BACKGROUND: The relationships between the morphometric structure of the patellofemoral joint, patella type and chondromalacia patella are still a matter of debate. OBJECTIVE: To identify the prevalence of chondromalacia patella by determining the patella type and DESIGN AND SETTING: Retrospective cohort study in an orthopedics and traumatology clinic in Turkey, conducted between June 2017 and November 2019. METHODS: This study involved 562 knees of 522 patients with anterior knee pain (246 males and 316 females; mean age 46.59 years). The patients were grouped according to presence of chondromalacia patella (group I) or absence of chondromalacia patella (group II). The patella type, lateral trochlear inclination, medial trochlear inclination, trochlear angle, sulcus angle, patellar tilt and Insall-Salvati index were assessed. Group comparisons were made using chi-square tests or Student t tests. The r value was used to determine the magnitude of relationships between pairs of variables. RESULTS: Among the 562 knees evaluated, 265 (50.71%) presented type I patella, 195 (36.7%) type II, 100 (12.3%) type III and 2 (0.3%) type IV. Group I consisted of 448 knees and group II consisted of 114 knees. Significant differences were found between the groups in terms of age, gender, patella type and lateral inclination angles (P < 0.05). CONCLUSION: Detecting the patella type and making lateral inclination measurements in patients with anterior knee pain are of great importance for diagnosing suspected chondromalacia patella, particularly in the early degenerative period.

Objectives: We aimed to compare the functional and radiographical outcomes of reconstruction of acute unstable acromioclavicular joint (ACJ) dislocation using Hook Plate (HP) versus Suture Endobutton (SE) fixation techniques. Methods: Forty-six consecutive patients with grade III to V ACJ dislocation according to Rockwood classification who underwent either HP or SE fixation in the period between January 2017 and June 2020 were evaluated. The treatment modalities were divided into either HP or SE fixation. The radiological assessment included standard anterior-posterior (AP) views to evaluate coracoclavicular (CC) distances for vertical reduction. Results: CC distances were grouped as preoperative (CC1), early postoperative (CC2), and late postoperative (CC3). The distance variance between CC2 and CC3 was referred as ΔCC (CC3 - CC2). A statistically significant difference was found in ΔCC between the two groups (p=0.008). ΔCC was significantly higher in the SE group compared to the HP group (p<0.05). The Constant and UCLA Scores of patients in the SE group were found to be significantly higher than in the HP group patients. Conclusion: Clinical outcomes were more satisfactory in patients with acute unstable ACJ dislocation who underwent SE compared to HP procedures, at the end of the first year. Evidence Level IV; Case Series.

The aim of this study was to retrospectively investigate the musculoskeletal problems and health perceptions of women who applied to the orthopedic clinic after cesarean delivery. This study used a descriptive and cross-sectional design. It was conducted with 243 women who sought treatment in an orthopedic clinic between January 2023 and May 2024. Women who agreed to participate in the study, who had a cesarean section for the first time, who did not have any musculoskeletal problems before the cesarean section, who had musculoskeletal problems for a year or more after the cesarean section, and who sought treatment in the orthopedics and traumatology outpatient clinic were included in the study. Data were collected through the "Personal Information Form," the "Extended Nordic Musculoskeletal Questionnaire," and the "Nottingham Health Profile." The average age of the participating women was 32.61±6.89 years. Of all the women, 44.8% experienced pain mostly in the back and lower back region within the last year following cesarean delivery. Nottingham Health Profile scores were negatively affected by several variables such as age, weight gained during pregnancy, BMI, and musculoskeletal disorders (p<0.050). An analysis of the effect sizes showed that Cohen's d values for back and lower back regions according to pain experience within the last year were 1.07 and 1.07, respectively, indicating a high effect size. Musculoskeletal problems, particularly in the back and lower back regions, negatively affect women's overall health perception after cesarean delivery.

Background: Evaluation of a specific and dynamic pain, such as labor pain, with a situation-specific measurement tool will increase the quality of care given during childbirth. The Rating Scale of Pain Expression during Childbirth (ESVADOPA) is a situation-specific measurement tool for labor pain. The aim was to examine the psychometric properties of a Turkish version of the ESVADOPA scale. Methods: This study utilized a methodological design. Participants were 158 pregnant women at term and in spontaneous labor. Two measurements were performed during the passive and active phases of labor. To avoid bias between the raters, all the evaluations were performed by a single midwife. Validity analyses of the scale were performed using exploratory factor analysis and confirmatory factor analysis. Results: The scale was composed of a one-factor structure that had an eigenvalue of over 1 and explained 71.79% of the variance. Cronbach’s alpha internal consistency coefficient of the scale is 0.92. An analysis of the factor structure showed that the item factor loads ranged between 0.729 and 0.897. In the confirmatory factor analysis, the results showed that the data had a good fit with the model. Conclusions: The Turkish version of the ESVADOPA was found to have high reliability and validity for determining the expression of pain during childbirth.

Background: Many organizations face health behavior related issues such as anxiety, depression, traumatic stress disorder in their employee performance, particularly in those who had experienced hand-finger amputation as a result of work accidents. Such issues reduce their overall productivity when they return to work. Aim: The objective of this research was to measure the impact of rehabilitation program participation, psychological support, workplace accommodations and self-efficacy in daily tasks on the health behaviour of patients who experienced hand finger amputation as a result of work accidents. Method: The study used cross-sectional data, collected from 210 respondents across organizations in Adana, Turkey. The empirical results were checked using Statistical Package for Social Science (SPSS) version 21. Results: The findings of this study confirmed that rehabilitation participation program, psychological support, and self-efficacy in daily tasks had a significant and direct impact on the health behaviour of patients who experienced hand-finger amputation as a result of work accidents. However, the study also reported there was no significant and direct impact of workplace accommodations on the health behaviour of patients who experienced hand-finger amputation as a result of work accidents. Conclusion: The findings of this research would contribute to the body of literature in the form of new rationale development and would provide practical solutions to improve employees' health behaviour.