Clubfoot, a common congenital abnormality, affects the lower extremities; however, the literature search revealed no bibliometric research on this subject. Thus, we aimed to holistically analyze scientific articles and reveal global productivity and trend issues. This study statistically analyzed 1417 published articles on clubfoot (1980–2021) from the Web of Science database. Bibliometric network visualization maps were created to reveal trend topics, citation analysis, and cross-country collaborations. The analysis was conducted using Spearman correlation analysis. An exponential smoothing estimator was used to predict article productivity. The United States of America (433, 30.5%), the United Kingdom (166, 11.7%), and India (107, 7.5%) are the top 3 countries contributing to the literature. The Journal of Pediatric Orthopedics (220 articles), the Journal of Pediatric Orthopedics-Part B (147 articles), and Clinical Orthopedics and Related Research (69 articles) are the top 3 most productive journals. Dobbs MB (34 articles) is the most active author, and Shriners Hospital Children (44 articles) is the most active institution. Bibliometric analysis revealed that recently studied trend topics included Pirani score, Dimeglio score, Ponseti method, Ponseti casting, tenotomy, recurrence, neglected, tendon transfer, bracing, gait, risk factors, pedobarography, complex clubfoot, and polymorphism. The most studied subjects included Ponseti technique, treatment/casting, recurrent/relapsed clubfoot, Pirani score, pediatrics/children, foot deformities, surgery, ultrasound, Achilles tendon/tenotomy, gait analysis, casting, outcomes, neglected clubfoot, and tenotomy. Research leadership was determined in the western and European countries and Canada in studies and scientific collaborations on clubfoot; its impact was remarkable in India, China, and Turkey.
AIM: The aim of this study is to find out if there is a relationship between femoroacetabular syndrome and the risk of hip fractures that have been known with high morbidity and mortality rates. MATERIAL AND METHOD: Between January 1st of 2015 and January 1st of 2020, data of 243 patients with intertrochanteric fracture, 126 patients with femoral neck fracture and 250 trauma patients of over 65 years old that had admitted to our hospital’s emergency department but had no fracture on both pelvis AP x-ray and pelvis CT, were evaluated retrospectively. While central edge angle, acetabular index and singh index were measured on AP x-ray of pelvis, alfa-angle, anterior offset and anterior offset ratio were measured on pelvis CT. RESULTS: No significant differences were found between the groups forming the hip fracture and the control group in terms of gender, age and Singh index, indicating that these factors were homogeneously distributed between the groups and had no effect on the factors investigated (p>0.05). The central edge angle, acetabular index, alpha angle, anterior offset and anterior offset ratio were found to be significantly different (p
Askerlik Başvurusu Yapan Olgularda Ayak Deformiteleri ve Omurga Anomalileri Prevalansı ve İlişkisi: Kesitsel Çalışma Amaç: Askerlik çağındaki erkeklerde pes kavus, planus ve spinal anomalilerin prevalansını ve ilişkisini araştırmak.Amaç: Askerlik çağındaki erkeklerde pes kavus, planus ve spinal anomalilerin prevalansını ve ilişkisini araştırmak. Gereç ve Yöntem: Ocak 2019-Kasım 2019 tarihleri arasında askeri okul sağlık tarama programı için hastaneye başvuran 3524 hasta incelendi. Hastaların tamamı 22-30 yaş arasındaydı. Dışlama kriterleri; ayak ve/veya omurgalara ilişkin travma ve ameliyat öyküsü, sistemik musküler veya nörolojik hastalıklar, inflamatuar hastalıklar. Hastalar, radyolojik olarak; Pes planus, pes kavus deformiteleri, skolyoz, lomberizasyon, sakralizasyon ve spinia bifida deformiteleri açısından değerlendirildi. Ayak ve omurga anomalilerinin ilişkisi incelendi. Olgular Vücut Kitle İndeksine (VKİ) göre gruplara ayırıldı. Ayak ve omurga anomalileri ile VKİ ilişkisi değerlendirildi. Bulgular: Çalışmaya 450 oldu dahil edildi. Ortalama yaş 22,9 ±3,01 olarak bulundu. Ortalama VKİ ise 23,04 ±2,3 olarak bulundu. Hastaların 343’ünün (%80) normal VKİ değerine sahipken 82’sinin (%18,9) fazla kilolu, 3’ünün (%1) ise obez olduğu görüldü. 22 hastada (% 4,9) ayak deformitesi olduğu görüldü (21 hastada pes planus 1 hastada pes kavuş). Omurga deformitesi görülen hasta sayısı ise 82’ydi (%18,2). En sık görülen omurga deformitesi, 32 (%7,1) olgu ile posterior füzyon defektiydi. Hastalarda ayak deformitesi görülme sıklığı, omurga deformitesi görülme sıklığı ilişkisi incelendiğinde gruplar arasında anlamlı fark bulunamadı. (p =0,779) Hastalar VKİ açısından gruplandırıldığında, gruplar arasında anlamlı fark bulunmadı. Sonuç: Hastalarda pes planus görülme sıklığı pes kavus sıklığından daha fazla olduğu görülmüştür. En sık görülen omurga anomalisi posterior füzyon defekti olmuştur. Pes planus veya pes kavus sıklığının omurga anomalileri ile ilişkisi bulunmamıştır Prevalence and Relationship of Foot Deformities and Spinal Anomalies in Army Recruits: Cross-sectional study Aim: To investigate the prevalence and relationship of pes cavus, planus and spinal anomalies in military age males. Material and Methods: 3524 patients which applied to hospital for military school health screening program were recorded between January 2019 and November 2019. All of the patients were between 22 and 30 years old. Exclusion criteria were; trauma and surgery history regarding foot and / or vertebrae, systemic muscular or neurological diseases, inflamatuar diseases. Patients were radiologically evaluated for pes planus, pes cavus deformities and scoliosis, lumbarization, sacralization and spina bifida anomalies. The relationship between foot deformities and spine anomalies was examined. Cases were divided into groups according to Body Mass Index (BMI). The relationship between foot and spine anomalies and BMI was also evaluated. Results: 450 patients were included in the study. The mean age was 22.9 ±3.01 years. The mean BMI was 23.04 ±2.3. While 343 (80%) of the patients had normal BMI, 82 (18.9%) were overweight and 3 (1%) were obese. Foot deformity was observed in 22 (4.9%) patients (21 patients with pes planus and 1 patient with pes cavus). The number of patients with spinal deformity was 82 (18.2%). The most common spinal anomaly was posterior fusion defect with 32 (7.1%) cases. When the relationship between the prevalance foot deformities and spinal anomalies was examined, no significant difference was found between the groups. (p = 0.779) When the patients were grouped in terms of BMI, no significant difference was found between the groups. Conclusion: The prevalance of pes planus was higher than the prevalance of pes cavus in the patients. The most common spinal anomaly was posterior fusion defect. The frequency of pes planus or pes cavus was not found to be associated with spinal anomalies.
Aim: In this study, the correlation between the change in bone mineral density (BMD) and the numerical value of the systemic immune inflammation index (SII) in postmenopausal Turkish women was investigated. Material and methods: The study comprised patients who had undergone menopause for at least one year and whose blood samples were examined by dual-energy X-ray absorptiometry (DEXA) on the same day. A retrospective evaluation of 527 postmenopausal women was performed. Age, body mass index (BMI), BMD, t score, neutrophil-lymphocyte-platelet-monocyte counts, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), and SII (platelet count x neutrophil count/lymphocyte count) values were calculated and recorded. Results: When the data were analyzed with the Statistical Package for the Social Sciences (SPSS; IBM SPSS Statistics for Windows, version 26.0. Armonk, NY: IBM Corp.), neutrophil (p<0.001), lymphocyte (p=0.004), monocytes (p=0.002), platelet distribution width (PDW) (p=0.02), procalcitonin (PCT) (p=0.04), erythrocyte sedimentation rate (ESR) (p=0.001), C-reactive protein (CRP) (p=0.001), NLR (p=0.001), PLR (p=0.004), MLR (p=0.003), and SII (p=0.001) values were found to be higher in the postmenopausal osteoporosis (PMO) group than in the normal and osteopenia groups (p<0.05). When the platelet (p=0.15), mean platelet volume (MPV) (p=0.07), and 25-OH vitamin-D (p=0.15) values were compared, no correlation was found between the groups (normal, osteopenia, and PMO) (p>0.05). Conclusion: This study revealed that NLR, PLR, MLR, and SII values were inversely correlated with the change in BMD in postmenopausal Turkish women. These biomarkers, which are obtained from a simple, affordable, and accessible routine blood examination, may play an effective role in the early diagnosis and prevention of PMO in the future.
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