Anadolu, tarihsel süreç içerisinde konumu itibariyle birçok medeniyete ve faklı kültürel kimlikteki topluluklara ev sahipliği yapmıştır. Bu toplulukların birçok kültürel üretimleri zamanla değişikliklere uğrasa da günümüze kadar ulaşmış ve çeşitli araştırmalara konu olmuştur. 6. Yüzyıldan bu yana Doğu Karadeniz bölgesinde yaşamlarını sürdüren Hemşinliler de çeşitli araştırmalara konu olmuş topluluklardan birisidir. Hemşinliler; bölgesel, teolojik ve fonolojik açıdan Batı (Rize), Doğu (Artvin) ve Kuzey (Gürcistan, Rusya) olmak üzere 3 farklı grup içerisinde incelenmektedir. Yüksek rakımlı yaylalarda tarım, hayvancılık ve günümüzde turizmle yaşantılarını sürdüren Hemşinlilerin müziksel üretimlerinin uğraşmış oldukları meslek kollarıyla bağlantılı olarak şekillendiği söylenebilir. Bu etnik yapının ve bölgenin müzik kültürü içerisinde görülen tek çalgı tulumdur. Çalgı hakkında yazılı kaynakların kısıtlı sayıda olması bu çalışmanın oluşmasında etkili rol oynamıştır. Hazırlanan bu çalışma 2017 yılında tarafımca hazırlanan "Rize Çamlıhemşin Bölgesinde Görülen Tulum Çalgısının Yapısal ve İcrasal Özellikleri" adlı yüksek lisans tezinden üretilmiştir. Çalışmada literatür taraması yapılarak çalgı hakkında elde edilen veriler kronolojik şekilde incelenmiş, alan çalışması yöntemiyle de bölgede çalgının yapımı ve icrası hakkında geniş bilgiye sahip olan kaynak kişiler Varol Taşer ve Murat Atacan'dan alınan veriler sunulmuştur.
In patients with os trigonum, the posterior fibers of the PTFL were inserted herein. In the case of an os trigonum signal alterations of ligaments were more common, which may reflect chronic instability.
Objectives: This study aims to investigate the relationship of patellofemoral joint morphology with infrapatellar fat pad edema and chondromalacia patella (CP) using patellar maltracking parameters on magnetic resonance imaging (MRI). Patients and methods: Between January 2010 and January 2013, 50 patients with edema in the superolateral portion of the infrapatellar fat pad (the study group) and control group (n=50) with a normal infrapatellar fat pad were identified on MRI to compare with regard to five patellar maltracking parameters retrospectively. These parameters were trochlear depth, the trochlear sulcus angle (TSA), patellar translation, the lateral patellofemoral angle (PFA), and the Insall-Salvati ratio. The relationship between patellar maltracking and the CP was also evaluated using the same parameters. Results: In the study group, the Insall-Salvati index and TSA were significantly higher (p=0.001), and the trochlear depth and PFA were low (p=0.001, p=0.01), while patellar translation showed no difference (p=0.957). In the CP group, the Insall-Salvati index and TSA were significantly high (p=0.001), the trochlear depth was low (p=0.001). No statistically significant difference was found in PFA and patellar translation (p=0.292, p=0.446). Conclusion: Our study results suggest that edema in the superolateral portion of infrapatellar fat pad and CP are associated with patellar maltracking.
The present study found that a high plasma BNP level was significantly associated with NOAF development in STEMI patients, and was an independent predictor of NOAF development and all-cause mortality during long-term follow-up, regardless of other NOAF risk factors.
BackgroundThis study aimed to investigate the outcomes of matrix-associated autologous chondrocyte implantation (MACI) on the treatment of osteochondral lesions in the knee joint and to determine the factors affecting the functional results.MethodsThe study included 34 patients with a cartilage defect in the knee joint who were applied MACI® (GenzymeBiosurgery, Cambridge, Massachusetts, USA) technique between the years 2010 - 2015. The defect localizations and sizes, past surgeries were recorded. The clinical results were measured with Cincinnati and Lysholm scores.ResultsAs a result of the repeated measures at postoperatively, it was found that the patients had increased Lysholm and Cincinnati functional scores in all follow-up periods (P = 0.0001). When the mean value of Lysholm and Cincinnati functional scores were assessed according to BMI group, no statistically significant difference was determined (P = 0.941 and P = 0.779). The measurements at 6 and 12 months of the follow-up indicated that the mean scores of the group with no concomitant pathologies were significantly higher than those of the group with concomitant pathologies.ConclusionsThe MACI application provides good and stable outcomes for focal cartilage damage in young patients. In order to obtain significant results after autologous chondrocyte implantation, the selection of appropriate patients without concomitant pathologies is required.
Background
Loose bodies are one of the most frequently seen pathological processes observed in the knee joint. Just as loose bodies may settle within the knee joint cavity, they may also be localized within recesses and bursae.
Purpose
To determine in which anatomic localizations and at what frequencies loose bodies were located in recesses and bursae within the knee joint. It was also aimed to review the radiological anatomy of the common and unusual knee joint synovial recesses and bursae including arthroscopic blind spots on MRI.
Material and Methods
A total of 145 loose bodies in 104 knees evaluated by MRI were identified. The locations of loose bodies around the knee joint were divided into 11 groups and some of these groups were divided into specific subgroups on MRI. The anatomic localizations, the number, and dimensions of loose bodies were determined.
Results
There were 145 loose bodies and 45 patients had one, 19 patients had two, and 40 patients had three or more loose bodies in different locations. The average size of loose bodies was 9.3 mm (range = 9–23 mm). Posterior cruciate ligament recess was the most frequent location; the subpopliteal recess was the second and posterior femoral recess was the third most common location for the loose bodies.
Conclusion
The correct identification, the number, size, and anatomic localization of loose bodies on MRI is critical in the determination of the appropriate treatment and, thus, the development of osteoarthritis can be prevented. Loose bodies were mostly localized in the posterior, primarily in the posterior cruciate ligament recess, most were multiple and < 1 cm.
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