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    Accurate calculation of limb length discrepancy using scoliosis radiography
    (2019) Yenigul, Ali Erkan; Batibay, Sefa Giray
    Aim: When we want to determine the difference in leg height by using only scoliosis radiographs in patients with scoliosis; we have looked for answer to the question of where should be the accurate measurement point for values that are closest to reality.Material and Methods: In this study 129 patients of our hospital between December 2016and 2018 with scoliosis radiography and leg height graphies were detected. The actual leg height difference was calculated on leg height graphies. Afterwards, the right and left femoral head top points were determined on scoliosis graphy. A parallel line was drawn from the top of the right femoral head. By measuring the distance of this line to the top point of left femur; difference between right and left legs was calculated. The same procedure was repeated after determining the right and left acetabulum top points and right and left iliac wing top points Results: A total of 129 patients, including 45 male and 84 female patients, were evaluated. Significant results were obtained from the correlation analysis between the leg length difference of the total patients and the distance between the acetabulum (p0,0001).Statistically significant correlation was found between iliac wing distance and femur length difference measurements (p0,0001).A significant correlation was detected between Femur head top spot difference measurements and length differences that were measured with orthoroentgenogram (p0,0001). Conclusion: The difference between the top point of the femoral head, the acetabulum or the iliac wing can be used on scoliosis graphy which was taken during the follow-up of leg length discrepancy in scoliosis patients.Keywords: Scoliosis; limb length discrepancy; radiography; osteogenesis.
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    Clinical characteristics of newborns with long bone fractures: A single center experience
    (2019) Yenigul, Nefise Nazli; Yenigul, Ali Erkan
    Aim: The aim of this study was to determine the newborns in our hospital with fractures of the femur or humerus and their clinical characteristics.Material and Methods: This study was conducted as a retrospective trial and using the patient information system, the following clinical data were reviewed: maternal age, parity, gestational age at delivery (week),fetal weight, pregnancy complications (preeclampsia, gestational diabetes mellitus [GDM]), the type of delivery (cesarean [CS] or vaginal delivery [ VD]), the fetal presentation, labor induction, meconium-stained amniotic fluid, neonatal birthweight and gender, history of shoulder dystocia and intracranial hemorrhage, type of fracture, presence of clavicle fracture or brachial plexus injury, and if has fetal diagnosis and length of hospital stay (day).Results: After the screening, 59622 live births were detected in our hospital in the last 2 years. Long bone fractures were detected in eight of the newborns who were consulted for fractures in the orthopedics department.Femoral fractures were found in 3 patients , humeral fractures in 3patients and both femur and humerus fractures in 2 patients,extra clavicle fracture and brachialplexus injury were detected in two patients.The mean age of the mothers was 29 years ,two patients were diagnosed with gestational diabetes and one patient with severe preeclampsia.Conclusion: The results we found in this study show that long bone fractures are congenital trauma and congenital conditions that require early diagnosis and correct intervention. Especially in the presence of malpresentations and prematurity, the family should be informed about the bone fractures that may develop before cesarean. In addition, careful examination of newborns and avoiding long bone fractures is very important. In our city, these complications are seen with a similar frequency with the literature.
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    Two rare cases; primary soft tissue hydatid cyst mimicking soft tissue tumor
    (2019) Yenigul, Ali Erkan; Cetin, Durmus Ali
    Hydatid cyst is a parasitic disease caused by Echinococcus granulosus, most commonly located in the liver and lung. Our country is an endemic region for this disease. While many involvement have been reported in the literature; isolated soft tissue or intramuscular involvement is rare. The liver, which acts as the first filter after the entry into the body, is the most frequently involved organ. It can reach all organs and systems with systemic circulation and lymphatics. Soft tissue and intramuscular involvement are rarely seen. Intramuscular involvement is more often seen in peripheral muscles. Soft tissue and intramuscular hydatid cysts constitute 3-5% of all cases. The recommended treatment for soft tissue hydatid cysts is extensive surgical excision. In this study, we aimed to present two cases with gluteal region and vastus lateralis muscle involvement.
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    What is the reason for out-toeing gait on the injured side after surgical treatment of distal tibia physeal fractures?
    (2020) Batibay, Sefa Giray; Turkmen, Ismail; Yenigul, Ali Erkan; Saglam, Yavuz
    Aim: The aim of this study was to analyze the cause of out-toeing gait pattern in children who underwent anatomic reduction and internal fixation for distal tibial physeal injury. Material and Methods: This IRB-approved, Level IV review study included traumatic distal tibia epiphyseal injury treated surgically at a single institution between 2010 and 2015. Patients were called back to return for additional follow-up. All clinical (foot progression angle-FPA, hip rotations, thigh foot angle-TFA) and radiological (distal tibial measurements) evaluations were done by 2 independent observers to assess inter- and intra-observer reliability using intraclass correlation coefficients (ICC). Results: There were 38 patients with an average age of 11.4±3.8. There was a non-significant trend noted towards externally in FPA on the injured side. TFA was similar in both extremities (p: 0.56). Hip external rotation was significantly high in injured side, whereas hip internal rotation was similar. Hip external rotation was significantly high.Conclusion: Anatomic joint reduction is mandatory to prevent growth arrest and to maintain lower extremity alignment. Considering that there is no pathology of the hip and no radiologic signs of mal-alignment of the ankle, we think that hip external rotators may shortened due to post-operative resting position, which was ended up with out-toeing gait pattern on the injured side.