No abstract

Aim: In this study, our aim is show that in mild degree Idiopatic Carpal Tunnel Syndrome (CTS) patients, short and long term controls with corticosteroid injections, phonophoresis and iontophoresis which corticosteroid is given different ways and conventional treatment methods efficiency and superiority of each other. Material and Method

Background: To evaluate the sacrococcygeal anatomy and morphometry with lower abdomen magnetic resonance (MR) images in asymptomatic adult subjects Methods: We retrospectively reviewed the images of 216 adult patients who underwent MR imaging of the lower abdomen for reasons other than coccydynia in the radiology clinic. In this evaluation, coccyx (Co) thickness (from Co1 middle section), sacrococcygeal angle, fusion between vertebrates, number of coccygeal vertebrae, sacrococcygeal joint angle, intercocsigeal joint angle, coccyx type, presence of subluxation, coccyx flat length, coccyx curvature length, sacrum flat length, sacrum curvature length, sacrococcygeal flat length, sacrococcygeal curvature length, sacral angle, coccyx curvature index, sacrum curvature index, sacrococcygeal curvature index were measured. Results: The mean number of coccyx vertebrae was 3.5 ± 0.75 in females and 3.8 ± 0.78 in males. The mean coccyx thickness was 7.3 ±1.4 mm in females and 8.4±1.8 in males. Subluxation was determined in 59 (27.3%) cases, and not in 157(72.7%) cases. The mean length of the coccyx was 35.4±6.6 mm in females and 38.9±8.7 mm in males. The mean length of the coccyx curvature was 37.5±7.2 mm in females and 41.7±9.1 mm in males. The most common coccyx type in both males and females was type II coccyx in 98 (45.4%) patients. The sacrococcygeal angle was 109±15 degrees in females and 113±13 in males. Conclusion: Knowledge of the vertebrae anatomy of asymptomatic patients may prevent unnecessary surgery in coccydynia. Wide ranges of similar studies are needed to be done with patients with coccydynia.

Background The aim of this study is to investigate the role of diffusion-weighted imaging (DWI) in the differential diagnosis of sacroiliitis. Purpose To compare the sacroiliac magnetic resonance imaging (MRI) examinations of patients with suspected active sacroiliitis with patients with acute SpA MR findings and the DWI examinations of patients with acute brucella sacroiliitis, and thereby determine whether DWI can contribute to the differential diagnosis. Material and Methods A total of 84 patients were included in the study and were separated into three groups: group 1 (13 women, 6 men) comprised cases with brucella positive for sacroiliitis; group 2 (17 women, 19 men) comprised cases negative for brucella but with sacroiliitis; and group 3 (16 women, 13 men) comprised cases negative for brucella and sacroiliitis. Results The mean bone marrow apparent diffusion coefficient (ADC) values independently of edema were determined as 0.71 × 10−3 in sacroiliitis and brucella-positive patients, as 0.53 × 10−3 in brucella-negative and sacroiliitis-positive patients, and as 0.43 × 10−3 in the control group of brucella-negative sacroiliitis-negative patients. In the ADC measurements taken from areas of evident edema in patients with sacroiliitis, the mean values were 0.13 × 10−3 in the brucella-positive group and 0.12 × 10−3 in the brucella-negative group. Conclusion By adding DWI, which is a rapid MR sequence, to sacroiliac joint MR examination, normal bone marrow and bone marrow with sacroiliitis can be objectively differentiated with ADC measurements in addition to visual evaluation.

Background: Fibromyalgia is recognized as a chronic pain syndrome. Widespread pain is a common symptom in fibromyalgia, indicating a potential dysfunction in the processing of painful sensations in the central nervous system. Objectives: This study aimed to investigate changes in the severity of clinical symptoms in fibromyalgia patients and to evaluate the apparent diffusion coefficients and metabolites in the brain of these patients. Patients and Methods: This cross-sectional study included 28 female outpatients with complaints of widespread pain, who were diagnosed with fibromyalgia syndrome. Magnetic resonance imaging, magnetic resonance spectroscopy, and diffusion tensor examinations were applied to evaluate patients diagnosed with fibromyalgia before treatment. Results: The mean age of the patients included in this study was 39.1 ± 8.6 years (range, 24 - 55 years). A statistically significant strong positive correlation was found between the scores of the visual analog scale and the fibromyalgia impact questionnaire. Besides, significant associations were found between the scores of the visual analog scale and fibromyalgia impact questionnaire and the results of fractional anisotropy, apparent diffusion coefficient, and peak values of some metabolites in spectroscopy. Conclusion: The results of this study suggest that metabolites play an inhibitory or excitatory role in the central pain mechanisms of fibromyalgia as a chronic pain syndrome.