bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of Sacroiliac Joint Mobilization on Hamstring Muscle Flexibility and Quadriceps Muscle Strength
Authors: Tamer Seval , Öz Müzeyyen , Ülger Özlem 
Published: December 2014

Objectives: The aim of this study was to determine the effect of sacroiliac joint mobilization (SJM) in cases with sacroiliac joint dysfunction (SJD) on hamstring muscle flexibility and quadriceps muscle strength. Methods: Seven subjects age average (min- max) was 21.85 (21-23) years with SJD were included. Hamstring muscle flexibility was measured with passive knee extension (PKE) method by using goniometer; quadriceps muscle strength was measured by using a hand dynamometer. After osteopathic evaluation (sacroiliac joint stress and mobility tests) appropriate mobilization methods (ilium anterior, ilium posterior and sacrum R / R dysfunction mobilization) were performed in patients with sacroiliac joint dysfunction. All measurements were repeated before, immediately and 4 days after application. For statistical analysis, Friedman and Wilcoxon-Signed test was used. Results: Immediately after SIJ mobilization for 7 patients, hamstring muscle flexibility was evaluated and compared with pretreatment status; bilateral hamstring muscle flexibility improvement was observed (p <0.05). When the results at 4 days were compared with the pretreatment measurements, generated effect continued in the dominant side (p <0.05) and there were no changes observed in the non-dominant side (p> 0.05). When immediate and 4th-day measurements were compared, bilateral improvement was maintained(p> 0.05). When pretreatment and immediate posttreatment rsults were analysed, bilateral quadriceps muscle strength was found to be increased (p <0.05). When 4th- day and pretreatment measures were compared the effects were bilaterally maintained (p <0.05). Comparison of immediate postapplication and 4th-day measurements revealed that bilateral improvement continued (p> 0.05). Conclusion: In SJD patients known with hamstring muscle flexibility loss and quadriceps muscle weakness, private sacroiliac joint mobilization is effective in enhancing hamstring muscle flexibility and quadriceps muscle strength, so SJD could be considered for increasing quadriceps muscle strength and hamstring muscle flexibility.
Effect of Kınesıotapıng and Knee Brace on Functıonal Performance in Recreatıonal Athletes
Authors: Ulusoy Burak , İldiz Bülent , Tunay Volga Bayrakçı 
Published: December 2014

Objectives: Kinesiotaping is a popular taping method that is used for both therapeutic and performance enchancement purposes. Knee braces are widely used for prevention in sport injuries but their performance effectiveness is still controversial. The aim of this study was to determine whether kinesiotape or brace was more effective on functional performance. Methods: A total twenty male recreational football players (Mean±Standart Deviation (SD) age: 22.5±0.68 years, height: 175.15±3.37 cm, body weight: 74.52±12.41 kg), voluntarily participated in this study. Participants were tested with kinesiotape, with brace and without kinesiotape and brace. Tests were applied one day after patellar kinesiotaping (correction technique). Balance property measured with Modified Y balance Test (dynamic test), agility measured by T test, muscle strength and anaerobic power assessed by vertical jump and triple hop tests. Wilcoxon signed rank test was employed for determining the statistical significance of tests with kinesiotape, with brace and without kinesiotape and brace. Results: In analysis; There were statistically significant differences found in Triple hop test with kinesiotaping and without kinesiotaping and brace, in T test with bracing and kinesiotaping, in vertical jump with kinesiotaping and without kinesiotaping and brace (p<0.001) (in the favour of kinesiotaping in all tests) No statistically significant difference was found in modified Y balance test all groups (p> 0.05). Conclusion: Consequently, kinesiotaping had positive effects on agility and muscle strength but had no effects on balance in football players. On the other hand, brace had no effects on functional performance tests.
Arthroscopic Lateral Retinacular Ligament Release in Patellofemoral Pain Syndrome
Authors: Başaran Teoman , Atay Ahmet Ozgur , Doral Mahmut Nedim , Başaran Pınar Özge 
Published: December 2014

Objectives: Arthroscopic lateral retinacular release in patellofemoral pain syndrome Comparing the amount of hemorrhage and times of release between electrocautery and a new techniques for arthroscopic lateral release with scissors Methods: 77 patients included in this prospective randomized controlled study. Inclusion Criteria: 1. Over the age of fourteen and have anterior knee pain syndrome 2. Tightness in lateral part of knee 3. Despite receiving conservative treatment for 6 months, patients who have anterior knee pain complaints Exclusion Criteria: 1. Diseases that prolong bleeding time 2. Drugs that prolong bleeding time 3. Abnormal APTT-INR levels 4. Patients underwent anterior cruciate reconstruction surgery 5. Patients underwent microfracture surgery 6. Patients underwent meniscus repair surgery 7. Patients underwent synovectomy -- Due to inflammatory diseases and synovial chondromatosis is excluded from the study. In this study 77 (25M 52W med age 50,14 ± 14,17 ) patients divided into three groups which was similar in age and sex. All patients underwent standard arthroscopic surgery for patellofemoral knee sydrome and meniscal debridement 1. Group 1 (Control) (n:10) LRL was preserved 2. Group 2 (Scissors) (n:33) LRL was released with Scissors 3. Group 3 (Electrocautery) (n:34) LRL was released with Electrocautery Results: There was no difference between the groups in terms of socio-demographic characteristics. All lateral ligaments releases were performed under tourniquet . The release is not considered to be complete unless the patella can be stood on its medial edge without difficulty . In all patients, surgery duration was recorded. To calculate the amount of bleeding the blood in the drainage tube was recorded for 24 hours after surgery. For 67 patients based on clinical examination at surgery and in the immediate postoperative period, all releases were felt to be adequate. For all groups total bleeding at 24 h postoperatively is the statistically same (p:0.850) . In first 8 hours the amount of bleeding is more in scissors group (p:0.002). Lateral release time is longer in electrocautery group (380 seconds) than in scissors group (24 seconds). In release with electrocautery sometimes we used additional techniques scissors and scalpel for enough release. There was no difference between groups in terms of complications such as deep vein thrombosis , hemarthrosis or severe complications. Conclusion: In this study the amount of bleeding was the same in the groups but surgery duration was longer in electrocautery group. Our new technique for intraarticular arthroscopy guided lateral retinacular release uses with scissors which is simple, effective, rapid, and have resulted a few surgical complications such as superficial skin infection which responds oral antibiotics. Electrocautery is difficult and needs experience.
Original Functional Rehabilitation Programme Based on Healing Physiology After Reconstruction of Articular Cartilage in Knee Joint
Authors: Guliyan Volodymyr , Plenzler Marcin , Straszewski Dariusz , Paśnik Marcin , Korbolewska Olga , Suszczyński Wojciech , Śmigielski Robert 
Published: December 2014

Objectives: The evaluation of the quality of articular cartilage remodelling by means of arthroscopy findings and MRI imaging in a patient, who completed the original rehabilitation program. Methods: The rehabilitation program was conducted according to the Carolina Medical Center rehabilitation protocol. The patient was a 46 years old woman with fourth-degree cartilage damage (Outerbridge classification) located on the right medial femoral condyle of the following size: 1.5x2cm and 1x1.5cm. An arthroscopic micro-fracture repair of the cartilage was performed on the medial femoral condyle of the right knee. After the surgery the original rehabilitation program has been divided into 4 stages based on biological aspects of the physiology of cartilage tissue healing and biomechanics of the knee joint. 18 months after the reconstruction and a complete rehabilitation program, the patient underwent another right knee arthroscopy. During the surgery cartilage was been reevaluated in vivo. A pre-operative MRI was made, as well as a post-operative one after the second arthroscopy. The aim of the MRI examination was to objectify the treatment’s results. Results: The applied surgical treatment and following rehabilitation resulted in the remodelling of the cartilage-like tissue, which was observed in, both, the arthroscopy and the MRI imaging. The MRI evaluation of the quality of the cartilage tissue 18 months after the reconstruction gave very good results according to the MOCART scale (magnetic resonance observation of cartilage repair tissue). Conclusion: The positive results of the cartilage remodelling process recorded after the application of the original rehabilitation programme encourages to continue the study on a larger group of patients.
Is There any Relationship Between the Grade of Mucoid Degeneration of Torn Menisci and Biochemical Marker Levels in Synovial Fluid?
Authors: Pınar Halit İbrahim , Iscen Oktay , Keles Didem , Ozkal Sermin , Oktay Gulgun 
Published: December 2014

Objectives: Mucoid degeneration (MD) leads to nontraumatic tears of the meniscus even in the young population. The tears are often irrepairable. The purpose of this study is to find out if there is any relationship between the severity of mucoid degeneration (MD) and the biochemical environment of the knee. Our hypothesis is that meniscal tears due to more severe MD are associated with higher levels of markers in the synovial fluid. Methods: Synovial fluid samples were taken during isolated arthroscopic meniscectomies. Samples of excised menisci were sent to the department of pathology for grading of MD. According to the Copenhaver staging classification, stage 1-2 menisci comprised group A (n:13), and grade 3 menisci group B (n:19). Cases with instability and with greater than grade 2 chondral lesions were excluded. Synovial fluid samples were also aspirated from 9 normal knees of individuals operated from other sites of lower extremities; these comprised the control group (C). The synovial fluids were examined for MMP-3,TIMP-1,COMP and proteoglycan (PG)fragment levels. Results were statistically analyzed with nonparametric Mann Whitney's U test. Results: PG fragment levels were significantly higher in group B as compared to group A (p=0.044).When groups B and C were compared, the difference between PG fragment levels almost displayed significance (p=0.055).There were no significant differences between the groups A,B and C for MMP-3,TIMP-1,and COMP levels. MMP-3 levels were significantly higher for traumatic meniscal tears than nontraumatic tears (p=0.025). Conclusion: In this study, our hypothesis was partially confirmed. Higher levels of PG fragments were found in knees with higher grade of meniscal mucoid degeneration. MD may be associated with an insidious degenerative process in the knee.
Subacromial Tenoxicam Injection in the Treatment of Impingement Syndrome
Authors: Çift Hakan , Özkan Feyza Ünlü , Şeker Ali , İşyar Mehmet , Ceyhan Erman , Mahiroğulları Mahir 
Published: December 2014

Objectives: As subacromial bursa injection is widely used for pain relief and functional improvements in patients with periarticular shoulder disorder, we aimed to present our results of subacromial tenoxicam injection in the treatment of impingement syndrome. Methods: Patients presented to the Department of Orthopaedics and Traumatology, Istanbul Medipol University with the primary complaints of shoulder pain from January 2012 to June 2013 were selected. Those who met the following inclusion criteria were finally considered: 1) who had a clinical sign of a painful arc and positive in Hawkins test and/or Neer impingement sign; 2) who had a precise rotator cuff injury including partial cuff tears, or subacromial bursitis detected during ultrasonography or MRI. The exclusion criteria were as follows: 1) who underwent shoulder surgery; 2) who had full thickness rotator cuff rupture; 3) who had hemiplegic shoulder pain; and 4) who displayed any suspected fracture on X-ray or had a recent shoulder trauma; 5) who showed limited active ROM and stiffness due to adhesive capsulitis. Thirty one shoulders out of thirty patients were treated with subacromial tenoxicam injection. Ten of them were left shoulders. Fifteen of the patients were women.. Patients had a mean age of 51.6 (30-73). Patients were evaluated 4 times. Before the first injection, 1 week after the first injection, 2 weeks after the second injection and 3 weeks after the third injection. In every injection 20 mg tenoxicam was performed. Results: In order to relieve the pain; two patients were given only one injection, thirteen patients were given two injections and “3 injections protocol” were done to fifteen patients. The mean pre- and posttreatment VAS scores were 7.9 (between, 7-9) and 2.7 (between, 2-4) points respectively. The average pre and posttreatment DASH scores were 59.41 (between, 45-80) and 14 (between, 8.3-25.8) points respectively. The mean pre and posttreatment range of motion were 106.1 (between, 80-130 and 170i7 (between, 140-180) degrees respectively. Differences between all pre- and post-treatment parameters were statistically significant (p<0.05). Conclusion: Tenoxicam is a cheap NSAID and an analgesic of the oxicam class, is closely related to proxicam, and has a long half-life, which enables it to be administrated once daily. It also readily penetrates the synovial fluid and intraarticular intravenous administration provides superior postoperative analgesic benefits. Tenoxicam also has the ability to prevent adhesion formation. Besides it has no detrimental effect on cartilage structure. It can be safely administrated intraarticularly. Given the positive therapeutic effects of subacromial tenoxicam injection, it can be used as an alternative treatment option.
Arthroscopical Fixation of Patellar Osteochondral Fracture in a Pediatric Patient
Authors: Güney Ahmet , Argün Ali Saltuk , Kahraman Murat , Karaman İbrahim , Bilal Ökkeş 
Published: December 2014

Objectives: Aim of this article is to present a pediatric patient with patellar osteochondral fracture treated by arthroscopical fixation and discuss through the literature. Patellar osteochondral fractures are kind of injuries mostly seen in adolescents and young adults, generally occur after trauma causing dislocation of patella and frequently accompanied by chondral damage in the lateral femoral condyle. Surgical intervention is indicated for the displaced and intraarticular fragments. Methods: Thirteen-year-old male patient referred our clinic with a swollen knee, limitation in knee movements, after he had fallen on his right knee while skating 2 weeks previously and was also unable to stand on his right leg. Plain radiogram, computerized tomography and magnetic resonance images of the right knee evaluated in our clinic and a chondral defect (17x10mm in size) in distal of medial marge of patella and an intraarticular osteochondral fragment just inferomedial to patella and anterior to lateral femoral condyle was determined. Results: In the arthroscopical evaluation osteochondral defect and intraarticular fragment were observed. In addition there was chondral lesion on the chondral surface of lateral femoral condyle. Osteochondral fragment was replaced to the distal part of medial marge of patella as arthroscopically, then retrograde fixed using 2 compressive screws (24x2.7 mm and 26x2.7 mm) from patella to the fragment. Conclusion: As patellar osteochondral fractures usually occur following acute dislocation of patella, rarely may occur without dislocation. We could find 2 cases in the literature which aren't accompanied by dislocation of patella. One of them is a non-displaced fracture and the other one is an osteochondral fragment with 15x20 mm in size which was resected due to inconformity. Eighty percent of acute dislocations of patella are accompanied by contusions on lateral femoral condyle and intraarticular fragments are present in 11 to 74 percent of cases. In this article we present 13 year-old male patient with an osteochondral fracture in the inferior of medial marge of patella without dislocation of patella, which was displaced into joint space and accompanied by a chondral lesion on the lateral femoral condyle, and then treated by artroscopical reduction and fixation. Our case seems to be original due to occuring without dislocation of patella and being the first case treated by arthroscopical intervention. Displaced and intraarticular patellar osteochondral fractures should be replaced and fixed by surgically. We consider that when compared with open joint surgery, arthroscopical replacement and fixation of osteochondral fractures causes lower morbidity and helps to improve rehabilitation of the patient.
Analgesic Effect of Femoral Nerve Block on Postoperative Pain and Ambulation after Total Knee Arthroplasty
Authors: Mouzopoulos Georgios , Nomikos Georgios , Tsembeli Anastasia , Vasiliadis Vasilios 
Published: December 2014

Objectives: Determine the analgesic effect of a single injection femoral nerve block on postoperative pain and ambulation, after total knee arthroplasty. Methods: In a prospective study, 84 patients undergoing total knee arthroplasty were randomly assigned to receive: either one single injection femoral nerve block and 100mg paracetamol combined with lornoxicam 4 mg administrated twice intravenously for 5 days (group 1, n=42) or only the aforementioned analgesics without nerve block for the same period (group 2, n=42). Distance walked on 5 first postoperative days and VAS pain score during first 5 days were reported. Patients with bilateral osteoarthritis, previous leg injury or serious cardiovascular disease were excluded. Statistical analysis was performed by statistical packet STATA 8.0 and significance was set at p-value <0.05. Results: Patients of group 1 walked longer distance than patients of group 2 on postoperative day 1, 2 and 3 (p<0.05).The VAS pain score decreased significantly from 7.8/10 to 4.1./10 in Group 1 (P<0.05) and from average 8.1/10 to 5.9/10 in Group 2 (p<0.05) at 5 days after surgery. Patients of group 1 experienced less pain than patients of group2 at 5 days after surgery according to VAS pain score (p<0.05). Conclusion: Single shot of femoral nerve block provides efficient pain relief on early postoperative period after total knee arthroplasty. This is associated with better ambulatory performance.
Effect of Plyometric Training on Prevention of ACL Injuries in Females Volleyball Players
Authors: Enginsu Müjdat , Lokmaoğlu Recep , Korkmaz Erol , Arıbaş İlker , Selimoğlu Şafak 
Published: December 2014

Objectives: To verify the effects of plyometric training on prevention of ACL injuries with lower limp kinematics,eccentric hip and knee torques,and functional performance. Methods: 36 females volleyball players were divided into a training group (TG no:18) that carried out the plyometric training for 12 weeks,and a control group (CG no:18)that carried out no physical training.24 plyometric trainin sessions during approximately 12 weeks with 3 sessions ,30 minutes per week on alternate days. Lower limb kinematics (maximum excursion of hip adduction,hip medial rotation,and knee abduction during the single leg squat),eccentric hip (abductor,adductor,medial and lateral rotator) isokinetic peak torques and knee (flexor and extansor) isokinetic peak torques,and fuctional performance(trşpl hpo test and the 6-m timed hop test). Results: After 12 weeks, only the TG significantly reduced the values for the maximum excursion of knee abduction (P=0.01) and hip adduction (P 0.001).Similarly ,only the TG significantly increased the eccentic hip abductor (P 0.001) and adductor (P=0.01) torques.Finally,only the TG significantly increased the values in the tripl hop test (P 0.001) and significantly decreased the values in the 6-m timed hop test (P 0.001) after intervention. Conclusion: Plyometric training alters lower limb kinematics and increases eccentric hip torque and functional performance, suggesting the incorporation of these exercises in preventive programs for ACL injuries.
Overuse Injuries in Youth Football Players
Authors: Enginsu Müjdat , Lokmaoğlu Recep , Hayırlıoğlu Coşkun , Selimoğlu Şafak , Efendioğlu Hüseyin 
Published: December 2014

Objectives: Youth football players encounter many injuries especially during the school period when they are trying to make scool and football together. Due to consistent team selection in competetion, school matches, academy leaque matches and age group national team matches, as a result of high intensity training at a young age they are extremely overloaded. Methods: 145 football players of 13-19 age group playing in the academy leaque of Bursaspor have been observed for 10 months (Augost 2013-May 2014) ,injuries caused by overuse and that require at least 2 days break from sports activities. Results: Were determined on 45 football players while lower extremities upper group (hamstring, quadriceps)muscles constitued the majority of the injuries; In the adductor region were also seen often. The most striking finding is epiphyses avulsion fractures on the 3 players. Conclusion: There are many risk factors causing injuries releated to overuse in youth athletes.Such as previous injuries,anatomic malalignment,extreme flexibility,loss of bone mineral density,overload to physes,high intensity training,when rest is not adequate, and not appropriate recovery.Limitation of sports specific repetatif movements(eg,pitching limits);scheduled rest periods and recovery time;such modifications to be individualized based upon the sport and the athlete's age,growt rate,readiness;optimal preparation of the preseason conditioning program;well neuromusculer training before workout;exact monitoring of the training and determination of the occasions on which injuries occur are important in preventing such injuries.