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    Clinical experiences of ultrasound-guided lumbar erector spinae plane block for hip joint and proximal femur surgeries
    (ELSEVIER SCIENCE INC, 2018) Tulgar, Serkan; Selvi, Onur; Senturk, Ozgur; Ermis, Mehmet Nurullah; Cubuk, Rahmi; Ozer, Zeliha
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    Combination of lumbar erector spinae plane block and transmuscular quadratus lumborum block for surgical anaesthesia in hemiarthroplasty for femoral neck fracture
    (WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2018) Tulger, Serkan; Ermis, Mehmet Nurullah; Ozer, Zeliha
    Femur neck fractures may occur in elderly patients with multiple co-morbidities. Spinal or general anaesthesia may not be safe in such patients, leading to a search for other safer alternatives. Herein, we report a case in which a never previously reported combination of quadratus lumborum block (QLB) and erector spinae plane block (ESPB) was successfully used as the main anaesthetic method for hemiarthroplasty. An 86-year-old female patient with severe aortic stenosis was scheduled for internal fixation or hemiarthroplasty due to right femoral neck fracture. Following sedoanalgesia, the patient was placed in lateral decubitis position and ESPB and transmuscular QLB were performed from the fourth lumbar vertebra level. Adequate and effective surgical anaesthesia was achieved and hemiarthroplasty was performed. The combination of lumbar ESPB and QLB can be used for the anaesthesia management in high-risk patients undergoing hemiarthroplasty.
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    Snapping scapula syndrome caused by subscapular osteochondroma
    (TURKISH JOINT DISEASES FOUNDATION, 2012) Ermis, Mehmet Nurullah; Aykut, Umit Selcuk; Durakbasa, Mehmet Oguz; Ozel, Mustafa Sefa; Bozkus, Ferdi Safa; Karakas, Eyup Selahattin
    Objectives: This study aims to evaluate the results of surgical excisions of subscapular exostoses which caused snapping scapula syndrome. Patients and methods: Between September 1980 and January 2010 30 patients with scapular osteochondromas which caused snapping, were.. treated surgically in our clinic. Fifteen patients (9 males, 6 females; mean age 15.6 years; range 6 to 29 years) in whom we were able to contact following treatment were clinically evaluated. The mean follow-up was 13.7 years (range 1 to 31 years). The initial examination included radiographs and computed tomography. The clinical results were evaluated with a simple shoulder test at their last follow-up. Results: The preoperatively most common complaint was winging of the scapula in all patients (100%), followed by pain in 12 patients (80%), and crepitus with scapulothoracic motion in 10 patients (66.6%). None of the patients had any clue in favor of snapping after surgical treatment. According to the responses to the simple shoulder test, none of the patients had any restriction of motion on their operated shoulders. They didn't give us a history about recurrence of the lesion. Conclusion: Excision is an appropriate treatment for osteochondromas. In this retrospective analysis, complete relief following excision of the exostosis was achieved in all patients. No patient had any complaint or recurrence.