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Öğe Guyon's Canal Syndrome Secondary to Ulnar Artery Stenosis Caused by a Constricting Fibrous Band; a Rare Cause of Ulnar Nerve Compression(Ortadogu Ad Pres & Publ Co, 2011) Dogramaci, Yunus; Kalacı, Aydıner; Esen, Erdinc; Sevinc, Teoman T.; Emir, Anil; Yanat, Ahmet NedimGuyon's canal is not a common site of ulnar nerve compression at the wrist. Ganglia, lipoma, anomalous tendons and muscles, trauma related to an occupation, arthritis, and carpal bone fractures can cause ulnar nerve compression at the wrist. Ulnar nerve compression at Guyon's canal secondary to pathologic conditions involving the ulnar artery is also rare. Ulnar artery aneurysm, tortuous ulnar artery, hemangioma, and thrombosis have been reported in the literature as vascular lesions. However, ulnar nerve compression at Guyon's canal by a constricting fibrous band has not been reported. The authors experienced a case of ulnar nerve compression at Guyon's canal by a constricting fibrous band and the patient's symptoms improved after surgical resection. This report is, to the best of our knowledge, the first on ulnar neuropathy in the Guyon's canal caused by a constricting fibrous band of the ulnar artery. We can not easily predict constricting fibrous band as a cause of ulnar nerve compression at Guyon's canal. However, if there is not an obvious etiology, we should consider a constricting fibrous band as another possible etiology.Öğe Intracorporeal pneumatic shock application for the treatment of chronic plantar fasciitis: a randomized, double blind prospective clinical trial(Springer, 2010) Dogramaci, Yunus; Kalacı, Aydıner; Emir, Anil; Yanat, Ahmet Nedim; Gokce, AhmetPlantar fasciitis (PF) is a common clinical condition that usually resolves with non-operative treatments. Extracorporeal shock wave therapy (ESWT) has been used in the treatment of chronic PF not responding to other conservative measures; however, ESWT devices are expensive and available for daily practice in only few centers (In developing countries). A pneumatic lithotripter is a cheap and readily available device which uses pneumatic shock application for the intracorporeal lithotripsy. The aim of this study was to investigate the clinical efficacy of intracorporeal pneumatic shock therapy (IPST) application for the treatment of chronic PF using a cheap and readily available pneumatic lithotripter. A randomized, double-blind, placebo-controlled study was conducted. A total of 50 patients with clinically and radiologically confirmed PF were randomly allocated to either an active- (treatment) (n = 25) or inactive (placebo) (n = 25) group. Under local anesthesia and posterior tibial nerve block, a rigid probe was directly introduced into the calcaneal spur under fluoroscopic control; a standard protocol of 1,000 shock was applied during a single session into the calcaneal spur. The main outcome measure was the patients' subjective assessment of pain by means of a Visual Analog Scale (VAS) and the Roles and Maudsley Score before the treatment and 6 months later. At the 6 months, the rate of successful outcomes (excellent + good results) in the treatment group (92%) were significantly higher comparing to the control group (24%) (P < 0.001). Heel pain measured 6 months after using the VAS were 2.04 +/- A 1.67 in treatment group and 7.16 +/- A 1.57 in control group as compared to 8.92 +/- A 1.22 and 9.12 +/- A 1.23 before the commencement of the treatment. No complications attributable to the procedure such as rupture of the planter fascia, hematoma, or infection were observed during the study. This pilot study showed that IPST is an effective and safe method of treatment of patients with chronic PF not responding to conservative measures. IPST application should be considered before surgical intervention when the extracorporeal shock devices are not available for daily practice. However, further evaluation of this novel treatment is necessary to understand the exact mechanism of action.Öğe Median nerve entrapment secondary to carpal osteophyte: A case report(2009) Do?ramaci, Yunus; Kalacı, Aydıner; Serarslan, Yurdal; Yanat, Ahmet Nedim; Emir, AnilCarpal tunnel syndrome secondary to space occupying lesion is a relatively rare condition. Median nerve compression secondary to carpal osteophyte is extremely rare. We report a case, of carpal tunnel syndrome due to osteophytic bony projection in the carpal tunnel in a 54-year-old man with antecedent traumatic wrist injury before 20 years. To our knowledge, this is the second reported case. Complete excision of osteophyte resulted in complete relief of sensory symptoms. © 2009 OMU All rights reserved.Öğe Median nerve palsy secondary to a ganglion cyst: A case report(2009) Serarslan, Yurdal; Dogramaci, Yunus; Kalacı, Aydıner; Yanat, Ahmet Nedim; Emir, AnilWe report a case of ganglion cyst inside the carpal tunnel presenting as median nerve palsy. We consider that the median nerve palsy in this case was due to direct nerve compression within the carpal tunnel caused by a ganglion cyst. © 2009 OMU All rights reserved.
