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Öğe An Unusual Location for Cellular Schwannoma(Coll Physicians & Surgeons Pakistan, 2014) Golge, Umut Hatay; Komurcu, Erkam; Kaymaz, Burak; Yilmaz, DenizSchwannomas are solitary benign tumours derived from peripheral nerve sheath that are difficult to diagnose using imaging only. Diagnoses are commonly confirmed with conventional surgical resection. Small proportion of cases are formed by cellular schwannoma usually seen at paravertebral, pelvic, retroperitoneal, or mediastinal location. This patient had a 3 x 2 cm hard mass at the dorsal side of proximal phalanx of the right third toe. Bone destruction was seen on radiography and MR imaging. Curettage after excision and grafting were performed. No complication was seen after surgery. The histopathology result was reported as cellular schwannoma. It was an atypical location for cellular schwannoma not previously described in literature.Öğe Atypical Localization of Enchondroma in the Calcaneus(Amer Podiatric Med Assoc, 2015) Komurcu, Erkam; Kaymaz, Burak; Golge, Umut Hatay; Goksel, Ferdi; Resorlu, Mustafa; Kilinc, NihalA 53-year-old man presented to the orthopedic outpatient clinic with pain and swelling in the right heel without any trauma. On physical examination and radiologic assessment, a lesion with calcification and peripheral sclerosis was detected in the medullary cavity of the calcaneus, and computed tomographic images revealed cortical thinning adjacent to the lesion. Magnetic resonance images showed a 23 x 19-mm lesion. Tru-Cut biopsy, performed to clarify the diagnosis, revealed an enchondroma. As a definitive treatment, curettage of the lesion and grafting of the cavity was performed. Although enchondromas are common pathologic abnormalities of the skeleton and are usually asymptomatic, atypical localization, such as the calcaneus, and atypical clinical manifestations, such as heel pain, should also be kept in mind.Öğe Bladder Rupture and Urine Fistula Between-Bladder and Supracondylary Pin Tract After Pelvis Fracture: A case Report(Derman Medical Publ, 2015) Oztemur, Zekeriya; Golge, Umut Hatay; Picakci, Omer; Tezeren, Gunduz; Bulut, OkayOne of the most important complications of pelvic fractures is bladder rupture. Potential complications of pelvic fractures caused by bladder ruptures are vesicovaginal. vesicorectal, vesicoutedne and urethra rectal fistulas. Along with bladder rupture, which is rarely encountered in the literature, the case of urinary fistula from pin tract in femur supracondylar region was represented. The case of the bladder rupture induced by pelvic fracture that associated with urinary fistulisabon between bladder and pin tract from femur supracondylar region was reported.Öğe Comparing extracorporeal shock wave and hyaluronic acid in a rabbit cartilage defect model: the effects of ESW on cartilage defect(Tubitak Scientific & Technological Research Council Turkey, 2013) Oztemur, Zekeriya; Ozer, Hatice; Golge, Umut Hatay; Altuntas, Emine Elif; Bulut, OkayAim: To compare the efficiency of extracorporeal shock wave (ESW) treatment with hyaluronic acid (HA) viscosupplementation in an experimental rabbit cartilage defect model. Materials and methods: A total of 24 New Zealand rabbits were randomly divided into 4 groups: HA, ESW, ESW + HA, and control. Chondral defects were created in the left knees of the rabbits. HA viscosupplementation was performed on the HA and ESW + HA groups, and after 24 h, 0.16 mJ/mm2 ESW was performed on the ESW and ESW + HA groups. After an 8-week follow-up, the rabbits were sacrificed and histopathological examination of the defects was carried out. In addition, immunohistochemistry was performed by the avidin-biotin peroxidase method using vascular endothelial growth factor (VEGF), transforming growth factor beta 1 (TGF-beta 1), and type II collagen antibodies, and the results were evaluated semiquantitatively. Results: There was a significant difference between the control group and the ESW group in terms of Pineda score and type II collagen expression; between the control group and the HA group in terms of Pineda score, VEGF expression, type II collagen expression, and TGF-beta 1 expression; and between the control group and the ESW + HA group in terms of Pineda score, VEGF expression, type II collagen expression, and TGF-beta 1 expression. Conclusion: The results show that both treatment methods have positive therapeutic effects on the articular cartilage defect model in terms of the parameters studied.Öğe Comparison of Osteoporosis in Two Different Regions of Turkey(Galenos Yayincilik, 2014) Golge, Umut Hatay; Komurcu, Erkam; Kaymaz, Burak; Goksel, Ferdi; Guzel, Yunus; Adam, Gurhan; Erbay, PirilObjective: The aim of the study was to investigate the effect of different climate and geographic conditions on bone mineral density. Materials and Methods: The patients who had been examined with Dual X-ray Absorptiometry (DXA) for the suspicion of osteoporosis in two different regions of Turkey were included in the study. Medical records of these 2457 patients were evaluated retrospectively. Age, gender, body mass index (BMI) and osteoporosis etiology of these patients were recorded. Results: Dual X-ray Absorptiometry measurements of the femoral neck and lomber vertebras of these patients were investigated. 927 of the patients were found to be osteoporotic and 907 of the patients to be osteopenic. There was no difference between the groups in terms of age, gender and BMI. Lumbar vertebras (L1-4) and femoral neck T scores of the patients with similar age and gender in these 2 different regions were compared and the difference between the groups was found to be statistically significant (p<0.001). Conclusion: The effect of geography and climate conditions on the bone quality is well known. In this respect regional strategies in the prevention and treatment of the osteoporosis may be judicious.Öğe COMPARISON OF RADIOFREQUENCY ABLATION AND CURETTAGE IN OSTEOID OSTEOMA IN CHILDREN(Atha Comunicacao & Editora, 2019) Goksel, Ferdi; Aycan, Aye; Ermutlu, Cenk; Golge, Umut Hatay; Sarisozen, BartuObjective: Osteoid osteoma, which is observed in the adolescent and young adult population as benign bone tumors, appears as a single nidus with a diameter < 2 cm and is treated with open surgery. However, technological advances in medicine have made it possible to apply less invasive procedures in surgery. Methods: Between 2006-2014, 24 patients < 18 years of age were treated for osteoid osteoma. Patient demographic data, surgical data, complications, and recurrences were noted. Results: Twenty-four patients (mean age, 11 [2-18] years) were treated and followed up for a mean 3.58 (range, 1-9) years. Mean patient age in the curettage group was 12.1 (range, 3-18) years. Mean operation length was 69.5 (range, 60-120) minutes. Mean hospital stay was 1.3 (range, 0-2) days. Mean patient age in the radiofrequency ablation (RFA) group was 10.7 (range, 2-17) years. Five patients were female and 8 were male. Mean operation length was 49.6 (range, 20-90) minutes. Mean hospital stay was 0.3 (range, 0-1) days. Mean follow-up time was 1.76 (range, 1-4) years. Mean operation length, hospital stay, and follow-up were significantly shorter in the RFA group. Conclusions: Considering reduced costs due to shorter hospitalization periods and the ability to reach anatomically difficult locations, percutaneous procedures are likely to replace the conventional open approach.Öğe Consultation of traditional bone setters instead of doctors: Is it a sociocultural and educational or social insurance problem?(Sage Publications Inc, 2015) Golge, Umut Hatay; Kaymaz, Burak; Komurcu, Erkam; Eroglu, Mehmet; Goksel, Ferdi; Nusran, GurdalBackground Patients consulting bone setters is common in the eastern and south-eastern regions of Turkey. The reasons for consulting bone setters instead of qualified doctors remains unclear. We investigated the characteristics of such patients who consult traditional bone setters after trauma prior to admission to hospital. Methods In the study, 3,422 of 14,080 patients were investigated admitted to hospital between January 2012 and February 2013 with trauma or sequelae of such who were previously treated by bone setters. The characteristics of these patients and the main reasons for consultation of bone setters instead of doctors were recorded. Results Most of the patients consulting bone setters were found to be young adults or children. Generally speaking, the poorly educated prefer bone setters despite having social insurance. The most common reason (29.3%) was a general preference and secondarily (27.1%) the fear of being disabled after medical treatment. However, the most common cause of patients' consultation at hospital subsequently was due to complications of treatment (46.8%); indeed the complication rate after bone setters' intervention was found to be 54.8%. Conclusion Although improvements have occurred in the access to and utilisation of healthcare services, consultation by patients of bone setters seems to be a sociocultural and educational issue rather than a problem of lack of medical insurance.Öğe Correction to: The Neuroprotective Effect of Coumaric Acid on Spinal Cord Ischemia/Reperfusion Injury in Rats (Inflammation, (2015), 38, 5, (1986-1995), 10.1007/s10753-015-0179-0)(Springer, 2025) Guven, Mustafa; Sehitoglu, Muserref Hilal; Yuksel, Yasemin; Tokmak, Mehmet; Aras, Adem Bozkurt; Akman, Tarik; Golge, Umut HatayThe authors have noticed that there is a mistake in the material method of the article. While writing the surgical procedure of the ischemia, the time was mistakenly written as 20 minutes in 2, 3 and 4 groups, in the Material and Method section. The correct period of time should be 45 minutes in 2, 3 and 4 groups in the article. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024.Öğe Effects of Boric Acid on Fracture Healing: An Experimental Study(Humana Press Inc, 2015) Golge, Umut Hatay; Kaymaz, Burak; Arpaci, Rabia; Komurcu, Erkam; Goksel, Ferdi; Guven, Mustafa; Guzel, YunusBoric acid (BA) has positive effects on bone tissue. In this study, the effects of BA on fracture healing were evaluated in an animal model. Standard closed femoral shaft fractures were created in 40 male Sprague-Dawley rats under general anesthesia. The rats were allocated into five groups (n= 8 each): group 1, control with no BA; groups 2 and 3, oral BA at doses of 4 and 8 mg/kg/day, respectively; group 4, local BA (8 mg/kg); and group 5, both oral and local BA (8 mg/kg/day orally and 8 mg/kg locally). After closed fracture creation, the fracture line was opened with a mini-incision, and BA was locally administered to the fracture area in groups 4 and 5. In groups 2, 3, and 5, BA was administered by gastric gavage daily until sacrifice. The rats were evaluated by clinical, radiological, and histological examinations. The control group (group 1) significantly differed from the local BA-exposed groups (groups 4 and 5) in the clinical evaluation. Front-rear and lateral radiographs revealed significant differences between the local BA-exposed groups and the control and other groups (p< 0.05). Clinical and radiological evaluations demonstrated adequate agreement between observers. The average histological scores significantly differed across groups (p= 0.007) and were significantly higher in groups 4 and 5 which were the local BA (8 mg/kg) and both oral and local BA (8 mg/kg/day orally and 8 mg/kg locally), respectively, compared to the controls. This study suggests that BA may be useful in fracture healing. Further research is required to demonstrate the most effective local dosage and possible use of BA-coated implants.Öğe Effects of boric acid on the healing of Achilles tendons of rats(Springer, 2016) Kaymaz, Burak; Golge, Umut Hatay; Ozyalvach, Gulzade; Komurcu, Erkam; Goksel, Ferdi; Mermerkaya, Musa Ugur; Doral, Mahmut NedimTendinous lesions are among the most frequent pathologies encountered in sportsmen. The objectives of new treatments are to improve the healing process and reduce the recovery time. Boron plays an important role in the wound repair process by increasing components of extracellular matrix and angiogenesis. This animal study aimed to investigate the effect of boric acid on healing of the Achilles tendon. The right Achilles tendons of 40 rats were completely sectioned, and the rats were randomly divided into five groups. Each group consisted of eight rats. Groups 1 and 2 were oral boric acid groups with the doses of 4 and 8 mg/kg/day boric acid, respectively. Group 3 was the local boric acid group (8 mg/kg boric acid intratendinous injection). Group 4 was administered both oral and local boric acid (8 mg/kg/day orally and 8 mg/kg boric acid intratendinous injection), and group 5 was the control group with no boric acid application. At the end of the fourth week, all the rats were killed and histopathological examination of the Achilles tendon repair site was made. Histopathological examination of the tissue sections revealed more properly oriented collagen fibres, more normal cellular distribution of tenocytes and more properly organized vascular bundles in group 1 and group 2, which were the groups administered oral boric acid. Pathological sum scores of groups 1 and 2 were less than those of the other groups, and the differences between the oral boric acid groups (group 1 and group 2) and the other three groups (groups 3, 4 and 5) were statistically significant (p = 0.001). As boric acid is safe and toxicity even after very high doses is unusual, oral boric acid may be used as an agent to improve the healing process of tendon injuries. However, biomechanical tests should also be performed to show the effect of boric acid on strength and endurance of the tendon before it can be used in clinical practice.Öğe Effects of Local Administration of Boric Acid on Posterolateral Spinal Fusion with Autogenous Bone Grafting in a Rodent Model(Humana Press Inc, 2015) Komurcu, Erkam; Ozyalvacli, Gulzade; Kaymaz, Burak; Golge, Umut Hatay; Goksel, Ferdi; Cevizci, Sibel; Adam, GurhanSpinal fusion is among the most frequently applied spinal surgical procedures. The goal of the present study was to evaluate whether the local administration of boric acid (BA) improves spinal fusion in an experimental spinal fusion model in rats. Currently, there is no published data that evaluates the possible positive effects if the local administration of BA on posterolateral spinal fusion. Thirty-two rats were randomly divided into four independent groups: no material was added at the fusion area for group 1; an autogenous morselized corticocancellous bone graft was used for group 2; an autogenous morselized corticocancellous bone graft with boric acid (8.7 mg/kg) for group 3; and only boric acid was placed into the fusion area for group 4. The L4-L6 spinal segments were collected at week 6, and the assessments included radiography, manual palpation, and histomorphometry. A statistically significant difference was determined between the groups with regard to the mean histopathological scores (p=0.002), and a paired comparison was made with the Mann-Whitney U test to detect the group/groups from which the difference originated. It was determined that only the graft+BA practice increased the histopathological score significantly with regard to the control group (p=0.002). Whereas, there was no statistically significant difference between the groups in terms of the manual assessment of fusion and radiographic analysis (respectively p=0.328 and p=0.196). This preliminary study suggests that BA may clearly be useful as a therapeutic agent in spinal fusion. However, further research is required to show the most effective dosage of BA on spinal fusion, and should indicate whether BA effects spinal fusion in the human body.Öğe Giant Fibrolipoma Extending Throughout a Whole Extremity: A Rare Child Case Report(Derman Medical Publ, 2016) Aylanc, Nilufer; Golge, Umut Hatay; Aylanc, Hakan; Resorlu, Hatice; Goksel, FerdiWe present the case of a 4-year-old boy with congenitally asymmetrical lower extremities, his left being bigger than his right. The patient underwent imaging modalities after birth; a huge lipomatoid proliferation on his left thigh extended throughout the limb from the hip to the distal foot, showing isointensity with lipoid tissue. After surgical resection of his left foot, fibrolipoma was diagnosed. A giant fibrolipoma of the whole extremity occurring in a pediatric patient is a rarity.Öğe Investigation of knee pain in osteoarthritic and neuropathic pain awareness(Acta Medica Belgica, 2015) Golge, Umut Hatay; Sen, Halil Murat; Kuyucu, Ersin; Sen, Hacer; Goksel, Ferdi; Kaymaz, Burak; Komurcu, ErkamThe mechanism of neuropathic pain (NP) and osteoarthritic (OA) pain, although different, are both defined as chronic pain, and combinations are possible. In this study, the awareness of both types of chronic pain was investigated among patients and doctors. This prospective study was planned and coordinated by the orthopedic and internal medicine clinics and included 100 patients with a diagnosis of knee OA evaluated with the DN4 questionnaire. Patients with an OA diagnosis included those with NP linked to diabetes and those without NP, and these groups were compared using a visual analogue scale (VAS) and the Western Ontario and McMaster Universities Osteoarthritic Index (WOMAC). Data analysis of both groups focused on descriptive statistics of demographic and clinical characteristics. Twenty-four of the patients with type 2 diabetes mellitus (DM) were diagnosed with NP according to DN4 criteria, and began treatment. Of these patients, 21 (84%) had DM for 10 years or more, while 19 (86.4%) had HbA1c of 7 and above. The average WOMAC pain score for patients with NP was 4.33 +/- 1.2 while the score for VAS was 8.25 +/- 0.8. Patients without NP had a WOMAC pain score of 2.49 +/- 0.6 and a VAS of 6.28 +/- 1.8. It was observed that in these two knee OA patient groups, NP had a statistically significant enhancing effect on the WOMAC pain score and the VAS (p < 0.001). As underlying pathophysiological mechanism of pain caused by OA is complex, and OA is considered to have a component of NP, it has been proven to be useful to use drugs apart from conventional treatments for NP. We believe that, as a source of pain that is not relieved after arthroplasty, awareness level of NP among orthopedists should be increased and multi-disciplinary studies are required on this topic.Öğe Investigation of mechanical strength of teicoplanin and ciprofloxacin impregnated bone cement on Day 1 and Day 15(Turkish Assoc Orthopaedics Traumatology, 2014) Golge, Umut Hatay; Oztemur, Zekeriya; Parlak, Mesut; Tezeren, Gunduz; Ozturk, Hayati; Bulut, Okay[Anstract Not Available]Öğe Isolated Gluteus Maximus Muscle Hydatid Cyst: A Case Report(Derman Medical Publ, 2015) Kilinc, Seyran; Golge, Umut Hatay; Bulut, Okay; Tezeren, Gunduz; Ozturk, HayatiHydatid cyst disease is a parasitic infection caused by Echinococcus granulosus. Hydatid cyst disease is endemic in our country. This disease is most commonly detected in the liver and lung. Primary soft tissue involvement is very rare, causing a diagnostic challenge. Turkey is an endemic area for hydatid cyst disease and we should bear this disease in mind as a differential diagnosis in all cystic lesions. In this study, we mentioned a hydatid cyst case in gluteus maximus muscle without any primary lesion.Öğe Musculoskeletal System Injuries Due to Motorcycle Accidents in Aksaray(Elsevier, 2013) Komurcu, Erkam; Arik, Kasim; Golge, Umut Hatay; Nusran, Gurdal; Kurt, TolgaObjectives An increase in motorcycle accidents and injuries has been observed in recent years due to the rising number of motorcyclists. The purpose of our study was to evaluate musculoskeletal system injuries due to motorcycle accidents. Methods The files of 189 patients who presented at the Aksaray State Hospital Emergency Service with injuries due to motorcycle accidents were investigated retrospectively. Age, gender, and current trauma were recorded for each patient. Cases with musculoskeletal system injuries were evaluated according to site of injury, and subsequent morbidity and mortality were documented. Results Of the 189 patients, 168 were male (89.9%), and 21 were female (11.1%). Locomotor system injuries were present in 147 patients (77.8%). The number of patients presenting with multiple extremity injuries versus isolated extremity injuries were 26 (17.69%) and 70 (47.62%), respectively. Soft tissue trauma was present in only 51 patients (34.69%). The distribution of fractures and dislocations was as follows: 74 (54.81%), lower extremity; 48 (35.56%), upper extremity; 9 (6.67%), pelvic; and 4 (2.96%), vertebral injuries. Of the extremity injuries, injuries to the femur (27.41%) and tibia (19.26) were most prevalent, followed by hand and wrist (9.63%) injuries. Seven patients with multiple organ injuries died, while permanent disability due to extremity function loss occurred in 22 patients. Pulmonary embolism and osteomyelitis complications occurred in two patients and one patient, respectively. Injuries were reported most frequently in July between 23: 00 and 03:00 and 04:00 and 07:00. According to the records, 48 (32.79%) of the patients with musculoskeletal injuries were drunk. Conclusions Musculoskeletal system injuries due to motorcycle accidents cause lifelong disabilities. To reduce the frequency of accidents, social awareness should be increased, and training programs in motorcycle usage should be more effective and widespread.Öğe Neck Pain and Disability: Eye Drop Installation Technique As a Causative Factor(Turkish League Against Rheumatism, 2014) Komurcu, Erkam; Kara, Seluk; Golge, Umut Hatay; Kaymaz, Burak; Arikan, Sedat; Gencer, Baran; Goksel, FerdiObjectives: This study aims to investigate a possible relationship between long standing eye drop usage and neck pain and to determine the optimal neck position while instilling the eye drop. Patients and methods: Sixty-seven patients who admitted to the ophthalmology outpatient clinic with the diagnosis of glaucoma and using eye drops for at least one year were included in the study as group 1 (n=31). The ages of the patients were between 18 to 80 years. A control group (group 2, n=36) was selected from age-matched individuals who did not use eye drops. The neck disability index form and a study form which included demographic data and the method of eye drop usage of patients were filled. Results: The mean age of the patients were 55.7 +/- 11.5 and 53.5 +/- 17.1 years for group 1 and group 2, respectively. There was no significant difference in the age and sex between the groups (p=0.526 and p=0.396, respectively). Compared to the controls, the chronic eye drop usage and its application method produced significant difference in neck disability index (p<0.001). Also, there was a positive correlation between neck disability index and number of eye drop usage per a day and period of eye drop usage (p=0.003 and p=0.004, respectively). Conclusion: Neck posture which is not placed in hyperextension position during administration of eye drop may reduce postural neck malposition-related neck disability. Patients who are on eye drop for a long time should be informed about postural disorders and instructed to correct the administration of eye drop technique to avoid neck pain.Öğe Neutrophil to Lymphocyte Ratio May Be a Diagnostic Marker for Prosthetic Joint Infection(Derman Medical Publ, 2016) Golge, Umut Hatay; Kaymaz, Burak; Pazarci, Ozhan; Kilinc, Seyran; Oztemur, Zekeriya; Bulut, OkayAim: Total knee arthroplasty (TKA) is an effective and successful procedure but the outcome may occasionally be compromised by complications such as periprosthetic joint infection (PJI). Blood neutrophil to lymphocyte ratio (NLR) is a simple marker of subclinical inflammation that can be easily obtained from the differential White Blood Cell count. This study aims to to analyze the predictive ability of NLR for the diagnosis of PJI. Material and Method: Patients who were diagnosed as grade 4 gonartrosis and operated for total knee arthroplasty between years 2007-2014 were evaluated. Thirty patients with PJI were included in the study as Group I and hematological tests including erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), white blood cell count (WBC) and neutrophil to lymphocyte ratio (NLR) of the patients were evaluated retrospectively. Preoperative and postoperative 6th month NLR values of the patients were compared. Also 103 age matched patients operated for total knee arthroplasty with no sign of infection were included in the study as controls (Group II). Patients in Group I and Group II were also compared in terms of NLR. Results: Thirty patients (17 female, 13 male) were present in Group I (patients with PJI and treated with two staged revision surgery) and 103 patients (94 female, 9 male) were present in Group II (patients operated for total knee arthroplasty and had no sign of infection during the follow up period). NLR has been found to decrease from 3.2+/-0.7 to 2.2+/-0.5 when compared between the preoperative and postoperative 6th month period (p=< 0,001). NLR has been found to be 2.1+/-0.7 in Group II and 3.2+/-0.7 in Group I at preoperative period. (p=< 0,001). The value of 2.45 was found to be cut-off point for infection. Discussion: NLR can be used as marker for PJI together with the other markers as ESR and CRP to increase the accuracy of the diagnosis.Öğe Neutrophil to lymphocyte ratio may be a predictive marker of poor prognosis in Legg-Calve-Perthes disease(Sage Publications Ltd, 2016) Kaymaz, Burak; Buyukdogan, Kadir; Kaymaz, Nazan; Komorcu, Erkam; Golge, Umut Hatay; Goksel, Ferdi; Aksoy, Mehmet CemalettinLegg-Calve-Perthes disease (LCPD) is the idiopathic avascular necrosis of the femoral head in childhood. The pathologic changes seen in the femoral head are likely a result of vascular factors. Blood neutrophil to lymphocyte (N/L) ratio is a simple marker of subclinical inflammation. This study aims to to analyse the predictive ability of N/L ratio for the prognosis in LCPD patients. Methods: Patients who had been diagnosed as LCPD from 2008 to 2014 were investigated retrospectively and 40 LCPD patients (33 male and 7 female) and 25 healthy age and sex-matched children (controls) were included in the study. LCPD patients were divided into 2 groups according to expected prognosis (good prognosis expected Herring A and B patients as Group I and poor prognosis expected Herring B-C and C patients as Group II) and healthy children (control) were included in Group III. All the patients' hematological markers were analysed. Results: Mean age was 7.1 +/- 2.0 years in group I (4.9-12 years), 8.3 +/- 2.2 years (4-12.5 years) in group II and 7.8 +/- 1.3 years (6-12 years) in group III. Mean values for Groups I, II and III for neutrophil to lymphocyte (N/L) ratio were 1.13 +/- 0.65, 1.75 +/- 0.95, 1.08 +/- 0.37, respectively. The mean neutrophil to lymphocyte (N/L) ratio of Group II was higher than the other 2 groups (p = 0.003). Conclusions: N/L ratio may give us information about the natural course of LCPD and may be used as independent predictor of prognosis in patients with LCPD.Öğe Popliteal schwannoma mimicking baker cyst: An unusual case(Oxford University Press, 2013) Komurcu, Erkam; Golge, Umut Hatay; Kaymaz, Burak; Erdogan, NilsenSchwannoma, also known as neurilemoma, is the most common tumour of peripheral nerves. Although it is the most common tumour of peripheral nerves, it is seldom seen in adult population. We present a very rare case of schwannoma in an unusual localization. The presented case concerns a 58-year-old patient with a slowly growing popliteal mass and neuralgia for 6 months. A mass originating from a nerve or compressing a nerve was thought in the differential diagnosis. Ultrasonographic and magnetic resonance imaging revealed a heterogenous, well-defined solid mass that seems to originate from tibial nerve. Surgical excision and histopathological examination confirmed the diagnosis of schwannoma. Diagnosis of the neurilemmoma originating from lower extremity peripheral nerves may be delayed because the mass can be misdiagnosed as baker cyst or the symptoms of the patient can be thought as a result of lumber disc herniation. © 2013 Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved.
