurological examination have a low efficiency in the diagnosis of cubital tunnel syndrome. This may be associated with relatively subjective evaluation of neurological examination and history and also many pathologies in the differential diagnosis of cubital tunnel syndrome. We believe that electromyelography application is required in addition to a detailed physical examination for cubital tunnel syndrome in order to avoid delayed diagnosis and incomplete/incorrect treatment.Öğe Palmar lipoma causing ulnar neuropathy(2017) Ekinci, Yakup; Uzun, Erdal; Yetis, MehmetLipomas are the most common benign soft tissue tumors arising from mesenchymal fibroadipose tissue. Often they are observed in the upper limbs, but especially deep palmar hand placement of these tumors is rare and they rarely create symptoms by compressing the surrounding tissue. 52-year-old female patient was admitted to our clinic with palpable stiffness, pain and numbness in his left hand palm. In her history it was learned that she had had an operation because of similar complaints in the same area about 8 months ago in another center. On radiologic examination, about 3 * 4 cm mass was detected surrounding the 5. metacarpal bone in the palmar area. The mass was excised due to clinical findings of neuropathy and ulnar nerve was freed. At follow-up neuropathic symptoms did not encounter and the patient was completely recovered without any complications.Öğe Synovial hemangioma originating from the 4 th finger tendon sheath(2017) Uzun, Erdal; Ekinci, Yakup; Yetis, MehmetSynovial haemangiomas are benign vascular lesions that originate from any synovial tissue, which may behave like locally aggressive. Haemangiomas developing in the hand in relation to tendon and the tenosynovium (tendon sheath) are very rare. Among the differential diagnosis for lesions of the hand, synovial hemangioma of the articular surface and tendon sheath is often overlooked due to its rare nature. A 49 year-old woman applied for a mass on her right dominant hand forth finger above the flexor tendon at the 4th metacarpophalangeal joint site is presented in this study. An ultrasonography was planned which confirmed a soft tissue lesion above the 4th flexor tendon at the 4th metacarpophalangeal joint site with appearance similar to giant cell tumour of the tendon sheath. After excision, the histopathologic analysis demonstrated tenosynovial haemangioma. The rare causes of finger masses should be considered also during the differential diagnosis. Local invasions and recurrence may be prevented with early surgical treatment and total excision of the lesion.
