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    Have the online patient information materials on biceps tendon disorders adequate, quality and readability?
    (2023) Gültekin, Muhammet Zeki; Dinçel, Yaşar Mahsut; Doğar, Fatih; Arslan, Serdar
    Aim: The study aimed to analyze the quality, adequacy and readability of websites created for patients with shoulder complaints associated with biceps tendon disorders. Methods: The terms 'shoulder injury', 'biceps tendinitis' and 'biceps tendon rupture' were searched in the most used search engines in United States (Google, Yahoo, and Bing). One hundred forty seven websites designed to inform patients were included in the study. The quality, popularity, adequacy and reliability were meausured. Results: Flesch reading ease scores of websites with content creation by health professionals were significantly lower than those without; in contrast, Flesch-Kincaid grade level (FKGL) and Koleman-Liau index scores were significantly higher (p<0.05). Global Quality Score and originality scores were greater in website created by health professionals. In addition, the percentage of websites with reference citations and addressing the importance, symptoms, treatment, signs and mechanism of the disease was significantly higher in websites with content creation by health professionals than in those without (p<0.05). The Gunning Fog, FKGL, Simple Measure of Gobbledygook, Automated readability index and Linear write formula scores were lower for websites with the HON code than those without the HON code. Also orginality score and Alexa Popularity Rank (APR) scores were lower in websites with HONcode than without HON code (p<0.05). Conclusion: Websites with HON code and prepared by healthcare professionals can provide sufficient and quality information to patients with biceps tendon disorders. The web content available for biceps tendon disorders is above the recommended reading level. Health professionals should be encouraged to increase the readability of the content.
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    Morphometric risk factors effects on anterior cruciate ligament injury
    (Turkish Joint Diseases Foundation, 2023) Gültekin Muhammet Zeki; Dinçel, Yaşar Mahsut; Keskin, Zeynep; Arslan, Serdar; Yıldırım, Ahmet
    Objectives: This study aims to compare the morphometric differences between patients with and without an anterior cruciate ligament (ACL) injury and to investigate the anatomical risk factors associated with ACL injury. Patients and methods: Between February 2020 and February 2022, a total of 100 patients (57 males, 43 females; mean age: 36.2 +/- 6.8 years; range, 18 to 45 years) who were operated for isolated non-contact ACL tear as the patient group and a total of 100 healthy individuals (58 males, 42 females; mean age: 35.0 +/- 6.9 years; range, 18 to 45 years) without an ACL tear as the control group were included. Magnetic resonance imaging scans of the knee joint were included in the study. Morphological variables of the ACL, distal femur, proximal tibia, and menisci were measured. Results: The mean ACL inclination angle and medial meniscus bone angle were 37.7 +/- 3.8 and 20.2 +/- 2.9 in the patient group and 48.1 +/- 3.3 and 25.0 +/- 2.9 in the control group. According to the results of multivariate analysis, those with small ACL inclination angle and medial meniscus bone angle were more likely to have ACL tear (odds ratio: 0.128, intraclass correlation coefficient: 0.038-0.430, p= 0.001). Conclusion: Small ACL inclination angle and medial meniscus bone angle can be a risk factor for ACL tear.
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    Three Morphological Risk Factors for Predicting Isolated Meniscal Bucket-handle Tear
    (Springer Heidelberg, 2024) Gultekin, Muhammet Zeki; Keskin, Zeynep; Arslan, Serdar; Dinc, Engin; Dincel, Yasar Mahsut
    Purpose The study aimed to investigate whether morphometric variables of the knee can predict isolated meniscal bucket-handle tears and identify the risk factors. Methods The study included 146 participants with a mean age of 36.547 +/- 12.279 years. They included two groups of 73 patients each: one group with isolated meniscal bucket-handle tears and another with no knee injury (control group). Magnetic resonance imaging findings of the participants were retrospectively assessed. A few morphometric variables associated with distal femur, proximal tibia, and cruciate ligaments were measured. Results Cruciate ligament tensity (CLT), medial femoral condylar height (MFCH), and lateral meniscal bone angle (LMBA) were found to be 12.7 +/- 0.3, 30.1 +/- 2.5 mm, and 21.2 degrees +/- 3.4 degrees, respectively, in patients with meniscal bucket-handle tear, compared with 11.9 +/- 0.2, 28.3 +/- 2.7 mm, and 26.5 degrees +/- 3.7 degrees in the control group, respectively. Based on multivariate Firth's logistic regression analysis, CLT (Odds ratio [OR]: 456.533; 95% confidence interval [CI]: 27.582 to > 999.999), MFCH (OR: 1.603; 95% CI: 1.023-2.513), and LMBA (OR: 0.780; 95% CI: 0.624-0.975) could distinguish between meniscal bucket-handle tears and knees without meniscus tears (p < 0.05). Based on the multicategorical multinominal regression model, CLT (OR: > 999.999; 95% CI: 49.937 to > 999.999) and MFCH (OR: 1.903; 95% CI: 1.005-3.606) were the determinant variables in differentiating medial meniscal bucket-handle tears from knees without meniscus tears (p < 0.05). Conclusion Large CLT, high medial condyle, and small LMBA were revealed as the morphometric risk factors for meniscal bucket-handle tear.