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Öğe Analysis of Spinal Posture With Three-Dimensional Ultrasonic System in Patients With Ankylosing Spondylitis(Turkish League Against Rheumatism, 2019) Kurtoglu, Hakan Sercan; Tuna, Filiz; Tuna, Hakan; Ulucam, Enis; Tastekin, Nurettin; Birtane, MuratObjectives: This study aims to investigate the relationship between postural changes detected in ankylosing spondylitis (AS) vertebrae and clinical and demographic characteristics of patients using a three-dimensional ultrasonic system. Patients and methods: A total of 44 AS patients (36 males, 8 females; mean age 39.1 +/- 9.8 years; range, 18 to 63 years) and 44 healthy volunteers (36 males, 8 females; mean age 38.4 +/- 9.4 years; range, 18 to 65 years) were included. Clinical, demographic, and laboratory data were recorded. Spinal posture analysis was performed using a Zebris CMS20 three-dimensional ultrasonic system. Results: Thoracic kyphosis angle was significantly higher in the AS group (45.4 +/- 12.8 degrees) than in the control group (36.9 +/- 7.7 degrees) (p=0.001). Lumbar lordosis angle was significantly lower in the AS group (20.7 +/- 10.6 degrees) than in the control group (28 +/- 8.2 degrees) (p=0.002). There were no significant differences in total trunk inclination or sacral angles (p>0.05). Increase in thoracolumbar length at maximum spinal flexion and decrease in thoracolumbar length at maximum spinal extension were significantly lower in the AS group (p<0.05). A negative correlation was found between the thoracic kyphosis angle and length increase in spine flexure as well as chest expansion. Thoracic kyphosis angle had a statistically significantly positive correlation with age at onset of symptoms and tragus-wall distance (p<0.05). Conclusion: Significant changes were observed in spinal posture in patients with AS. In addition, significant correlations were found between dynamic postural changes and spinal mobility. We think that postural evaluation and follow-up should be carried out with other parameters. Awareness of AS patients about postural changes should be increased, and proper exercise treatment should be applied.Öğe Characteristics of Patients With Rheumatoid Arthritis in Turkey: Results From the Turkish League Against Rheumatism Rheumatoid Arthritis Registry(Turkish League Against Rheumatism, 2015) Bal, Ajda; Ataman, Sebnem; Bodur, Hatice; Rezvani, Aylin; Paker, Nurdan; Tastekin, Nurettin; Karatepe, Altinay GokselObjectives: This study investigates the demographic and clinical characteristics of patients with rheumatoid arthritis (RA) in Turkey, and attempts to identify strategies for the prevention, treatment, and support of RA. Patients and methods: A total of 2,359 patients (1,966 females, 393 males; mean age 51.6 +/- 12.5 years; range 18 to 75 years) with RA from 36 centers across Turkey, who were recorded in the Turkish League Against Rheumatism (TLAR) RA Registry between September 2007 and March 2011, were evaluated. Patients' demographic and clinical data were recorded. Disease activity, functional status, and radiographic damage were measured using the Disease Activity Score 28, the Health Assessment Questionnaire, and van der Heijde modified Sharp scoring method. Results: The mean duration of academic education received was 5.2 +/- 3.8 years, and 74.6% of the patients were homemakers. Non-biological disease-modifying anti-rheumatic drugs were used by 91.0% of the patients, while 10.2% used biological disease-modifying anti-rheumatic drugs. The mean Disease Activity Score 28, Health Assessment Questionnaire, and Sharp scores were 4.0 +/- 1.4, 0.38 +/- 0.37, and 31.2 +/- 57.1, respectively. Of the patients, 17.8% were in remission and 14.1% had low disease activity rates, while 42.7% and 25.5% had moderate and high disease activity rates. Conclusion: The majority of patients with RA in Turkey are middle-aged homemakers. Despite the high rates of disease-modifying anti-rheumatic drugs use, the majority of patients had moderate and high disease activity. These findings indicate that treatment needs of RA patients are not met sufficiently.Öğe Comparison of the Short-Term Efficacy of Physical Therapy in Subacromial Impingement Syndrome Patients with Stage I and II Magnetic Resonance Imaging Findings(Turkish League Against Rheumatism, 2011) Hakguder, Aral; Tastekin, Nurettin; Birtane, Murat; Uzunca, Kaan; Zateri, Coskun; Sut, NecdetObjectives: In this study, we compared the efficacy of a combined physical therapy program between stage I and II subacromial impingement syndrome patients. Patients and methods: Forty-three patients with subacromial impingement syndrome assessed as stage I and II according to the magnetic resonance imaging (MRI) findings were included in the study. Constant's and University of California Los Angeles Shoulder Scales were used to evaluate pain and function. Pain levels at rest, during motion and while asleep were also scored by visual analog scale before treatment, after treatment and at one month after treatment. Improvements within and between the groups were assessed. A physical therapy program consisting of ultrasound, superficial heat therapy and transcutaneous electrical nerve stimulation modalities combined with an appropriate exercise program was applied to both groups during half monthly sessions. Results: The between-groups comparisons performed after treatment and during follow-up revealed no significant difference in terms of the outcome measures assessed. Conclusion: Stage II patients responded to the physical therapy program as well as patients with stage I MRI findings.Öğe Concomitance of Ankylosing Spondylitis and Multiple Sclerosis: A Case Report(Galenos Yayincilik, 2009) Tastekin, Nurettin; Uzunca, Kaan; Celik, Yahya; Kurtoglu, DilekMultiple sclerosis and ankylosing spondylitis are two autoimmune diseases in which genetic and environmental factors play an important role in the etiopathogenesis. It has been shown in various studies that multiple sclerosis may be associated with various autoimmune pathological conditions such as thyroid disease and pernicious anemia. Moreover, other rheumatic diseases such as rheumatoid arthritis and lupus have been reported to be associated with multiple sclerosis. Also concomitant ankylosing spondylitis patients have been observed among reports in the medical literature. In this case report, a male patient, 39 years old, who was diagnosed as having ankylosing spondylitis and multiple sclerosis has been presented. The etiology and therapy approaches of the concomitance of ankylosing spondylitis and multiple sclerosis were discussed in the light of clinical findings of the case. Turk J Phys Med Rehab 2009;55:39-41.Öğe Discriminative Value of Tender Points in Fibromyalgia Syndrome(Wiley-Blackwell Publishing, Inc, 2010) Tastekin, Nurettin; Uzunca, Kaan; Sut, Necdet; Birtane, Murat; Mercimek, Oznur BerkeObjective. The aim of this study is to assess the discriminative value of all tender points, alone and in combination, that are designated as criteria for fibromyalgia diagnosis by the American College of Rheumatology (ACR), by investigating the appropriate pressure magnitude that should be applied during tenderness examination. Design. Cross-sectional. Patients. This study was performed on 66 patients with fibromyalgia diagnosed according to ACR classification criteria and 50 control subjects. Setting. The outpatient rheumatology clinic of a PM&R department of a university hospital. Intervention. Pressure pain threshold values were measured by a dolorimeter on nine specific point pairs in both groups and a cutoff value for discriminating positivity and negativity was calculated for each. Then the most valuable tender point pairs were assessed for discrimination of fibromyalgia syndrome using ACR criteria set as a reference standard. Results. All tender points with determined pressure cutoff values were found out to significantly discriminate fibromyalgia syndrome and their area under curve values ranged from 0.779 to 0.934. Univariate logistic regression analysis revealed that lateral epicondyle and supraspinatus point pairs had the most powerful discriminative ability (odds ratio = 113.6 and 45.0, respectively). Multiple logistic regression analysis with backward stepwise method showed that lateral epicondyle and second rib point pairs were most discriminative with sensitivity and specificity rates of 87.9-94.0% and 77.3-84.0%, respectively. Conclusions. Fibromyalgia syndrome can have potential to be recognized simply by pressing fewer tender point areas but with various pressure cutoff levels identified for each tender point areas.Öğe The Effect of Disease Duration on Foot Plantar Pressure Values in Patients with Type 2 Diabetes Mellitus(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2014) Tuna, Hakan; Birtane, Murat; Guldiken, Sibel; Soysal, Neslihan Atile; Taspinar, Ozgur; Sut, Necdet; Tastekin, NurettinObjective: Diabetic foot problems and consequent ulceration in older patients are a major cause of morbidity and permanent disability. One of the major risk factors for ulceration is foot pressure changes. We, in this study, aimed to identify any relation between disease duration and plantar pressure of patients with type 2 diabetes. Material and Methods: This study was done on 168 feet of 84 diabetic patients. Demographic parameters and body mass index were noted. The patients were allocated according to disease duration as being more (Group 1) or less than 10 years (Group 2). Static and dynamic pedographic evaluation was performed for each of the patients, and results were compared between the groups. Results: The static pedobarographic evaluation revealed significantly higher forefoot plantar force percentage values in the left feet of patients in group 1. We found that peak phalanx pressure was significantly higher in the left foot, while the contact area was lower in the right foot of group 1 patients, by dynamic pedobarographic evaluation. Conclusion: Contact area decreases and peak pressure increases during walking in forefoot after 10 years of disease duration in type 2 diabetic patients.Öğe The effect of magnetic field therapy and electric stimulation on experimental burn healing(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2019) Keskin, Yasar; Tastekin, Nurettin; Kanter, Mehmet; Top, Husamettin; Ozdemir, Ferda; Erboga, Mustafa; Taspinar, OzgurObjectives: : In this study, we aimed to compare morphological and histological differences between magnetic field and electric stimulation therapies in an experimental burn injury model in rats. Materials and methods: Between February 2011 and July 2011, a total of 21 Sprague-Dawley female rats were used in this study. Second-degree burns were induced on the back areas of the rats. All rats were equally divided into three groups including seven in each: the first burn group was treated with antibacterial pomade (Group 1, control group); the second group was treated with both antibacterial pomade and pulsed electromagnetic field therapy (Group 2); and the third group was treated with antibacterial pomade and electric stimulation for 14 days (Group 3). Results: Earlier re-epithelialization, wound area contraction, reduction of edema, and hyperaemia were observed on gross examination in the pulsed electromagnetic fields and electric stimulation therapy groups compared to the control group. Neovascularization, collagen density, granulation tissue formation, cell proliferation, and inflammatory cell response of the pulsed electromagnetic fields and electric stimulation group increased, compared to the control group, in the histopathological evaluation (p<0.05). Conclusion: Our study results showed the positive healing effects of electric stimulation and pulsed electromagnetic fields on burn injury. Pulsed electromagnetic fields therapy produced more positive signs of healing than the electric stimulation group.Öğe Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2015) Kurtoglu, Dilek Kocan; Tastekin, Nurettin; Birtane, Murat; Tabakoglu, Erhan; Sut, NecdetObjective: Chronic obstructive pulmonary disease is a major public health problem. In the present study, we aimed to investigate the possible effects of upper extremity exercises and neuromuscular electrical stimulation therapy applied to auxiliary respiratory muscles on arterial blood gases, blood pressure, heart rate values, and quality of life in patients with chronic obstructive pulmonary disease. Material and Methods: Thirty patients who were diagnosed with stage 4 severe chronic obstructive pulmonary disease by a pulmonologist and who needed intensive care were included in the study. The patients were equally allocated into two groups containing 15 patients each: control and intervention. Both groups were given an unassisted upper extremity exercise program for four weeks, and only one group was given neuromuscular electrical stimulation on auxiliary respiratory muscles for 10 days. Arterial blood gas measurements, peak heart rate, and breathing frequency were recorded. St. George's Respiratory Questionnaire and short form-36 were performed for the evaluation of the quality of life. Functional capacity was determined by functional independent measurement. Evaluations of the patients were performed on the 1st, 8th, 15th, and 30th days of the study. Results: There were statistically significant improvements in peak heart rate, breathing frequency per minute, and functional independency scores in the group where exercise and neuromuscular electrical stimulation had been concomitantly applied (p<0.05). Conclusion: This study revealed positive effects of neuromuscular electrical stimulation in addition with therapeutic exercises on the cardiorespiratory system in the short run.Öğe Effectiveness of pulsed electromagnetic field therapy in lateral epicondylitis(Springer, 2007) Uzunca, Kaan; Birtane, Murat; Tastekin, NurettinWe aimed to investigate the efficacy of pulsed electromagnetic field (PEMF) in lateral epicondylitis comparing the modality with sham PEMF and local steroid injection. Sixty patients with lateral epicondylitis were randomly and equally distributed into three groups as follows: Group I received PEMF, Group II sham PEMF, and Group III a corticosteroid + anesthetic agent injection. Pain levels during rest, activity, nighttime, resisted wrist dorsiflexion, and forearm supination were investigated with visual analog scale (VAS). Pain threshold on elbow was determined with algometer. All patients were evaluated before treatment at the third week and the third month. VAS values during activity and pain levels during resisted wrist dorsiflexion were significantly lower in Group III than Group I at the third week. Group I patients had lower pain during rest, activity and nighttime than Group III at third month. PEMF seems to reduce lateral epicondylitis pain better than sham PEMF. Corticosteroid and anesthetic agent injections can be used in patients for rapid return to activities.Öğe The Effects of Taurine, Melatonin and N-Acetylcystein on Cadmium Exposure Bone Changes The Surprising Effect of Taurine(Gazi Univ, Fac Med, 2020) Tastekin, Nurettin; Aydogdu, Nurettin; Altun, Gulay Durmus; Erbas, Hakan; Uzunca, Kaan; Birtane, Murat; Kaplan, MustafaBackground: Chronic environmental and occupational exposure to cadmium can result in skeletal system changes. The main objective of the present study was to investigate and compare the effects of taurine, melatonin and N-acetyl cysteine on cadmium exposure induced bone density loss. Methods: 90 adult male Sprague-Dawley rats were allocated into four main groups: Group I was the control group; Group II was the cadmium exposure group; Group 3 was cadmium exposure for 3 months + concurrent antioxidant administration group. The concept of Group 4 was cadmium exposure for 3 months + subsequent antioxidant administration. Bone mineral density values were evaluated in all the groups. Serum calcium, phosphorus, alkaline phosphatase (ALP) enzyme activities and 24 hours urine calcium excretion levels were measured. Kruskal-Wallis test was used to compare the all groups. Between two group comparisons, the Mann-Whitney U test was used. Results: There was no significant difference in terms of bone mineral density values only between control group and cadmium exposure group (p 0.05). Mean bone mineral density values obtained in cadmium + concurrent taurine and cadmium + subsequent taurine groups were significantly lower than all the other groups (p<0.05). 24 hours urine calcium excretion levels were significantly higher in groups which taurine and n-asetylcystein were administered after cadmium exposure. Conclusion: Taurine, which is thought to have protective effects as an antioxidant caused a marked bone damage after exposure to cadmium. Further studies are needed to clarify this effect of taurine.Öğe Evaluating Improvement Rates Correctly after Treatment Interventions in Rheumatological Diseases(Turkish League Against Rheumatism, 2013) Tastekin, Nurettin; Birtane, Murat[Abstract Not Available]Öğe The evaluation of quality of life in fibromyalgia syndrome: a comparison with rheumatoid arthritis by using SF-36 Health Survey(Springer London Ltd, 2007) Birtane, Murat; Uzunca, Kaan; Tastekin, Nurettin; Tuna, HakanMusculoskeletal disorders are the most common causes of deterioration in quality of life (QOL). We in this study aimed to assess (1) the impact of fibromyalgia syndrome (FS) on QOL comparing with that of rheumatoid arthritis (RA) patients and control subjects and (2) the impact of these two musculoskeletal disorders on various components of QOL using SF-36 Health Survey. Thirty-five patients with RA, 30 patients with FS, and 30 voluntary control subjects were included in the study. The groups were comparable in terms of demographic characteristics. QOL was evaluated by using Short-Form (SF)-36 Health Survey in all study participants, and Fibromyalgia Impact Questionnaire (FIQ), which is a specific health-status instrument for FS, was used in FS patients. Physical functioning, physical role, social functioning, bodily pain, general health, vitality, emotional role, and mental health scores were significantly lower in RA and FS patients than in control subjects (p < 0.05). The between-groups comparisons revealed that FS patients had significantly lower mental health scores than RA patients (49.87 vs 62.51, respectively), (p < 0.001). Total FIQ score correlated significantly with physical functioning, physical role, and bodily pain in FS patients. All parameters of SF-36 Health Survey except for social functioning correlated significantly with some of the variables of FIQ. FS has a negative impact on QOL, like RA. Furthermore, mental health was more severely affected in FS patients when compared with RA patients.Öğe FREQUENCY OF RESTLESS LEGS SYNDROME IN RHEUMATOID ARTHRITIS(Oxford Univ Press, 2011) Zateri, Coskun; Kilinc, Serdar; Birtane, Murat; Tastekin, Nurettin[Abstract Not Available]Öğe From Pathology to Diagnosis: A Symptom-Free Patient with a Rheumatoid Nodule in the Foot(Turkish League Against Rheumatism, 2012) Tastekin, Ebru; Birtane, Murat; Kilinc, Serdar; Ciftdemir, Mert; Usta, Ufuk; Tastekin, NurettinSubcutaneous rheumatoid nodules (RNs) are most commonly seen superficial soft tissue lesions which occur in 20-30% of patients with rheumatoid arthritis (RA). The foot involvement is rare and only seen in about 1% of all rheumatoid nodules. In this article, we present a 39-year-old female case with a pathologically verified as RN in an uncommon localization with no clear clinical symptoms of RA at onset. The possible role of RNs in early RA was stressed in the patient presenting with inflammatory joint signs in the course of follow-up.Öğe The importance of speckle tracking echocardiography in the evaluation of cardiac functions in patients with rheumatoid arthritis(Turkish League Against Rheumatism, 2024) Ebik, Muserref; Tastekin, Nurettin; Gurdogan, Muhammet; Ebik, Mustafa; Birtane, Murat; Emmungil, Hakan; Yilmazer, BarisObjectives: In this study, we aimed to analyze the layer-specific strain values obtained by speckle tracking echocardiography (STE) method in the determination of subclinical cardiac dysfunction in rheumatoid arthritis (RA) patients. Patients and methods: Between February 2019 and October 2019, a total of 63 female RA patients (mean age: 51.82 +/- 6.07 years; range, 40 and 65 years) who had a confirmed diagnosis were included. Thirty-one age-matched female healthy individuals (mean age: 50.71 +/- 5.37 years; range, 40 and 65 years) were selected as the control group. The patients were divided into three groups according to the duration of disease as <5 years, 5-10 years and >10 years. The Disease Activity Score in 28 joint - C-reactive protein (CRP) was used to determine disease activation. The standard assessment included complete serum CRP, anti-cyclic citrullinated peptide, rheumatoid factor, N-terminal pro B-type natriuretic peptide (NT-proBNP), and homocysteine. Global longitudinal strain (GLS) analysis was performed with STE. Results: The NT-proBNP values were found to be higher in RA patients compared to the control group (p=0.044). In terms of conventional echocardiographic parameters, a significant difference between E/A and E/E' ratios was observed (p<0.001 and p=0.015). Endocardium, transmural, and epicardium GLS values obtained by STE were found to be lower in RA patients (p<0.05). The left ventricular (LV) GLS values worsened, as the duration of disease increased (p<0.05). There was a significant correlation between RA disease activity and LV GLS values, showing that increasing levels of disease activity was associated with worse LV GLS (r=0.583, p<0.01 and r=0.681, p<0.01 and r=0.689, p<0.01 for endocardium, transmural and epicardium, respectively). Conclusion: Our study results suggest that the layer-specific GLS values obtained by STE decrease in RA patients.Öğe The mitral valve prolapse frequency in healthy females with generalized joint hypermobility: A case-control study(Turkish League Against Rheumatism, 2021) Ozdemir, Hande; Tuna, Filiz; Aktoz, Meryem; Tastekin, Nurettin; Kabayel, Derya DemirbagObjectives: The aim of this study was to investigate the frequency of mitral valve prolapse between healthy females with generalized joint hypermobility and healthy controls. Patients and methods: This observational, cross-sectional, controlled study included female individuals with generalized joint hypermobility (n=39, mean age: 20.5 +/- 1.1 years; range, 19 to 23 years) and healthy controls (n=42, mean age: 20.6 +/- 1.2 years; range, 18 to 23 years) between July 2017 and November 2017. The generalized joint hypermobility consisted of women with a Beighton score of <= 4, while the control group consisted of women with a Beighton score of <= 3. Echocardiography was performed to all participants. Mitral valve prolapse was defined as having single or bileaflet prolapse of at least 2 mm beyond the long-axis annular plane with or without mitral leaflet thickening. Results: No significant difference was found in the age, height, body weight, and body mass index between the groups (p>0.05). The median Beighton score was 5 in the generalized joint hypermobility group and 2 in the control group. No mitral valve prolapse was detected in those with generalized joint hypermobility, while non-classical mitral valve prolapse was observed in one participant in the control group, indicating no statistically significant difference between the two groups (p> 0.05). Conclusion: Our study results suggest that the frequency of mitral valve prolapse is comparable between the women with generalized joint hypermobility and healthy controls. Based on these results, routine assessment of mitral valve prolapse is not recommended in this population.Öğe Nephrolithiasis in ankylosing spondylitis and its relationship with disease assessment scales(Kare Publ, 2019) Rezvani, Aylin; Aktas, Ilknur; Tastekin, Nurettin; Celiker, Reyhan; Sarikaya, Selda; Dursun, Erbil; Ozdolap, SenayOBJECTIVE: The aim of this study was to investigate the frequency of renal calculi in patients with ankylosing spondylitis (AS) and to determine its relationship with disease assessment variables. METHODS: The study was designed retrospectively, and it included a cohort of 320 patients with AS diagnosed using the Modified New York Criteria. A total of 119 patients who underwent renal ultrasonography (USG), in who the erythrocyte sedimentation rate, C-reactive protein, blood calcium, phosphorus, Vitamin D, parathormone, and urinary calcium excretion were measured, and who also had lateral cervical and lumbar radiography in the same time period were extracted from the cohort. All patients' demographic characteristics and the results of blood and urine tests were recorded. The Ankylosing Spondylitis Disease Activity Index (BASDAI), Ankylosing Spondylitis Functional Index (BASFI), Ankylosing Spondylitis Mobility Index (BASMI), and Modified Stoke Ankylosing Spondylitis Spinal Score (mSASSS) were evaluated in all patients. RESULTS: Thirteen of the 119 patients had renal calculi confirmed by USG data. The frequency of nephrolithiasis detected by USG was 10.9% in patients with AS. The disease lasted significantly longer in patients with renal calculi ([nephrolithiasis (+): 18.39 +/- 8.72 years; nephrolithiasis (-): 12.02 +/- 8.43 years, p=0.01]). The BASMI total score was significantly higher in the group of patients with renal calculi. There was not any significant difference in terms of blood samples, HLA-B27, BASDAI, BASFI, and mSASSS between groups. CONCLUSION: The frequency of renal stones is increased in patients with AS compared to healthy population. Especially patients who had AS for a long time and higher BASMI values are more susceptible to renal calculi. It is important to point out that the results of this type of studies would be more reliable if the study is conducted on large patient groups and population-based prevalence.Öğe Obesity Associated With Active, But Preserved Joints in Rheumatoid Arthritis: Results From our National Registry(Turkish League Against Rheumatism, 2016) Ayhan, Fikriye Figen; Ataman, Sebnem; Rezvani, Aylin; Paker, Nurdan; Tastekin, Nurettin; Kaya, Taciser; Bodur, HaticeObjectives: This study aims to investigate the prevalence of obesity in patients with rheumatoid arthritis (RA) and associations with disease outcomes. Patients and methods: The study population comprised of 1,038 patients with RA (198 males, 840 females; mean age 56.1 +/- 12.6 years; range 19 to 94 years) who had been included in National RA-Registry. RA disease activity measures, physical function, quality of life, joint destruction, laboratory tests, as well as pain, fatigue, general health, and patient and physician global health assessments on a visual analog scale were collected. Results: Our patients had established RA with mean disease duration of 10.2 +/- 8.8 years and moderate disease activity (disease activity score in 28 joints: mean 3.7 +/- 1.6). According to the body mass index (BMI), 70% of the patients were overweight (n= 362, 34.9%) or obese (n= 364, 35.1%). These patients had higher disease activity scores in 28 joints, visual analog scale-pain and visual analog scale-patient global scores, and higher levels of fasting blood glucose; however, they had lower radiographic scores than normal-BMI patients (p< 0.05). Regression analyses showed that the BMI was independently and inversely associated with disease activity scores in 28 joints and Sharp/van der Heijde scores after the adjustments for biologic and treatment-related factors (p< 0.05). Conclusion: Our findings indicate that obesity is more common in patients with RA than the general population. High disease activity and low radiographic damage were associated with high BMI in this National RA-Registry.Öğe Pelvic Rib: Developmental Anomaly, A Case Report(Aves Yayincilik, Ibrahim Kara, 2008) Tuna, Hakan; Tastekin, Nurettin; Uenlue, Ercuement; Cermik, Tevfik Fikret; Saridogan, KenanPelvic rib is a rare and benign developmental abnormality. It typically appears as a rib or phalanx-like bone in radiological evaluation. Cortical type bone is pronounced in its structure and pseudoarticulation can exist. It is generally asymptomatic and does not require surgical treatment. In differential diagnosis, myositis ossificans and avulsion injury must be ruled out. In our case, this developmental abnormality was identified accidentally by radiographic evaluation of a patient who had trauma. Therefore, pelvic rib should be remembered in differential diagnosis of developmental skeletal abnormalities. (Rheumatism 2008; 23: 151-3)Öğe Plantar Pressure Changes of Patients with Heel Valgus in Rheumatoid Arthritis(Turkish League Against Rheumatism-T L A R, 2009) Tastekin, Nurettin; Tuna, Hakan; Birtane, Murat; Uzunca, KaanObjective: Long-standing rheumatoid arthritis (RA) causes foot problems in approximately 90% of the patients. In this study, we aimed to document the plantar pressure distribution changes in RA patients with heel valgus and to compare results in those without valgus. Material and Methods: This study was performed on 22 feet of 11 RA patients with bilateral heel valgus (Group 1) and 28 feet of 14 RA patients without heel valgus deformity (Group 2). Both static and dynamic pedobarographic evaluations were performed in both groups to determine the plantar pressure values and to make comparisons between the groups. Erosion scores of both groups were also compared. Results: In dynamic pedobarographic evaluation, only the plantar contact area was found to be greater in Group 1 than Group 2. However, in the static evaluation, forefoot pressure percentage, plantar contact area and forefoot plantar contact area values were higher in Group 1 than Group 2. In radiographic evaluation, erosion scores were again found to be higher in Group 1. Conclusion: According to results of the pedobarographic evaluation in this study, heel valgus deformity in the RA patients led to increases in plantar contact area and forefoot pressure percentages. (Turk J Rheumatol 2009; 24: 67-71)
