Original Research
A research on levels of information, perception status, anxiety and depression of health workers diagnosed with COVID-19
Perception, anxiety, depression of health workers with COVID-19
Banu Karaca 1, Bahar Örmen 1, Esin Evren Kılıçaslan 2
1 Department of Infectious Diseases, 2 Department of Psychiatry, Katip Celebi University, Ataturk Research and Training Hospital, Izmir, Turkey
DOI:10.4328/ECAM.10058 Received : 2023-08-25 Accepted : 2023-10-13 Published Online : 2023-10-14 Printed Online : 2023-10-15
Abstract
Aim: This study aims to ascertain the levels of knowledge and perception towards COVID-19 that healthcare workers who have contracted the disease have while determining the disease`s psychological impact.
Material and Methods: 177 healthcare workers who had recovered from COVID-19 and 116 without a history of contraction as the control group were included. Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were applied, in addition to an online survey measuring the knowledge about COVID-19.
Results: The levels of knowledge and perception towards COVID-19 of the healthcare workers who contracted the disease were not as high as expected. Anxiety and depression scores were statistically significantly higher in COVID-19 ICU and in the female sex. The depression score was significantly higher in the single group and in the group without prior psychiatric disease diagnosis.
Discussion: The levels of knowledge and perception towards COVID-19 that healthcare workers of the study group were not as high as expected. The higher depression and anxiety scores in the study group especially in the Intensive Care Unit can be attributed to the closer contact with COVID-19 patients. High scores in the female sex can be associated with the female-dominated nurse population. The depression score was higher in single employees, which may be related to loneliness and anxiety about not being able to get care when they get sick.
Health care workers should be informed about the disease and psychological monitoring and support should be given when needed.
Keywords: COVID-19, Healthcare Worker, Perception, Depression, Anxiety
Corresponding Author: Banu Karaca, Department of Infection Diseases, Katip Çelebi University, Atatürk Training and Research Hospital, Izmir, Turkey. • E-Mail: banu.karaca@yahoo.com • P: +90 533 765 52 72 • Corresponding Author ORCID ID: https://orcid.org/0000-0003-1470-356X
This study was approved by the Ethics Committee of Turkish Ministry of Health and the Hospital`s Ethics Committee (Date: 2020-10-22, No: 1033)
How to cite this article: Banu Karaca, Bahar Örmen, Esin Evren Kılıçaslan. A research on levels of information, perception status, anxiety and depression of health workers diagnosed with COVID-19. Eu Clin Anal Med 2023;11(Suppl 1):S1-4
This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of the license, visit https://creativecommons.org/licenses/by-nc/4.0/
The actual need for perinatal screening for pregnant women: A validation analysis
The actual need for perinatal screening for pregnant women
Adil Barut 1, Erhan Okuyan 2, Lena Tureyici 2, Selahattin Mısırlıoglu 2, Özgür Çoban 3
1 Department of Obstetrics and Gynecology, Avcılar Murat Kölük State Hospital, Istanbul, 2 Department of Obstetrics and Gynecology, Batman Training and Research Hospital, Batman, 3 Department of Obstetrics and Gynecology, Istanbul Gaziosmanpaşa Training and Research Hospital, Istanbul, Turkey.
DOI:10.4328/ECAM.10059 Received : 2023-08-27 Accepted : 2023-10-12 Published Online : 2023-10-14 Printed Online : 2023-10-15
Abstract
Aim: This study is to investigate the comparison of the pre-diagnosis vs final diagnosis of the cases consulted to the perinatology specialist who started working in state hospital.
Material and Methods: This retrospective study included 527 pregnant women who had presented to the Department of Obstetrics and Perinatology. Data included age, gestational week, and various fetal congenital or structural anomalies. In the presence of any of the following, women were excluded from the study: incomplete clinical or hospital data.
Results: During the study period, 527 pregnant women were analyzed. Of 527 pregnant women, 214, 174, and 136 were shown at least suspected fetal congenital or structure anomalies on ultrasonography findings by obstetricians, perinatology specialists, and newborn, respectively. The reasons for consulting perinatology were examined, it was observed that the most the common cause was fetal anomaly screening with 44.7%. The percentage of obstetricians requesting perinatology consultation according to their work experience and the institution
they graduated from, it was observed that physicians with more than five years of work experience and training in education and research clinics wanted less consultation. In the obstetrician’s and perinatology specialist’s evaluation, On ultrasonography revealed that the suspected anomalies were diagnosis of the 56.4%) and 46.9%), respectively. Diagnostic performances of obstetricians compared to perinatology specialists according to birth diagnosis; the accuracy rate was 63.5% and 76.2%, respectively.
Discussion: The top three reasons for consulting a perinatology specialist were fetal anomaly screening delivery timing, and fetal anomaly suspicion.
Keywords: Obstetrician, Perinatology Specialist, Rural Areas
Corresponding Author: Adil Barut, Department of Obstetrics and Gynecology, Avcılar Murat Kölük State Hospital, Istanbul, Turkey. • E-Mail: dradilbarut@mail.ru • P: +90 532 552 95 35 • Corresponding Author ORCID ID: https://orcid.org/0000-0003-0146-0474
The study was approved by the Ethics Committee of Batman Maternity and Child Health State Hospital (Date: 2020-07-16, No: 2020-04)
How to cite this article: Adil Barut, Erhan Okuyan, Lena Tureyici, Selahattin Mısırlıoglu, Özgür Çoban. The actual need for perinatal screening for pregnant women: A validation analysis. Eu Clin Anal Med 2023; 11(Suppl 1):S5-8
Diagnostic performance of point of care ultrasonography for acute epiploic appendagitis in the emergency department
Point of care ultrasonography for acute epiploic appendagitis
Seval Komut
Department of Emergency Medicine, Faculty of Medicine, Hitit University, Çorum, Turkey
DOI:10.4328/ECAM.10060 Received : 2023-08-29 Accepted : 2023-10-12 Published Online : 2023-10-14 Printed Online : 2023-10-15
Abstract
Aim: Primary epiploic appendagitis (EA) is an uncommon cause of abdominal pain and is often overlooked in the Emergency Department (ED). Computed tomography (CT) is the gold standard imaging method in diagnosis. However, CT can cause adverse effects due to high ionizing radiation exposure. This study aimed to determine the sensitivity and specificity of Point of Care Ultrasonography (PoCUS) in the diagnosis of EA to overcome the exposure to ionizing radiation of these cases in unnecessary CT examinations.
Material and Methods: Patients who presented at ED with peritoneal pain localized in the lower quadrant were grouped according to the PoCUS examination results as EA-positive and EA-negative. Accepting the abdominal CT findings of these cases as the gold standard, the sensitivity and specificity of PoCUS were statistically analyzed with respect to EA diagnosis.
Results: Forty-six patients were assessed. The 13 patients diagnosed with EA comprised 11 (84.6%) males and 2 (15.4%) females with a mean age of 38.07±13.11 years. The mean WBC value was significantly higher in the patients diagnosed with EA than in those not diagnosed (p=0.003). No significant difference was determined between the groups with respect to neutrophil % and CRP values (p=0.496, p=0.127, respectively). In the diagnosis of EA, PoCUS was found to have 92.3% sensitivity, 100% specificity, PPV 100%, and NPV 97.1%.
Discussion: With high sensitivity and specificity rates, PoCUS can be safely used in the diagnostic process of EA
Keywords: Ultrasonography, Emergency Department, Epiploic Appendagitis, Abdominal Paincases in ED.
Corresponding Author: Seval Komut, Department of Emergency Medicine, Faculty of Medicine, Hitit University, 19040, Çorum, Turkey. • E-Mail: drsevalkomut@hotmail.com • P: +90 364 222 11 00 • Corresponding Author ORCID ID: https://orcid.org/0000-0002-9558-4832
This study was approved by the Non-Interventional Research Ethics Committee of Hitit University (Date: 2023-02-28, No: 2023-01)
How to cite this article: Seval Komut. Diagnostic performance of point of care ultrasonography for acute epiploic appendagitis in the emergency department. Eu Clin Anal Med 2023;11(Suppl 1):S9-13
Comparison of working length determination with four electronic apex locators
Working length determination of electronic apex locators
Yelda Erdem Hepsenoglu, Seyda Ersahan
Department of Endodontics, Faculty of Dentistry, Istanbul Medipol University, Istanbul, Turkey
DOI:10.4328/ECAM.10061 Received : 2023-09-04 Accepted : 2023-10-13 Published Online : 2023-10-14 Printed Online : 2023-10-15
Abstract
Aim: The purpose of this in vitro study was to evaluate the working length determination of four electronic apex locators (EALs): iPex, Apex ID, MM Control and Root ZX.
Material and Methods: The actual working length of thirty-five extracted human teeth was determined visually as 0.5 mm short of the apical foramen. After the actual working length measurements, the electronic working length was measured with four different EALs (iPex, Apex ID, MM Control and Root ZX). The measurements were repeated three times by different operators. The data were analyzed using ANOVA and Bonferroni post hoc tests. The significance level was set at p ≤ 0.05.
Results: The mean differences between electronic and actual working length were -0.403 mm, 0.086 mm, 0.027, and 0.094 mm for the iPex, MM Control, the Root ZX, and the Apex ID, respectively. Multiple paired comparisons also showed that iPex was significantly different from other EALs.
Discussion: All EALs showed an acceptable determination of the working length between the ranges of ±0.5mm except for the iPex device, which had the lowest accuracy. Further studies may be beneficial especially to better evaluate the accuracy of the iPex.
Keywords: iPex, MM Control, Root ZX, Apex ID, Electronic Apex Locator, Working Length Determination
Corresponding Author: Yelda Erdem Hepsenoglu, Department of Endodontics, Faculty of Dentistry, Istanbul Medipol University, Istanbul, Turkey. • E-Mail: yelda_erdem89@hotmail.com • P: +90 505 410 45 63 • Corresponding Author ORCID ID: https://orcid.org/0000-0003-1844-1288
How to cite this article: Yelda Erdem Hepsenoglu, Seyda Ersahan. Comparison of working length determination with four electronic apex locators. Eu Clin Anal Med 2023;11(Suppl 1):S14-16
In silico study of Ferula latisecta-derived compounds molecular interactions with α-glucosidase
Molecular interactions of Ferula latisecta
Sultan Mehtap Büyüker
Department of Pharmacy Services, Vocational School of Health Services, Usküdar University, Istanbul, Turkey
DOI:10.4328/ECAM.10065 Received : 2023-09-05 Accepted : 2023-10-12 Published Online : 2023-10-14 Printed Online : 2023-10-15
Abstract
Aim: Our study aimed to investigate the sulfur compounds’ antidiabetic effect in Ferula latisecta.
Material and Methods: The molecular docking method investigated the α-glucosidase inhibitory effect of the components. In our study, the pharmacokinetic properties of Ferula latisecta compounds were also investigated with the SwissADME method, and the toxicity risk analyzes were investigated with Protox II tools. Ferula latisecta compounds were drawn from the literature in Chemdraw and and α-glucosidase enzyme structure was obtained from Protein Data Bank. Finally, the molecular interaction analysis between α-glucosidase and compounds from Ferula latisecta was performed by AutoDock 1.5.7. Molecular interactions were investigated using Discovery Studio Visualizer and Ligplot 2.1 program.
Results: All the selected sulfur compounds from Ferula latisecta followed Lipinski’s rules, had sufficient binding energy, and lacked toxicity; therefore, they were appropriate candidates for α-glucosidase inhibition. Among these compounds, 2-(4-hydroxyphenyl) ethyl lignocerate and isosco-poletin showed the lowest binding energy and the highest inhibitory effect on α-glucosidase enzyme with −9.1 and −7.7 kcal/mol, respectively.
Discussion: These compounds also indicated a lower binding energy than the standard inhibitor (miglitol). Among the sulfur compounds in Ferula latisecta 2-(4-hydroxyphenyl) ethyl lignocerate and isoscopoletin were predicted to be the potent inhibitors due to having more hydrogen bonds and hydrophobic interactions with the active site of α-glucosidase.
Keywords: In Silico, α-Glucosidase Inhibition, Molecular, Ferula latisecta, Diabetes
Corresponding Author: Sultan Mehtap Büyüker, Department of Pharmacy Services, Vocational School of Health Services, Usküdar University, 34664, Usküdar, Istanbul, Turkey. • E-Mail: sultanmehtap.buyuker@uskudar.edu.tr • P: +90 532 324 21 53 • Corresponding Author ORCID ID: https://orcid.org/0000-0002-1344-540X
How to cite this article: Sultan Mehtap Büyüker. In silico study of Ferula latisecta-derived compounds molecular interactions with α-glucosidase. Eu Clin Anal Med 2023;11(Suppl 1):S17-21
Effect of tranexamic acid used in cesarean sections on perioperative bleeding in preeclamptic patients: A retrospective study
Perioperative effects of tranexamic acid in preeclamptic pregnants
Duygu Akyol 1, Necmiye Ay 1, İbrahim Polat 2, Funda Gümüş Özcan 1
1 Department of Anesthesiology and Reanimation, 2 Department of Gynecology and Obstetrics, Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey
DOI:10.4328/ECAM.10067 Received : 2023-09-17 Accepted : 2023-10-13 Published Online : 2023-10-14 Printed Online : 2023-10-15
Abstract
Aim: One of the causes of massive postpartum hemorrhage is preeclampsia, with a high risk of morbidity and mortality. Cesarean section is generally preferred for delivery in preeclamptic pregnant women and regional anesthesia is recommended in the absence of contraindications. Tranexamic acid (TXA), which has anti-fibrinolytic effect, has been shown to reduce the amount of bleeding when given within the first three hours in trauma or obstetric bleeding. For this purpose, we planned to evaluate the perioperative effects of TXA in preeclamptic patients undergoing cesarean section with spinal anesthesia.
Material and Methods: This study was planned retrospectively after obtaining clinical ethical approval (decision No: 31, date: 25.01.2023). A total of 98 preeclamptic patients who underwent cesarean section under spinal anesthesia between January 2022 and October 2022 were included in the study. Demographic data, ASA score, preoperative and postoperative laboratory values, infant APGAR scores, perioperative bleeding amount, total amount of fluid given, blood requirement, length of hospital stay and complications were evaluated.
Results: A total of 98 preeclamptic patients who underwent cesarean section under spinal anesthesia were divided into two groups: GNT (n=57) and GT (n=41). The mean age, BMI, comorbidities and duration of operation were similar in both groups. Mean preoperative Hb and Hct values and median creatinine values were higher in GNT. Median values of perioperative bleeding amounts were significantly lower in GT (p<0.05). Peroperative blood requirement was similar in both groups.
Discussion: Tranexamic acid can be used in obstetric patients with a high risk of bleeding on a risk-benefit ratio.
Keywords: Tranexamic Acid, Preeclampsia, Postpartum Hemorrhage
Corresponding Author: Duygu Akyol, Başakşehir Çam and Sakura City Hospital, 34480, Başakşehir, Istanbul, Turkey. • E-Mail: dr.duyguaygun@gmail.com • P: +90 212 909 60 00 • Corresponding Author ORCID ID: https://orcid.org/0000-0001-7956-9942
This study was approved by the Ethics Committee of Başakşehir Çam and Sakura City Hospital (Date: 2023-01-25, No: 31)
How to cite this article: Duygu Akyol, Necmiye Ay, İbrahim Polat, Funda Gümüş Özcan. Effect of tranexamic acid used in cesarean sections on perioperative bleeding in preeclamptic patients: A retrospective study. Eu Clin Anal Med 2023;11(Suppl 1):S22-25
Tramadol protects enterocytes after cytokine storm
Tramadol is protective for enterocytes
Ugur Ozgurbuz 1, Damla Akogullari Celik 2, Hilal Kabadayi Ensarioglu 2, Hafize Seda Vatansever 2, 3
1 Department of Anesthesiology and Reanimation, Izmir Ataturk Research and Training Hospital, Izmir, 2 Department of Histology and Embryology, Faculty of Medicine, Manisa Celal Bayar University, Manisa, 3 Department of Cell Culture Laboratory, Faculty of Medicine, Near East University, Mersin, Turkey
DOI:10.4328/ECAM.10070 Received : 2023-09-26 Accepted : 2023-10-13 Published Online : 2023-10-14 Printed Online : 2023-10-15
Abstract
Aim: Inflammatory Bowel Disease (IBD) is an autoimmune disease characterized by chronic inflammation in the digestive system. Tramadol is an opioid analgesic drug, and it is known to play a role in the inflammation process in IBD disease. While the anti-inflammatory effect of tramadol is known, its role in protecting enterocytes against the cytokine storm is still being investigated. In our study, we aimed to analyze the effect of tramadol on enterocytes before and after cytokine storm in an in vitro inflammation model created with an intestinal epithelial cell line (IEC-6).
Material and Methods: The cytotoxicity of tramadol on the IEC-6 cells was determined by MTT analysis. An in vitro inflammation model was created by treating IEC-6 cells with 50 ng/ml TNF-α+100 ng/ml IFN-ɣ for 48 hours. The IEC-6 cells were divided into four groups as follows: group 1 (control: only culture medium), group 2 (inflammation model: TNF-α and IFN-ɣ combine treatment), group 3 (prophylactic: tramadol treatment before TNF-α and IFN-ɣ combination) and group 4 (treated: tramadol treatment after TNF-α and IFN-ɣ combination). The IL-8 and TNF-α levels in the culture medium were detected by ELISA. The immunoreactivity of caspase-1, caspase-3, IL-6, IL-8, MLKL, RIPK-1 and TNF-α by immunocytochemistry was evaluated.
Results: Increased RIPK-1 immunoreactivity in IEC-6 cells was indicative of necroptosis in the inflammation model. The pre-treatment of inflammation with tramadol reduced caspase-1 and RIPK-1 immunoreactivities. Additionally, a decrease in IL-8 and TNF-α levels was observed
Discussion: Tramadol, with its anti-inflammatory effect, may be protective for cytokine release and necroptosis in enterocytes.
Keywords: Inflammatory Bowel Disease, Enterocytes, Tramadol, Necroptosis, Inflammation
Corresponding Author: Hafize Seda Vatansever, Department of Histology and Embryology, Faculty of Medicine, Manisa Celal Bayar University, Manisa, Turkey. • E-Mail: seda.vatansever@cbu.edu.tr • P: +90 236 233 85 86 • Corresponding Author ORCID ID: https://orcid.org/0000-0002-7415-9618
How to cite this article: Ugur Ozgurbuz, Damla Akogullari Celik, Hilal Kabadayi Ensarioglu, Hafize Seda Vatansever. Tramadol protects enterocytes after cytokine storm. Eu Clin Anal Med 2023;11(Suppl 1):S26-29
Clinical outcomes in hypertensive patients undergoing bariartic surgery
Bariatric surgery and HT patients
Tuba Mert 1, Gülçin Türkmen Sarıyıldız 2
1 Department of General Surgery, Faculty of Medicine, Istanbul Medipol University, Health Care Practice and Research Center, Pendik Hospital, Istanbul, 2 Department of General Surgery, Faculty of Medicine, Atılım University, School of Medicine, Ankara, Turkey
DOI:10.4328/ECAM.10071 Received : 2023-09-28 Accepted : 2023-10-13 Published Online : 2023-10-14 Printed Online : 2023-10-15
Abstract
Aim: This study aimed to investigate the impact of bariatric surgery (BS) on individuals with hypertension (HT) by assessing changes in clinical and metabolic parameters following BS.
Material and Methods: A total of 34 obese individuals undergoing BS were included in the study. Demographic characteristics, including age and gender, were recorded, along with clinical parameters such as body mass index (BMI), glucose levels, blood urea nitrogen (BUN), uric acid, C-reactive protein (CRP), albumin, CRP-to-albumin ratio (CAR), and glycated hemoglobin (HbA1c). Hypertensive patients were further divided into groups based on the use of HT medication. Changes in these parameters were assessed three months post-surgery and compared between groups.
Results: No significant differences were observed in age, gender, and most metabolic parameters between groups with and without HT (p>0.05). Although, preoperative BMI was higher in the HT group (p=0.014), the difference was decreased following BS (p=0.059). 29.2% of HT patients stopped or reduced doses of antihypertensive medicines. There were no significant differences in glucose, BUN, CRP, CAR, and HbA1c levels between groups. Notably, uric acid levels exhibited a greater reduction in the HT group (mean change of -0.3 vs. -0.1, p=0.026). AKI rates were higher among HT patients with obesity (20% vs 12.5%, p=0.975) but the difference was not significant.
Discussion: This study has once again demonstrated that a reduction in blood pressure can be achieved in obese patients with HT following BS. Additionally, it is noteworthy that additional benefits, such as improvements in high uric acid levels in HT patients, can also be observed. These findings reflect the beneficial metabolic consequences of BS.
Keywords: Bariatric Surgery, Hypertension, Obesity, Metabolic Changes, Uric Acid
Corresponding Author: Tuba Mert, Department of General Surgery, Faculty of Medicine, Istanbul Medipol University, Health Care Practice and Research Center, Pendik Hospital, Istanbul, Turkey. • E-Mail: dr.tgulcelik@gmail.com • P: +90 533 311 86 17 • F: +90 212 460 70 70 • Corresponding Author ORCID ID: https://orcid.org/0000-0002-4481-2161
This study was approved by the Ethics Committee of Istanbul Medi̇pol University, Faculty of Medicine (Date: 2021-11-15, No: E-10840098-772.02-5855)
How to cite this article: Tuba Mert, Gülçin Türkmen Sarıyıldız. Clinical outcomes in hypertensive patients undergoing bariartic surgery. Eu Clin Anal Med 2023;11(Suppl 1):S30-33
Evaluation of neutrophil/lymphocyte ratio and other hematological parameters on types of adrenocortical masses and their predictive value
NLR,PLR and LMR values for types of adrenocortical masses
Utku Özgen 1, Sevda Yılmaz 1, Muhammed Raşid Aykota 2
1 Department of General Surgery, Faculty of Medicine, Pamukkale University, 2 Department of General Surgery, Private Tekden Hospital, Denizli, Turkey
DOI:10.4328/ECAM.10072 Received : 2023-09-29 Accepted : 2023-10-13 Published Online : 2023-10-14 Printed Online : 2021-10-15
Abstract
Aim: There are studies indicating an increase in cytokine levels at the cellular level during the progression of adrenocortical masses and their development into cancer. Additionally, it is known that neutrophil migration and platelet activity play fundamental roles in the immune response, which has anti-tumor effects in all organs. Therefore, this study aims to investigate whether peripheral blood parameters such as the Neutrophil-to-Lymphocyte Ratio (NLR), Platelet-to-Lymphocyte Ratio (PLR), and Lymphocyte-to-Monocyte Ratio (LMR) serve as decisive factors related to the pathological outcomes of adrenocortical lesions.
Material and Methods: This study was conducted retrospectively by reviewing the records of 37 patients who underwent open or laparoscopic adrenalectomy for adrenal masses at a tertiary center between 2015 and 2020. Patients were categorized based on pathology results into adenoma, non-adenomatous benign lesions, metastatic lesions, pheochromocytoma, and primary malignant tumors (malignant (n=11), benign (n=26)). The relationship between lesion size and neutrophil, NLR, LMR, and PLR values among these five groups was examined.
Results: A statistically significant positive correlation was observed between lesion size and NLR and neutrophil values (r=0.396, p=0.017 and r=0.361, p=0.030, respectively). Additionally, it was found that NLR values were elevated at non-statistically significant levels in adrenocortical cancers (p=0.460).
Discussion: In our study, a positive correlation was established between lesion size and NLR and neutrophil values. We anticipate that during the perioperative period, insights into the nature of the lesion can be gained by considering hematological parameters.
Keywords: Adrenocortical Tumors, Neutrophil, Platelet, NLR, PLR
Corresponding Author: Utku Özgen, Department of General Surgery, Faculty of Medicine, Pamukkale University, Denizli, Turkey. • E-Mail: dr_utkuozgen@yahoo.com • P: +90 530 923 40 08 • Corresponding Author ORCID ID: https://orcid.org/0000-0002-6481-1473
This study was approved by the Ethics Committee of Pamukkale University (Date: 2021-02-16, No: 04)
How to cite this article: Utku Özgen, Sevda Yılmaz, Muhammed Raşid Aykota. Evaluation of neutrophil/lymphocyte ratio and other hematological parameters on types of adrenocortical masses and their predictive value. Eu Clin Anal Med 2023;11(Suppl 1):S34-37
Comparison of clinical outcomes of conservatively treated type 5 and type 6 fractures in distal radius according to frykman classification
Results of treated frykman type 5 and type 6 fractures in radius
Selim Safalı, Fatih Durgut
Department of Orthopedics and Traumatology, Faculty of Medicine, Selcuk University, Konya, Turkey
DOI:10.4328/ECAM.10074 Received : 2023-10-06 Accepted : 2023-10-14 Published Online : 2023-10-14 Printed Online : 2023-10-15
Abstract
Aim: Distal radius fractures are among the most common upper extremity fractures and are often associated with ulnar styloid fractures. Ulnar styloid fractures can potentially lead to instability and pain in the distal radioulnar joint. This retrospective study aims to investigate the clinical and radiological effects of ulnar styloid fractures in conjunction with distal radius fractures.
Material and Methods: In this retrospective study, 64 (group 1: 33 patients, group 2: 31 patients) patients with distal radius fractures were enrolled. Specifically, patients with type 5 and type 6 fractures, according to the Frykman classification, were included in the study from January 2016 to December 2022. All patients in this study received conservative treatment at Selcuk University Orthopaedics Clinic.
Results: Furthermore, there were no significant differences observed between the groups in terms of fracture type, range of motion, pain and instability in the distal radioulnar joint (DRUJ), grip strength, Visual Analog Scale (VAS) scores, Disabilities of the Arm, Shoulder, and Hand (DASH) scores, as well as Gartland-Werley and Green & O’Brien tests.
Comparison of clinical and radiological parameters between the groups revealed no statistically significant differences.
Discussion: The impact of ulnar styloid fractures on distal radius fractures is not fully illuminated in the literature. While it is claimed that styloid fractures may affect the TFCC and that ulnar-sided pain could be persistent, opposing views suggest that the outcome remains unchanged. In our study, our radiological and functional comparisons also indicated that the result did not change statistically.
In summary, regardless of whether an ulnar styloid fracture accompanies distal radius fractures, it does not appear to significantly impact the outcomes.
Keywords: Distal Radius Fracture, Ulnar Styloid Fracture, Conservative Treatment, Ulna Styloid Fracture
Corresponding Author: Selim Safalı, Department of Orthopedics and Traumatology, Faculty of Medicine, Selcuk University, Konya, Turkey. • E-Mail: selimsafali@gmail.com • P: +90 332 241 50 00 • F: +90 332 241 21 83 • Corresponding Author ORCID ID: https://orcid.org/0000-0001-9010-4169
This study was approved by the Ethics Committee of Selcuk University Faculty of Medicine (Date: 2023-09-15, No: 2023/67)
How to cite this article: Selim Safalı, Fatih Durgut. Comparison of clinical outcomes of conservatively treated type 5 and type 6 fractures in distal radius according to frykman classification. Eu Clin Anal Med 2023;11(Suppl 1):S38-42