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    Is reassessment of radiographs taken from pediatric patients useful for detecting unrecognised hip dysplasia?
    (Yuzuncu Yil Universitesi Tip Fakultesi, 2017) Sevimli R.; Ceylan M.F.; Yıldırım E.; Aslan M.; Görmeli G.
    Developmental Dysplasia of the Hip (DDH) is an entity that may be congenital as well as develop ing during infancy or childhood and include anatomic disorders of the hips. Moreover, DDH is of great importance with the possibility of being diagnosed late and causing disabilities in patients. Despite the fact that there wasn’t any not a patient with complaints of hip dislocation in this study, the unrecognized cases that admitted to the clinics due to other complaints were also presented. Hip and pelvic radiographs taken from 10.000 children who were referred to emergency and pediatric outpatient clinics of our department with other complaints between 2009-2016 were evaluated. Six patients who had high acetabular index according to the measurements calculated from 4.000 radiographs that were appropriate for evaluation and who were thought to have unrecognized were recalled and their hip radiographs were evaluated. Six patients with suspected hip dysplasia detected from 4000 radiographs, which were suitable for the measurement techniques, were called to the control examination. In the physical examinations and radiographs, abnormal radiographic views of a patient with complete dislocation and two patients with dysplastic hip according to t heir first radiographs were completely resolved. When treatment of DDH can be performed with simple instrumentation or limited surgical interventions in the early infancy, complicated surgical interventions are required during age of walking and after this period, which reduce the success rate. Therefore, we think that every child under one year old who has referred to the clinics for other reasons and those with hip or pelvis graphs are required to be examined in terms of DDH. © 2017, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
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    Mid term results of radial metaphyseal core decompression on Kienböck’s disease
    (Verduci Editore s.r.l, 2017) Sevimli R.; Ertem K.; Aslantürk O.; Ari B.
    OBJECTIVE: Kienböck’s disease is a commonly seen posttraumatic avascular necrosis characterized by avascular necrosis of the lunate bone of the wrist which involves the dominant hand. In our study, we aimed to present midterm outcomes of 12 cases treated with radial metaphyseal core decompression. PATIENTS AND METHODS: In our clinic, 12 patients who applied to our outpatient clinic with intractable pain despite at least six weeks of conservative treatment were previously diagnosed and evaluated as Kienböck’s disease between the years 2006 and 2014. Patients at early stage received radial metaphyseal core decompression. RESULTS: The patients were evaluated as postoperative grip strength, flexion-extension gap, ulnar-radial deviation gap, VAS, Quick DASH and MAYO wrist scoring and patient satisfaction. CONCLUSIONS: We determined that interventions performed for Kienböck’s disease cannot halt radiological progression. We are of the opinion that radial metaphyseal core decompression, aiming at increasing blood perfusion, improve early diagnosis and treatment of Kienböck’s disease, increasing the patient satisfaction. © 2017 Verduci Editore s.r.l. All rights reserved.