bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effects of Ankle Sprain on Balance Tests in Adolescent Volleyball Players with Previous History of Ankle Sprain
Authors: Sarıal Ceyda , Tayfur Abdulhamıt , Kap Beyza , Donder Dılara , Ertuzun Ozum Melıs , Tunay Volga Bayrakcı 
Published: December 2014

Objectives: To investigate the impact of having previous history of inversion ankle sprain on balance tests in adolescent volleyball players. Methods: Fourty-five adolescent volleyball players with mean age of 15.26±1.03 participated in our study. Twenty-nine were uninjured (control group) and sixteen had previously experienced inversion injuries on right ankle. 9 players had the injury more than than one year ago and 7 players had it before six to twelf months. Balancing abilities were evaluated by Star Excursion Balance Test (SEBT) and Single Limb Hurdle Test (SLHT). The fact that players with history of injury had the ankle sprain at right foot led us to perform the measurements in the control group also for the right foot. We compared the results of injured and uninjured players on both tests. Results: Uninjured players' reaching distance on right foot was found out to be significantly more than in players with ankle sprain at medial and posteromedial directions of SEBT(p<.05), whereas there were no differences detected for the other directions (p>.05). For comparing athletes' performances with SLHT, finishing time was found significantly better in uninjured players (p<.05). Conclusion: Adolescent volleyball players with history of injury show lower performance on balance tests compared to uninjured players. This demonstrates that they should be given a training including balance and stabilization programs.
The Comparison of Trunk Stabilization, Flexibility, Endurance and Quality of Life Between Disabled and Healthy Shooter Athletes
Authors: Arık Asude , Erden Zafer , Can Filiz , Öksüz Çiğdem 
Published: December 2014

Objectives: Disabled athletes need proper trunk control and balance, enough flexibility and better muscle endurance to carry on activity of daily life and sports activity. In the literature, the studies which compare these parameters in disabled shooters are quite few. The purpose of this study was to compare trunk stabilization, flexibility, endurance and quality of life between disabled and healthy shooter athletes. Methods: 15 disabled and 15 healthy athletes (aged between 18-55 years) who perform shooting at least one year were included in the study. Disabled athletes suffered from unilateral and bilateral poliomyelitis, bilateral congenital hip dislocation or paraplegia. The athletes’ demographic charecteristics, muscular endurance, flexibility, sitting balance and quality of life were evaluated. Sit-ups and Modified Push-ups Test have been used for evaluation of trunk flexion and extansion endurance, Sit and Reach Test has been used for evaluation of flexibility. Upper extremity flexibility has been measured by shoulder internal rotation. Sitting balance has been evaluated by Modified Functional Reach, Bilateral and Lateral Reach Tests. Quality of life has been evaluated by Nottingham Health Profile. Mann-Whitney-U Test was used for the statistical analysis. Results: Results of Sit-Ups and Modified Push-Ups Tests were lower in the disabled group (z1= -3.84, z2= -3.76; p<0.05). It has been found that the disabled athletes were more flexible according to Sit and Reach Test(z= -2.22; p<0.05). No difference in right and left shoulder internal rotation was found between the healthy and the disabled group(z1= -0.56, z2= -0.91; p>0.05). Differences were found in favour of the healthy group at Modified Functional Reach, Bilateral Reach, Right and Left Lateral Reach Tests to evaluate sitting balance (eyes-open and eyes-closed) (z1=-3.38, z2=-3.86, z3=-3.42, z4=-3.51, z5=-3.40, z6=-3.55, z7=-3.13, z8=-3.65; p<0.05). Differences were found in favour of the healthy group at Nottingham Health Profile total point, energy level, pain and physical activity parameters(z1= -3.17, z2=-3.09, z3= -3.48, z4=-4.63; p<0.05). Emotional reactions, social isolation and sleep parameters were similar(z1=-0.24, z2=-0.89, z3=-0.83;p>0.05). Conclusion: It has been concluded that disabled shooters have weak trunk flexion and extansion endurance level and sitting balance according to healthy athletes; but their flexibility is better. While their energy level, pain and physical activity level related to quality of life were less than healthy athletes, their emotional reactions, social isolation and sleep level were similar. Quality of life as total score was less in disabled shooters. All these results are quite important to determine both sport performance level and planning of rehabilitation program for increasing performance level in disabled shooters.
Surgical Treatment of Synovial Chondromatosis of the Long Biceps Tendon Sheath
Authors: Abay Burak , Aksu Neslihan , Soydan Ramazan , Ercan Ertuğrul , Kopuz Cengiz 
Published: December 2014

Objectives: Primary synovial chondromatosis (PSC) is a rare benign neoplasm that affects diarthrodial joints. The reported cases of PSC in the literature are mostly localized in the knee, followed by the hip, elbow, wrist and shoulder. We report the surgical treatment of a rare case of PSC localized in the long biceps tendon sheath. Methods: A 66-year-old woman presented severe pain in her left shoulder without any traumatic event. The pain was rated on Visual analog scale (VAS) as 4 to 7. At the physical examination, a palpable mass was found medial to the bicipital groove of the left shoulder. Functional examination of the left shoulder revealed painful limitation at 150 abduction, at 130 forward elevation and at 40 external rotation. Constant Murley Score was measured as 65. A magnetic resonance image (MRI) revealed the presence of 2x2x1.8 cm lesion within the biceps tendon sheath, rotator cuff tear and a bone cyst in the great tubercule. The treatment of choice was the open surgical treatment with excision of the lesion, curettage and spongious allografting of the bony cyst and repair of the rotator cuff with two suture anchors. The histological examination was consistent with PSC without any malignant transformation. The shoulder was immobilized postoperatively for 2 days in a sling. Immediate passive ROM exercises were started at third day for 6 weeks. Results: At the 6 week follow-up, the patient achieved full symmetric restoration of motion. She had returned to full activity. Visual analog scale was rated 0 to 1 and Constant Murley Score was measured as 92. Functional examination of the left shoulder reveled 170 of abduction, at 160 forward elevation and at 40 external rotation. At 1-year follow-up, clinical findings were unremarkable, with no sign of recurrence. Conclusion: PSC is a benign, idiopathic lesion of the synovial membranes of the diarthrodial joints. PSC is observed rarely in extra-articular shoulder involvement. Although the diagnosis of PSC is often clear with the results of radiological and intraoperative findings, it needs to be verified histologically. Surgical treatment is preferred to avoid the risk of malignant transformation, possible damage to the neighboring anatomical structures and functional disability as seen in our patient.
How Does Delayed Excision of Symptomatic Medial Plica Affect the Outcomes?
Authors: Bombaci Hasan , Kuyumcu Mehmet , Coskun Tamer , Kaya Emre 
Published: December 2014

Objectives: Medial plica (MP) is usually asymptomatic, however has the potential to cause impingement on the medial femoral condyle when it is prominent or thickened. The incidence of MP has been reported up to 79.9%. Very few of them become symptomatic over time. Due to delay in seeking medical assistance or extended conservative treatment, surgery may be delayed in some of the patients and this might cause increased chondral damage. The purpose of this study is to compare the outcomes of patients who received early surgery with patients undergoing delayed surgery one year after the onset of symptoms. Methods: Sixteen knees of the 14 patients (7 male, 7 female), who underwent arthroscopic MP excision between 2007 and 2011 were included in this retrospective study. In six patients had right, six patients had left and in two patients had both knees involved. Plicas, which were seen in patients with ligament injury were excluded from the study. Mean age was 42.9 years (range; 23-62). All patients complained of pain but some had mechanical symptoms such as friction during flexion-extension. Patients were evaluated with visual analogue scale (VAS) and Lysholm scores pre-operatively and at the last examination. The knees which were operated on within the first year (range; 1-12 months) after being symptomatic were grouped as Group 1 and the ones operated on after that time (range; 18-180 months) Group 2. More advanced chondral lesions were in the second group. Two groups were compared statistically by using “paired t test” in terms of VAS and Lysholm scores at the last control examination. Results: All patients had cartilaginous degeneration of various degrees on the surface medial femoral condyle facing the MP. Pre-operative (5.62±1.66) and final follow-up mean VAS (2.31±2.02) scores and mean Lysholm scores (65.62±13.82 and 83.43±15.51, respectively) were significantly different (p<0.005). Mean VAS score was 2.00 (±2.39) in Group 1 and 2.62 (±1.68) in Group 2 at final evaluation. Mean Lysholm scores were 81.25 (±20.04) and 85.62 (±10.16) respectively for Groups 1 and 2. Both of these differences were not statistically significant(p>0.05). Conclusion: All patients obtained satisfactory outcomes after arthroscopic MP excision. MP is usually asymptomatic but, when it is large and its free edge impinges on the superior anteromedial and medial portion of the medial femoral condyle, it might cause chondral damage leading to full thickness cartilage lesions. When it becomes symptomatic, chondral damage quite often is already advanced. This small series revealed that, even late arthroscopic excision of the MP relieves symptoms but, chondral damage persists even though the patient becomes asymptomatic. The reasons of this might be; 1) the region of lesion is outside of weight bearing zone or 2) the origin of pain might be stretched MP before excision.
Unexpected Injury During Jumping Exercise
Authors: Kemah Bahattin , Özkut Afşar Timuçin , Esenkaya İrfan , Akan Kaya Hüsnü , Türkmen İsmail 
Published: December 2014

Objectives: The purpose of this case presentation is to report the results of physical therapy and conservative treatment of a rare clinical entity, isolated subtalar dislocation that occurred during triple jumping during which maximum compression forces act on the foot. Methods: A 20 years old national triple jumping athlete fell during daily sports exercises which consist of jumping to the medial and lateral side trying to catch a sports ball bouncing from the wall while his right foot was inverted and in plantar flexion. The patient was admitted to our emergency service. The physical examination revealed that the hindfoot was displaced medially. The neurological examination was intact and there was no sign of dermal injury. After the radiological examination the diagnosis was isolated subtalar dislocation. The dislocation was reduced with longitudinal traction with the knee was in flexion. The MR imaging did not reveal any chondral damage. The choice of treatment was conservative. After 4 days as the edema subsided, a short leg cast was applied for four weeks. Then, the cast was removed and active range of motion exercises were initiated. The first 25 days consisted of exercises with rubber band, bottle rolling under the foot. The second phase included walking in the pool and the patient was asked to start weight bearing partially. The patient went on with proprioception and strengthening exercises. Later, kinesiologic taping was also added to the therapy. He changed his jumping foot and started his routine training program with the team after 170 days. He participated in his first official competition 16 months after the injury. At the 28. month, he broke the national record in the National Interuniversities Athletics Games. 2 months later, he got the third place in the World Athletics Championship. Results: The follow up period was 4 years. AOFAS score was 76 at second month and 83 at the fourth. At the first and at the fourth year, AOFAS score was 100. No dermal lesions or joint stiffness or signs of arthritis was observed. Avascular necrosis of talus or complex regional pain syndrome was not encountered. Conclusion: Early return to sports activities is of tantamount importance as early reduction. Reduction can be carried out in an open or closed manner. For prevention of joint stiffness, immobilization period has to be short and active ROM exercises has to be initiated with partial weight bearing as soon as the joint stability and strength is adequate.
Single Dose of Intra-Muscular Platlet Rich Plasma Reverses the Increase in Plasma Iron Levels in Exercise Induced Muscle Damage
Authors: Pündük Zekine , Oral Onur , Özkayın Nadir , Rahman Khalid 
Published: December 2014

Objectives: Autologous Platelet Rich Plasma (PRP) therapy, is considered to be a promising solution in accelerating the healing process of injured skeletal muscle tissue. In addition to the release of growth factors, PRP also promotes concentrated anti-inflammatory signals, including interleukins. However, the impact of the intramuscular administration of the PRP on hematologic and biochemical responses has not been fully elucidated in exercise induced muscle damage. Methods: Twelve healthy moderately active male volunteers, without previous experience with eccentric/concentric elbow flexors exercise, participated in this study. They were divided into two groups: control group (CONTROL, n=6) and platelet rich plasma administration group (PRP, n=6) group. To induce muscle damage, subjects in both groups performed concentric/eccentric contractions with load of (80 % 1RM) maximal voluntary contraction of the elbow flexors until point of exhaustion of the non-dominant arm. The non-dominant arms of the PRP group were treated with autologous PRP (Regen ACR-C, Regen Lab, Switzerland) post-24h exercise induced damage (DOMS). Subsequently, 4 ml PRP samples was injected using a 20-gauge needle into the region of the biceps brachii of the non-dominant arm under sterile aseptic conditions. Venous blood samples were collected pre-, and 4 days post-exercise, and analyzed for complete blood counts, serum ferritin, iron, iron binding capacity (IBC), creatinine kinase (CK), lactate dehydrogenase (LDH), aspartate aminotransferase (AST), alanine aminotransferase (ALT) as markers of muscle damage and inflammation. Results: We found that the baseline levels of iron, ferritin, IBC, CK, LDH, AST and ALT were similar in control and PRP groups. However, 24 h following exercise induced muscle damage a significant increase in these parameters was observed in both groups. Interestingly, PRP administration decreased plasma iron levels compared to the control group but this was only achieved on the second day of post-exercise induced muscle damage. In addition, the plasma IBC levels increased in PRP group from day 2 to 4 post exercise compared to control group. PRP administration had no effect on plasma ferritin, CK, LDH, AST, and LDH levels. Conclusion: Acute exhaustive exercise increased muscle damage markers, including plasma iron, IBC and ferritin levels, indicating metabolic stress due to exercise induced muscle damage. PRP administration decreased the iron levels post-exercise and may have a role to play in the recovery of exercise induced muscle damage.
Bone Contusion on the Medial Compartment is a Predictive Factor for more Associated Injuries After ACL Rupture
Authors: Mouzopoulos Georgios , Nomikos Georgios , Mouzopoulos Dimitrios , Tsembeli Anastasia , Vasiliadis Vasilios 
Published: December 2014

Objectives: Determine the frequency of bone contusion and associated injuries, observed in patients with anterior cruciate ligament (ACL) rupture. Methods: Seventy two patients with an ACL rupture were enrolled in our prospective study. Magnetic resonance images (MRI) and arthroscopic findings of all patients were examined in order to detect bone contusions and associated injuries, such as meniscal lesions and medial collateral ligament (MCL) injury. ACL rupture and meniscal lesions were also verified with knee arthroscopy. Correlation between bone contusions and meniscal lesions or MCL injury was performed. Statistical packet STATA 8.0 was used for data analysis and significance was set at p<0.05. Results: Fifty eight (80.5%) patients presented with associated bone contusions observed on magnetic resonance imaging. Lateral aspect of the tibia plateau (71%) and lateral femoral condyle (69%) were the most common sites with contusions. Medial compartment was associated with contusions of medial aspect of the tibia plateau and medial femoral condyle in 25% and 22% of patients respectively. The frequency of lateral meniscus (p = 0.022), medial meniscus (p = 0.036) and MCL (p = 0.05) injuries, significantly increased in patients with bone contusions of medial and lateral compartments compared to those with bone contusions on lateral only compartment or without bone contusions. Conclusion: Bone contusion on the medial compartment is a predictive factor for more associated injuries, seen after ACL rupture and it suggest a higher energy trauma.
The Groin Pain in the Gymnasts and its Possible Reasons
Authors: Bombaci Hasan , Erdogan Ozgur , Tanyu Ozan 
Published: December 2014

Objectives: The overuse injury in gymnasts due to overstretching of the joints is quite frequent. One of the most frequent complaints due to overuse injuries is pain on the insertion region of rectus femoris at the iliac apophysis. In the present study the possible reasons of the groin pain in the gymnasts were evaluated. Methods: Twenty-two amateur athletes from the gymnastic club aged between 8-12 years, were included in this study. Twenty were female and two male, Athletes have been training for 2-4 hours in 5-6 days a week, for 3 to 10 years, performing floor exercises (17 rhytmic gymnasts and five artistic gymnasts,). Gymnasts, who have groin pain and the ones have not, were evaluated according to the ligament laxity, the range of internal and external rotation of the hip joint and gymnastic discipline, which has been performed. The results were compared with Fisher’s Exact test and unpaired t-test. Results: Athletes, who have groin pain complaint and have not, were compared according to the age, the distance between thumb-forearm, hyperextension range in the elbow and the sum of internal and external rotation angle of the hips. Furthermore, the athletes, whose external rotation is more than internal rotation, were compared with the ones whose internal rotation is more than external rotation, to evaluate anteversion angle of the hip clinically. The difference was not statistically significant (p>0.05). On the other hand, while 7 of the 17 gymnast, who perform rhythmic gymnastics, had groin pain and none of the 5 athletes, who perform artistry gymnastic, has groin pain. Conclusion: Overuse injuries are more common in the gymnastic sport. Repetitive microtrauma with thwarted repair might cause persistent injury in the tendon-bone junction. The anatomic factors (i.e malalignement) and overtraining predispose the athletes to overuse injuries most frequently. During adolescent growth spurt while the growth of long bones proceeds, the rectus femoris muscle, that cross more than one joint, might not gain flexibility enough and leads to excessive tensile stress on the iliac apophysis. Also, the gymnasts with generalized ligamentous laxity are more prone to the overuse injuries. Because lax ligaments fail to provide ligament stability and under further stress on the tissues neighbourhood of joint might cause overuse injuries. However, we were not able to find any difference between the athletes, who have groin pain and the ones have not, from the age, ligament laxity and hip rotation angles points of view. On the other hand, the high prevalence of groin pain complaint in the athletes, who perform rhythm gymnastic, might be related to the discipline specific exercises. So, the overuse injuries might be prevented by the well-planned training program in each particular discipline including strengthening and balance.
Pulmonary Embolism after Knee Arthroscopy in 57-Year-Old Woman
Authors: Karaarslan Ahmet Adnan , Varol Sevinç , Karcı Tolga , Aycan Hakan , Sesli Erhan 
Published: December 2014

Objectives: Pulmonary embolism (PE) after knee arthroscopy is even a rare occurrence in older patients. In this report, we present an unusual case of PE following knee arthroscopy. Methods: A 57-year-old woman normally active patient presented to the orthopaedic clinic has been suffering a right knee pain responseless to the medical treatment for a year. Hystory was unremarkable with the exception of hypertension and cervical biopsy. Results: An arthroscopic meniscectomy was received under spinal anesthesia after the application of an Esmarch and pneumatic tourniquet. Post-operatively first day, she was discharged. While transporting, she developed dyspnea, weakness and low-right breast pain. An immediate pulmonary angiography and cardiac echograpy demonsrated the obstruction in the right common pulmonary artery and subsegmentary occlutions in the left side. Conclusion: After a 24-hour streptokinase therapy(ST), coumadine was started. Near the end of ST, she complained a severe knee pain healed by the punctures. Because of a severe epigastric pain unable to control by gastric prophilaxy and therapy.The patient was consulted by a gastroenterology specialist and gastric endoscopy showed an acute gastritis. A control pulmonary angiography on eighth day demonstrated no thrombus including right common pulmonary artery. The patient was successfully discharged on the 11th day.