BackgroundThis study investigated the presence of bursitis in the medial compartment of the knee (pes anserine, semimembranosus-tibial collateral ligament, and medial collateral ligament bursa) in osteoarthritis, chondromalacia patella and medial meniscal tears.Patients and methodsRadiological findings of 100 patients undergoing magnetic resonance imaging with a preliminary diagnosis of knee pain were retrospectively evaluated by two radiologists. The first radiologist assessed all patients in terms of osteoarthritis, chondromalacia patella and medial meniscal tear. The second radiologist was blinded to these results and assessed the presence of bursitis in all patients.ResultsMild osteoarthritis (grade I and II) was determined in 55 patients and severe osteoarthritis (grade III and IV) in 45 cases. At retropatellar cartilage evaluation, 25 patients were assessed as normal, while 29 patients were diagnosed with mild chondromalacia patella (grade I and II) and 46 with severe chondromalacia patella (grade III and IV). Medial meniscus tear was determined in 51 patients. Severe osteoarthritis and chondromalacia patella were positively correlated with meniscal tear (p < 0.001 and p = 0.018, respectively). Significant correlation was observed between medial meniscal tear and bursitis in the medial compartment (p = 0.038). Presence of medial periarticular bursitis was positively correlated with severity of osteoarthritis but exhibited no correlation with chondromalacia patella (p = 0.023 and p = 0.479, respectively). Evaluation of lateral compartment bursae revealed lateral collateral ligament bursitis in 2 patients and iliotibial bursitis in 5 patients.ConclusionsWe observed a greater prevalence of bursitis in the medial compartment of the knee in patients with severe osteoarthritis and medial meniscus tear.

Objectives: This study aims to investigate the prevalence, etiology, and risk factors of cervicogenic dizziness in patients with neck pain. Patients and methods: Between June 2016 and April 2018, a total of 2,361 patients (526 males, 1,835 females; mean age: 45.0±13.3 years; range, 18 to 75 years) who presented with the complaint of neck pain lasting for at least one month were included in this prospective, cross-sectional study. Data including concomitant dizziness, severity, and quality of life (QoL) impact of vertigo (via Numeric Dizziness Scale [NDS]), QoL (via Dizziness Handicap Inventory [DHI]), mobility (via Timed Up-and-Go [TUG] test), balance performance [via Berg Balance Scale [BBS]), and emotional status (via Hospital Anxiety- Depression Scale [HADS]) were recorded. Results: Dizziness was evident in 40.1% of the patients. Myofascial pain syndrome (MPS) was the most common etiology for neck pain (58.5%) and accompanied with cervicogenic dizziness in 59.7% of the patients. Female versus male sex (odds ratio [OR]: 1.641, 95% CI: 1.241 to 2.171, p=0.001), housewifery versus other occupations (OR: 1.285, 95% CI: 1.006 to 1.642, p=0.045), and lower versus higher education (OR: 1.649-2.564, p<0.001) significantly predicted the increased risk of dizziness in neck pain patients. Patient with dizziness due to MPS had lower dizziness severity scores (p=0.034) and milder impact of dizziness on QoL (p=0.005), lower DHI scores (p=0.004), shorter time to complete the TUG test (p=0.001) and higher BBS scores (p=0.001). Conclusion: Our findings suggest a significant impact of biopsychosocial factors on the likelihood and severity of dizziness and association of dizziness due to MPS with better clinical status.

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Amaç: Çalışmamızın amacı Fibromiyalji sendromlu (FMS) kadın hastalarda başta provoke vulvodini (PVD) olmak üzere genital kaynaklı ağrıları araştırmak, PVD ile pelvik taban kas fonksiyonları arasındaki ilişkiyi ortaya koymak ve hastaların seksüel fonksiyonlarını değerlendirmektir. Gereç ve Yöntem: Çalışmamıza FMS tanısı alan ve henüz tedavi başlanmamış, cinsel olarak aktif, 24 kadın hasta ve 24 kontrol olgusu kabul edildi. Disparoni ve dismenore şiddeti visual analog skala ile, PVD vulvanın pamuklu çubuk muayenesi ile, cinsel fonksiyonlar Kadın Cinsel İşlev Ölçeği (FSFI) ile değerlendirildi. İlaveten pelvik taban kasları Brink skorlaması kullanılarak derecelendirildi. Bulgular: Hastalarda menstrüel dönemdeki ağrı ve disparoni şiddeti ortalamaları kontrol grubuna göre anlamlı olarak yüksek bulundu (p=0,003, p=0,006). Hasta ve kontrol grubu arasında pamuklu çubuk muayenesinde vulvar ağrı ve toplam Brink skorları açısından belirgin farklılık mevcuttu (her ikisi de p<0,001). FSFI skoru kontrol grubunda hasta grubuna göre daha düşüktü (p=0,001). Pamuklu çubuk muayenesi sonucu ile Brink skoru arasında negatif yönde güçlü bir korelasyon saptandı (p<0,001, r=-0,575). Sonuç: Çalışmamızın sonuçları FMS hastalarında dismenore, disparoni ve PVD'nin kontrol grubuna göre anlamlı oranda daha fazla olduğunu gösterdi. FMS hastalarında pelvik taban kas fonksiyonları etkilenmişti ve PVD ile pelvik taban kas fonksiyonları yakından ilişkiliydi. Anahtar kelimeler: Fibromiyalji sendromu, provoke vulvodini, pelvik taban kas fonksiyonları

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