Tıp Fakültesi / Faculty of Medicine

Permanent URI for this collectionhttps://hdl.handle.net/11727/1403

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2014 - 20152

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Author: search.filters.author.Guzelant, Aliye Yildirim

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    Massive Retracted Irreparable Rotator Cuff Tears: What Is The Effect of Conservative Therapy?
    (2014) Guzelant, Aliye Yildirim; Sarifakioglu, Ayse Banu; Gonen, Aysun Korcan; Ozbaydar, Mehmet Ugur; Bekmezci, Taner; Adas, Mujdat; Tonbul, Murat; AAS-2718-2020
    Introduction: Massive, irreparable, retracted cuff tears, without surgical intervention need to be treated with conservative therapy. In this study we aimed to determine the efficacy of conservative treatment in such tears. Material and Methods: We retrospectively reviewed 33 patients with massive rotator cuff tears treated nonoperatively. Data were obtained from direct examination, medical records, plain radiographs, and magnetic resonance imaging (MRI). Radiographic classification has been made by plain AP views. The fatty muscle degeneration and the stage of retraction of the cuff were evaluated with MRI. Rehabilitation program was given to all patients. Results: The mean age at the initial examination was 71 (range, 50-84) years. The mean follow-up time was 5.5 (range, 2-10) years. Patients with Grade 3-5 tears and Stage III retractions had a higher incidence of fatty muscle degeneration of the subscapularis muscle. Deltoid muscle strength was found to be increased significantly at the latest follow-up. Conclusion: Exercise therapy should be kept in mind as a kind of rehabilitation method in patients with a symptomatic massive rotator cuff tear. It's essential that more randomised clinical investigations have to be conducted to find out the best management practice for this condition.
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    Vitamin D Related Musculoskeletal System Findings
    (2015) Sarifakioglu, Banu; Yalbuzdag, Seniz Akcay; Guzelant, Aliye Yildirim; Afsar, Sevgi Ikbali; Ustaomer, Kubra
    Objective: The effect of vitamin D on bone metabolism has been well known for a long time. Recently, various hormonal and immunity related effects has have been obtained. Additionally, the deficiency of vitamin D is thought to be related with various pain syndromes. In this study, we aimed to investigate the main musculoskeletal symptoms of patients with vitamin D deficiency admitting to physical medicine and rehabilitation clinics. Materials and Methods: The data were retrospectively investigated in patients with myalgia, arthralgia, regional pain, widespread body pain (WBP) and in whom vitamin D levels were measured. Patients over 50 years old and with known osteoporosis/osteomalacia diagnosis, endocrinological pathology, and inflammatory rheumatological disease were excluded. Results: The data of 571 patients were investigated and totally 214 of them were included in the study. There were 178 females (83.2%), 36 males (16.8%). The mean age of the patients was 39.19 +/- 9.58 years. Of the patients, 100 (46.7%) were in severe deficiency, 68 (31.8%) were in deficiency, 46 (21.5%) were in insufficient group. The symptoms were regional pain in 65 (30.3%), WBP in 63 (29.4%), arthralgia in 49 (23%), and myalgia in 37 (17.3%) patients. Conclusion: Vitamin D deficiency may be encountered as musculoskeletal problems. In the presence of persistent joint-muscle pain, regional pain and fibromiyalgia, vitamin D deficiency should be kept in mind.