Background:The aim of this study was to evaluate the information quality of YouTube videos on rotator cuff tear treatment. Material and Method: A YouTube search was performed using the keyword 'rotator cuff tear' to determine the first 100 most watched videos related to rotator cuff tears. A total of 57 videos met our inclusion criteria and were included in the study. Videos were evaluated for information quality by using DISCERN, the Journal of the American Medical Association (JAMA), and rotator cuff informational assessment (RCIA) scores. Number of views, time since upload, view rate, number of likes, number of dislikes used to calculate the video power index (VPI) and these criteria were used to determine video popularity. Video length (sec), video source and video content were also evaluated and used for correlation evaluations. Results: The mean DISCERN score was 33.81 (21-56), the mean JAMA score was 3.05 (1-4), and the mean RCIA score was 3.63 (0.5-7.5). Statistical analysis revealed that, independent of the video source and popularity, the videos were informationally poor and inadequate. The only significant correlation was between video length and data source. Conclusion:This present study demonstrated that the quality of information provided by YouTube videos about rotator cuff tear treatment was poor. The generation of survey systems for informational videos and the provision of accurate and thorough informational videos by professional health organizations will be the best ways to inform patients.
Aim. Intramedullary nailing (IMN) is widely accepted as the treatment of choice for tibial fractures, and a suprapatellar method has been described to prevent common problems associated with the typical infrapatellar IMN technique, such as anterior knee pain. However, in the suprapatellar technique, injury to intra-articular structures is a concern. The aim of this study was to compare the clinical and radiological results of suprapatellar and infrapatellar IMN in terms of union, complications, and function. Methods. A retrospective evaluation of 61 patients who had undergone suprapatellar (n = 29, Group A) or infrapatellar (n = 31, Group B) tibial IMN was conducted. For the suprapatellar group, magnetic resonance imaging scans were acquired on the sixth month follow-up. Complications, radiological findings, functional outcomes, surgery duration, and differences in a range of motion (ROM) were compared. Results. Surgery duration was significantly shorter in Group A (81 mins vs. 107 mins, p < 0.001 ), and visual analog scale (VAS) values were significantly higher in Group B (0.17 vs. 1.62, p < 0.001 ). In Group A, the patients’ Lysholm scores were significantly higher (95.6 vs. 92, p = 0.006 ). In terms of anterior knee pain, none was experienced in Group A (0%), while 11 patients (26.1%) reported about it in Group B. There were no statistically significant differences between the two groups in SF-36 score ( p = 0.925 ), the radiographic union scale in tibial (RUST) fractures score ( p = 0.454 ), union time ( p = 0.110 ), or ROM ( p = 0.691 ). In Group A, two cases of patellofemoral cartilage degeneration were observed. Conclusion. If performed with sufficient expertise, the suprapatellar IMN technique is a safe, reliable technique with a low frequency of anterior knee pain for treating tibial fractures. There is no clear evidence that it causes damage to intra-articular structures. The possibility of patellofemoral cartilage degeneration due to this technique should be further evaluated by prospective studies including pre- and postoperative radiologic assessments.
The goal of this study was to ascertain the effect of increased elbow carrying angle (ECA) in lateral epicondylitis (LE) development. Materials and methodsThis retrospective study involved a total of 62 participants between January and December 2021, of whom 29 were diagnosed with LE. Physical examinations and elbow radiographs of the patients were reviewed retrospectively. ECAs were measured with the elbow fully extended and the forearm fully supinated on anteroposterior elbow radiographs. Two experienced orthopedic surgeons separately evaluated the values on the radiograph. ResultsThis study involved 62 individuals, of which 55.4% are female and 44.6% are male. The mean age of the patients was 45.45 ± 4.77 years (range, 40-69 years), and the mean body mass index (BMI) was 28.1 ± 3.8 kg/m 2 (range, 19-34 kg/m 2 ). There were significant differences in elbow carrying angle between the LE group and the control group (p < 0.05). Also, there was a significant correlation between the LE side and the dominant side (p < 0.05). ConclusionIncreased ECA is associated with increased incidence of LE and may contribute to its etiology by elevating extensor carpi radialis brevis (ECRB) tendon tension and rerouting it, resulting in increased abrasive and pressurizing forces.
Paget's disease of the bone is a focal chronic disorder proceeding with elevated osteoblastic and osteoclastic activity in the affected area. The most common sites are pelvis, femur, lower lumbar vertebrae and skull. Monostotic disease is reported in 15-30% of all cases. We report a case of monostotic Paget's disease of the second metacarpal, which is a rare location even for polyostotic disease.
Hip fractures are as common as 100 to 500/100,000 individuals in the elderly population, resulting in increased mortality and morbidity following the fractures and their treatments. [1][2][3] For the patients over the age of 65 years, intracapsular fractures like femoral head and neck fractures are commonly treated with hemiarthroplasty (HA), and extracapsular fractures such as trochanteric fractures with proximal femoral nailing (PFN). [4,5] Open reduction and internal fixation for femoral head and neck fractures are preferred for non-displaced stable fractures in younger population. For trochanteric fractures, with the development of new generation PFNs, and studies showing more favorable results in terms of functional results, Objectives: This study aims to compare the effects of hemiarthroplasty (HA) and proximal femoral nailing (PFN) on postoperative cognitive function in elderly adults with hip fractures.Patients and methods: Between August 2021 and January 2022, a total of 49 patients (28 males, 21 females; mean age: 78.1±9.4 years; range, 65 to 96 years) presented with a proximal femoral fracture were included. The patients were divided into two groups based on the type of surgical technique used. Group 1 consisted of 23 patients who underwent cemented HA, while Group 2 consisted of 26 patients who underwent osteosynthesis with a PFN. Preoperatively (24 h before surgery), within the first week (Days 4 to 7), and at one month following surgery, the Mini-Mental State Examination (MMSE) was applied. Results:The surgery side and duration of surgery were not significantly different between the two groups (p>0.05); however, the length of hospital stay and estimated blood loss were significantly different (p<0.001) in favor of Group 2. When the decline in MMSE scores from preoperative to postoperative was assessed, it was shown that Group 2 had a lesser decrease. Conclusion:Patients with hip fractures who underwent PFN surgery experienced less postoperative cognitive impairment than those who underwent HA surgery.
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