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Öğe Bilateral superficial peroneal nerve entrapment secondary to anorexia nervosa: a case report(Thieme Medical Publ Inc, 2008) Sevinc, Teoman Toni; Kalacı, Aydıner; Dogramaci, Yunus; Yanat, Ahmet NedimWe report a case of severe weight loss secondary to anorexia nervosa causing bilateral superficial peroneal nerve entrapment in a young female patient who was treated successfully by bilateral surgical decompression.Öğe Giant-cell tumor of the tendon sheath in the toe(Turkish Joint Diseases Foundation, 2008) Kalacı, Aydıner; Ozkan, Cenk; Sevinc, Teoman Toni; Yanat, Ahmet NedirnGiant-cell tumor of the tendon sheath is a benign, soft-tissue tumor usually arising from synovial cells of the tendon sheaths in the hand. Involvement of the toes is quite rare. We presented three patients including two women with ages 25 and 50 years, and one man aged 21 years, who underwent surgery for mass lesions originating from tendon sheaths of the toe. All the patients presented with a slightly painful soft tissue mass in the toe. Magnetic resonance imaging was not helpful in the differential diagnosis. Diagnosis of the tumors was made by histopathologic evaluation of completely excised lesions. No local recurrences were encountered during a mean follow-up of 18 months.Öğe Granular Cell Tumor of the Posterior Tibial Nerve as a Rare Cause of Heel Pain A Case Report(Amer Podiatric Med Assoc, 2009) Dogramaci, Yunus; Kalacı, Aydıner; Sevinc, Teoman Toni; Hakverdi, Sibel; Canda, Serefettin; Yanat, Ahmet NedimGranular cell tumor of peripheral nerves is extremely rare. We present the case of a patient with a well-capsulated intraneural granular cell tumor involving the posterior tibial nerve, who presented with chronic heel pain mimicking plantar fasciitis. Magnetic resonance imaging revealed a well-defined intraneural soft-tissue mass within the substance of the posterior tibial nerve. Histopathologic examination showed a granular cell tumor, which is extremley rare in the peripheral nerves. Heel pain is one of the common conditions handled by physicians, podiatrists, and orthopedic surgeons. Posterior tibial nerve lesions at the leg should be kept in mind in the differential diagnosis of patients with persistent heel and foot pain. Magnetic resonance imaging is a useful method in the anatomical evaluation of focal intraneural lesions. (J Am Podiatr Med Assoc 99(3): 254-257, 2009)Öğe Guyon tunnel syndrome secondary to excessive healing tissue in a child: a case report(Thieme Medical Publ Inc, 2008) Kalacı, Aydıner; Dogramaci, Yunus; Sevinc, Teoman Toni; Yanat, Ahmet NedimWe describe a case of an 8-year-old boy who developed a combined motor and sensory neuropathy of the distal ulnar nerve, after sustaining a superficial injury to the right flexor carpi ulnaris tendon at the level of the distal wrist crease. Guyon's canal syndrome is a very rare entity during childhood. We have noted only one prior description of this syndrome in the pediatric age group in a review of the English literature.Öğe Insufficiency fractures of both femoral necks in a young adult caused by osteoporosis(Springer, 2008) Kalaci, Aydmer; Yanat, Ahmet Nedim; Sevinc, Teoman Toni; Dogramaci, YunusInsufficiency fractures of femoral necks due to osteoporosis of unknown aetiology occurring coincidentally on both sides in young adults, have not been described in English literature so far. A 18-year-old young girl presented with a 3-month history of gradual onset of bilateral thigh pain and progressive inability to walk. At the first look, plain radiographs of both hips showed no gross abnormal findings other than some tips on reduced bone mineral density of the femoral necks. MRI was ordered upon a high suspicion of fracture and T1-weighed MRI showed a linear low signal on both femoral necks. Dual-energy X-ray absorptiometry of the lumbar spine and femoral neck showed low mineral density. She was treated surgically with in-situ internal fixation using cannulated screws. The bilateral thigh pain was resolved and walking started immediately after the treatment. Insufficiency fracture of the femoral neck due to osteoporosis should be kept in mind even in young adults complaining of atypical pain without evidence of unusual activities. We used both the terms of stress fracture and insufficiency (osteoporotic) fracture interchangeably as the mechanism of fractures resemble each other.Öğe Intraneural hemangioma of the median nerve: A case report(Thieme Medical Publ Inc, 2008) Dogramaci, Yunus; Kalacı, Aydıner; Sevinc, Teoman Toni; Yanat, Ahmet NedimHemangiomas of the median nerve are very rare and, so far, only ten cases of intraneural hemangioma of this nerve have been reported in the literature. We present a case of 14-year-old girl who had a soft tissue mass in the region of the left wrist with signs and symptoms of carpal tunnel syndrome. Total removal of the mass was achieved using microsurgical epineural and interfasicular dissection. The symptoms were relieved completely, after this procedure, without any neurologic deficit. On follow-up two years later, no recurrence was observed. Whenever a child or young adult patient presents with CTS the possibility of a hemangioma involving the median nerve should be kept in mind in the differential diagnosis.Öğe Lipoma Arborescens of the Peroneus Longus and Peroneus Brevis Tendon Sheath Case Report(Amer Podiatric Med Assoc, 2009) Dogramaci, Yunus; Kalacı, Aydıner; Sevinc, Teoman Toni; Atik, Esin; Esen, Erdinc; Yanat, Ahmet NedimLipoma arborescens is an uncommon pseudotumoral synovial lesion usually located in the suprapatellar pouch of the knee. Lipoma arborescens involving the synovial sheaths of the tendons is exceedingly rare. This diagnosis should be considered, particularly in patients with chronic joint effusion. We report a case with lipoma arborescens affecting the synovial sheaths of the peroneal tendons without involvement of the adjacent ankle joint. To our knowledge, this is the second reported case of lipoma arborescens involving tenosynovial sheaths of tendons arround the ankle joint without ankle joint involvment. (J Am Podiatr Med Assoc 99(2): 153-156, 2009)Öğe Thoracic Spine Compression Fracture During Isoniazid-Induced Seizures Case Report(Lippincott Williams & Wilkins, 2008) Kalacı, Aydıner; Duru, Mehmet; Karazincir, Sinem; Sevinc, Teoman Toni; Kuvandik, Gueven; Balcı, AliWe report here an 11-year-old previously healthy girl with isoniazid intoxication who sustained a seizure-induced thoracic compression fracture. The following might be the first Such case reported in the medical literature. Isoniazid toxicity should be suspected in any patient who comes to the emergency department with refractory seizures and metabolic acidosis. Forceful muscle contractions during a convulsive seizure can result in vertebral compression fracture, especially in the midthoracic region. A complaint of back pain after isoniazid-induced seizures in patients raises a strong suspicion of vertebral fracture and should be evaluated radiologically.Öğe Treatment of Plantar Fasciitis Using Four Different Local Injection Modalities A Randomized Prospective Clinical Trial(Amer Podiatric Med Assoc, 2009) Kalacı, Aydıner; Cakici, Huesamettin; Hapa, Onur; Yanat, Ahmet Nedim; Dogramaci, Yunus; Sevinc, Teoman ToniBackground: To determine the effectiveness of four different local injection modalities in the treatment of plantar fasciitis. Methods: In a prospective randomized multicenter study of plantar fasciitis, 100 patients were divided into four equal groups and were treated using four different methods of local injection: group A was treated with 2 mL of autologous blood alone; group B, an anesthetic (2 mL of lidocaine) combined with peppering; group C, a corticosteroid (2 mL of triamcinolone) alone; and group D, a corticosteroid (2 mL of triamcinolone) combined with peppering. The outcome was defined by using a 10-cm visual analog scale and modified criteria of the Roles and Maudsley score 3 weeks and 6 months after the injection and compared with the pretreatment condition. Results: The successful results in all of the groups after injections were higher than those in the pretreatment condition (P = .000). In groups C and D, in which local corticosteroid injections were used, excellent results were obtained, with superior effect in the group in which peppering was used (P < .05). Conclusions: In the treatment of plantar fasciitis, combined corticosteroid injections and peppering is effective and produces better clinical results. (J Am Podiatr Med Assoc 99(2): 108-113, 2009)
