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Biomedical subjects

Utku Kandemir

Publications and source records attributed to Utku Kandemir.

3 recordsLinked to original sources

Endoscopic treatment of calcific tendinitis of gluteus medius and minimus.

Calcific tendinitis results from deposition of calcium hydroxyapatite crystals in periarticular muscle attachments. Although involvement of tendons around the hip is not uncommon, gluteus medius and minimus tendons are rarely affected. We present endoscopic treatment of calcific tendonitis of gluteus medius and minimus and associated trochanteric bursitis in a patient with 2-year history of lateral hip pain. This is the first reported case treated using an endoscopic approach, which is effective and minimally invasive.

Bursitis↗

Elbow injuries.

The elbow is a commonly injured joint, yet physicians may be less comfortable treating injuries to the elbow compared with knee and shoulder injuries. Common injuries involving the elbow are tendinosis, instability, tendon ruptures, osteochondritis dissecans, and fractures. Tendinosis is a common overuse injury and may occur on the lateral, medial, or infrequently, the posterior side of the elbow. Injury to the medial or lateral ulnar collateral ligaments may result in instability. Repetitive trauma from overuse is the most common etiologic factor in athletes. Distal biceps and triceps tendon injuries may result in elbow disability in active individuals. Partial tears are more difficult to diagnose than complete ruptures. Osteochondritis dissecans of capitellum affects adolescents involved in overhead throwing athletics. Fractures about the elbow most commonly involve the radial head in adults, and the distal humerus in children. Athletes are prone to elbow injuries resulting from both overuse and acute trauma. Our purpose is to describe the diagnosis and treatment of these common elbow injuries in athletes of all ages.

Adolescent↗

Morphology of the knee in adult patients with neglected developmental dysplasia of the hip.

BACKGROUND: Although there have been numerous studies on the treatment of developmental dysplasia of the hip, few have focused on its natural history into adulthood. We observed valgus deformity of the knee in a group of adult patients with developmental dysplasia of the hip. To the best of our knowledge, there has been no detailed study of that condition. The purpose of this study was to investigate structural changes of the knee in patients with neglected developmental dysplasia of the hip. METHODS: Thirty-four adult patients with neglected developmental dysplasia of the hip and ten healthy adults were evaluated. The lower extremities were grouped according to the severity of the dysplasia. The morphology of the knees was evaluated with radiographic measurements, and the groups were compared. RESULTS: Compared with the control group, the patients with severe developmental dysplasia of the hip had significant valgus deformity of the knee. This finding was associated with an increased vertical dimension of the medial femoral condyle, which led to a valgus inclination of the distal femoral articular surface. Although the femoral sulcus was shallower in the patients with developmental dysplasia of the hip, patellofemoral congruency was not deranged. CONCLUSIONS: The pathologic condition of the hip joint in patients with developmental dysplasia of the hip results in developmental changes in the osseous anatomy of the knee joint, with the development of a valgus deformity of the lower extremity. If any surgical intervention is planned in a patient with developmental dysplasia of the hip, the whole lower extremity should be carefully analyzed, with special attention to the morphology of the knee, to avoid creating problems of malalignment.

Adolescent↗