Murat Uzel
Kocaeli University, Orthopaedics and Traumatology, Faculty Member
- Hand Surgery / Orthopeadics and Traumatologyedit
We are presenting a prenatally diagnosed case with sirenomelia, vestigial tail and polydactyly. A 30-year-old woman at 16 weeks of gestation with dichorionic twins was admitted to the hospital. Prenatal ultrasound demonstrated fusion of... more
We are presenting a prenatally diagnosed case with sirenomelia, vestigial tail and polydactyly. A 30-year-old woman at 16 weeks of gestation with dichorionic twins was admitted to the hospital. Prenatal ultrasound demonstrated fusion of the lower limbs in one member and normal femurs, tibias and fibulas, and normal vertebras in the second twin, suggesting the diagnosis of sirenomelia. The twins were delivered vaginally at 35 weeks after spontaneous onset of labor. The affected newborn died after 24 hours and postnatal examination revealed unseparated lower limbs with extreme retroversion, bilateral pes equinus, unilateral postaxial polydactyly, a vestigial tail on the sacral region, a large and wide penis and anal atresia. There is only one previous report of sirenomelia with vestigial tail in the literature. However, a large, wide penis and polydactyly have not been reported before in association with this anomaly.
Research Interests: Philosophy, Medicine, Genetic counseling, Anatomy, Pregnancy, and 9 moreHumans, Female, Male, Ectromelia, Penis, Polydactyly, Adult, Sacrum, and anal atresia
We report here a case with microcephaly, preauricular pits, cleft lip-palate, hypertelorism, multiple frenula and preaxial polydactyly. The clinical picture overlaps with many syndromes, but it is mostly consistent with... more
We report here a case with microcephaly, preauricular pits, cleft lip-palate, hypertelorism, multiple frenula and preaxial polydactyly. The clinical picture overlaps with many syndromes, but it is mostly consistent with oral-facial-digital syndrome, Gabrielli type. There are no previously reported cases of this syndrome presenting also with microcephaly. On the other hand, it is hard to differentiate this clinical picture from Goldenhar syndrome (Oculo-auriculo-vertebral spectrum), and oculo-auriculo-fronto-nasal syndrome because of many overlapping features.
Research Interests:
Research Interests:
Research Interests:
Research Interests:
OBJECTIVE The aim of this study was to analyze the effect of dexketoprofen trometamol, a non-steroidal anti-inflammatory drug, on fracture healing. METHODS Closed tibia fracture was created in the right tibia of 60 male Wistar albino... more
OBJECTIVE The aim of this study was to analyze the effect of dexketoprofen trometamol, a non-steroidal anti-inflammatory drug, on fracture healing. METHODS Closed tibia fracture was created in the right tibia of 60 male Wistar albino rats. Fixation was achieved by closed reduction and 0.5 mm intramedullary nails. Intramuscular dexketoprofen trometamol was administered at a dose of 5 mg/kg daily to the 30 rats in the study group. Rats were sacrificed in groups of 10 at the 2nd, 4th, and 6th weeks following the fracture. Fracture healing was compared mechanically, radiologically, and histopathologically between the groups. RESULTS There was no statistically significant difference between the study and control groups in terms of mean values of radiological or histopathological scores at the 2nd, 4th and 6th weeks (p>0.05). Biomechanical evaluation could not be conducted in all rats in the study and control groups at the 2nd week due to early stage fracture healing. Mean biomechanical examination values were not statistically significant at the 4th and 6th weeks between the study and control groups (p>0.05). CONCLUSION No radiological, biomechanical, and histological effects were detected in the healing of closed fractures of the tibia fixed with intramedullary nail with the long-term use of dexketoprofen trometamol. Dexketoprofen trometamol may be used in patients undergoing surgical fixation for traumatic fractures, taking into account other drugs administered together.
Research Interests:
Objectives: It is of special importance to educate families and health care providers, in particular midwives and nurses who are in close and frequent contact with families, for the prevention and early diagnosis of developmental... more
Objectives: It is of special importance to educate families and health care providers, in particular midwives and nurses who are in close and frequent contact with families, for the prevention and early diagnosis of developmental dysplasia of the hip (DDH). A knowledge and attitude study was conducted concerning DDH among students of Nursing and Midwifery College of Kahramanmaraş Sütçü Imam University. Methods: A structured form was prepared consisting of 28 statements about medical and practical knowledge and traditional attitudes with regard to DDH and was administered to 232 voluntary students before and after an educational session of 60 minutes by a specialist in orthopedics. Prior to the study, the students of grade I and II had not received any theoretical or practical lectures about DDH, which were included in the curriculum of grades III and IV. Results: The knowledge of the students about risk factors and prevention strategies for DDH was of a moderate level. They were not sufficiently furnished with information about traditional attitudes and applications that predispose infants to DDH. The mean test scores before and after training were 51.52+/-13.90 and 87.86+/-5.90, respectively (p=0.000). Compared to grade III and IV students, grade I students performed significantly less in the former test (p=0.00); however, the scores of the latter test did not differ significantly between the grades (p>0.05). Conclusion: The curriculum during the license education of midwives and nurses should include essential information on traditional attitudes. With sufficient knowledge and application skills, midwives and nurses may play an important role in the primary and secondary prevention of DDH in our country.
Research Interests:
Objective: For the prevention and early diagnosis of developmental dysplasia of the hip (DDH), a detailed clinical screening of the newborn performed by a primary care (PC) physician is recommended as a standard practice throughout the... more
Objective: For the prevention and early diagnosis of developmental dysplasia of the hip (DDH), a detailed clinical screening of the newborn performed by a primary care (PC) physician is recommended as a standard practice throughout the most western countries. We aimed to determine the knowledge and attitudes of the PC physicians towards DDH, and to develop further educational and training programs, according to the results obtained from the study. Methods: The study was a pre- and post- test with a cross-sectional design. In winter of 2005, the participants included 102 PC physicians from 20 primary health care centers in Kahramanmaras, Turkey. A structured questionnaire was prepared consisting of 28 statements on medical, practical, and traditional knowledge and attitudes concerning DDH. Results: There was a significant difference between the pre-test (71.47 +/- 9.92) and post-test scores (78.85 +/- 12.86) of participants (p=0.000). Of the participants, 83 (81.4%) before, and 93 (91.2%) after the lecture, thought that DDH is a preventable disease. Prior to the lecture, only 27.5% of the physicians were aware of the wrong traditional attitudes that are considered as risk factors for DDH. Conclusion: The knowledge and attitudes of PC physicians on DDH needs to be improved by providing continuous education programmes.
Research Interests:
Achondrogenesis which can cause intrauterine bone fractures and accompanied fatal courses were discussed by literatures. Achondrogenesis is a rare congenital syndrome characterized by extreme micromelia, short trunk, and a... more
Achondrogenesis which can cause intrauterine bone fractures and accompanied fatal courses were discussed by literatures. Achondrogenesis is a rare congenital syndrome characterized by extreme micromelia, short trunk, and a disproportionately large cranium and inherited with an autosomal recessive pattern. We present a case, after his birth, in a patient who was referred to our department due to dyspnea, abnormal findings (extreme micromelia, short trunk, intrauterine bone fracture, and a disproportionately large cranium) in his clinical and radiologically examination, achondrogenesis type 1A was diagnosed clinically and radiologically. Achondrogenesis is inherited autosomal recessive pattern and lethal diseases. So; family history and prenatal diagnosis is very important in achondrogenesis. Key words: Achondrogenesis, Intrauterine bone fracture, Skeletal dysplasia
Research Interests:
Research Interests:
In this case report, the use of middle phalanx of index finger for reconstruction bone defect of the first metacarpal is described. The reasons for this kind of usage and 1-year follow-up of the patient are discussed. During the... more
In this case report, the use of middle phalanx of index finger for reconstruction bone defect of the first metacarpal is described. The reasons for this kind of usage and 1-year follow-up of the patient are discussed. During the follow-up, a pseudoarthrosis was observed in the repaired first ray. And this may be considered as a useful complication, when there is stiffness in the carpometacarpal joint. It may be a result of a stiff joint or vice versa.
Research Interests:
Research Interests:
Research Interests:
The human foot occasionally has anomalous muscles, both extrinsic (originating from the leg and inserting on the foot) and intrinsic (both origin and insertion in the foot). The only intrinsic muscular structure in the dorsal foot is the... more
The human foot occasionally has anomalous muscles, both extrinsic (originating from the leg and inserting on the foot) and intrinsic (both origin and insertion in the foot). The only intrinsic muscular structure in the dorsal foot is the extensor digitorum brevis (EDB) muscle, which usually has four tendons; the first tendon is the extensor hallucis brevis (EHB). Many variations of the EDB muscle have been described.8 An anomalous muscle unlike those described in the literature was found in the dorsomedial aspect of the foot of a 7-yearold boy during surgery for excision of a mass.
Research Interests:
Improved technology and the development of high-resolution transducers have made sonography of the structures of the musculoskeletal system possible. Sonography has several inherent advantages: it is relatively inexpensive, allows... more
Improved technology and the development of high-resolution transducers have made sonography of the structures of the musculoskeletal system possible. Sonography has several inherent advantages: it is relatively inexpensive, allows comparison with opposite normal side, uses no radiation and can be performed at bedside or in the operating room, if necessary. it is important to keep in mind that sonography is readily accepted by patients, non-invasive and as efficacious as the other diagnostic imaging systems. In this article, we reviewed the application of sonography for evaluation of septic arthritis of the knee joint which is of clinical importance and frequently encountered as a disease of the musculoskeletal system. In our study on 12 patients between the years 1990-1991 in the 2nd clinic of orthopaedics and traumatology of Kartal State Hospital we found it very useful in the diagnosis, differantial diagnosis, treatment and observation.
Research Interests:
Research Interests: Medicine and Anesthesia
Research Interests:
Research Interests:
Research Interests:
Research Interests:
... Acknowledgments The authors are very grateful to Mustafa Celik, MD, for production of Figure 1. REFERENCES ... Foot Ankle 1988;9:130-4. 12. Yosunkaya M, Gülsen M, Tan I, Bayram H, Baytok G. Tırnak batması ve cerrahi tedavisi. Acta... more
... Acknowledgments The authors are very grateful to Mustafa Celik, MD, for production of Figure 1. REFERENCES ... Foot Ankle 1988;9:130-4. 12. Yosunkaya M, Gülsen M, Tan I, Bayram H, Baytok G. Tırnak batması ve cerrahi tedavisi. Acta Orthop Traum Turc 1991;25:156-7. 13. ...
Research Interests:
We described a fetus who is delivered at 32.weeks of gestation by elective cesarian because of the fetal anhydria and unilateral hydronephrosis.A breech coming,1950 gr, 44 cm a newborn was delivered with multiple malformations and... more
We described a fetus who is delivered at 32.weeks of gestation by elective cesarian because of the fetal anhydria and unilateral hydronephrosis.A breech coming,1950 gr, 44 cm a newborn was delivered with multiple malformations and postpartum he didn't cry and siyanosis was appeared. After first interventions the newborns respiration didn't start and bradicardy occured. For this reasons entubation was needed but several trials concluded with lack of success. There was no response to resuscitation and newborn was accepted dead. The first physical examination of the newborn,tracheal atresia, webs, left microophthalmy, bilateral corneal opaque points, bilateral finger and toes syndactyly, hypospadias, low set ears were determined. Postpartum, by our first physical examination we determined bilateral finger and toes syndactylies, laryngeal atresia, hypospadias, micreophthalmia, development abnormality of right palpeprally, absence of the eyelash at the medially part of the right palpepra and there is a adherance between the palpepra and cornea, broad nose with low nasal bridge and the left corneal opasity. These and postmortem autopsy findings confirmed the diagnosis of Fraser syndrome.In this report we will focus on postpartum examinations of severe olygohidroamnios in families even if hiperechogenic lungs, previously similarly affected children.
Research Interests:
Bu makalede aynı aileden iki kardeş te görülen konjenital. iki taraflı , posterjor radius başı çıkığı olgusu; muayene bulguları , klinik ve radyolojik görünüm ve aile ağacı sunularak ve bu konudaki literatür gözden geçirilerek tartı ş... more
Bu makalede aynı aileden iki kardeş te görülen konjenital. iki taraflı , posterjor radius başı çıkığı olgusu; muayene bulguları , klinik ve radyolojik görünüm ve aile ağacı sunularak ve bu konudaki literatür gözden geçirilerek tartı ş ılmıştır. Anahtar Kelime/er. Ai/esel. iki taraf/ı. Radius Başı Çıkığı FAMILIAL, CONGENITAL RADIAL HEAD DISLOCATION In this article two cases of bilateral, congenitaı, posterior dislocation of the radial head in same family were discussed. The findings of clinical and radiological examinations and the pedigree of their familyare presented and discusscd with related litcrature. Konjenital radius başı çık.ığı, humerus alt ucundaki gelişim yetersizliği ve bunun sonucu ortaya çıkan radius başı ve uInada görülen uyumsal değişikliklerle karakterize bir anomalidirı. Dirsek bölgesinin en sık rastlanan konjenital anomalisi olup görülme sıklığı %0,15 olarak bildirilmiştir 2) Bunların arasında ailevi olgular oldukça nadirdir l ,4,S. Ülkemizde bu anomali ile ilgili...
We report here a case with microcephaly, preauricular pits, cleft lip-palate, hypertelorism, multiple frenula and preaxial polydactyly. The clinical picture overlaps with many syndromes, but it is mostly consistent with... more
We report here a case with microcephaly, preauricular pits, cleft lip-palate, hypertelorism, multiple frenula and preaxial polydactyly. The clinical picture overlaps with many syndromes, but it is mostly consistent with oral-facial-digital syndrome, Gabrielli type. There are no previously reported cases of this syndrome presenting also with microcephaly. On the other hand, it is hard to differentiate this clinical picture from Goldenhar syndrome (Oculo-auriculo-vertebral spectrum), and oculo-auriculo-fronto-nasal syndrome because of many overlapping features.
Research Interests:
Research Interests:
Research Interests: Medicine and The Internet
Research Interests:
Isolated coracoid fractures (ICFs) are rare and the management is controversial. In this article, we report a displaced ICF, treated con- servatively with success. A 12-year-old male patient presented with mild pain in his right shoulder... more
Isolated coracoid fractures (ICFs) are rare and the management is controversial. In this article, we report a displaced ICF, treated con- servatively with success. A 12-year-old male patient presented with mild pain in his right shoulder after simple fall. Physical examina- tion was normal except mild tenderness on the coracoid process and mildly limited active shoulder motion. Plain radiographs did not demonstrate any apparent finding of pathology. Computed tomography (CT) images revealed isolated coracoid mid-process fracture with displacement. Significant symptomatic relief as well as sufficient callus formation, confirmed by follow-up CT exami- nation, was achieved after Velpeau sling use for four weeks. After a follow-up duration of 14 months, excellent clinical and radiologic outcomes were accomplished. The result of this case supports the efficiency of conservative treatment for ICFs in adolescents, even in the presence of considerable fracture displacement. Computed tomograp...
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
For the prevention and early diagnosis of developmental dysplasia of the hip (DDH), a detailed clinical screening of the newborn performed by a primary care (PC) physician is recommended as a standard practice throughout the most western... more
For the prevention and early diagnosis of developmental dysplasia of the hip (DDH), a detailed clinical screening of the newborn performed by a primary care (PC) physician is recommended as a standard practice throughout the most western countries. We aimed to determine the knowledge and attitudes of the PC physicians towards DDH, and to develop further educational and training programs, according to the results obtained from the study. The study was a pre- and post- test with a cross-sectional design. In winter of 2005, the participants included 102 PC physicians from 20 primary health care centers in Kahramanmaras, Turkey. A structured questionnaire was prepared consisting of 28 statements on medical, practical, and traditional knowledge and attitudes concerning DDH. There was a significant difference between the pre-test (71.47 +/- 9.92) and post-test scores (78.85 +/- 12.86) of participants (p=0.000). Of the participants, 83 (81.4%) before, and 93 (91.2%) after the lecture, thou...
Research Interests:
Ball-and-socket deformity of the ankle joint is a rare entity that is usually associated with inequality of leg length, fibular hypoplasia, coalition of the tarsal bones, and ray deficiency. This deformity was encountered in a... more
Ball-and-socket deformity of the ankle joint is a rare entity that is usually associated with inequality of leg length, fibular hypoplasia, coalition of the tarsal bones, and ray deficiency. This deformity was encountered in a nine-year-old girl with a short right limb, cavovarus foot, partial fusion of the 4th and 5th metatarsals, and talocalcaneonavicular coalition. No surgical intervention was necessary; the patient was recommended to wear a high-heeled shoe of 2.5 cm thickness to compensate for the difference in the leg length.
Research Interests: Medicine, Shoes, Humans, Child, Female, and 3 moreDifferential Diagnosis, Clinical Sciences, and Ankle Joint
Objectives: It is of special importance to educate families and health care providers, in particular midwives and nurses who are in close and frequent contact with families, for the prevention and early diagnosis of developmental... more
Objectives: It is of special importance to educate families and health care providers, in particular midwives and nurses who are in close and frequent contact with families, for the prevention and early diagnosis of developmental dysplasia of the hip (DDH). A knowledge and attitude study was conducted concerning DDH among students of Nursing and Midwifery College of Kahramanmaraş Sütçü Imam University. Methods: A structured form was prepared consisting of 28 statements about medical and practical knowledge and traditional attitudes with regard to DDH and was administered to 232 voluntary students before and after an educational session of 60 minutes by a specialist in orthopedics. Prior to the study, the students of grade I and II had not received any theoretical or practical lectures about DDH, which were included in the curriculum of grades III and IV. Results: The knowledge of the students about risk factors and prevention strategies for DDH was of a moderate level. They were not sufficiently furnished with information about traditional attitudes and applications that predispose infants to DDH. The mean test scores before and after training were 51.52+/-13.90 and 87.86+/-5.90, respectively (p=0.000). Compared to grade III and IV students, grade I students performed significantly less in the former test (p=0.00); however, the scores of the latter test did not differ significantly between the grades (p>0.05). Conclusion: The curriculum during the license education of midwives and nurses should include essential information on traditional attitudes. With sufficient knowledge and application skills, midwives and nurses may play an important role in the primary and secondary prevention of DDH in our country.
Research Interests:
An intraosseous ganglion of the lunate treated operatively, is reported. The patient suffered 2 years of pain in the left wrist and a cystic lesion in the lunate. Curettage and bone grafting resulted in complete relief of pain.