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    Reliability of magnetic resonance imaging in rotator cuff and biceps tendon pathologies
    (Derman Medical Publ, 2017) Şahan, Mehmet Hamdi; Serbest, Sancar; Tiftikci, Uğur; İnal, Mikalil; Burulday, Veysel
    Aim: In the study, we aimed to evaluate the diagnostic performance of magnetic resonance imaging in comparison with arthroscopy in rotator cuff lesions and pathologies of the long head of the biceps tendon, which are one of the most important causes of shoulder pain and dysfunction. Material and Method: 180 patients treated with arthroscopic surgery were identified. Sixty-four patients (17 males, 47 females) who had undergone diagnostic magnetic resonance imaging and met the study criteria were enrolled in the study. The magnetic resonance imaging within the last 6 weeks preoperatively and arthroscopic shoulder joint examination findings during the operation were reviewed retrospectively. Results: Sensitivity was found to be 89.1% and specificity was found to be 94.4% in the full thickness tears, and sensitivity was found to be 93.8% and specificity was found to be 87.5% in the partial tears of the supraspinatus tendon; sensitivity was found to be 33.3% and specificity was found to be 98.4% in the full-thickness tears, and sensitivity was found to be 58.3% and specificity was found to be 80.8% in We partial tears of the long head of the biceps tendon. 24 (37.5%) patients in arthroscopy and 32 (50%) patients in magnetic resonance imaging had more than one tear in the tendon. Furthermore, the combination of the tears of the long head of the biceps tendon was found in the rotator cuff tears' arthroscopy of 15 patients (23.4%) and magnetic resonance imaging of 19 (29.6%) patients. Discussion: In comparison with arthroscopy, magnetic resonance imaging in rotator cuff tendon pathologies, especially in the supraspinatus tendon tears, demonstrated high accuracy, the kappa value (kappa value: 0.78), high sensitivity and specificity in the strong consistency range. However, sensitivity was low in pathologies of the long head of the biceps tendon. Magnetic resonance imaging remains to be a reliable diagnostic method in shoulder tendon pathologies, especially in rotator cuff tendon pathologies.
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    Return to work in miners following anterior cruciate ligament reconstruction
    (African Field Epidemiology Network-Afenet, 2015) Tiftikci, Uğur; Serbest, Sancar; Kilinç, Cem Yalın; Karabıçak, Gul Öznur; Vergili, Özge
    Introduction: The aim of the study is retrospectively investigated durations for returning to work following anatomic ACL reconstruction by hamstring autograft in miners and the reasons in patients who were delayed to return to work. Methods: Miners with symptomatic anterior cruciate ligament rupture underwent arthroscopic reconstruction. Patients were evaluated in terms of range of motion (ROM) values; Lysholm, Cincinati and Tegner activity scales; laxity testing and complications. By modifying the method used by Fitzgerald et al. we decided for the criteria returning to work. Results: Thirty three patients were evaluated with mean followup of 22.7 +/- 8.3 months (range 13-46 months). Mean age at the surgery was 27.8 (18-38) years. Lysholm, Cincinati and Tegner activity scales were signifi cantly higher from preoperative scores (Lysholm scores: preoperative: 60.7 +/- 12.5, postoperative: 90.3 +/- 4.8 (P < 0.001); Tegner activity scores: Preoperative 3.5 +/- 1.4, postoperative: 6.2 +/- 1.5 (P < 0.001); Cincinati scores: Preoperative: 14.8 +/- 5.3, postoperative: 26.9 +/- 1.6 (P < 0.001). The average time for returning to work was determined as 15,3 +/- 4 weeks. There was no significant difference for knee scores and time for returning to work between patients with meniscal injuries and don't have meniscus lesions. Conclusion: The reasons for delays in returning to work was work accident. Hematoma or effusion and pain inside the knee were the most significant reason which affected returning to work.