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21.
OBJECTIVES: To compare the long-term effects of high and low molecular weight hyaluronic acid (HA) applications in severe (Kellgren Lawrence stage III) osteoarthritis (OA) of the knee. METHODS: In a prospective clinical trial 184 knees (92 patients) with radiographic Kellgren Lawrence stage III OA were randomized to receive either 3 intra-articular high molecular weight HA (Hylan G-F 20) injections or 3 low molecular weight HA (Orthovisc) injections at one-week intervals. Patients were evaluated by the Hospital for Special Surgery (HSS) Knee Score and were followed-up for 12 months. RESULTS: The total HSS score in high molecular weight HA patients improved from 71.8+/-11.6 to 86.7+/-11.6 and in low molecular weight HA patients from 66.7+/-11.0 to 86.6+/-9.1 at the end of the trial (p < 0.01). There were no statistically significant differences between the groups and both had improved in all parameters at the latest follow-up (p = 0.000). CONCLUSIONS: Three intra-articular injections at intervals of 1 week of both HA preparations resulted in a pronounced reduction in pain and improved function as measured by the HSS score during a period of 52 weeks, without complications. 相似文献
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Hechtman Jaclyn Frances DeMatteo Ronald Nafa Khedoudja Chi Ping Arcila Maria E. Dogan Snjezana Oultache Alifya Chen Wen Hameed Meera 《Annals of surgical oncology》2015,22(8):2633-2639
Annals of Surgical Oncology - The incidence of other primary neoplasms in gastrointestinal stromal tumor (GIST) patients is relatively high. Our aim was to better characterize the clinicopathologic... 相似文献
24.
Ebru Aytekin Yasemin Pekin Dogan Sibel Caglar Okur Ozer Burnaz Nil Sayiner Caglar 《Journal of Physical Therapy Science》2015,27(10):3333-3335
[Purpose] Paget-Schroetter syndrome (PSS) is an uncommon deep vein thrombosis of the
axillary and subclavian veins which may occur spontaneously, but is usually caused by
excessive upper limb activity. PSS is clinically similar to other upper limb
musculoskeletal disorders and soft tissue infections, and this may lead to delay in
correct diagnosis in its early stages. The aim of our case report is to discuss this rare
condition with reference to the available literature. [Subjects and Methods] Here we
report the case of a doner kebab chef who complained of swelling and pain in his right arm
around the biceps muscle. The initial diagnosis was biceps tendon rupture, for which the
patient underwent magnetic resonance imaging (MRI) of the right arm and shoulder. Since
the MRI revealed no pathological findings, right upper limb venous Doppler ultrasound
analysis was performed. Subacute thrombosis materials were detected in the subclavian,
axillary, and brachial veins. [Results] With rapid anticoagulant therapy, the patient’s
symptoms quickly improved. [Conclusion] Early diagnosis and treatment of PSS is critical
for preventing potentially fatal complications such as pulmonary embolism. Prophylaxis is
important for preventing recurrent thrombosis and for avoiding the development of
post-thrombotic syndrome. PSS should be considered a possible cause of painful swelling of
the upper limbs, especially in young, active patients who use their arms excessively.Key words: Doner kebab chef, Effort thrombosis, Paget-Schroetter syndrome 相似文献
25.
Murat Bozkurt Serhan Unlu Nurdan Cay Nihal Apaydin Metin Dogan 《Surgical and radiologic anatomy : SRA》2014,36(8):741-746
Background
The anatomic and the kinematical relationships between the femur and the tibia have been previously examined in both normal and diseased knees. However, less attention has been directed to the effect of these relationships on the meniscal diseases. Therefore, we aimed to investigate the impact of femorotibial incongruence on both lateral and medial meniscal tears.Materials and methods
A total of 100 images obtained from MRI of 100 patients (39 males and 61 females) were included in the study. Diameters of the medial and the lateral femoral condyles, thicknesses of the menisci, and diameters of the medial and the lateral tibial articular surfaces were measured.Results
The medial meniscus tear was detected in 40 (40 %) patients. However, no lateral meniscus tear was found. Significant relationships were found between the diameters of the posterior medial femoral condyle and the medial tibial superior articular surface and between the diameters of the posterior lateral femoral condyle and the lateral tibial superior articular surface. The mean values for the diameter of the medial condyle of the femur, the lateral condyle of the femur, the medial superior articular surface of the tibia, and the lateral superior articular surface of the tibia were found to be significantly higher in cases with meniscus tear compared to cases without meniscus tear. However, no significant difference was present regarding the thicknesses of the medial and the lateral menisci. A positive relationship between the diameter of the posterior medial femoral condyle and the tibial medial superior articular surface was found in cases with (n = 40) (r 2 = 0.208, p = 0.003) and without tear (n = 60) (r 2 = 0.182, p = 0.001). In addition, a significant positive relationship was found between the diameter of the posterior medial femoral condyle and the medial tibial superior articular surface in cases with and without tear.Conclusion
The impact of femorotibial incongruence on the medial meniscus tear is important for the understanding of the lesions. 相似文献26.
Dogan N Gulses A Sencimen M Oral B Gunhan O 《Journal of the California Dental Association》2012,40(8):657-660
The central giant cell granuloma is a well-defined lesion of the jaws and reports of multiple lesions are very uncommon. The authors report the case of a patient with idiopathic synchronous multiple central giant cell granulomas involving both the maxilla and the mandible. Surgical curettage of the lesions was performed. At the end of the 24 months follow-up, no recurrence was detected. 相似文献
27.
Aygul Dogan ?elik Zerrin Yulugkural Cumhur Kilincer Mustafa Kemal Hamamcioglu Figen Kuloglu Filiz Akata 《Rheumatology international》2012,32(8):2547-2549
Two cases of brucellar spondylodiscitis of the lumbar area were presented. Although both cases showed typical radiological changes, serological tests could not detect Brucella agglutinating antibodies. One of the patients was bacteremic and Brucella spp. was identified from blood culture. In the second patient needle biopsy was required for definite diagnosis. Although small, serologic tests have a certain rate of false negative results in brucellosis. Thus, a negative serology should not exclude the diagnosis of brucellosis, as it is demonstrated in the current cases. 相似文献
28.
29.
Karabag T Aydin M Barut F Buyukates M Dogan SM Celik O Sayin MR 《Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital》2012,39(1):116-118
Lymphomatoid granulomatosis is a rare, diffuse, large B-cell lymphoma that is positive for Epstein-Barr virus. A multiorgan process, it manifests itself chiefly in the lungs but can also affect the skin, nervous system, and kidneys. Cardiac involvement and pericardial effusion are very unusual. We report the case of a 62-year-old man with lymphomatoid granulomatosis involving the heart and lungs. Diagnosis was confirmed with wedge biopsy at pericardiotomy, and the patient was treated with cyclophosphamide, prednisolone, and vincristine. Although the patient was still symptomatic at 6-month follow-up, he was in partial remission with improved functional capacity. 相似文献
30.
Dogan SM Aktop Z Aydin M Karabag T Sayin MR Bilici HM Atmaca H 《Experimental and clinical endocrinology & diabetes》2012,120(7):424-427
The pathophysiology of atherosclerosis development in patients with diabetes mellitus (DM) is similar to that in nondiabetics. However, atherosclerosis develops earlier and runs a rapid course in patients with diabetes. Aortic stiffness, strain and distensibility are the parameters used to assess an increase in arterial stiffness and can be measured by invasive and non-invasive methods.Aortic elastic properties were compared among patients with normal oral glucose tolerance test but impaired fasting glucose and healthy individuals. The study group consisted of 50 subjects with impaired fasting glucose who had no known risk factors for atherosclerosis. The control group was composed of the same number of volunteers.It was found that aortic strain and distensibility were reduced (8.78±4.3 vs. 10.65±2.6 p<0.01 and 4.1±2.1 vs. 5.1±1.7 p<0.01 respectively) and aortic stiffness index was significantly increased (6.9±3.2 vs. 5.01±1.6, p<0.0001) in patients with impaired fasting glucose compared to those in the control group.It was demonstrated that aortic elasticity was impaired in those with impaired fasting glucose, which indicates that these patients should be kept under close follow-up for cardiovascular events. 相似文献