Browsing by Author "Tuncay, I"

Now showing 1 - 6 of 6

About the Paper "elephantiasis Neuro-Matosa and Becker's Melanosis" (J Dermatol, 26: 396-398, 1999)
(Japanese dermatolgical Assoc, 2001) Metin, A; Tuncay, I; Ugras, S
Comparing Open Surgery With Endoscopic Releasing in the Treatment of Carpal Tunnel Syndrome
(Georg Thieme verlag Kg, 2002) Kiymaz, N; Cirak, B; Tuncay, I; Demir, Ö
Aim: The aim of this study is to retrospectively assess the complications and result of cases that underwent open surgery or endoscopic releasing for carpel tunnel syndrome. Method: A total of 50 cases of carpel tunnel syndrome, 30 of whom underwent endoscopic release using the biportal extra-bursal technique described by Chow, and the other 20 that underwent open surgery were included in the study. Average age of the cases was 41 (24-62),44 of them were females and 6 males. Results: Follow-up examinations of the patients at the first and third month after operation revealed no limitation of activity in 40 (80%) cases, minimal limitation in 4 (8%), moderate limitation in 5 (10%) and significant limitation in 1 (2%). Among the group that underwent endoscopic release, as a major complication, the median nerve was almost totally cut in a patient under-going endoscopic release. During the same operation setting perifascicular neurorrhaphy was done. Fourth and fifth digital nerve lesions occurred in three cases. Among the group that underwent open surgery fourth and fifth digital nerve injury occurred in one case, and in another case severe inflammation requiring reoperation occurred. Conclusion: Before intervention, cases of carpal tunnel syndrome should be examined well as regards which technique to use. Experience of the surgeon with the technique to be used should also be taken into consideration. Endoscopic carpal tunnel releasing, though a relatively easier procedure, leads to neurovascular injuries more frequently than open surgery; thus open surgery appears to be safer.
Entrapment of the Sensory Branch of the Radial Nerve (wartenberg's Syndrome): an Unusual Cause
(Tohoku Univ Medical Press, 2001) Tosun, N; Tuncay, I; Akpinar, F
Isolated neuropathy of the cutaneous branch of the radial nerve is a rarely recognized pathology. It was described in 1932 by Wartenberg, who suggested the name cheiralgia paraesthetica. The syndrome is described as known the entrapment of the superficial branch of the radial nerve. Many different etiologic factors for chronic nerve entrapment have been described, however our case has an unusual cause. A 52 year old man had pain and paresthesia in the area over the lateral aspect of the wrist, thumb and first web six months after Colles' fracture. The patient underwent bony spike resection after fi re months with ineffective conservative treatment. He has satisfied after this operation. The case was presented because of disappearing his preoperative complaints after the operation with respect to Wartenberg's syndrome constituted a rare cause of bone spike which has not been mentioned in the literature.
Morphologic Evaluation of the Ulna
(Taylor & Francis As, 2003) Akpinar, F; Aydinlioglu, A; Tosun, N; Tuncay, I
Intramedullary ulnar nailing may be technically difficult. We used various methods and measurements to determine the ideal nail entry point and the shape, length, diameter and curvature of the medullary canal in 44 human cadaver ulnas. We found that the ideal nail entry point was, on average, 7 mm proximal and 3 mm lateral to the most prominent area of the olecranon. A nail of 3 mm diameter could easily be inserted through a hole at the proximal-lateral side of the most prominent part of the olecranon, but only 20% of all nails could be easily inserted through a hole in the middle of the olecranon. We found that correct selection of a nail of proper length and diameter, as well as an ideal nail entry point on the olecranon are essential to successful nailing.
A Morphometric Study on the Humerus for Intramedullary Fixation
(Tohoku Univ Medical Press, 2003) Akpinar, F; Aydinlioglu, A; Tosun, N; Dogun, A; Tuncay, I; Ünal, Ö
In recent years, the popularity of intramedullary humeral nailing is on the rise in spite of its handicaps. There are many problems in intramedullary humeral. stabilization because of the anatomic structure of the bone. We performed various methods and measurements to determine shape, length and diameter and curvature of the medullary canal of the humerus in 57 human dry cadaver bones. Anterior angulation with an average of 21 cm apart from greater tubercle was found at 1/3 distal part. Mean degree of angulation was 9degrees (max: 15, minutes: 5, S.D.: 2.84). Humerus bones with septal aperture (supratrochlear foramen) at the fossa coronoidea were observed to have very narrow medullary canal. The best point for nail insertion was found to be an area on the line from greater tubercle anteromedially to caput humeri. This study revealed that carefully evaluated structure of humeral medullary canal and various congenital constructions such as septal aperture, and correct selection of a nail with proper length and diameter are essential for successful nailing.
Total Bilateral Carpal Coalition With Carpometacarpal Fusion: One Case
(Masson Editeur, 2001) Tuncay, I; Akpinar, F; Unal, O; Aydinlioglu, A
Carpal coalition may involve more than two carpal bones wich is more common when coalition occurs as part of a syndrome of congenital malformations. We describe an unusual case of congenital complete entire carpal coalition with massive carpometacarpal coalition except the first carpometacarpal joint and abnormal distal radioulnar joint bilaterally. In addition, radiocarpal joint surfaces were slightly irregular but compatible. There were abnormal distal radioulnar joints and ulnar styloids articulated with the ulnar side of the lunate of the both wrists.