Temel Tıp Bilimleri Anatomi Anabilim Dalı / Basic Medical Sciences Department of Anatomy

Three-dimensional (3D) morphometric analysis of plegic and healthy feet of patients with stroke

2024-02-08T08:58:41Z

Three-dimensional (3D) morphometric analysis of plegic and healthy feet of patients with stroke Karagülle, Mehmet; Yıldırım, Yılmaz; Özsoy, Umut; Süzen, Lütfiye Bikem; İkizler May, Hatice Objective: This study aimed to quantitatively assess the changes in foot morphology in stroke patients using 3D scanning and focused on parameters like foot volume, area, and the root mean square difference (RMS) values. The objective was to enhance our understanding of post-stroke foot morphology and its potential relevance for rehabilitation, especially in designing orthotic supports and specialized footwear for stroke patients. Methods: Our study involved fourteen right hemiplegia patients and twenty healthy subjects. Stroke patients were assessed using international scales. We utilized a 3D scanning device to digitize and examine the differences in foot morphology between hemiplegic and healthy subjects, analyzing the data on a computer platform. Results: In the context of post-stroke individuals with hemiplegic feet, our morphometric analysis revealed notable differences in foot area and foot volume when compared to their healthy counterparts. These distinctions extended to linear measurements encompassing foot length, foot width, instep height, bimalleolar width, and ball width. Significantly, RMS exhibited a substantial increase in the patient cohort compared to the healthy group (p<0.05). Our investigation also established correlations between these standing morphometric parameters and RMS alterations, with noteworthy coefficients for various parameters: RMS(Foot Length Difference, 0.41), RMS(Foot Width Difference, 0.45), RMS(Instep Height Difference, 0.58), RMS(Ball Width Difference, 0.58), RMS(Bimalleolar Width Difference, 0.19), RMS(Volume Difference, 0.74), and RMS(Area Difference, 0.62). Conclusion: This study suggests incorporating RMS values as a novel parameter in the evaluation process. We anticipate that these findings will have practical implications, particularly in designing orthotic supports, specialized footwear for stroke patients, and the formulation of tailored rehabilitation programs within clinical settings.

Three-dimensional analysis of the difference in asymmetry between the feet of patients with cerebrovascular events and healthy individuals

2024-02-08T08:35:51Z

Three-dimensional analysis of the difference in asymmetry between the feet of patients with cerebrovascular events and healthy individuals Karagülle, Mehmet; Yıldırım, Yılmaz; İkizler May, Hatice; Özsoy, Umut; Süzen, Lütfiye Bikem Objective: This study aimed to conduct a three-dimensional analysis of foot asymmetry in patients who have suffered cerebrovascular events (stroke) compared to healthy individuals. Methods: A total of fourteen patients experiencing right-sided paralysis and twenty healthy individuals participated in this study. All subjects enrolled in this study were scanned using a three-dimensional scanner to examine their feet. Scanning was conducted with the subject supinely, capturing slightly above the ankle level. The digital image of the left foot was mirrored and superimposed with the right foot to measure asymmetry. Asymmetry was quantified through the root mean square (RMS) difference values, with a higher RMS value indicating increased asymmetry. The study findings illustrate the occurrence of foot asymmetry. Results: The mean RMS values of healthy participants were markedly lower than those of participants with cardiovascular events (p<0.05). Additionally, upon comparing the asymmetry between the right and left feet of healthy participants with identical values in the cardiovascular event group, it was discovered that the right foot of the cardiovascular event group was significantly smaller than the left foot (p<0.05). Conclusion: Patients with cardiovascular events necessitate rehabilitation programs addressing balance and walking difficulties. Furthermore, certain patients with stroke may require orthotic devices. Our study’s results will aid in creating rehabilitation programs and orthotic device designs for stroke patients.

Investigation of the incidence ofaccessory foramen infraorbitale in adult Turkish population in dry skulls

2024-03-21T14:04:10Z

Investigation of the incidence ofaccessory foramen infraorbitale in adult Turkish population in dry skulls Cengiz, Menekşe; Karagülle, Mehmet; Alkan, Ege; Süzen, Lütfiye Bikem The foramen infraorbitale is the opening in the face of the canalis infraorbitalis, which carries the infraorbital artery, vein and nerve. It is located below the infraorbital margin in the maxilla and is found bilaterally in the facial skeleton. Infraorbital nerve, after leaving the infraorbital foramen, gives its branches by travelling on the anterior surface of the maxilla. During embryological development, the development of an accessory foramen infraorbitale can be observed especially in the superior medial aspect of the foramen infraorbitale. Knowledge of this variation will increase the effectiveness of anaesthesia during facial applications.The main objective of our study is to investigate the presence of accessory foramen infraorbitale and to contribute to the literature by paying attention to the localisation of accessory foramen infraorbitale. Knowledge of these localisation changes will be useful to increase the effectiveness of local anaesthesia in treatment areas such as maxillofacial surgery, plastic surgery, dentistry and otolaryngology. In the laboratory of the Department of Anatomy, Akdeniz University Faculty of Medicine, 111 dry skulls were examined and 144 skull halves were measured. The study was repeated three times with two independent observers. The frequency of accessory foramen infraorbitale in 144 skull halves was 34%; 44.4% of these accessory foramen infraorbitale were found to be on the left and 23.6% on the right. 13.9% were observed bilaterally. The sex of the skulls observed in our study is not known. Future radiological studies in which gender is determined and categorised according to age groups will contribute to the incidence studies in this field. The findings of our study showed that the incidence of accessory foramen infraorbitale is high in the Turkish population. Therefore, it is important to be aware of this variation during the treatment of patients in anaesthesia applications in the maxillofacial area.

Investigation of wormian bone incidence in adult Turkish society in dry skulls

2024-02-08T07:50:23Z

Investigation of wormian bone incidence in adult Turkish society in dry skulls Karagülle, Mehmet; Cengiz, Menekşe; Yıldırım, Yılmaz; Keleş Çelik, Nigar; Süzen, Lütfiye Bikem The most common type of joint between the skull bones is suture joints, which is one of the fibrous joints.During the articulation process, additional ossification centers are formed in or around the sutures. Sutural bones formed from these ossification centers are called wormian bones. Wormian bones are often observed around the sutura lambdoidea. The wormian bone seen in the middle of the sutura lambdoidea is called the Inca bone or os interparietale. These bones can sometimes be mistaken for fractures in head injuries. The aim of our study is to investigate the incidence of wormian bone and to contribute literature to studies in fields such as craniofacial surgery, forensic medicine and anthropology.Our research was carried out on one hundred human skulls of unknown gender in the Anatomy Laboratory of Akdeniz University Faculty of Medicine. The research was repeated three times with two independent observers, with observational control.Wormian bone was seen in twenty-three of the hundred dry skulls. Five of them had only Inca bones. Six of them contained small Wormian bones within the sutura lambdoidea, along with the Inca bone. In the remaining twelve, Wormian bone was observed only within the sutura lambdoidea. The gender of the skulls observed in our study is unknown. In terms of tooth eruption, all were accepted as adult skulls. In the future, performing radiological studies that are gender-determined and categorized according to age groups will contribute to incidence studies in this area.The findings of our study showed that the incidence of wormian bones is high in Turkish population. For this reason, it is important to know this variation when evaluating the radiographs of patients exposed to head trauma in emergency services.