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    Determinants of the hand functions in patients with rheumatoid arthritis
    (2019) Durmus, Elif; Paker, Nurdan; Bugdayci, Derya; Goksenoglu, Goksen
    Aim: The aim of this study was to investigate the hand function determinants and related factors of the patients with rheumatoid arthritis (RA).Material and Methods: Thirty nine patients with long standing rheumatoid arthritis were included in the study. Demographic, clinical and laboratory findings of the patients were recorded. Duruoz Hand Index Data (DHI) was used for the assessment of the hand functions. Disease acitivity was calculated by using Disease Activity Score (DAS) 28. In order to evaluate general disability, Health Assessment Questionnaire Disability Index (HAQ-DI) was used. Grip and pinch strengths of the patients were measured by the Jamar dynamometer.Results: Among all the patients, 82.1% were women. Mean age of the patients were 58.03±13.11 years. Mean disease duration was 9.69 ± 8.96 years. Mean grip strength was 16.58±6.74 kg and pinch strength was 4.80±1.75 kg. Statistically significant positive correlation was found between hand functions measured by DHI and morning stiffness, HAQ-DI, Visual Analog Scale (VAS) hand, VAS global, DAS 28 and pinch (p0.01).Conclusion: In this study, the determinants of functional status of the hand were found as disability, being anti-citrullinated protein antibodies (ACPA) positive, disease activity and pinch in patients with RA.Keywords: Rheumatoid arthritis; hand strength; pinch strength.
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    The relationship between meniscal tear and neuropathic pain in patients with knee pain
    (2019) Yildirim, Mustafa Aziz; Ones, Kadriye; Goksenoglu, Goksen
    Aim: To determine whether the presence of meniscal tear, bone marrow edema, synovitis and effusions in the knee joint present a risk factor for neuropathic pain.Material and Methods: A total of 103 patients (66 females, 37 males) with knee pain were included in the study. Meniscal tear, bone marrow edema, effusion and synovitis in the knee joint were determined using magnetic resonance imaging. The neuropathic pain level of the patients were evaluated according to the Leeds Assessment of Neuropathic Symptoms & Signs (LANSS). The visual analogue scale (VAS) used for the evaluation of pain. Results: Neuropathic pain was found in 14.6% of patients according to the LANSS scale. Night pain was higher in patients with neuropathic pain compared with those without neuropathic pain (P=0.014). Rest pain was higher in patients with neuropathic pain compared with those without neuropathic pain (P=0.026).Movement pain was higher in patients with neuropathic pain compared to those without neuropathic pain (P=0.004).Meniscal tear was present in 76.7% of the patients. Neuropathic pain was identified in 16.45% of meniscal tears, and the ratios of bone marrow edema, synovitis and effusion were 22.3%, 43.7% and 64.1%, respectively. The relative risk ratios of meniscal tear, bone marrow edema, effusion in the knee and synovitis in the development of neuropathic pain (with 95% confidence interval) were 1.9 (0.4–8.1), 0.9 (0.3–2.8), 0.8 (0.3–2.2) and 0.5 (0.2–1.4), respectivelyConclusion: Based on our study findings, meniscal tears, bone marrow edema, knee effusion and synovitis lesions did not have an effect on neuropathic pain development.Keywords: Neuropathic pain; meniscal tear; bone marrow edema; synovitis; effusion.