Objectives: This observational study aimed to investigate the relationship between polypharmacy and the existence of diabetic foot ulcers in patients with type 2 diabetes. Methods: Patients with T2DM with and without diabetic foot ulcers who presented to the endocrinology outpatient clinic between August 2020 and November 2021 were involved in the study. Overall, five hundred and twelve patients with T2DM (293 patients with diabetic foot ulcer and 219 patients without diabetic foot ulcer) were included. The exclusion criteria were pregnancy, lactation, type 1 diabetes, patients under 18 years and over 65 years of age, and history of malignancy. The information of drugs administered, demographic and clinical data were obtained from the patient files. The Wagner score was used to evaluate the severity of ulcers. Results: The comparison of the two groups revealed that patients with diabetic foot ulcers had significantly higher rates of diabetic retinopathy (p = 0.017). The patients with diabetic foot ulcers who had polypharmacy had significantly higher rates of hypertension, ischaemic heart disease, diabetic retinopathy, and complaints of diabetic neuropathy (P < 0.001, P < 0,001, p = 0.021 and P = 0.004, respectively). In the binary logistic regression analyses, polypharmacy was independently associated with diabetic foot ulcers in all models. Conclusion: Polypharmacy should be seriously concerned in type 2 diabetes mellitus in patients with diabetic foot ulcers and polypharmacy was related to diabetic foot ulcers.

Background: Extremity foreign body injuries are common in trauma departments. In this study, we analyzed demographics of these injuries so that prevention ways could be more effective. Materials and Methods: Hospital digital archives were searched between july 2014 and march 2020 retrospectively and 146 patients were included. The demographic information, injury place, injured extremity with side, foreign body type and opacity, presence of infection, type of anesthesia performed, operation time, incision length were recorded. Data was analyzed statistically. Results: The mean age of the patients was 25.9 ± 17.99 (range, 2-78). According to gender and side examination, 90 patients were male and 56 patients were female. Metallic object and bullet injuries were mostly seen in males and needle injuries were mostly seen in females. Injuries caused by metallic objects were significantly more common in the upper extremity (p: 0.001). Glass and needle injuries were seen significantly as indoor injuries; as well as bullet , wooden part and metalic part injuries were seen as outdoor injuries (p

Background: Extremity foreign body traumas are common injuries occurring symptoms after 10 years is a rare entity. We are presenting two cases as an example of this situation. Case Presentation: In the first case, a 30-year-old male patient was admitted to the outpatient clinic with complaints of swelling and pain in the right forearm for 3 weeks. The patient had a history of foreign body injury after punching glass 10 years ago. Physical examination of the patient revealed a 4 cm incision scar in the anteromedial of the right forearm with swelling and tenderness. Radiological evaluation revealed a 3 × 1 cm-sized foreign body resembling a glass fragment. In the second case, a 36-year-old male patient was admitted to the clinic with swelling and pain in the left foot. Examination revealed tenderness in the first webspace. The patient had a history of foot injury with a nail 24 years ago. Both patients had removal surgery and complaints regressed in the postoperative clinical follow-up. Conclusion: In these two foreign body injuries, symptoms that occurred years after injury and removal were necessary. It should be always kept in mind that foreign body injuries might cause late injuries, even years after. Therefore, these injuries should always be on mind.

Giriş: Osteopoikilosis benign, asemptomatik bir hastalıktır ve genellikle tesadüfen teşhis edilir. Uzun kemiklerin periartiküler epifiz ve metafizlerinde dağılım gösteren, simetrik, çok sayıda, iyi sınırlı, oval sklerotik lezyonlarla karakterizedir. Semptomatik hastalarda tedavi genellikle ağrının giderilmesine dayanır. Bu vaka raporu, bu nadir bozukluğun bir örneğini sunmaktadır. Olgu Sunumu: Kişisel, travma veya aile öyküsünde özellik olmayan 24 yaşında erkek hasta, bilateral diz ağrısı nedeniyle ortopedi ve travmatoloji polikliniğine başvurdu. Fizik muayenede spesifik bir bulgu saptanmadı. Ön-arka (AP) ve yan radyografik görüntülerde her iki dizde birkaç sklerotik oval blastik lezyon görüldü. Hastaya osteopoikiloz tanısı kondu ve eklem ağrısı için oral naproksen sodyum reçete edildi. Sonuç: Osteopoikilosis sıklıkla asemptomatik bir kemik displazisidir. Klinik önemi, özellikle osteoblastik metastatik durumlar olmak üzere diğer sklerozan patolojileri ayırt etmesinden kaynaklanmaktadır. Eklem ağrısı en sık görülen semptomdur ve genellikle nonsteroidal antiinflamatuar ilaçlarla iyi bir şekilde tedavi edilir.