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Sample records for bursitis subdeltoidea calcificada

  1. Tratamiento acupuntural de la bursitis subdeltoidea calcificada en la atención primaria de salud Acupuncture treatment of calcified subdeltoid bursitis in health primary care

    Directory of Open Access Journals (Sweden)

    Orlando Manuel Pérez Rivera

    2009-09-01

    Full Text Available Se presenta el caso de un paciente del sexo masculino, de 43 años de edad, con historia de dolor en el hombro derecho desde hace aproximadamente 3 meses, a raíz de una contusión superficial, el cual recibió tratamiento conservador con reposo y medicamentos, pero no resolvió la sintomatología. Ahora, con diagnóstico de bursitis subdeltoidea calcificada, recibe tratamiento acupuntural en el Departamento de Medicina Natural y Tradicional de la sala de rehabilitación de su área de salud. Se presenta esta variante de tratamiento mediante sus estudios radiológicos.This is the case of a male patient aged 43 with a pain history in right shoulder of approximately 3 months ago caused by a superficial contusion receiving conservative treatment with rest and drugs, without symptoms resolution. For the tine being time diagnosed with calcified subdeltoid bursitis and acupuncture treatment in Natural and Traditional Medicine Service of rehabilitation ward of his health area. This treatment variant is presented by its radiologic studies.

  2. Bursitis

    Science.gov (United States)

    ... activities, like throwing a ball or swinging a tennis racket, elbow bursitis is one of the most common types of bursitis in teens. Knee. Bursitis in the knee can be the result of ... and tennis. Ankle. Someone who goes overboard with jumping, running, ...

  3. Knee Bursitis

    Science.gov (United States)

    Knee bursitis Overview By Mayo Clinic Staff Knee bursitis is inflammation of a small fluid-filled sac (bursa) situated ... in your knee can become inflamed, but knee bursitis most commonly occurs over the kneecap or on ...

  4. Bursitis and Tendinitis

    Science.gov (United States)

    ... Find a Clinical Trial Journal Articles Bursitis and Tendinitis February 2017 Questions and Answers about Bursitis and Tendinitis This publication contains general information about bursitis and ...

  5. Tendinitis and Bursitis

    Science.gov (United States)

    ... A Patient / Caregiver Diseases & Conditions Tendinitis & Bursitis Tendinitis (Bursitis) Fast Facts Tendinitis and bursitis are inflammation or ... painful, even during rest. What causes tendinitis and bursitis? Tendinitis can occur from a sudden intense injury. ...

  6. Tendinitis and Bursitis

    Science.gov (United States)

    ... Am A Patient / Caregiver Diseases & Conditions Tendinitis & Bursitis Tendinitis (Bursitis) Fast Facts Tendinitis and bursitis are inflammation ... becomes very painful, even during rest. What causes tendinitis and bursitis? Tendinitis can occur from a sudden ...

  7. Olecranon bursitis.

    Science.gov (United States)

    Reilly, Danielle; Kamineni, Srinath

    2016-01-01

    Bursitis is a common medical condition, and of all the bursae in the body, the olecranon bursa is one of the most frequently affected. Bursitis at this location can be acute or chronic in timing and septic or aseptic. Distinguishing between septic and aseptic bursitis can be difficult, and the current literature is not clear on the optimum length or route of antibiotic treatment for septic cases. The current literature was reviewed to clarify these points. The reported data for olecranon bursitis were compiled from the current literature. The most common physical examination findings were tenderness (88% septic, 36% aseptic), erythema/cellulitis (83% septic, 27% aseptic), warmth (84% septic, 56% aseptic), report of trauma or evidence of a skin lesion (50% septic, 25% aseptic), and fever (38% septic, 0% aseptic). General laboratory data ranges were also summarized. Distinguishing between septic and aseptic olecranon bursitis can be difficult because the physical and laboratory data overlap. Evidence for the optimum length and route of antibiotic treatment for septic cases also differs. In this review we have presented the current data of offending bacteria, frequency of key physical examination findings, ranges of reported laboratory data, and treatment practices so that clinicians might have a better guide for treatment. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  8. Knee Bursitis

    Science.gov (United States)

    ... make a diagnosis of knee bursitis during a physical exam. Your doctor will inspect your knee by: Comparing the condition of both knees, particularly if only one is painful Gently pressing on different areas of your knee to detect warmth, swelling and the source of pain Carefully moving ...

  9. [Bursitis iliopectinea].

    Science.gov (United States)

    Koudela, K; Koudelová, J; Koudela, K; Kunesová, M

    2008-10-01

    PURPOSE OF THE STUDY To present clinical and radiographic findings of iliopectineal bursitis and draw attention to some related etiopathogenetic factors. MATERIAL AND METHODS Six patients followed up between 2005 and 2007 were evaluated. They included four women and two men (average age, 58 years; range, 35 to 80 years) who presented with a tender mass in the hip region (four right and two left sides). Each patient underwent an examination involving a clinical check-up, imaging methods (CT, MR, angio-CT) and standard laboratory tests. RESULTS Iliopectineal bursitis clinically manifested as a tender mass in the groin and hip region in five patients; in one it was pulsating. The sixth case was asymptomatic. In three patients iliopectineal bursitis was found in association with steroid therapy and subsequent avascular necrosis of the femoral head and chronic synovitis. It followed tularemia with hip joint involvement in one patient, salmonella arthritis in one, and kidney transplant rejection in one. Also, iliopectineal bursitis was diagnosed in a patient with rheumatoid arthritis treated with steroids, but without femoral head avascular necrosis, and was incidentally found in another patient examined for digestive problems. Of the six cases of swollen bursa detected by the imaging methods used, five were found to communicate with the hip joint cavity, with four being so large that the bursa extended into the retroperitoneum. Two patients underwent excision or resection of the bursa; in addition, one of them had revitalizing graft surgery for femoral head necrosis. The patient with salmonella arthritis had to undergo a Girdlestone procedure. One patient was treated by draining of the bursa and, after inflammation resolved, total hip replacement surgery was carried out during which the iliopectineal bursa was removed. The patient with rheumatoid arthritis was treated by bursa draining and refused further surgical therapy (total hip replacement). DISCUSSION In our group

  10. Ischiogluteal bursitis: an uncommon type of bursitis

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    Van Mieghem, Isabelle M.; Boets, An; Sciot, Raf; Van Breuseghem, Iwan [Department of Radiology, University Hospitals, Catholic University Leuven, Leuven (Belgium)

    2004-07-01

    Ischiogluteal bursitis is a rare, infrequently recognized soft tissue mass of the buttock region. Of importance is the radiological differential diagnosis with other benign and malignant soft-tissue tumors. We describe the imaging findings of bursitis. (orig.)

  11. Bursitis of the heel

    Science.gov (United States)

    ... around the ankle. The focus will be on stretching your Achilles tendon. This can help the bursitis ... retrocalcaneal bursitis that DO NOT improve with rest. Prevention Things you can do to prevent the problem ...

  12. Retrocalcaneal bursitis (image)

    Science.gov (United States)

    Retrocalcaneal bursitis is an inflammation of the bursa at the back of the heel bone. A bursa is a ... bursa to become irritated and inflamed. Symptoms of bursitis include pain in the heel, especially with walking, ...

  13. Elbow (Olecranon) Bursitis

    Science.gov (United States)

    .org Elbow (Olecranon) Bursitis Page ( 1 ) Bursae are thin, slippery sacs located throughout the body that act as cushions between bones and so ... more fluid will accumulate in the bursa and bursitis will develop. Cause Elbow bursitis can occur for ...

  14. Common Superficial Bursitis.

    Science.gov (United States)

    Khodaee, Morteza

    2017-02-15

    Superficial bursitis most often occurs in the olecranon and prepatellar bursae. Less common locations are the superficial infrapatellar and subcutaneous (superficial) calcaneal bursae. Chronic microtrauma (e.g., kneeling on the prepatellar bursa) is the most common cause of superficial bursitis. Other causes include acute trauma/hemorrhage, inflammatory disorders such as gout or rheumatoid arthritis, and infection (septic bursitis). Diagnosis is usually based on clinical presentation, with a particular focus on signs of septic bursitis. Ultrasonography can help distinguish bursitis from cellulitis. Blood testing (white blood cell count, inflammatory markers) and magnetic resonance imaging can help distinguish infectious from noninfectious causes. If infection is suspected, bursal aspiration should be performed and fluid examined using Gram stain, crystal analysis, glucose measurement, blood cell count, and culture. Management depends on the type of bursitis. Acute traumatic/hemorrhagic bursitis is treated conservatively with ice, elevation, rest, and analgesics; aspiration may shorten the duration of symptoms. Chronic microtraumatic bursitis should be treated conservatively, and the underlying cause addressed. Bursal aspiration of microtraumatic bursitis is generally not recommended because of the risk of iatrogenic septic bursitis. Although intrabursal corticosteroid injections are sometimes used to treat microtraumatic bursitis, high-quality evidence demonstrating any benefit is unavailable. Chronic inflammatory bursitis (e.g., gout, rheumatoid arthritis) is treated by addressing the underlying condition, and intrabursal corticosteroid injections are often used. For septic bursitis, antibiotics effective against Staphylococcus aureus are generally the initial treatment, with surgery reserved for bursitis not responsive to antibiotics or for recurrent cases. Outpatient antibiotics may be considered in those who are not acutely ill; patients who are acutely ill

  15. Knee bursitis: a sonographic evaluation

    National Research Council Canada - National Science Library

    Draghi, Ferdinando; Corti, Riccardo; Urciuoli, Luigi; Alessandrino, Francesco; Rotondo, Antonio

    2015-01-01

    ... of experience.Of these patients, 15 (7 men, 8 women) had bursitis, while 143 (76 men, 67 women) had no bursitis. In evaluating knee bursitis, US, when compared to MRI, correctly identified 13 out of 15 cases of bursitis, showing a sensitivity...

  16. Hemorrhagic prepatellar bursitis

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    Donahue, F. [Dept. of Radiology, Musculoskeletal Section, Univ. of Miami/Jackson Memorial Hospital, Miami, FL (United States); Turkel, D. [Dept. of Radiology, Musculoskeletal Section, Univ. of Miami/Jackson Memorial Hospital, Miami, FL (United States); Mnaymneh, W. [Dept. of Orthopedics, Univ. of Miami/Jackson Memorial Hospital, Miami, FL (United States); Ghandur-Mnaymneh, L. [Dept. of Pathology, Univ. of Miami/Jackson Memorial Hospital, Miami, FL (United States)

    1996-04-01

    Simple prepatellar bursitis is easily diagnosed both clinically and by MRI. MRI shows the typical T1 and T2 lengthening of fluid within the bursa. However, because of complex MRI appearance of hemorrhage, chronic hemorrhagic bursitis and the size of the prepatellar mass the clinical and MRI appearance can be very different. (orig.)

  17. Acupuncture Treatment For Shoulder Bursitis

    OpenAIRE

    Zhu, Jihe; Arsovska, Blagica; Velickova, Nevenka; Kozovska, Kristina; Nikolovska, Karolina

    2016-01-01

    Inflammation of the mucous bags or bursitis is very common clinical picture. In the human body there are about 160 bursas. Shoulder bursitis is inflammation of the shoulder bursa. Bursas can be superficial and deep. Deep bursas are present at birth, while surface bursas develop for several months to years after birth, in places where there is friction. Traditional Chinese Medicine (TCM) suggests that bursitis can be treated with Chinese herbs, acupuncture or a co...

  18. Endoscopic treatment of prepatellar bursitis.

    Science.gov (United States)

    Huang, Yu-Chih; Yeh, Wen-Lin

    2011-03-01

    Operative treatment of prepatellar bursitis is indicated in intractable bursitis. The most common complication of surgical treatment for prepatellar bursitis is skin problems. For traumatic prepatellar bursitis, we propose a protocol of outpatient endoscopic surgery under local anaesthesia. From September 1996 to February 2001, 60 cases of failed nonoperative treatment for prepatellar bursitis were included. The average age was 33.5 ± 11.1 years (range 21-55). The average operation duration was 18 minutes. Two to three mini-arthroscopic portals were used in our series. No sutures or a simple suture was needed for the portals after operation. After follow-up for an average of 36.3 months, all patients are were symptom-free and had regained knee function. None of the population had local tenderness or hypo-aesthesia around their wound. Their radiographic and sonographic examinations showed no recurrence of bursitis. Outpatient arthroscopic bursectomy under local anaesthesia is an effective procedure for the treatment of post-traumatic prepatellar bursitis after failed conservative treatments. Both the cosmetic results and functional results were satisfactory.

  19. Pisiform bursitis: a forgotten pathology.

    Science.gov (United States)

    Draghi, Ferdinando; Gregoli, Bettina; Bortolotto, Chandra

    2014-01-01

    Pisiform bursitis is a disease often forgotten in both everyday practice and medical literature. The pisiform bursa is not constant; when present, it is located between the tendon of the flexor carpi ulnaris and pisiform bone. Bursitis causes pain in the medial side of the wrist and enters into the differential diagnosis of various diseases of this anatomic region, in particular, with enthesitis of the flexor carpi ulnaris and the ganglion of piso-pyramidal compartment. We present the sonographic appearance of pisiform bursitis in a symptomatic patient. © 2014 Wiley Periodicals, Inc.

  20. [Bursitis calcarea in a dog].

    Science.gov (United States)

    Odendaal, J S; Evans, L B

    1987-03-01

    A case of bursitis calcarea in a Border Collie showing lameness without acute pain in the right hind leg, is reported. A diagnosis of bursitis calcarea was made on radiological examination. Treatment consisted of anti-inflammatory drugs and rest as far as it was practically possible. After initial improvement, full recovery only took place 2 months after treatment had commenced. Bursitis calcarea is a rare disease which seldom shows clinical signs. As far as could be ascertained, this is the first report of the condition in South Africa.

  1. [Bursitis intermetacarpophalangea calcarea (case report)].

    Science.gov (United States)

    Piza-Katzer, H; Weinstabl, R

    1987-03-01

    A case of bursitis intermetacarpophalangea calcarea is presented which, after clinical and X-ray examination, raised problems regarding differential diagnosis. Because of the rarity of the findings, the anatomical localization as well as the surgical procedure is presented. Calcifications which may show in tendons and ligaments are discussed. In cases of acute calcareous infiltration in hands, surgery very rarely is indicated. By contrast, in cases of bursitis intermetacarpophalangea calcarea, surgery should be performed as soon as possible to preserve normal hand function.

  2. Retrocalcaneal bursitis in juvenile chronic arthritis.

    OpenAIRE

    Goldenstein-Schainberg, C; Homsi, C; Rodrigues Pereira, R M; W. Cossermelli

    1992-01-01

    Retrocalcaneal bursitis has been described in various adult rheumatic diseases and septic bursitis unrelated to previous bursal disease has been reported in children. The case is reported here of a girl with juvenile chronic arthritis who developed non-septic retrocalcaneal bursitis; the diagnosis was suggested by a combination of clinical and radiographic studies and was confirmed by ultrasonography.

  3. Retrocalcaneal bursitis in juvenile chronic arthritis.

    Science.gov (United States)

    Goldenstein-Schainberg, C; Homsi, C; Rodrigues Pereira, R M; Cossermelli, W

    1992-01-01

    Retrocalcaneal bursitis has been described in various adult rheumatic diseases and septic bursitis unrelated to previous bursal disease has been reported in children. The case is reported here of a girl with juvenile chronic arthritis who developed non-septic retrocalcaneal bursitis; the diagnosis was suggested by a combination of clinical and radiographic studies and was confirmed by ultrasonography. Images PMID:1444631

  4. Estudio prospectivo comparando los resultados obtenidos con tres tratamientos de electroterapia en las tendinopatías calcificadas del supraespinoso

    OpenAIRE

    Chico Alvarez, Eva

    2015-01-01

    La tendinopatía calcificada del supraespinoso es una patología frecuente en nuestro medio. El objetivo de nuestro estudio fue comparar los resultados obtenidos con tres terapias (iontoforesis, ondas de choque radiales y focales) y analizar la influencia de una serie de factores clínico-epidemiológicos sobre los resultados. Nuestro estudio fue prospectivo, controlado, no aleatorizado y con análisis de resultados antes-después. Los 75 pacientes fueron reclutados de los Servicios de Medici...

  5. Clinical characteristics and outcomes of septic bursitis.

    Science.gov (United States)

    Lieber, Sarah B; Fowler, Mary Louise; Zhu, Clara; Moore, Andrew; Shmerling, Robert H; Paz, Ziv

    2017-05-29

    Limited data guide practice in evaluation and treatment of septic bursitis. We aimed to characterize clinical characteristics, microbiology, and outcomes of patients with septic bursitis stratified by bursal involvement, presence of trauma, and management type. We conducted a retrospective cohort study of adult patients admitted to a single center from 1998 to 2015 with culture-proven olecranon and patellar septic bursitis. Baseline characteristics, clinical features, microbial profiles, operative interventions, hospitalization lengths, and 60-day readmission rates were determined. Patients were stratified by bursitis site, presence or absence of trauma, and operative or non-operative management. Of 44 cases of septic bursitis, patients with olecranon and patellar bursitis were similar with respect to age, male predominance, and frequency of bursal trauma; patients managed operatively were younger (p = 0.05). Clinical features at presentation and comorbidities were similar despite bursitis site, history of trauma, or management. The most common organism isolated from bursal fluid was Staphylococcus aureus. Patients managed operatively were discharged to rehabilitation less frequently (p = 0.04). This study of septic bursitis is among the largest reported. We were unable to identify presenting clinical features that differentiated patients treated surgically from those treated conservatively. There was no clear relationship between preceding trauma or bursitis site and clinical course, management, or outcomes. Patients with bursitis treated surgically were younger. Additional study is needed to identify patients who would benefit from early surgical intervention for septic bursitis.

  6. Imaging features of iliopsoas bursitis

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    Wunderbaldinger, P. [Department of Radiology, University of Vienna (Austria); Center of Molecular Imaging Research, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA (United States); Bremer, C. [Department of Radiology, University of Muenster (Germany); Schellenberger, E. [Center of Molecular Imaging Research, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA (United States); Department of Radiology, Martin-Luther University of Halle-Wittenberg, Halle (Germany); Cejna, M.; Turetschek, K.; Kainberger, F. [Department of Radiology, University of Vienna (Austria)

    2002-02-01

    The aim of this study was firstly to describe the spectrum of imaging findings seen in iliopsoas bursitis, and secondly to compare cross-sectional imaging techniques in the demonstration of the extent, size and appearance of the iliopsoas bursitis as referenced by surgery. Imaging studies of 18 patients (13 women, 5 men; mean age 53 years) with surgically proven iliopsoas bursitis were reviewed. All patients received conventional radiographs of the pelvis and hip, US and MR imaging of the hip. The CT was performed in 5 of the 18 patients. Ultrasound, CT and MR all demonstrated enlarged iliopsoas bursae. The bursal wall was thin and well defined in 83% and thickened in 17% of all cases. The two cases with septations on US were not seen by CT and MRI. A communication between the bursa and the hip joint was seen, and surgically verified, in all 18 patients by MR imaging, whereas US and CT failed to demonstrate it in 44 and 40% of the cases, respectively. Hip joint effusion was seen and verified by surgery in 16 patients by MRI, whereas CT (4 of 5) and US (n=12) underestimated the number. The overall size of the bursa corresponded best between MRI and surgery, whereas CT and US tended to underestimate the size. Contrast enhancement of the bursal wall was seen in all cases. The imaging characteristics of iliopsoas bursitis are a well-defined, thin-walled cystic mass with a communication to the hip joint and peripheral contrast enhancement. The most accurate way to assess iliopsoas bursitis is with MR imaging; thus, it should be used for accurate therapy planning and follow-up studies. In order to initially prove an iliopsoas bursitis, US is the most cost-effective, easy-to-perform and fast alternative. (orig.)

  7. Treatment of olecranon bursitis: a systematic review.

    Science.gov (United States)

    Sayegh, Eli T; Strauch, Robert J

    2014-11-01

    The optimal management of olecranon bursitis is ill-defined. The purposes of this review were to systematically evaluate clinical outcomes for aseptic versus septic bursitis, compare surgical versus nonsurgical management, and examine the roles of corticosteroid injection and aspiration in aseptic bursitis. The English-language literature was searched using PubMed, Cumulative Index to Nursing and Allied Health Literature, Physiotherapy Evidence Database, Allied and Complementary Medicine, and Cochrane Central Register of Controlled Trials. Analyses were performed for clinical resolution and complications after treatment of aseptic and/or septic olecranon bursitis. Twenty-nine studies containing 1278 patients were included. Compared with septic bursitis, aseptic bursitis was associated with a significantly higher overall complication rate (p = 0.0108). Surgical management was less likely to clinically resolve septic or aseptic bursitis (p = 0.0476), and demonstrated higher rates of overall complications (p = 0.0117), persistent drainage (p = 0.0194), and bursal infection (p = 0.0060) than nonsurgical management. Corticosteroid injection for aseptic bursitis was associated with increased overall complications (p = 0.0458) and skin atrophy (p = 0.0261). Aspiration did not increase the risk of bursal infection for aseptic bursitis. Based primarily on level IV evidence, nonsurgical management of olecranon bursitis is significantly more effective and safer than surgical management. The clinical course of aseptic bursitis appears to be more complicated than that of septic bursitis. Corticosteroid injection is associated with significant risks without improving the outcome of aseptic bursitis. Therapeutic IV.

  8. Septic trochanteric bursitis in an adolescent.

    Science.gov (United States)

    Makki, Daoud; Watson, Alex James

    2010-01-01

    Trochanteric bursitis, whether septic or inflammatory in origin, is a condition that affects middle-aged patients. Here we report the rare case of an adolescent with septic trochanteric bursitis (treated successfully with intravenous antibiotics), review the available literature on septic bursitis, illustrate the importance of prompt recognition and treatment of this condition in any age group, and describe the clinical presentation and the radiologic findings.

  9. MRI-induced retrocalcaneal bursitis

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    Tol, J.L.; Dijk, C.N. van [Dept. of Orthopaedic Surgery, University of Amsterdam (Netherlands); Maas, M. [Dept. of Radiology, University of Amsterdam (Netherlands)

    1999-10-01

    This case report describes a patient with acute retrocalcaneal bursitis, which developed after MRI examination of the ankle. The sagittal T2*-weighted gradient echo sequence revealed an extensive susceptibility artifact in the area surrounding the Achilles tendon near its insertion at the os calcis. This artifact was caused by postsurgical metallic particles. We postulate that these particles were mechanically stimulated by the magnetic field and induced the inflammatory response. (orig.)

  10. Sarcoidosis presenting as prepatellar bursitis

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    Fujimoto, Hajime; Shimofusa, Ryota [Numazu City Hospital, Department of Radiology, Numazu, Shizuoka (Japan); Shimoyama, Katsuhito; Nagashima, Ryota [Numazu City Hospital, Department of Orthopaedic Surgery, Numazu, Shizuoka (Japan); Eguchi, Masanobu [Numazu City Hospital, Department of Pathology, Numazu, Shizuoka (Japan)

    2006-01-01

    A 61-year-old woman complained of a subcutaneous mass in her right knee. MR images revealed a well-defined subcutaneous mass in the prepatellar region, containing some fluid and foci of short T2. The lesion showed some marginal contrast uptake after an administration of meglumine gadopentetate (Gd-DTPA), consistent with prepatellar bursitis. The pathological specimen, however, revealed subcutaneous sarcoidosis involving the bursa. (orig.)

  11. Four common types of bursitis: diagnosis and management.

    Science.gov (United States)

    Aaron, Daniel L; Patel, Amar; Kayiaros, Stephen; Calfee, Ryan

    2011-06-01

    Bursitis is a common cause of musculoskeletal pain and often prompts orthopaedic consultation. Bursitis must be distinguished from arthritis, fracture, tendinitis, and nerve pathology. Common types of bursitis include prepatellar, olecranon, trochanteric, and retrocalcaneal. Most patients respond to nonsurgical management, including ice, activity modification, and nonsteroidal anti-inflammatory drugs. In cases of septic bursitis, oral antibiotics may be administered. Local corticosteroid injection may be used in the management of prepatellar and olecranon bursitis; however, steroid injection into the retrocalcaneal bursa may adversely affect the biomechanical properties of the Achilles tendon. Surgical intervention may be required for recalcitrant bursitis, such as refractory trochanteric bursitis.

  12. [Ossifying bursitis praepatellaris of the knee joint].

    Science.gov (United States)

    Erler, M

    2009-01-01

    A 53-year-old patient was admitted to our hospital with a tumour at the site of the left knee joint praepatellar. The diagnostic imaging, operative findings and histology showed a chronic ossifying bursitis praepatellaris of the knee joint. Aetiology and pathogenesis of the ossifying bursitis are discussed.

  13. Ultrasonographic evaluation of lschial bursitis

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    Kim, Sung Moon; Shin, Myung Jin; Kim, Kyung Sook; Chang, Jae Suck; Lee, Soo Ho [Asan Medical Center, Ulsan Univ. College of Medicine, Seoul (Korea, Republic of); Ahn, Joong Mo [Samsung Medical Center, Sungkyunkwan Univ. College of Medicine, Seoul (Korea, Republic of); Cho, Kil Ho [Yeungnam Univ. College of Medicine, Kyongsan (Korea, Republic of)

    1999-06-01

    The objective of this study was to evaluate the findings of ultrasonography (US) in patients with ischial bursitis. Our study included 27 patients (mean age 62 years) who underwent US for a painful mass or tenderness in the buttock area. In six of these 27, serous fluid was obtained by needle aspiration, and in five cases, bursal excision permitted histologic confirmation. The other sixteen patients were followed up for one or two months with only NSAID medication; all showed some improvement or remission of symptoms. Using a 5-10 MHz linear array probe, US examination was performed while the patient was lying face down. US images were analyzed with regard to location and size of the lesions, thickness of cyst wall, the presence of internal septa or mural nodules, echogenicity of the cyst wall, fluid content, internal septa, compressibility by a probe, and Doppler signals within the cyst wall. In all 27 patients, ischial bursitis was located superficially to ischial tuberosity. Lesion size(maximum diameter) was 1.5-7(mean 3.8)cm, and the cyst wall was 0.2-0.8cm thick. Internal septa and mural nodules were seen in 12 cases (44%) and 13 cases (48%), respectively. The cyst wall was identifiable in 21 cases (78%), appearing as a single layer with low echogenicity (n=10) or with high echogenicity (n=1); it also appeared as two (n=6) or three (n=4) layers of different echogenicities. When internal septa were present, fluid within the cyst was low echoic in 59% of cases, high echoic in 30%, and of mixed echogenicity (so-called compartmentalization) in 15%. In all cases, the cyst became deformed, when compressed by a probe. In all patients who underwent doppler examination, some vascularity was found within the cyst wall. US helped to detect ischial bursitis; US findings were thin-walled cystic lesion located superficially to ischial tuberosity, with or without internal septa and mural nodules, and easy compressibility.

  14. Nasopharyngeal bursitis: from embryology to clinical presentation

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    AE El-Shazly

    2010-10-01

    Full Text Available AE El-Shazly, S Barriat, PP LefebvreDepartment of Otorhinolaryngology and Head and Neck Surgery, Liege University Hospital, Liege, BelgiumAbstract: Nasopharyngeal bursitis is a relatively rare syndrome characterized by a collection of symptoms that multidisciplinary specialists should be aware of. Here we present an audit of cases presenting to a rhinology clinic over a two-year period, as well as an overview of the relevant embryology and different clinical presentations of nasopharyngeal bursitis. For 2008–2009, six patients were diagnosed to have nasopharyngeal bursitis, including four males and two females, of mean age 54 years. Two distinct pathologic types were observed, comprising three patients with classical Tornwaldt’s cyst and three with crust-type bursitis. This audit highlights the importance of recognition of the crust-type of nasopharyngeal bursitis and its anatomic and clinical features. A combined endonasal and transoral endoscopic approach is a minimally invasive procedure and an effective method of treating both types of the disease. Our findings are discussed in relation to the embryology of the disorder, with a clinical emphasis on crust-type nasopharyngeal bursitis.Keywords: nasopharyngeal bursitis, crust type, Tornwaldt’s cyst, endoscopic disruption

  15. Olecranon bursitis: a systematic overview

    Science.gov (United States)

    Hay, Bruce A; Bolt, Alexander M; Hay, Stuart M

    2014-01-01

    Background Olecranon bursitis is a common condition where the bursal cavity, superficial to the olecranon, becomes inflamed. This can occur either with or without infection and has been given pseudonyms relating to the repeated minor trauma from external pressure that often predisposes. As a result of the multiple aetiologies, olecranon bursitis can present to any medical specialty with reasonable frequency and, although many therapies are described, a single, evidence-based and standardized treatment pathway is not well described. Methods We summarize the key points within the literature and subsequently propose an evidence-based treatment pathway. Results Relevant evidence is presented from appropriate publications to add rational to existing decision-making processes, together with personal experience and suggested operative bursectomy techniques from an established upper limb surgeon. The common and significant aetiologies are summarized and, in particular, red flag symptoms are highlighted by way of warning to the unsuspecting investigator. Conclusions The conclusion is provided in diagrammatic form, providing a suggested treatment pathway from history and examination through to operative intervention. PMID:27582935

  16. Calcifying Bursitis ischioglutealis: A Case report

    Science.gov (United States)

    Schuh, Alexander; Narayan, Chirag Thonse; Schuh, Ralph; Hönle, Wolfgang

    2011-01-01

    Introduction: The ischiogluteal bursa is an inconstant anatomical finding located between the ischial tuberosity and the gluteus maximus. Ischiogluteal bursitis is a rare disorder. Case Report: We report the case of a 43-year-old female patient with bilateral calcifying ischiogluteal bursitis. The patient had no relevant medical history of systemic illness or major trauma to the buttock. After aspiration of both ischiogluteal bursitis which delievered calcareous deposits and instillation of a mixture of 1cc betamethasone (6 mg) and 4 cc of 1% lidocaine the patient was out of any complaints. Conclusion: Calcifying ischiogluteal bursitis is a rare entity but easily diagnosed on radiographs. Aspiration and local steroid instillation give good relief from symptoms. PMID:27298836

  17. Trochanteric bursitis: refuting the myth of inflammation.

    Science.gov (United States)

    Silva, Fernando; Adams, Thomas; Feinstein, Jeffery; Arroyo, Ramon A

    2008-04-01

    Greater trochanteric (GT) bursitis is a common cause of hip pain. Previously, the etiology of the trochanteric pain syndrome was thought to be caused by inflammation of the subgluteus maximus bursa (i.e., bursitis). Recently, MRI and ultrasound studies have brought into serious doubt the idea that bursitis is the etiology for trochanteric pain. To our knowledge, no histologic study of GT bursitis has been reported to date. The purpose of this study is to evaluate the histopathology of patients with and without the clinical syndrome of GT bursitis to assess for the presence of bursal inflammation. This is a prospective, case-controlled, blinded study of the histopathologic features of controls and patients with GT bursitis. We recruited patients who required total hip arthroplasty (THA) for rheumatoid or osteoarthritis. Inclusion criteria for the study consisted of the following: needing THA as standard of care; THA secondary to OA or RA; age greater than 18; and minimal risk for surgery by the American Heart Association Criteria. We excluded anyone who received a GT bursa injection 9 months before surgery. Eligible participants were then stratified as cases or controls using the 1985 clinical criteria for GT bursitis. The harvesting of the bursa required no modification of the surgical procedure. The specimens were then examined by 2 independent pathologists who were blinded as to the patients' clinical status. Six bursal specimens were evaluated by 2 blinded surgical pathologists revealing primarily fibroadipose tissue with no signs of acute or chronic inflammation. There were 3 bursas in the control group and 2 specimens with clinical GT bursitis. No significant differences were found between the specimens of the 2 groups. The results of this small prospective observational histologic study, along with recent MRI and ultrasound studies on the topic, strongly suggest that there is no etiologic role of bursal inflammation in the trochanteric pain syndrome.

  18. MR features of bursitis around the hip

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kyung Joo; Sung, Mi Sook; Yu, Won Jong; You, Ie Ryung; Yang, Hae Jeom; Lee, Hae Giu; Im, Jung Ik [The Catholic Univ. of Korea Holy Family Hospital, Puchun (Korea, Republic of)

    1998-12-01

    To determine the usefulness of MR imaging for differentiation between infectious and non-infectious bursitis. MR images of 16 patients (18 lesions) in whom bursitis around the hip had been diagnosed were analyzed for homogeneity of the bursa, the presence of septation, the enhancement pattern, and associated findings. Clinical data (symptoms and signs, laboratory data, aspiration of the bursa, and surgical findings) were available for correlation. The location of bursitis was trochanteric (n=3D9), ischiogluteal (n=3D5), iliopsoas (n=3D3), or ischiotrochanteric (n=3D1). Etiologies included infection in seven cases (3 pyogenic; 4 tuberculous) and noninfection in 11 (6 inflammation; 3 hemorrhage; 2 metabolic disease). In seven patients with infectious bursitis, T1-weighted enhanced image revealed thick rim enhancement of the bursa (n=3D7) association with changes in bone marrow signal intensity (n=3D2), bone erosion (n=3D2), and cellulitis (n=3D1). Of 11 cases of noninfectious bursitis, three demonstrated typical signal characteristics of hematoma within the distended bursa. In six of seven patients who underwent contrast-enhancement, thick and thin peripheral enhancement of the bursa was noted. Bone erosion was found in one case of tuberculous bursitis and two of metabolic disease. Internal septation (n=3D4) and internal debris (n=3D3) were found in both infected and noninfected patients. MR imaging plays an important role in the diagnosis of bursitis around the hip. MR findings of thick rim enhancement, associated cellulitis, and changes in bone marrow signal intensity are suggestive of infectious bursitis.=20.

  19. Atypical retroperitoneal extension of iliopsoas bursitis

    Energy Technology Data Exchange (ETDEWEB)

    Coulier, B.; Cloots, V. [Department of Diagnostic Imaging, Cliniques St. Luc, Rue St Luc 8, 5004, Bouge, Namur (Belgium)

    2003-05-01

    We report two rare cases of iliopsoas bursitis extending into the retroperitoneal space. The first lesion contained much gas, mimicking a retroperitoneal abscess, and the second was responsible for atypical inguinal pain. The diagnosis was made by contrast-enhanced CT in both cases and arthrography in the first case. Iliopsoas bursitis in these two patients, it is hypothesized, extended into the retroperitoneum, at least in part, by way of intraneural or perineural structures. (orig.)

  20. Treatment of nonseptic bursitis with endoscopic surgery

    Directory of Open Access Journals (Sweden)

    Azad Yıldırım

    2015-09-01

    Full Text Available Objective: The aim of this study was to show that endoscopic surgery is a simple and acceptable method for various problems associated with wounds, range of motion and that such surgery ensures an early return to work after treatment of nonresponding nonseptic bursitis. Methods: Thirty-two patients with nonseptic bursitis caused by repeated minor trauma that did not respond to medical treatment from 2008 to 2012 were included in this study. Radiographic [anteroposterior and lateral], ultrasound, macro and microscopic analyses of drainage liquid and aerobic and anaerobic cultures were obtained from the patients for the diagnosis. Results: The mean age was 40.8 years. Fifteen patients had prepatellar bursitis, 13 had olecranon bursitis and 4 had ankle bursitis. Two patients had a history of falling on their knee. The other patients had a history of repetitive stimulation .The mean follow up period was 2.6 years [range. 2-5 years] and no medical complications occurred after the endoscopic surgery; such as scarring, loss of sensation and infection. One recurrence in response to medical treatment was observed. Conclusion: Endoscopic bursectomy is a short and acceptable procedure with excellent results in terms of returning to work early and minimal wound related problems. J Clin Exp Invest 2015; 6 (3: 220-223

  1. Scapulothoracic Bursitis in a Patient With Quadriparesis

    Science.gov (United States)

    Seol, Seung Jun; Han, Seung Hoon

    2015-01-01

    Abstract Scapulothoracic bursitis is a rare disease and presents as pain or swelling around the bursa of the scapulothoracic articulation. It has been reported to be related to chronic repetitive mechanical stress of the periscapular tissue, trauma, overuse, and focal muscle weakness. The authors experienced an atypical case of scapulothoracic bursitis with shoulder and periscapular pain after quadriparesis. This case implies that muscular atrophy around the scapula and chest wall from quadriparesis may contribute to the development of scapulothoracic bursitis with shoulder and periscapular pain. In addition, clinician should be alert to it as a possible cause when a patient with quadriparesis complains of shoulder and periscapular pain and consider proper diagnostic options such as ultrasonography or magnetic resonance imaging. PMID:25906107

  2. Lumbar interspinous bursitis in active polymyalgia rheumatica.

    Science.gov (United States)

    Salvarani, Carlo; Barozzi, Libero; Boiardi, Luigi; Pipitone, Nicolò; Bajocchi, Gian Luigi; Macchioni, Pier Luigi; Catanoso, Mariagrazia; Pazzola, Giulia; Valentino, Massimo; De Luca, Carlo; Hunder, Gene G

    2013-01-01

    To evaluate the inflammatory involvement of lumbar interspinous bursae in patients with polymyalgia rheumatica (PMR) using magnetic resonance imaging (MRI). Ten consecutive, untreated new patients with PMR and pain in the shoulder and pelvic girdles were investigated. Seven patients with spondyloarthritis (4 with psoriatic spondyloarthrits, one with entheropatic spondyloarthritis, and 2 with ankylosing spondylitis) as well as 2 patients with spinal osteoarthritis and 2 patients with rheumatoid arthritis with lumbar pain served as controls. MRI of lumbar spine was performed in all PMR patients and controls. Nine patients (5 PMR patients and 4 controls) also had MRI of the thoracic spine. MRI evidence of interspinous lumbar bursitis was found in 9/10 patients with PMR and in 5/11 controls. A moderate to marked (grade ≥2 on a semiquantitative 0-3 scale) lumbar bursitis occurred significantly more frequently in patients with PMR than in control patients (60% vs. 9%, p=0.020). In most of the patients and controls lumbar bursitis was found at the L3-L5 interspaces. Only 2 patients had bursitis at a different level (one patient had widespread lumbar bursitis, and one control at L2-L4). No interspinous bursitis was demonstrated by MRI of the thoracic spine in patients and controls. Inflammation of lumbar bursae may be responsible for the low back pain reported by patients with PMR. The prominent inflammatory involvement of bursae including those of the lumbar spine supports the hypothesis that PMR may be a disorder affecting predominantly extra-articular synovial structures.

  3. Management and outcome of infective prepatellar bursitis.

    Science.gov (United States)

    Wilson-MacDonald, J.

    1987-01-01

    Forty seven cases of prepatellar bursitis are reported. Twenty one patients had sustained a recent injury with a break in the skin which had caused the infection and seventeen patients were employed in jobs which involved kneeling. Oral antibiotics proved to be inadequate treatment in many cases. Splintage and intravenous antibiotics with or without aspiration of the bursa were usually successful in treating the condition, although nine patients required surgical drainage of the bursa. Twelve patients continued to have symptoms months or years after the infection, particularly those with preexisting chronic bursitis, or those who kneeled at work. There was little difference in the results between the different treatment groups. PMID:3447109

  4. Acute gouty bursitis: report of 15 cases.

    Science.gov (United States)

    Canoso, J J; Yood, R A

    1979-01-01

    Fifteen cases of acute gouty bursitis were seen among 136 crystal-proved cases of gout. Bursal aspirate yielded yellow or pink fluid in 10, chalky white fluid in 1, and a small amount of bloody fluid in 4. Monosodium urate crystals were present in all. Bursal fluid leucocyte counts averaged 2.9 X 10(9)/1 compared with synovial fluid leucocyte counts that averaged 25.5 X 10(9)/1 in cases of articular gout (P less than 0.05). Gouty, septic, and idiopathic (traumatic) bursitis share clinical features, and detailed bursal fluid analysis is crucial for diagnosis. PMID:496446

  5. First case of Roussoella percutanea bursitis.

    Science.gov (United States)

    Almagro-Molto, M; Haas, A; Melcher, C; Nam-Apostolopoulos, Y C; Schubert, S

    2017-02-01

    Roussoella percutanea is a novel opportunistic pathogen firstly identified in 2014. It is known to cause subcutaneous infection in immunosuppressed patients. We report on the first case of R. percutanea bursitis in a renal transplant patient. We provide new data about its identification, drug susceptibility, and treatment outcome. Here we demonstrate that R. percutanea is a potential human pathogen.

  6. Trochanteric bursitis: the last great misnomer.

    Science.gov (United States)

    Board, Tim N; Hughes, Simon J; Freemont, Anthony J

    2014-12-05

    Trochanteric bursitis has been used as a general term to describe pain around the greater trochanteric region of the hip. We hypothesised that trochanteric bursitis may not however have an inflammatory component and that accordingly, bursal inflammation has no role in lateral hip pain. This study was designed to test this hypothesis. Patients undergoing primary total hip replacement were enrolled in this prospective, case-controlled, blinded study. Twenty-five patients who met the criteria for diagnosis of trochanteric bursitis (group A) were matched with a control group of 25 patients (group B). Trochanteric bursal samples were harvested from all patients intraoperatively and sent for histological analysis for the presence of inflammation. The intraoperative appearance of the abductor tendon insertion was also noted. None of the samples showed any evidence of acute or chronic inflammatory changes. Intraoperatively, five patients (20%) in group A were noted to have thinning of the gluteus medius tendon but no macroscopic tendon tears were detected in any bursal samples. This study suggests that there is no inflammatory component to so-called trochanteric bursitis, which accordingly casts doubt on both the terminology and the existence of this condition as a separate clinical entity. Clinicians should search for an alternative cause of symptoms in such cases.

  7. Association between trochanteric bursitis, osteoarthrosis and total hip arthroplasty,

    OpenAIRE

    Carlos Roberto Schwartsmann; Felipe Loss; Leandro de Freitas Spinelli; Roque Furian; Marcelo Faria Silva; Júlia Mazzuchello Zanatta; Leonardo Carbonera Boschin; Ramiro Zilles Gonçalves; Anthony Kerbes Yépez

    2014-01-01

    OBJECTIVE: this was an epidemiological study on trochanteric bursitis at the time of performing total hip arthroplasty.METHODS: sixty-two sequential patients who underwent total hip arthroplasty due to osteoarthrosis, without any previous history of trochanteric bursitis, were evaluated. The bursas were collected and evaluated histologically.RESULTS: there were 35 female patients (56.5%) and 27 male patients (43.5%), with a mean age of 65 years (±11). Trochanteric bursitis was conformed histo...

  8. Tuberculous bicipitoradial bursitis: A case report

    Energy Technology Data Exchange (ETDEWEB)

    Nishida, Jun; Shimamura, Tadashi [Iwate Medical University, Department of Orthopaedic Surgery, School of Medicine, Morioka (Japan); Furumachi, Katsuro [Iwate Medical University, Department of Orthopaedic Surgery, Morioka (Japan); Ehara, Shigeru [Iwate Medical University, Department of Radiology, School of Medicine, Morioka (Japan); Satoh, Takashi [Iwate Medical University, Pathology, Morioka (Japan); Okada, Kyoji [Akita University School of Medicine, Orthopaedics, Akita (Japan)

    2007-05-15

    An 76-year-old man with an indolent soft tissue mass on the volar aspect of the left elbow was referred to our institution with a diagnosis of a soft tissue tumor. He had a history of lung tuberculosis since the age of 30. The mass was adjacent to the biceps brachi tendon. It demonstrated homogeneous low-signal intensity on T1-weighted magnetic resonance (MR) images and heterogeneous relatively high signal intensity with scattered low and high signal intensity areas on T2-weighted MR images. An excision was performed after needle biopsy with presumptive diagnosis of bicipitoradial bursitis. The histological specimen revealed an epithelioid cell granuloma with central necrosis. While the occurrence of tuberculous bicipitoradial bursitis has never been reported, this case demonstrates that it can be considered to be among the causes of a cystic lesion around the elbow joint. (orig.)

  9. Nasopharyngeal bursitis: from embryology to clinical presentation

    OpenAIRE

    AE El-Shazly; S Barriat; PP Lefebvre

    2010-01-01

    AE El-Shazly, S Barriat, PP LefebvreDepartment of Otorhinolaryngology and Head and Neck Surgery, Liege University Hospital, Liege, BelgiumAbstract: Nasopharyngeal bursitis is a relatively rare syndrome characterized by a collection of symptoms that multidisciplinary specialists should be aware of. Here we present an audit of cases presenting to a rhinology clinic over a two-year period, as well as an overview of the relevant embryology and different clinical presentations of nasopharyngeal bu...

  10. Nasopharyngeal bursitis: from embryology to clinical presentation

    OpenAIRE

    2010-01-01

    AE El-Shazly, S Barriat, PP LefebvreDepartment of Otorhinolaryngology and Head and Neck Surgery, Liege University Hospital, Liege, BelgiumAbstract: Nasopharyngeal bursitis is a relatively rare syndrome characterized by a collection of symptoms that multidisciplinary specialists should be aware of. Here we present an audit of cases presenting to a rhinology clinic over a two-year period, as well as an overview of the relevant embryology and different clinical presentations of nasopharyngeal bu...

  11. Non-Infectious Ischiogluteal Bursitis: MRI Findings

    Science.gov (United States)

    Lee, Sung Moon; Lee, Young Hwan; Suh, Kyung Jin; Kim, Sung Moon; Shin, Myung Jin; Jang, Han Won

    2004-01-01

    Objective We wished to report on the MRI findings of non-infectious ischiogluteal bursitis. Materials and Methods The MRI findings of 17 confirmed cases of non-infectious ischiogluteal bursitis were analyzed: four out of the 17 cases were confirmed with surgery, and the remaining 13 cases were confirmed with MRI plus the clinical data. Results The enlarged bursae were located deep to the gluteus muscles and postero-inferior to the ischial tuberosity. The superior ends of the bursal sacs abutted to the infero-medial aspect of the ischial tuberosity. The signal intensity within the enlarged bursa on T1-weighted image (WI) was hypo-intense in three cases (3/17, 17.6%), iso-intense in 10 cases (10/17, 58.9%), and hyper-intense in four cases (4/17, 23.5%) in comparison to that of surrounding muscles. The bursal sac appeared homogeneous in 13 patients (13/17, 76.5%) and heterogeneous in the remaining four patients (4/17, 23.5%) on T1-WI. On T2-WI, the bursa was hyper-intense in all cases (17/17, 100%); it was heterogeneous in 10 cases and homogeneous in seven cases. The heterogeneity was variable depending on the degree of the blood-fluid levels and the septae within the bursae. With contrast enhancement, the inner wall of the bursae was smooth (5/17 cases), and irregular (12/17 cases) because of the synovial proliferation and septation. Conclusion Ischiogluteal bursitis can be diagnosed with MRI by its characteristic location and cystic appearance. PMID:15637479

  12. Outcome of endoscopic decompression of retrocalcaneal bursitis

    Directory of Open Access Journals (Sweden)

    Vamsi Kondreddi

    2012-01-01

    Full Text Available Background: Posterior heel pain due to retrocalcaneal bursitis, is a disabling condition that responds well to the conventional methods of treatment. Patients who do not respond to conservative treatment may require surgical intervention. This study evaluates the outcome of endoscopic decompression of retrocalcaneal bursitis, with resection of posterosuperior eminence of the calcaneum. Materials and Methods: This present study included 25 heels from 23 consecutive patients with posterior heel pain, who did not respond to conservative treatment and underwent endoscopic decompression of the retrocalcaneal bursae and excision of bony spurs. The functional outcome was evaluated by comparing the pre and postoperative American Orthopedic Foot and Ankle Society (AOFAS scores. The Maryland ankle and foot score was used postoperatively to assess the patient′s satisfaction at the one-year followup. Results: The University of Maryland scores of 25 heels were categorized as the nonparametric categories, and it was observed that 16 patients had an excellent outcome, six good, three fair and there were no poor results. The AOFAS scores averaged 57.92 ± 6.224 points preoperatively and 89.08 ± 5.267 points postoperatively (P < 0.001, at an average followup of 16.4 months. The 12 heels having noninsertional tendinosis on ultrasound had low AOFAS scores compared to 13 heels having retrocalcaneal bursitis alone. At one year followup, correlation for preoperative ultrasound assessment of tendoachilles degeneration versus postoperative Maryland score (Spearman correlation had shown a strong negative correlation. Conclusion: Endoscopic calcaneal resection is highly effective in patients with mild or no degeneration and yields cosmetically better results with fewer complications. Patients with degenerative changes in Achilles tendon had poorer outcomes in terms of subjective satisfaction.

  13. Non-infectious ischiogluteal bursitis: MRI findings

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Kil Ho; Jang, Han Won [Yeungnam University College of Medicine, Daegu (Korea, Republic of); Lee, Sung Moon [Keimyung University College of Medicine, Daegu (Korea, Republic of); Lee, Young Hwan [Daegu Hyosung Catholic University College of Medicine, Daegu (Korea, Republic of); Suh, Kyung Jin [Suh and Joo MR Clinic, Seoul (Korea, Republic of); Kim, Sung Moon; Shin, Myung Jin [University of Ulsan College of Medicine, Seoul (Korea, Republic of)

    2004-12-15

    We wished to report on the MRI findings of non-infectious ischiogluteal bursitis. The MRI findings of 17 confirmed cases of non-infectious ischiogluteal bursitis were analyzed: four out of the 17 cases were confirmed with surgery, and the remaining 13 cases were confirmed with MRI plus the clinical data. The enlarged bursae were located deep to the gluteus muscles and postero-inferior to the ischial tuberosity. The superior ends of the bursal sacs abutted to the infero-medial aspect of the ischial tuberosity. The signal intensity within the enlarged bursa on T1-weighted image (WI) was hypo-intense in three cases (3/17, 17.6%), iso-intense in 10 cases (10/17, 58.9%), and hyper-intense in four cases (4/17, 23.5%) in comparison to that of surrounding muscles. The bursal sac appeared homogeneous in 13 patients (13/17, 76.5%) and heterogeneous in the remaining four patients (4/17, 23.5%) on T1-WI. On T2-WI, the bursa was hyper-intense in all cases (17/17, 100%); it was heterogeneous in 10 cases and homogeneous in seven cases. The heterogeneity was variable depending on the degree of the blood-fluid levels and the septae within the bursae. With contrast enhancement, the inner wall of the bursae was smooth (5/7 cases), and irregular (12/17 cases) because of the synovial proliferation and septation. Ischiogluteal bursitis can be diagnosed with MRI by its characteristic location and cystic appearance.

  14. [Trochanteric bursitis due to tuberculosis in an immunocompetent young woman].

    Science.gov (United States)

    Soro Marín, Sandra; Sánchez Trenado, María Asunción; Mínguez Sánchez, María Dolores; Paulino Huertas, Marcos; García Morales, Paula Virginia; Salas Manzanedo, Verónica

    2012-01-01

    Soft tissue infection due to Mycobacterium tuberculosis can affect muscle, tendons, fascia, bursa and synovial tissue. Tuberculous trochanteric bursitis is a rare entity that usually affects immunocompromised patients. Manifestations usually occur insidiously, which delays diagnosis and treatment. We present the case of an immunocompetent young woman who came to our department for chronic left hip pain. The study confirms the diagnosis of tuberculous trochanteric bursitis. This case demonstrates the importance of considering a possible infectious origin of bursitis in immunocompetent patients. Copyright © 2010 Elsevier España, S.L. All rights reserved.

  15. Fotodesbridamento de válvulas aórticas calcificadas com laser de CO2 Photodebridement of calcified aortic valve, with CO2. laser

    Directory of Open Access Journals (Sweden)

    Walter José Gomes

    1987-08-01

    Full Text Available Os autores estudam 6 válvulas aórticas calcificadas retiradas de pacientes operados de troca valvar aórtica, submetidos a fotodesbridamento com raios laser de CO2. Os estudos radiográficos, fotográficos, histopatológicos e pesagens realizadas revelam ter sido o fotodesbridamento extenso, resultado em válvulas restauradas morfológica e funcionalmente. Mostram as vantagens do método quando comparado às substituições da valva por prótese e prevêem aplicação clínica para este método.The authors present 6 cases of calcified aortic valves, removed from patients during aortic valve replacement, which underwent photodebridement with CO2 laser. Radiographic, photografic weight and histopathological studies have shown extensive debridement, and the valves showing improved morphology and function. The advantages of the procedure made concerning valve replacement and clinical application is foreseen for the method.

  16. Prevalence of knee bursitis in the workforce.

    Science.gov (United States)

    Le Manac'h, A P; Ha, C; Descatha, A; Imbernon, E; Roquelaure, Y

    2012-12-01

    Knee bursitis (KB) is a common disorder in specific occupations requiring frequent and/or sustained kneeling postures. To assess the prevalence of KB in the general working population. Between 2002 and 2005, a total of 3710 workers of a French region were randomly included in the study. A standardized physical examination of the knee was performed when knee pain was reported by the worker during the preceding 12 months. The criteria for diagnosis of KB were (i) the presence of pain and/or tenderness in the anterior face of the knee at the date of the examination (or for at least 4 days in the preceding week) and (ii) the presence of swelling and/or pressure-induced pain of the pre- or infra-patellar bursa. Occupational risk factors were assessed by a self-administered questionnaire. The prevalence of uni- or bilateral cases of knee bursitis was low: 0.6% [0.2-0.9] in men and 0.2% [0.0-0.6] in women. The highest prevalence was observed in the construction sector (2.3% [0.8-5.4]) and in the food and meat processing industries (1.4% [0.4-3.5)]. More blue-collar workers were affected than other occupation categories (0.8% [0.3-1.2] versus 0.1% [0.0-0.4]). The study showed a concentration of cases among male workers exposed to heavy workloads and frequent kneeling.

  17. Treatment of trochanteric bursitis: our experience

    Science.gov (United States)

    Nurkovic, Jasmin; Jovasevic, Ljubisa; Konicanin, Admira; Bajin, Zoran; Ilic, Katarina Parezanovic; Grbovic, Vesna; Skevin, Aleksandra Jurisic; Dolicanin, Zana

    2016-01-01

    [Purpose] Trochanteric bursitis is a disease for which there are no effective standardized therapy protocols. Very often pain persists in spite of applying all therapeutic treatments. The purpose of this study was to determine whether treatment of trochanteric bursitis with a local injection of bicomponent corticosteroid and 2% lidocaine would improve patients’ conditions and relieve pain symptoms in the trochanteric area. [Subjects and Methods] A retrospective observational study was conducted of 2,217 patients in a 6 year follow-up period at the Special Hospital “Agens”, Mataruska Banja, Serbia. [Results] Of 2,217 examined patients, 58 (2.6%) patients were found to suffer from trochanteritis associated with low back pain, and 157 (7%) were found to suffer from trochanteric pains without low back pains. Local corticosteroid therapy followed by physical therapy was effective in 77 (49%) of these patients, and only corticosteroid injection in 61 (39%) patients. A single injection was given to 47 (29.9%) of the patients. Two injections were given to 9 (5.7%) patients, and from 3 to 5 injections were given repeatedly every 4–6 weeks to 7 (4.5%) patients. [Conclusion] For most patients, local injections of corticosteroids with lidocaine alone or followed by physical therapy gave satisfactory results. PMID:27512268

  18. Ischiogluteal bursitis: a report of three cases with MR findings.

    Science.gov (United States)

    Hitora, Toshiaki; Kawaguchi, Yoji; Mori, Masaki; Imaizumi, Yasuhiko; Akisue, Toshihiro; Sasaki, Kanji; Yamada, Eiji; Yamamoto, Tetsuji

    2009-02-01

    Ischiogluteal bursitis is an uncommon disorder which can be confused with neoplastic conditions in the buttock. Three cases of ischiogluteal bursitis in a 57-year-old man, a 73-year-old woman and a 73-year-old man are presented. All patients presented with a gradually increasing, painful buttock mass. Magnetic resonance imaging (MRI) revealed a soft tissue mass around the ischial tuberosity and showed various features in the three cases. Two patients underwent excision of the lesion, which was histologically diagnosed as ischiogluteal bursitis. One patient was conservatively treated and the symptoms gradually decreased. MRI was very useful in diagnosing and detecting the lesion. Ischiogluteal bursitis should be considered in the differential diagnosis of a buttock mass.

  19. Candida glabrata olecranon bursitis treated with bursectomy and intravenous caspofungin.

    Science.gov (United States)

    Skedros, John G; Keenan, Kendra E; Trachtenberg, Joel D

    2013-01-01

    Orthopedic surgeons are becoming more involved in the care of patients with septic arthritis and bursitis caused by yeast species. This case report involves a middle-aged immunocompromised female who developed a Candida glabrata septic olecranon bursitis that developed after she received a corticosteroid injection in the olecranon bursa for presumed aseptic bursitis. Candida (Torulopsis) glabrata is the second most frequently isolated Candida species from the bloodstream in the United States. Increased use of fluconazole and other azole antifungal agents as a prophylactic treatment for recurrent Candida albicans infections in immunocompromised individuals is one reason why there appears to be increased resistance of C. glabrata and other nonalbicans Candida (NAC) species to fluconazole. In this patient, this infection was treated with surgery (bursectomy) and intravenous caspofungin, an echinocandin. This rare infectious etiology coupled with this intravenous antifungal treatment makes this case novel among cases of olecranon bursitis caused by yeasts.

  20. Association between trochanteric bursitis, osteoarthrosis and total hip arthroplasty,

    Directory of Open Access Journals (Sweden)

    Carlos Roberto Schwartsmann

    2014-06-01

    Full Text Available OBJECTIVE: this was an epidemiological study on trochanteric bursitis at the time of performing total hip arthroplasty.METHODS: sixty-two sequential patients who underwent total hip arthroplasty due to osteoarthrosis, without any previous history of trochanteric bursitis, were evaluated. The bursas were collected and evaluated histologically.RESULTS: there were 35 female patients (56.5% and 27 male patients (43.5%, with a mean age of 65 years (±11. Trochanteric bursitis was conformed histologically in nine patients (14.5%, of whom six were female (66.7% and three were male (33.3%.CONCLUSIONS: 14.5% of the bursas analyzed presented inflammation at the time that the primary total hip arthroplasty due to osteoarthrosis was performed, and the majority of the cases of bursitis were detected in female patients.

  1. Pes anserine bursitis: incidence in symptomatic knees and clinical presentation

    Energy Technology Data Exchange (ETDEWEB)

    Rennie, W.J. [Royal National Orthopaedic Hospital NHS Trust, Department of Radiology, Stanmore, Middlesex (United Kingdom); Saifuddin, A. [Royal National Orthopaedic Hospital NHS Trust, Department of Radiology, Stanmore, Middlesex (United Kingdom); University College London, Institute of Orthopaedics and Musculoskeletal Sciences (United Kingdom)

    2005-07-01

    To determine the prevalence and associated clinical symptoms of pes anserine bursitis in symptomatic adult knees. A retrospective review was performed of the reports of 509 knee MRI studies obtained from July 1998 to June 2004 on 488 patients presenting to an orthopaedic clinic with knee pain suspected to be due to internal derangement. The MRI studies and case histories of all patients reported to have pes anserine bursitis were reviewed. The management of these patients was also noted. The prevalence of pes anserine bursitis as detected on MRI is 2.5%. The commonest clinical presentation was pain along the medial joint line mimicking a medial meniscal tear. We suggest that an accurate diagnosis of pes anserine bursitis on MRI will help prevent unnecessary arthroscopy and possibly initiate early treatment of the condition. Axial imaging is important in these cases to differentiate the bursa from other medial fluid collections. (orig.)

  2. Mycobacterium avium-intracellulare: a rare cause of subacromial bursitis.

    Science.gov (United States)

    Sinha, Raj; Tuckett, John; Hide, Geoff; Dildey, Petra; Karsandas, Alvin

    2015-01-01

    Septic subacromial bursitis is an uncommon disorder with only a few reported cases in the literature. The most common causative organism is Staphylococcus aureus. We report the case of a 61-year-old female with a septic subacromial bursitis where the causative organism was found to be Mycobacterium avium-intracellulare (MAI). The diagnosis was only made following a biopsy, and we use this case to highlight the importance of recognising the need to consider a biopsy and aspiration in atypical situations.

  3. Diclofenac Patch for Treatment of Mild to Moderate Tendonitis or Bursitis

    Science.gov (United States)

    2008-08-05

    Rotator Cuff Tendonitis; Bicipital Tendonitis; Subdeltoid Bursitis of the Shoulder; Subacromial Bursitis of the Shoulder; Medial Epicondylitis of the Elbow; Lateral Epicondylitis of the Elbow; DeQuervain's Tenosynovitis of the Wrist

  4. Diagnosis and management of olecranon bursitis.

    Science.gov (United States)

    Del Buono, Angelo; Franceschi, Francesco; Palumbo, Alessio; Denaro, Vincenzo; Maffulli, Nicola

    2012-10-01

    We aim to review the current knowledge on diagnosis, clinical features and main management modalities of olecranon bursitis. We underline that the first treatment line is conservative, including ice, rest, anti-inflammatory and analgesic drugs and, occasionally, bursal fluid aspiration. In unresponsive patients, although open excisional procedures allow to completely remove the pathological bursal tissue, arthroscopy is increasingly being considered as a suitable new modality of management. These minimally invasive procedures, although not free from complications, avoid the wound problems often occurring following open excision. Copyright © 2012 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

  5. Ischial Pain and Sitting Disability Due to Ischiogluteal Bursitis: Visual Vignette.

    Science.gov (United States)

    Ekiz, Timur; Biçici, Vedat; Hatioglu, Cem; Yalçın, Süha; Cingöz, Kagan

    2015-01-01

    Ischial bursitis or ischiogluteal bursitis is the inflammation of the ischiogluteal bursa due to excessive or inappropriate physical exercise, prolonged sitting, running, repetitive jumping, and kicking. Since ischial bursitis is a rare, infrequently recognized pathology and is difficult to differentiate from the soft tissue disease and tumors (both malignant and benign), herein exemplified is a case with ischiogluteal bursitis whereby the role of magnetic resonance imaging (MRI) in the prompt diagnosis has been highlighted.

  6. Ultrasonographic findings of aspergillus bursitis in a patient with a renal transplantation: a case report

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Byeong Seong; Yang, Myeon Jun; Kim, Young Min; Youm, Yoon Seok; Choi, Seong Hoon; Park, Sung Bin; Jeong, Ae Kyung [University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan (Korea, Republic of)

    2008-04-15

    Aspergillus bursitis is an uncommon condition demonstrated as a nonspecific soft tissue mass. To our knowledge, the ultrasonographic findings of aspergillus bursitis in immunocompromised patients have not been previously reported. Here, we report a case of aspergillus bursitis in a renal transplant recipient, accompanied by the associated ultrasonographic findings.

  7. Therapy-resistant septic olecranon bursitis due to Mycobacterium gordonae

    Science.gov (United States)

    Konrads, Christian; Rückl, Kilian; El Tabbakh, Mohammed; Rudert, Maximilian; Kircher, Stefan; Plumhoff, Piet

    2016-01-01

    Introduction: Septic olecranon bursitis due to atypical mycobacteria is rare. An insidious beginning can delay diagnosis and treatment. Antibacterial therapy recommendations are not well-defined for bursitis caused by atypical mycobacteria. We present a rare case of olecranon bursitis caused by Mycobacterium gordonae, reporting our experiences regarding pathogen identification and antibiotic therapy, which differs from regimes used in common septic bursitis mostly caused by staphylococcus aureus. Methods: A 35-year-old male with bursitis olecrani received open bursectomy. Microbiological culture did not reveal bacteria. Due to wound healing complications revision surgery was performed four weeks postoperatively. Finally, Mycobacterium gordonae was identified by PCR and an antibiogram could be developed. A triple antimicrobial combination therapy with Rifampicin, Clarithromycin, and Ethambutol was administered systemically for 12 months. The patient was followed-up for 24 months. Results: After the second operation with pathogen identification and antibiotic combination therapy the wound healed without any additional complications. At last follow-up 24 months after the first surgery with bursectomy and 23 months after revision surgery with debridement, the patient was still pain free with no significant clinical findings or tenderness to touch at the operation site. Elbow range of motion was full. Discussion: As septic bursitis can be caused by many different and sometimes rare and difficult to identify bacteria, intraoperative probes should be taken and histopathological and microbiological analysis should be conducted, including PCR. In a young man with olecranon bursitis due to Mycobacterium gordonae surgical treatment and an antibiotic combination therapy showed a good clinical outcome after one and two years. PMID:27892398

  8. Arthroscopic bursectomy for recalcitrant trochanteric bursitis after hip arthroplasty.

    Science.gov (United States)

    Van Hofwegen, Christopher; Baker, Champ L; Savory, Carlton G; Baker, Champ L

    2013-01-01

    This study evaluated the use of arthroscopic bursectomy for pain relief in patients with trochanteric bursitis after hip arthroplasty. In this retrospective case series of 12 patients undergoing arthroscopic treatment of recalcitrant trochanteric bursitis after hip arthroplasty, outcomes were assessed via phone interview with a numeric pain rating scale from 1 to 10 and were compared with preoperative pain ratings. Patients were asked the percentage of time they had painless hip function and whether they would have the surgery again. At an average 36-month follow-up (range, 4-85 months), the average numeric pain scale rating improved from 9.3 to 3.3. At an average of 62% of the time, patients had painless use of the hip. Ten of 12 patients in the study felt the pain relief gained was substantial enough to warrant having procedure again. In these patients, arthroscopic bursectomy was a viable option for patients with recalcitrant bursitis after hip arthroplasty.

  9. Subacromial bursitis following human papilloma virus vaccine misinjection.

    Science.gov (United States)

    Uchida, Soshi; Sakai, Akinori; Nakamura, Toshitaka

    2012-12-17

    A patient presented at our clinic with severe subacromial bursitis, which persisted for several months following a third booster injection with Cervarix™. Chronic subacromial bursitis manifested itself in this patient after what appeared to be the misinjection of vaccine in close proximity to the acromion. This bursitis was resistant to conventional physiotherapy and to corticosteroid therapy, but was responsive to arthroscopic surgery. Since such patients may present to an arthroscopic surgeon only months after receiving a vaccine injection, this etiological link may not be fully appreciated by treating clinicians. Further, the accuracy of injection in the deltoid region also appears under appreciated, and this report highlights the importance of accurate injection to the deltoid region or in certain cases, the value of simply changing the injection site to another larger muscle. Copyright © 2012 Elsevier Ltd. All rights reserved.

  10. Endoscopic versus open bursectomy of lateral malleolar bursitis.

    Science.gov (United States)

    Choi, Jae Hyuck; Lee, Kyung Tai; Lee, Young Koo; Kim, Dong Hyun; Kim, Jeong Ryoul; Chung, Woo Chull; Cha, Seung Do

    2012-06-01

    Compare the result of endoscopic versus open bursectomy in lateral malleolar bursitis. Prospective evaluation of 21 patients (22 ankles) undergoing either open or endoscopic excision of lateral malleolar bursitis. The median age was 64 (38-79) years old. The median postoperative follow-up was 15 (12-18) months. Those patients undergoing endoscopic excision showed a higher satisfaction rate (excellent 9, good 2) than open excision (excellent 4, good 3, fair 1). The wounds also healed earlier in the endoscopic group although the operation time was slightly longer. One patient in the endoscopic group had recurrence of symptoms but complications in the open group included one patient with skin necrosis, one patient with wound dehiscence, and two patients of with superficial peroneal nerve injury. Endoscopic resection of the lateral malleolar bursitis is a promising technique and shows favorable results compared to the open resection. Therapeutic studies-Investigating the result of treatment, Level II.

  11. Scapulothoracic bursitis in a patient with quadriparesis: a case report.

    Science.gov (United States)

    Seol, Seung Jun; Han, Seung Hoon

    2015-04-01

    Scapulothoracic bursitis is a rare disease and presents as pain or swelling around the bursa of the scapulothoracic articulation. It has been reported to be related to chronic repetitive mechanical stress of the periscapular tissue, trauma, overuse, and focal muscle weakness. The authors experienced an atypical case of scapulothoracic bursitis with shoulder and periscapular pain after quadriparesis.This case implies that muscular atrophy around the scapula and chest wall from quadriparesis may contribute to the development of scapulothoracic bursitis with shoulder and periscapular pain. In addition, clinician should be alert to it as a possible cause when a patient with quadriparesis complains of shoulder and periscapular pain and consider proper diagnostic options such as ultrasonography or magnetic resonance imaging.

  12. Septic Bursitis in an 8-Year-Old Boy

    Science.gov (United States)

    Marconi, Dante; Plakas, Christos; Fisher, Margaret

    2014-01-01

    Background. The prepatellar bursa can become inflamed owing to repeated trauma. Prepatellar bursitis is extremely rare in children. Methods. We report the case of an 8-year-old boy who was treated for an erythematous, swollen, and severely painful right knee, fever, inability to bear weight on the leg, and purulent material draining from a puncture wound. We describe the differential diagnosis for tender swollen knee, including infection, gout, rheumatoid arthritis, and osteoarthritis. If untreated, prepatellar bursitis can progress to patellar osteomyelitis. Results. Wound cultures grew Streptococcus pyogenes, with the infection resolving with amoxicillin. Conclusions. A high index of suspicion is necessary in children presenting with prepatellar bursitis to prevent potentially devastating sequelae of infection of the septic joint. PMID:24955272

  13. Septic Bursitis in an 8-Year-Old Boy

    Directory of Open Access Journals (Sweden)

    Panagiotis Kratimenos

    2014-01-01

    Full Text Available Background. The prepatellar bursa can become inflamed owing to repeated trauma. Prepatellar bursitis is extremely rare in children. Methods. We report the case of an 8-year-old boy who was treated for an erythematous, swollen, and severely painful right knee, fever, inability to bear weight on the leg, and purulent material draining from a puncture wound. We describe the differential diagnosis for tender swollen knee, including infection, gout, rheumatoid arthritis, and osteoarthritis. If untreated, prepatellar bursitis can progress to patellar osteomyelitis. Results. Wound cultures grew Streptococcus pyogenes, with the infection resolving with amoxicillin. Conclusions. A high index of suspicion is necessary in children presenting with prepatellar bursitis to prevent potentially devastating sequelae of infection of the septic joint.

  14. Management of acute bursitis: outcome study of a structured approach.

    Science.gov (United States)

    Stell, I M

    1999-01-01

    In patients with septic bursitis the indications for admission and surgical intervention remain unclear, and practice has varied widely. The effectiveness of a conservative outpatient based approach was assessed by an outcome study in a prospective case series. Consecutive patients attending an emergency department with acute swelling of the olecranon or prepatellar bursa were managed according to a structured approach, subjective and objective outcomes being assessed after two to three days, and subsequently as required until clinical discharge. Long-term outcomes were assessed by telephone follow-up for up to eighteen months. 47 patients were included in the study: 22 had septic bursitis, 15 of the olecranon bursa and 7 of the prepatellar bursa. The mean visual analogue pain scores of those with septic bursitis improved from 4.8 at presentation to 1.7 at first follow-up for olecranon bursitis, and from 3.8 to 2.7 for prepatellar bursitis. Symptoms improved more slowly for patients with non-septic bursitis. No patients were admitted initially, but 2 were admitted (two days each) after the first follow-up appointment. One patient had incision and drainage on the third attendance, and 3 patients developed discharging sinuses, which all healed spontaneously. All patients made a good long-term symptomatic recovery and all could lean on the elbow or kneel by the end of the follow-up period. The management protocol, with specific criteria for admission and surgical intervention, thus produced good results with little need for operation or admission. PMID:10692903

  15. Avascular necrosis of the femoral head presenting as trochanteric bursitis.

    Science.gov (United States)

    Mandell, B F

    1990-01-01

    Five patients are described with avascular necrosis of the femoral head who presented with ipsilateral trochanteric bursitis, in the absence of clearcut hip joint disease. Avascular necrosis was indicated by magnetic resonance imaging. It is suggested that clinical trochanteric bursitis, especially when refractory to local corticosteroid treatment, may be the initial sign of hip disease. In the patient with risk factor(s) for avascular necrosis that diagnosis should be considered and evaluated with appropriate studies, such as magnetic resonance imaging, to prevent weight bearing at an early stage and permit possible surgical decompression in the hope of postponing or obviating the need for total hip replacement. PMID:2241294

  16. Phomopsis bougainvilleicola prepatellar bursitis in a renal transplant recipient

    Science.gov (United States)

    Pre-patellar bursitis is typically a monomicrobial bacterial infection. Rarely is a fungal cause identified. We describe a 61 year-old man who had received a renal transplant 21 months prior to presentation whose synovial fluid and surgical specimens grew Phomopsis bougainvilleicola, a pycnidial coe...

  17. Subdeltoid/subacromial bursitis associated with influenza vaccination.

    Science.gov (United States)

    Cook, Ian F

    2014-01-01

    A 76-year-old male presented with subacromial/subdeltoid bursitis following influenza vaccine administration into the left deltoid muscle. This shoulder injury related to vaccine administration (SIRVA) could have been prevented by the use of a safe, evidence based protocol for the intramuscular injection of the deltoid muscle.

  18. [Current treatment concepts for olecranon and prepatellar bursitis in Austria].

    Science.gov (United States)

    Baumbach, S F; Michel, M; Wyen, H; Buschmann, C T; Kdolsky, R; Kanz, K-G

    2013-04-01

    The limited evidence available on the diagnosis and treatment of olecranon and prepatellar bursitis indicates nationally varying treatment approaches. Therefore the aim of this study was to survey the current treatment concepts of olecranon and prepatellar bursitis in Austria. An online questionnaire comprising of demographic data, questions regarding diagnostics and differentiation between septic bursitis (SB) and non-septic bursitis (NSB) as well as two case reports for therapy appraisal were sent to members of the Austrian Society of Orthopaedics and Orthopaedic Surgery (ÖGO) and the Austrian Society of Traumatology (ÖGU). The overall response rates were 46 % (ÖGU)/12 % (ÖGO). Differentiation between SB and NSB was predominantly based on medical history/clinical presentation (ÖGU: 100 %/ÖGO: 84 %) and blood sampling (ÖGU: 82 %/ÖGO: 77 %). 64/36 % of surveyed members of ÖGO/OGU performed a bursal aspiration. 95/55 % of Austrian ÖGU opinion leaders favoured a surgical treatment approach in cases of SB/NSB. Conversely, ÖGO members rather favoured a conservative treatment approach (28/27 %). Significant differences were found between ÖGO and ÖGU, with the latter favouring a surgical treatment approach in cases of SB and NSB. However, the international literature argues for a conservative treatment approach. Further high quality research is needed to establish an evidence-based treatment approach. Georg Thieme Verlag KG Stuttgart · New York.

  19. Bursectomy, Curettage, and Chemotherapy in Tuberculous Trochanteric Bursitis.

    Science.gov (United States)

    Ramos-Pascua, Luis R; Carro-Fernández, José A; Santos-Sánchez, José A; Casas Ramos, Paula; Díez-Romero, Luis J; Izquierdo-García, Francisco M

    2016-03-01

    We presented three patients with trochanteric tuberculosis and described the clinical and imaging findings of the infection. Histology revealed a necrotizing granulomatous bursitis and microbiology confirmed tuberculosis. All cases were successfully treated with bursectomy and curettage of the trochanteric lesion and antituberculous chemotherapy including isoniazid, pyrazinamide, rifampicin, and ethambutol.

  20. Phomopsis bougainvilleicola prepatellar bursitis in a renal transplant recipient.

    Science.gov (United States)

    Cariello, Paloma F; Wickes, Brian L; Sutton, Deanna A; Castlebury, Lisa A; Levitz, Stuart M; Finberg, Robert W; Thompson, Elizabeth H; Daly, Jennifer S

    2013-02-01

    Prepatellar bursitis is typically a monomicrobial bacterial infection. A fungal cause is rarely identified. We describe a 61-year-old man who had received a renal transplant 21 months prior to presentation whose synovial fluid and surgical specimens grew Phomopsis bougainvilleicola, a pycnidial coelomycete.

  1. Tuberculosis of the patella masquerading as prepatellar bursitis.

    Science.gov (United States)

    MacLean, S; Kulkarni, S

    2013-01-01

    Tuberculosis of bone is an uncommon entity in the western world. We present a case of tuberculosis of the patella mimicking prepatellar bursitis in an otherwise fit and well woman of Bangladeshi origin. We believe tuberculosis of bone should form a differential diagnosis of the swollen knee in high-risk patients.

  2. Calcifying supracoracoid bursitis as a cause of chronic shoulder pain.

    Science.gov (United States)

    Mens, J; van der Korst, J K

    1984-01-01

    A case of chronic shoulder pain is reported with marked limitation of both active and passive elevations and a normal range of motion of the glenohumeral joint. X-ray examination demonstrated cloudy calcification in the coracoclavicular region, presumably indicating calcifying supracoracoid bursitis. Images PMID:6497468

  3. Mineralized fibroma of the tendon sheath presenting as a bursitis

    Energy Technology Data Exchange (ETDEWEB)

    Le Corroller, Thomas; Champsaur, Pierre [Hopital Sainte-Marguerite, Service de Radiologie, Marseille (France); Faculte de Medecine de Marseille, Departement d' Anatomie, Marseille (France); Bouvier-Labit, Corinne [Hopital La Timone, Service d' Anatomopathologie, Marseille (France); Sbihi, Abderrahmane [Clinique Juge, Service de Chirurgie orthopedique, Marseille (France)

    2008-12-15

    We report on the clinical, imaging - including ultrasound, computed tomography, and magnetic resonance imaging - and histological features of a fibroma of the tendon sheath with mineralized chondroid and osseous metaplasia, presenting as a semimembranosus bursitis. The anatomical characteristics of the semimembranosus bursa are demonstrated by dissection in a cadaveric specimen and correlated with the imaging findings in our patient. (orig.)

  4. HIDATIDOSE HEPÁTICA CALCIFICADA

    Directory of Open Access Journals (Sweden)

    Joana Carlos-Alves

    2017-09-01

    O tratamento depende do estadio, localização, número e dimensão do quisto. Nalguns casos é aconselhada vigilância ecográfica, noutros podem ser utilizados os anti-helmínticos, como o Albendazole ou o Mebendazole, e noutros ainda, é recomendada a cirurgia ou tratamentos percutâneos.

  5. Septic olecranon and prepatellar bursitis in hockey players: a report of three cases.

    Science.gov (United States)

    Tuff, Taylor; Chrobak, Karen

    2016-12-01

    Septic bursitis (SB) is an important differential diagnosis in athletes presenting with an acute subcutaneous swelling of the elbow or knee. Prompt recognition is essential to minimize recovery time and prevent the spread of infection. Due to the significant overlap in clinical features, it is often difficult to differentiate SB from non-septic bursitis (NSB) without bursal aspirate analysis. SB is commonly not considered unless the bursitis is accompanied by a local skin lesion or fever. This study describes two cases of septic olecranon bursitis and one case of septic prepatellar bursitis in adult hockey players presenting to a sports medicine clinic. None of the cases presented with an observable skin lesion and only one case developed a fever. It is therefore essential that clinicians maintain a high index of suspicion and monitor for signs of progression when presented with an acute bursitis even in the absence of these features.

  6. Recuperação por desbridamento manual da valva aórtica estenótica calcificada Manual debridement for repair in calcified aortic stenosis

    Directory of Open Access Journals (Sweden)

    Renato A. K Kalil

    1995-06-01

    Full Text Available Os autores analisam os resultados clínicos e evolução ecocardiográfica em uma série de pacientes em que foi possível recuperar a valva aórtica calcificada. Entre janeiro de 1993 e outubro de 1994, 31 pacientes foram considerados para recuperação valvar, sendo obtido sucesso imediato em 21. A etiologia era congênita em 8 e senil em 13 pacientes; o sexo masculino em 10 e feminino em 11 e as idades variaram de 44 a 78 anos (média ± DP = 63,8 ± 9,5 anos. Procedimentos associados foram 6 revascularizações miocárdicas e 1 comissurotomia mitral, com tempos de perfusão de 53,8 ± 21,4 min e de isquemia miocárdica de 33,7 ±12,1 min. O cálcio retirado com auxílio de pinças saca-cálcio usuais auxiliadas por aspiração e raspagem das válvulas. Em duas ocasiões as válvulas foram perfuradas e suturadas com Propilene 5-0. Comissurotomia com bisturi foi realizada, se necessário. Dezesseis pacientes foram avaliados por ecocardiograma no pós-operatório imediato ou após 6 m a 1 ano. Todos os casos estão em acompanhamento. Não houve mortalidade na fase hospitalar e 4,8% (1 caso na tardia. Não ocorreram complicações pós-operatórias significativas no período estudado, encontrando-se os pacientes em classe funcional I ou II. A avaliação ecocardiográfica mostrou gradiente instantâneo máximo na via de saída do VE de 90,7 ± 23,3 mmHg (média ± DP no exame pré-operatório e 33,0 ± 7,9 no pós-operatório (p A series of 21 patients submitted to mechanical debridement for treatment of calcified stenotic aortic valves is presented. There were 8 congenital and 13 senile valves, in 10 male and 11 female patients. Mean age 63.8 ± 9.5 (44 to 78 years. Six had also coronary bypass grafts and 1 mitral comissurotomy. Total perfusion time was 53.8 ± 21.4 min and ischemic time 33.7 ± 12.1 min. All patients had been followedup from 1 month to 2 years. In 16 a late echocardiographic evaluation was performed. There have been no early

  7. Hemorrhagic iliopsoas bursitis complicating well-functioning ceramic-on-ceramic total hip arthroplasty.

    Science.gov (United States)

    Park, Kyung Soon; Diwanji, Sanket R; Kim, Hyung Keun; Song, Eun Kyoo; Yoon, Taek Rim

    2009-08-01

    Iliopsoas bursitis has been increasingly recognized as a complication of total hip arthroplasty and is usually associated with polyethylene wear. Here, the authors report a case of hemorrhagic iliopsoas bursitis complicating an otherwise well-functioning ceramic-on-ceramic arthroplasty performed by minimal invasive modified 2-incision technique. The bursitis in turn resulted in femoral nerve palsy and femoral vein compression. In this report, there was no evidence to support that the bursitis was due to an inflammatory response to ceramic wear particles or any other wear particles originating from the total hip arthroplasty.

  8. Subcalcaneal Bursitis With Plantar Fasciitis Treated by Arthroscopy

    OpenAIRE

    Yamakado, Kotaro

    2013-01-01

    We report the successful arthroscopic treatment of a case of subcalcaneal bursitis with plantar fasciitis. To our knowledge, this is the first report on arthroscopic excision of a subcalcaneal bursa. Right heel pain developed in a 50-year-old woman, without any obvious cause. She reported that the heel pain occurred immediately after waking and that the heel ached when she walked. Magnetic resonance imaging showed an extra-articular, homogeneous, high-intensity lesion in the fat pad adjacent ...

  9. Preoperative diagnosis of bicipitoradial bursitis: a case report.

    Science.gov (United States)

    Aldhilan, Asim Saleh

    2014-01-01

    Inflammation of the bicipitoradial bursa is a rare condition and only few reports can be found in literature. Several causes for a cubital bursitis have been suggested in the past. The need to include a malignant lesion in the differential diagnosis has only been mentioned in one of these reports. May main objective in reporting this case is to make this pathological entity better known.

  10. Antecubital Fossa Solitary Osteochondroma with Associated Bicipitoradial Bursitis

    Directory of Open Access Journals (Sweden)

    Colin Ng

    2015-01-01

    Full Text Available Antecubital fossa lesions are uncommon conditions that present to the orthopaedic clinic. Furthermore, the radius bone is an uncommonly reported location for an osteochondroma, especially when presenting with a concurrent reactive bicipitoradial bursitis. Osteochondromas are a type of developmental lesion rather than a true neoplasm. They constitute up to 15% of all bone tumours and up to 50% of benign bone tumours. They may occur as solitary or multiple lesions. Multiple lesions are usually associated with a syndrome known as hereditary multiple exostoses (HME. Malignant transformation is known to occur but is rare. Bicipitoradial bursitis is a condition which can occur as primary or secondary (reactive pathology. In our case, the radius bone osteochondroma caused reactive bicipitoradial bursitis. The differential diagnosis of such antecubital fossa masses is vast but may be narrowed down through a targeted history, stepwise radiological investigations, and histological confirmation. Our aim is to ensure that orthopaedic clinicians keep a wide differential in mind when dealing with antecubital fossa mass lesions.

  11. Iliopsoas bursitis with compression of the common femoral vein resulting in acute lower leg edema

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Seung Bae; Kwak, Hyo Sung; Han, Young Min; Lee, Sang Yong; Jeong, Yeon Jun [Chonbuk National University Medical School, Chonju (Korea, Republic of)

    2006-08-15

    The clinical manifestations related to iliopsoas bursitis can vary due to compression of the adjacent structure such as the common femoral vein, nerve and bladder. We report here on a rare case of iliopsoas bursitis with compression of the common femoral vein that resulted in acute lower leg edema.

  12. Subacromial bursitis with rice bodies : a case report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Bong Soo; Joo, Kyung Bin; Park, Dong Woo; Lee, Hak Soo; Oh, Jae Cheon; Lee, Yong Joo; Lee, Won Mi [Hanyang Univ., Seoul (Korea, Republic of). Coll. of Medicine

    1998-04-01

    Multiple rice bodies in joints or bursae are rarely encountered in patients with rheumatoid arthritis. We report the radiologic findings of massive subacromial bursitis with innumerable rice bodies on the right shoulder of a 38-year-old man with rheumatoid arthritis. Subacromial bursography showed markedly distended bursa with multiple nodular filling defects. Precontrast CT scanning revealed well-demarcated hypodense lesion without calcification in subacromio-subdeltoid bursa. Multiple rice bodies showed slightly high signal intensity of T1WI and T2WI, and no enhancement after gadolinium injection. (author). 7 refs., 4 figs.

  13. Surgical treatment and histopathology of different forms of olecranon and presternal bursitis in cattle and buffalo

    Science.gov (United States)

    Fathy, Ahmed

    2006-01-01

    Thirty seven cases of bursitis presented to our Veterinary Teaching Hospital from 2001 to 2005. There were 10 adult female buffalos with olecranon bursitis (one had bilateral bursitis) and 26 calves (7 cattle and 19 buffalos, 16 males and 10 females) with presternal bursitis. There were 10 out of 11 cases of olecranon bursitis and 21 out of 26 cases of presternal bursitis with different forms (cystic, proliferative and fibrous) that were removed surgically. The remaining 6 cases, cystic bursitis (olecranon = 1, presternal = 5), were treated by aspiration of their contents and injection of 4% iodine tincture intrabursally. Only 2 cases recovered, 3 cases progressed to fibrosis and required further surgical treatment 2 to 3 weeks later, and 1 case continued to have a cystic lesion. Histopathological examination of tissue specimens from different forms of bursitis revealed that the acquired bursae were generally lined with synovial-like membrane formed from 2-3 cellular layers that covered the connective tissue capsule. The connective tissue capsule differed from one type to another and consisted of fibrous tissues containing numerous small blood vessels, blood capillaries, lymphatics and nerves. There was also evidence for inflammation within the capsule represented by congestion of blood vessels and the presence of perivascular inflammatory cells, mostly mononuclear. In conclusion, surgical treatment was successful and effective for treatment of olecranon and presternal bursitis particularly for the chronic proliferative and fibrous form in cattle and buffalo. The histological structure of the acquired bursae was relatively similar consisting of a synovial-like membrane and a connective tissue capsule with varying degrees of the inflammatory process. PMID:16871025

  14. Subcalcaneal bursitis with plantar fasciitis treated by arthroscopy.

    Science.gov (United States)

    Yamakado, Kotaro

    2013-05-01

    We report the successful arthroscopic treatment of a case of subcalcaneal bursitis with plantar fasciitis. To our knowledge, this is the first report on arthroscopic excision of a subcalcaneal bursa. Right heel pain developed in a 50-year-old woman, without any obvious cause. She reported that the heel pain occurred immediately after waking and that the heel ached when she walked. Magnetic resonance imaging showed an extra-articular, homogeneous, high-intensity lesion in the fat pad adjacent to the calcaneal tubercle on T2-weighted sagittal and coronal images and thickening of the plantar fascia on T2-weighted sagittal images. A diagnosis of a recalcitrant subcalcaneal bursitis with plantar fasciitis was made, and surgery was performed. The arthroscope was placed between the calcaneus and the plantar fascia. With the surgeon viewing from the lateral portal and working from the medial portal, the dorsal surface of the degenerative plantar fascia was debrided and the medial half of the plantar fascia was released, followed by debridement of the subcalcaneal bursal cavity through the incised plantar fascia. Full weight bearing and gait were allowed immediately after the operation. At the latest follow-up, the patient had achieved complete resolution of heel pain without a recurrence of the mass, confirmed by magnetic resonance imaging.

  15. OK-432 sclerotherapy for malleolar bursitis of the ankle.

    Science.gov (United States)

    Park, Kwang Hwan; Lee, Jongseok; Choi, Woo Jin; Lee, Jin Woo

    2013-10-01

    The purpose of this study was to evaluate the clinical outcomes and usefulness of OK-432 (Picibanil) sclerotherapy as a new option in the conservative treatment of patients with malleolar bursitis of the ankle. Retrospectively, we reviewed a total of 20 consecutive patients (20 feet) in whom OK-432 sclerotherapy had been performed between March 2009 and June 2010. After aspiration of fluid in the malleolar bursal sac, 0.05 mg of OK-432 was injected into the malleolar bursal sac. We evaluated the clinical outcomes and side effects at the following time points: 2 weeks, 1 month, 3 months, 6 months, and 1 year after OK-432 sclerotherapy. The responses to the treatment were assessed according to the degree of fluctuation, shrinkage of the bursal sac, and soft tissue swelling. Complete resolution was observed in 19 patients (95%) after the first or second application of OK-432 sclerotherapy, and a partial response was observed in 1 patient (5%) after a second application of OK-432 sclerotherapy. The physical component scores of SF-36 improved from 70.0 ± 6.8 to 76.5 ± 7.3 at the last follow-up (P = .0002). OK-432 sclerotherapy was a useful procedure for patients not responding to the usual conservative treatment of malleolar bursitis of the ankle. Level IV, retrospective case series.

  16. Association between trochanteric bursitis, osteoarthrosis and total hip arthroplasty☆☆☆

    Science.gov (United States)

    Schwartsmann, Carlos Roberto; Loss, Felipe; de Freitas Spinelli, Leandro; Furian, Roque; Silva, Marcelo Faria; Zanatta, Júlia Mazzuchello; Boschin, Leonardo Carbonera; Gonçalves, Ramiro Zilles; Yépez, Anthony Kerbes

    2014-01-01

    Objective this was an epidemiological study on trochanteric bursitis at the time of performing total hip arthroplasty. Methods sixty-two sequential patients who underwent total hip arthroplasty due to osteoarthrosis, without any previous history of trochanteric bursitis, were evaluated. The bursas were collected and evaluated histologically. Results there were 35 female patients (56.5%) and 27 male patients (43.5%), with a mean age of 65 years (±11). Trochanteric bursitis was conformed histologically in nine patients (14.5%), of whom six were female (66.7%) and three were male (33.3%). Conclusions 14.5% of the bursas analyzed presented inflammation at the time that the primary total hip arthroplasty due to osteoarthrosis was performed, and the majority of the cases of bursitis were detected in female patients. PMID:26229811

  17. Pterygoid hamulus bursitis as a cause of craniofacial pain: a case report.

    Science.gov (United States)

    Cho, Jin-Yong; Cheon, Kang-Yong; Shin, Dong-Whan; Chun, Won-Bae; Lee, Ho

    2013-06-01

    Pain on the soft palate and pharynx can originate in several associated structures. Therefore, diagnosis of patients who complain of discomfort in these areas may be difficult and complicated. Pterygoid hamulus bursitis is a rare disease showing various symptoms in the palatal and pharyngeal regions. As such, it can be one of the reported causes of pain in these areas. Treatment of hamular bursitis is either conservative or surgical. If the etiologic factor of bursitis is osteophytic formation on the hamulus or hypertrophy of the bursa, resection of the hamulus is usually the preferred surgical treatment. We report on a case of bursitis that was managed successfully by surgical treatment and a review of the literature.

  18. Recalcitrant Lateral Premalleolar Bursitis of the Ankle Associated with Lateral Ankle Instability

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    Masashi Naito

    2017-01-01

    Full Text Available Lateral premalleolar bursitis of the ankle is a rarely reported disorder in the English literature although it is not uncommon in Asian countries where people commonly sit on their feet. Here, we present the case of a 66-year-old woman with recalcitrant lateral premalleolar bursitis associated with lateral ankle instability which was successfully treated with surgical resection of the bursa and repair of the anterior talofibular ligament. Operative findings revealed a communication between the bursa and articular cavity of the ankle joint via the sheath of the extensor digitorum longus tendon, which was considered to act as a check valve leading to a large and recalcitrant bursitis. This report provides a novel concept about the etiology of recalcitrant lateral premalleolar bursitis of the ankle.

  19. Trochanteric bursitis after total hip arthroplasty: incidence and evaluation of response to treatment.

    Science.gov (United States)

    Farmer, Kevin W; Jones, Lynne C; Brownson, Kirstyn E; Khanuja, Harpal S; Hungerford, Marc W

    2010-02-01

    We examined the efficacy of corticosteroid injection as treatment for postarthroplasty trochanteric bursitis and the risk factors for failure of nonoperative treatment. There were 32 (4.6%) cases of postsurgical trochanteric bursitis in 689 primary total hip arthroplasties. Of the 25 hips with follow-up, 11 (45%) required multiple injections. Symptoms resolved in 20 (80%) but persisted in 5. We found no statistically significant differences between patients who did and did not develop trochanteric bursitis, or between those who did and did not respond to treatment. There was a trend toward younger age and greater limb-length discrepancy in nonresponders. In conclusion, (1) corticosteroid injection(s) for postoperative trochanteric bursitis is effective; and (2) nonoperative management may be more likely to fail in young patients and those with leg-length discrepancy. 2010 Elsevier Inc. All rights reserved.

  20. First report of Nocardia asiatica olecranon bursitis in an immunocompetent traveler returning to Austria.

    Science.gov (United States)

    Leitner, Eva; Valentin, Thomas; Hoenigl, Martin; Lanz, Philipp; Flick, Holger; Zollner-Schwetz, Ines; Grisold, Andrea J; Feierl, Gebhard; Krause, Robert

    2013-07-01

    Nocardia spp. are rarely isolated in extrapulmonary clinical specimens. We describe the first case of olecranon bursitis caused by Nocardia asiatica. The patient, a traveler returning from Thailand, was successfully treated with linezolid.

  1. Acute bursitis calcarea trochanterica in an infant, with perforation into the hip joint demonstrated by arthrogram.

    Science.gov (United States)

    Stenström, R; Gripenberg, L

    1978-04-10

    A case of bursitis calcarea trochanterica acuta is reported in a boy aged four months. The calcification was amorphous, and arthrography revealed extension into the hip joint. The lesion was treated surgically.

  2. A Rare Form of Brucella Bursitis with Negative Serology: A Case Report and Literature Review

    Science.gov (United States)

    2017-01-01

    Brucellosis is still endemic in certain parts of the world including the Mediterranean, the Middle East, Latin America, and African regions. Osteoarticular manifestations are common presenting features. Brucellosis presenting as prepatellar bursitis has already been reported. We present a case of seronegative olecranon bursitis with positive blood and aspirate cultures. The patient improved remarkably by treatment with streptomycin and doxycycline with no evidence or relapse. PMID:28337351

  3. Trochanteric bursitis--a frequent cause of 'hip' pain in rheumatoid arthritis.

    Science.gov (United States)

    Raman, D; Haslock, I

    1982-01-01

    One hundred consecutive patients with rheumatoid arthritis (RA) were examined for the presence of trochanteric bursitis. This condition was found in 15. Ten patients responded to a single local injection of corticosteroid and the remaining 5 to a second injection. Trochanteric bursitis is an underdiagnosed, easily remediable cause of pain in RA. Specific examination for in presence should be a routine in all patients with RA, especially those with hip pain. PMID:7149797

  4. A Rare Form of Brucella Bursitis with Negative Serology: A Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    F. M. Almajid

    2017-01-01

    Full Text Available Brucellosis is still endemic in certain parts of the world including the Mediterranean, the Middle East, Latin America, and African regions. Osteoarticular manifestations are common presenting features. Brucellosis presenting as prepatellar bursitis has already been reported. We present a case of seronegative olecranon bursitis with positive blood and aspirate cultures. The patient improved remarkably by treatment with streptomycin and doxycycline with no evidence or relapse.

  5. Distinguishing multiple rice body formation in chronic subacromial-subdeltoid bursitis from synovial chondromatosis

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Albert; Wong, Lun-Yick; Sheu, Chin-Yin [Department of Radiology, Mackay Memorial Hospital, Taipei (Taiwan); Chen, Be-Fong [Department of Pathology, Mackay Memorial Hospital, Taipei (Taiwan)

    2002-02-01

    Multiple rice body formation is a complication of chronic bursitis. Although it resembles synovial chondromatosis clinically and on imaging, the literature suggests that analysis of radiographic and MR appearances should allow discrimination. We report the imaging findings in a 41-year-old man presenting with rice body formation in chronic subacromial-subdeltoid bursitis. We found that the signal intensity of the rice bodies is helpful in making the diagnosis. (orig.)

  6. Efficacy of treatment of trochanteric bursitis: a systematic review.

    Science.gov (United States)

    Lustenberger, David P; Ng, Vincent Y; Best, Thomas M; Ellis, Thomas J

    2011-09-01

    Trochanteric bursitis (TB) is a self-limiting disorder in the majority of patients and typically responds to conservative measures. However, multiple courses of nonoperative treatment or surgical intervention may be necessary in refractory cases. The purpose of this systematic review was to evaluate the efficacy of the treatment of TB. A literature search in the PubMed, MEDLINE, CINAHL, and ISI Web of Knowledge databases was performed for all English language studies up to April 2010. Terms combined in a Boolean search were greater trochanteric pain syndrome, trochanteric bursitis, trochanteric, bursitis, surgery, therapy, drug therapy, physical therapy, rehabilitation, injection, Z-plasty, Z-lengthening, aspiration, bursectomy, bursoscopy, osteotomy, and tendon repair. All studies directly involving the treatment of TB were reviewed by 2 authors and selected for further analysis. Expert opinion and review articles were excluded, as well as case series with fewer than 5 patients. Twenty-four articles were identified. According to the system described by Wright et al, 2 studies, each with multiple arms, qualified as level I evidence, 1 as level II, 1 as level III, and the rest as level IV. More than 950 cases were included. The authors extracted data regarding the type of intervention, level of evidence, mean age of patients, patient gender, number of hips in the study, symptom duration before the study, mean number of injections before the study, prior hip surgeries, patient satisfaction, length of follow-up, baseline scores, and follow-up scores for the visual analog scale (VAS) and Harris Hip Scores (HHS). Symptom resolution and the ability to return to activity ranged from 49% to 100% with corticosteroid injection as the primary treatment modality with and without multimodal conservative therapy. Two comparative studies (levels II and III) found low-energy shock-wave therapy (SWT) to be superior to other nonoperative modalities. Multiple surgical options for

  7. Spinal epidural abscess: a rare complication of olecranon bursitis.

    Science.gov (United States)

    Evans, Rhys D R; Thaya, Moe; Chew, Ne Siang; Gibbons, Charles E R

    2009-06-30

    Spinal epidural abscess is a rare but potentially fatal condition if left untreated. We report the case of a 67-year old man who presented to the Accident and Emergency department complaining of acute onset of inter-scapular back pain, left leg weakness and loss of sensation in the left foot. On examination he was found to be pyrexial with long tract signs in the left lower leg. In addition he had a left sided olecranon bursitis of three weeks duration. Blood tests revealed raised inflammatory markers and a staphylococcal bacteremia. Magnetic resonance imaging (MRI) confirmed the diagnosis of spinal epidural abscess and he subsequently underwent a three level laminectomy with good resolution of his back pain and neurological symptoms. He has made a complete recovery with a prolonged course of intravenous antibiotics.

  8. Spinal epidural abscess: a rare complication of olecranon bursitis

    Directory of Open Access Journals (Sweden)

    Rhys D.R. Evans

    2009-03-01

    Full Text Available Spinal epidural abscess is a rare but potentially fatal condition if left untreated. We report the case of a 67-year old man who presented to the Accident and Emergency department complaining of acute onset of inter-scapular back pain, left leg weakness and loss of sensation in the left foot. On examination he was found to be pyrexial with long tract signs in the left lower leg. In addition he had a left sided olecranon bursitis of three weeks duration. Blood tests revealed raised inflammatory markers and a staphylococcal bacteremia. Magnetic resonance imaging (MRI confirmed the diagnosis of spinal epidural abscess and he subsequently underwent a three level laminectomy with good resolution of his back pain and neurological symptoms. He has made a complete recovery with a prolonged course of intravenous antibiotics.

  9. Bilateral patellar tuberculosis masquerading as infected infrapatellar bursitis.

    Science.gov (United States)

    Sreenivasan, Ravi; Haq, Rehan Ul

    2017-04-01

    A 30-year-old woman presented to our outpatient department with complaints of pain and swelling in bilateral infrapatellar regions and a discharging sinus in the right knee over the duration of one year. Radiographs showed lytic regions in bilateral patellae. Samples sent from material curetted from sinus yielded no organism but histopathology reported granulomatous inflammation. Following a fresh magnetic resonance imaging (MRI) scan that revealed the infrapatellar pad of fat communicating with the patellar lesions, an exploration and evacuation was done. Material sent revealed epithelioid cell granulomas with caseous necrosis consistent with tuberculosis (TB). The patient was put on first line anti-tubercular treatment (ATT) and has responded favourably with healing of sinus and patellar lesions. Bilateral infrapatellar bursitis is not rare. However patellar TB as a cause for OMIT is not a common diagnosis. A bilateral patellar involvement has not been reported in literature to the best of our knowledge.

  10. Paecilomyces lilacinus septic olecranon bursitis in an immunocompetent host.

    Science.gov (United States)

    Schweitzer, Karl M; Richard, Marc J; Leversedge, Fraser J; Ruch, David S

    2012-05-01

    Paecilomyces lilacinus is a filamentous fungus that is a rare cause of infection in immunocompromised human hosts. We present a case of lilacinus septic olecranon bursitis in an otherwise healthy 78-year-old male. This patient's case was complicated by wound breakdown after bursectomy and appropriate anti-fungal treatment, requiring a local soft tissue rearrangement. This case demonstrates the need for appropriate and timely medical and surgical treatment in infections involving lilacinus, which are not isolated solely to systemically immunocompromised and medically-ill patient populations. In cases where the patient is systemically immumocompromised or has been rendered locally immunocompromised, it is essential to obtain a full culture work-up, including fungi.

  11. Bicipitoradial Bursitis: A Review of Clinical Presentation and Treatment

    Directory of Open Access Journals (Sweden)

    Tsz-Lung Choi

    2014-06-01

    Full Text Available The bicipitoradial bursa lies at the insertion of the biceps tendon on the radial tuberosity. It is an unusual site for chronic bursitis and most often results from repetitive mechanical trauma or overuse. Other causes include tuberculosis, immunological complications of rheumatological disease and synovial chondromatosis. Accurate diagnosis requires imaging studies and sometimes histological study. It can be treated conservatively with aspiration and steroid injection. Surgical excision of the bursa is indicated in the case of infection cause, failed conservative treatment with recurrence of the enlarged bursa and pain after aspiration, presence of nerve compression with neurological impairment, mechanical limitation to flexion, and extension of the elbow or biceps tendon degeneration and/or functional impairment.

  12. Prevalence of pes anserine bursitis in symptomatic osteoarthritis patients: an ultrasonographic prospective study.

    Science.gov (United States)

    Uysal, Fatma; Akbal, Ayla; Gökmen, Ferhat; Adam, Gürhan; Reşorlu, Mustafa

    2015-03-01

    The aim of this prospective study was to determine the prevalence of pes anserine bursitis (PAB) in patients with osteoarthritis. A total of 85 patients with primary knee osteoarthritis diagnosed according to the American College of Rheumatology (ACR) criteria were included in the study. The patients were divided into four groups using the Kellgren-Lawrence staging system. The knee X-rays evaluated according to this system indicated that 15.6% of patients were grade 1, 34.1% grade 2, 37.1% grade 3, and 13.5% grade 4. Ultrasonography (USG) was performed on both knees by a radiologist experienced in musculoskeletal system ultrasonography and unaware of the patients' physical examination or direct X-ray findings. The presence of PAB, longest diameter of bursitis, and area of bursitis were recorded. The average age of the 11 male and 74 female patients included in the study was 58.9 ± 9.0 years. A total of 170 knees of 85 patients were examined. The incidence of bursitis was significantly higher in females (p = 0.026). The incidence of bursitis on ultrasound was 20% (34/170). There was a statistical difference between the grades for bursitis incidence (p = 0.004). There was a significant positive correlation between both the longest length (p = 0.015, r = 0.187) and area (p = 0.003, r = 0.231) of PAB with osteoarthritis grade. The mean age of bursitis patients was higher than that of those without the condition (p = 0.038). In addition, the osteoarthritis (OA) grade and bursitis prevalence increased as the patients' age increased, and these increases were statistically significant (p bursitis was observed in one out of every five symptomatic OA patients and was more common in female patients and with advanced age. A positive correlation was found between OA grade and PAB size and area.

  13. Infrapatellar bursitis in children with juvenile idiopathic arthritis: a case series.

    Science.gov (United States)

    Alqanatish, Jubran T; Petty, Ross E; Houghton, Kristin M; Guzman, Jaime; Tucker, Lori B; Cabral, David A; Cairns, Robyn A

    2011-02-01

    Children with juvenile idiopathic arthritis (JIA) may infrequently present with localized anterior knee pain or swelling, in addition to generalize knee pain induced by JIA. We report five cases of deep infrapatellar bursitis in children with JIA. The clinical features, radiological findings, management, and outcome of five children with JIA and deep infrapatellar bursitis are reviewed. Three boys and two girls with a mean age of 9.8 years (range 6-14 years) were reviewed. Four children had persistent oligoarticular JIA, and one child had extended oligoarticular JIA. The presentation of deep infrapatellar bursitis was variable. In only one patient was the bursal swelling painful. Knee magnetic resonance imaging (MRI) was performed in four patients and demonstrated coexistent knee joint synovitis in three. Treatment included targeted corticosteroid injections into the deep infrapatellar bursa in two cases with complete resolution. One case was treated with corticosteroid injection by an outside health care provider with poor clinical response. Two cases are being treated with non-steroidal anti-inflammatory drugs and methotrexate. Deep infrapatellar bursitis can occur as an isolated finding or concurrently with knee joint synovitis in patients with JIA. Awareness of this entity is important because direct injection of the bursa may be needed for treatment, as the bursa does not communicate with the knee joint. Furthermore, when bursitis is suspected in JIA, MRI can be helpful to confirm the diagnosis, detect concurrent knee joint synovitis, and exclude other pathologies.

  14. Cement technique for reducing post-operative bursitis after trochanteric fixation.

    Science.gov (United States)

    Derman, Peter B; Horneff, John G; Kamath, Atul F; Garino, Jonathan

    2013-02-01

    Post-operative trochanteric bursitis is a known complication secondary to the surgical approach in total hip arthroplasty. This phenomenon may be partially attributable to repetitive microtrauma generated when soft tissues rub against implanted hardware. Significant rates of post-operative trochanteric bursitis have been observed following procedures in which a trochanteric fixation device, such as a bolt-washer mechanism or a cable-grip/claw system, is used to secure the trochanteric fragment after trochanteric osteotomy. We present a simple technique for use with a bolt-washer system or grip plate in which trochanteric components are covered in bone wax followed by a layer of cement to decrease friction and to diminish the risk of post-operative bursitis.

  15. Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis.

    Science.gov (United States)

    Long, Suzanne S; Surrey, David E; Nazarian, Levon N

    2013-11-01

    Greater trochanteric pain syndrome is a common condition with clinical features of pain and tenderness at the lateral aspect of the hip. Diagnosing the origin of greater trochanteric pain is important because the treatment varies depending on the cause. We hypothesized that sonographic evaluation of sources for greater trochanteric pain syndrome would show that bursitis was not the most commonly encountered abnormality. We performed a retrospective review of musculoskeletal sonographic examinations performed at our institution over a 6-year period for greater trochanteric pain syndrome; completed a tabulation of the sonographic findings; and assessed the prevalence of trochanteric bursitis, gluteal tendon abnormalities, iliotibial band abnormalities, or a combination of findings. Prevalence of abnormal findings, associations of bursitis, gluteal tendinosis, gluteal tendon tears, and iliotibial band abnormalities were calculated. The final study population consisted of 877 unique patients: 602 women, 275 men; average age, 54 years; and age range, 15-87 years). Of the 877 patients with greater trochanteric pain, 700 (79.8%) did not have bursitis on ultrasound. A minority of patients (177, 20.2%) had trochanteric bursitis. Of the 877 patients with greater trochanteric pain, 438 (49.9%) had gluteal tendinosis, four (0.5%) had gluteal tendon tears, and 250 (28.5%) had a thickened iliotibial band. The cause of greater trochanteric pain syndrome is usually some combination of pathology involving the gluteus medius and gluteus minimus tendons as well as the iliotibial band. Bursitis is present in only the minority of patients. These findings have implications for treatment of this common condition.

  16. Long-term follow-up of corticosteroid injection for traumatic olecranon bursitis.

    Science.gov (United States)

    Weinstein, P S; Canoso, J J; Wohlgethan, J R

    1984-01-01

    Forty-seven patients with traumatic olecranon bursitis were evaluated after a mean follow-up of 31 months (range 6 to 62 months). Twenty-two patients treated with bursal aspiration had delayed recovery and no complications of therapy. Twenty-five patients treated with intrabursal injection of 20 mg of triamcinolone hexacetonide had rapid recovery, usually within one week, but suffered complications such as infection (3 cases), skin atrophy (5 cases), and chronic local pain (7 cases). Since spontaneous resolution can be expected, a conservative approach is suggested in the treatment of traumatic olecranon bursitis. Images PMID:6696516

  17. [Bursitis calcarea--an often overlooked and falsely diagnosed illness of the hand].

    Science.gov (United States)

    Balogh, B; Piza-Katzer, H; Kosak, D

    1997-01-01

    To compare surgical and conservative management in patients with acute calcific bursitis of the hand, a rare condition often misdiagnosed because of its unspecific symptoms. Four patients with calcific bursitis at the metacarpophalangeal or distal interphalangeal joints or the pisiform are presented. Of these, 3 underwent surgery, while one was treated conservatively. Clinical and radiological symptoms and signs are described. The 3 patients treated surgically returned to work on the 10th postoperative day, while the patient who refused surgery needed rehabilitation for 4 weeks. Surgery to remove the calcium deposits enables patients to resume work earlier than after conservative treatment which may take weeks.

  18. Ischiogluteal bursitis mimicking soft-tissue metastasis from a renal cell carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Voelk, M.; Gmeinwieser, J.; Manke, C.; Strotzer, M. [Department of Radiology, University Hospital, Regensburg (Germany); Hanika, H. [Department of Urology, St. Josef Hospital, Regensburg (Germany)

    1998-09-01

    We report a case of ischiogluteal bursitis mimicking a soft-tissue metastasis from a renal cell carcinoma. A 66-year-old woman suffered from pain over the left buttock 6 months after she was operated on for renal cell carcinoma of the left kidney. CT of the abdomen and pelvis revealed a tumor-like lesion adjacent to the left os ischii, which was suspected to be a soft-tissue metastasis. Percutaneous biopsy revealed no evidence of malignancy, but the histopathological diagnosis of chronic bursitis. (orig.) With 2 figs., 8 refs.

  19. Group B streptococcal meningitis in an adult: A possible complication of olecranon bursitis

    Directory of Open Access Journals (Sweden)

    Manuela Colosimo

    2014-01-01

    Full Text Available Background: We report a man with septic olecranon bursitis who had an early development of meningitis. Case Summary: A 74-year-old man presented to the emergency room with malaise, headache, mental confusion, a fever unsuccessfully treated with oral NSAIDs and ice, and with a 10-day history of pain and swelling in his right elbow. Clinical and laboratory evaluation excluded other causes and microbiological evaluation documented a S. agalactiae infection. Antibiotic treatment induced a rapid improvement, without the development of side effects. Conclusion: This is the first report on olecranon bursitis and concomitant meningitis related to S. agalactiae infection.

  20. Calcific haemorrhagic bursitis anterior to the knee mimicking a soft tissue sarcoma: report of two cases

    Energy Technology Data Exchange (ETDEWEB)

    Stahnke, M.; Davies, A.M. [Department of Radiology, Royal Orthopaedic Hospital, Woodlands, B31 2AP, Northfield, Birmingham (United Kingdom); Mangham, D.C. [Department of Pathology, Royal Orthopaedic Hospital, Woodlands, B31 2AP, Northfield, Birmingham (United Kingdom)

    2004-06-01

    We describe the radiological and pathological findings of two cases of calcific haemorrhagic bursitis, one involving the superficial infrapatellar bursa and the other the prepatellar bursa. It was the presence of dystrophic calcification within the lesion that suggested a mineralizing soft tissue sarcoma such as synovial sarcoma. As the radiographic and MR features of the two conditions can be similar but the appropriate management very different, rare calcifying haemorrhagic bursitis needs to be included in the differential diagnosis of masses adjacent to the knee joint showing calcification. (orig.)

  1. Ultrasound-Guided 50% Ethyl Alcohol Injection for Patients With Malleolar and Olecranon Bursitis: A Prospective Pilot Study

    Science.gov (United States)

    Hong, Ji Seong; Lee, Jin Hyung

    2016-01-01

    Objective To evaluate the feasibility and effect of ultrasound-guided ethyl alcohol injection on malleolar and olecranon synovial proliferative bursitis. Methods Twenty-four patients received ultrasound-guided 50% diluted ethyl alcohol injection at the site of synovial proliferative bursitis after aspiration of the free fluid. Results Swelling and symptoms significantly decreased in 13 of the 24 patients without any complications. Eleven patients had partial improvement in swelling and symptoms. Conclusion Ultrasound-guided alcohol injection could be an alternative therapeutic option before surgery in patients with chronic intractable malleolar and olecranon synovial proliferative bursitis. PMID:27152282

  2. Interspinous bursitis is common in polymyalgia rheumatica, but is not associated with spinal pain.

    Science.gov (United States)

    Camellino, Dario; Paparo, Francesco; Morbelli, Silvia; Cutolo, Maurizio; Sambuceti, Gianmario; Cimmino, Marco A

    2014-12-01

    Polymyalgia rheumatica (PMR) is a common inflammatory disease in older people characterized by shoulder and/or pelvic girdle, and cervical and, occasionally, lumbar pain. Interspinous bursitis has been suggested as a potential cause of spinal symptoms. We evaluated, by 18 F-fluorodeoxyglucose (FDG) positron emission tomography integrated with computed tomography (PET/CT), the vertebral structures involved in PMR in a cohort of consecutive, untreated patients. Sixty-five consecutive patients with PMR were studied. After a standardized physical examination, which included evaluation of pain and tenderness in the vertebral column, they underwent FDG-PET/CT. Sites of increased uptake and their correlation with spontaneous and provoked pain were recorded. For comparison, FDG-PET/CT was performed also in 65 age- and sex-matched controls and in 10 rheumatoid arthritis (RA) patients. The most frequent site of spontaneous and provoked pain was the cervical portion. FDG uptake was more frequent in the lumbar portion than at any other location, and in the cervical rather than in the thoracic portion (P bursitis (r = 0.34, P = 0.007). None of the control patients and one out of ten RA patients showed interspinous bursitis. Interspinous bursitis is a frequent finding in the lumbar spine of patients with PMR. However, it is not associated with clinical symptoms and can hardly explain the spinal pain reported by the patients. Cervical pain is more frequent than lumbar pain in PMR patients and may be caused by shoulder girdle involvement.

  3. Olecranon bursitis as initial presentation of gout in asymptomatic normouricemic patients

    NARCIS (Netherlands)

    Emad, Yasser; Ragab, Yasser; El Shaarawy, Nashwa; Rasker, Hans J.

    2014-01-01

    Background Acute bursitis is a less frequent presentation of gout, especially in normouricemic subjects compared to the typical pattern of acute gouty arthritis. Aim of the work The aim of the current case reports is to describe the clinical and the magnetic resonance imaging features of acute gouty

  4. Appearance of the weight-bearing lateral radiograph in retrocalcaneal bursitis

    Science.gov (United States)

    Muller, Bart; Maas, Mario; Sierevelt, Inger N; van Dijk, C Niek

    2010-01-01

    Background and purpose A retrocalcaneal bursitis is caused by repetitive impingement of the bursa between the Achilles tendon and the posterosuperior calcaneus. The bursa is situated in the posteroinferior corner of Kager's triangle (retrocalcaneal recess), which is a radiolucency with sharp borders on the lateral radiograph of the ankle. If there is inflammation, the fluid-filled bursa is less radiolucent, making it difficult to delineate the retrocalcaneal recess. We assessed whether the radiographic appearance of the retrocalcaneal recess on plain digital (filmless) radiographs could be used in the diagnosis of a retrocalcaneal bursitis. Methods Whether or not there was obliteration of the retrocalcaneal recess (yes/no) on 74 digital weight-bearing lateral radiographs of the ankle was independently assessed by 2 observers. The radiographs were from 24 patients (25 heels) with retrocalcaneal bursitis (confirmed on endoscopic calcaneoplasty); the control group consisted of 50 patients (59 heels). Results The sensitivity of the test was 83% for observer 1 and 79% for observer 2. Specificity was 100% and 98%, respectively. The kappa value of the interobserver reliability test was 0.86. For observer 1, intraobserver reliability was 0.96 and for observer 2 it was 0.92. Interpretation On digital weight-bearing lateral radiographs of a retrocalcaneal bursitis, the retrocalcaneal recess has a typical appearance. PMID:20450438

  5. Results of operative treatment for recalcitrant retrocalcaneal bursitis and midportion Achilles tendinopathy in athletes.

    Science.gov (United States)

    Lohrer, Heinz; Nauck, Tanja

    2014-08-01

    The results of operative treatment for recalcitrant midportion Achilles tendinopathy and recalcitrant retrocalcaneal bursitis were evaluated using the patient administered, disease specific, and validated VISA-A-G questionnaire. A cohort of 89 patients was prospectively followed. These patients underwent operations for sport induced midportion Achilles tendinopathy (39 procedures) or retrocalcaneal bursitis (55 procedures). Depending on the individual intraoperative findings the patients of either disease were treated with two respective operative modifications (tendon repair or no tendon repair). Preoperative and follow-up status (3, 6, and 12 months) were investigated using the VISA-A-G questionnaire. Preoperatively, the four groups scored from 37.0 ± 17.6 to 45.9 ± 15.2 (p = 0.376-0.993) on the VISA-A-G questionnaire. Six and 12 months postoperatively, the VISA-A-G scores improved significantly (p bursitis and midportion Achilles tendinopathy responded equally well to operative treatment. When repaired, additional tendon lesions did not influence this result. We demand to differentiate not only between midportion Achilles tendinopathy and retrocalcaneal bursitis but also to identify additional Achilles tendon lesions to specifically address these lesions during operative procedures.

  6. Relationship between width of greater trochanters and width of iliac wings in tronchanteric bursitis.

    Science.gov (United States)

    Viradia, Neal K; Berger, Alex A; Dahners, Laurence E

    2011-09-01

    Trochanteric bursitis is a common disorder that is characterized by inflammation of the bursa, superficial to the greater trochanter of the femur, leading to pain in the lateral hip, and often occurs because of acute trauma or repetitive friction involving the iliotibial band, the greater trochanter, and the bursa. In the study reported here, we hypothesized that the increased incidence of bursitis may be the result of the increased prominence of the trochanter in relation to the wings of the iliac crest. Distances between the outermost edges of trochanters and iliac wings were measured in 202 patients from the University of North Carolina Health Care System-101 without a known diagnosis and 101 with a clinical diagnosis of trochanteric bursitis. To determine significance, t tests for nonpaired data were used. Mean (SD) difference between trochanter and iliac wing widths was 28 (20) mm in the group diagnosed with trochanteric bursitis and 17 (18) mm in the control group. The difference between the groups in this regard was significant (Pbursitis group and 1.05 (.06) in the control group. The difference between these groups was significant (Pbursitis.

  7. Bilateral subacromial bursitis with macroscopic rice bodies: Ultrasound, CT and MR appearance

    Energy Technology Data Exchange (ETDEWEB)

    Law, T.C.; Chong, S.F.; Lu, P.P. [Kwong Wah Hospital (Hong Kong). Department of Radiology; Mak, K.H. [Kwong Wah Hospital (Hong Kong). Department of Orthopaedics and Traumatology

    1998-05-01

    The radiological findings of ultrasound, CT and MR of a case of bilateral subacromial bursitis with macroscopic rice bodies is described. MRI is the investigation of choice and the intravenous gadolinium-enhanced usefulness was noted. The previous literature is also reviewed. Copyright (1998) Blackwell Science Pty Ltd 5 refs., 1 tab., 4 figs.

  8. The US, CT and MR findings of cubital bursitis: a report of five cases

    Energy Technology Data Exchange (ETDEWEB)

    Liessi, G. [Servizio di Radiologia, Ospedale, I-31033 Castelfranco V.to, Ulss 8 (Tuvalu) (Italy); Cesari, S. [Servizio di Radiologia, Ospedale, I-31033 Castelfranco V.to, Ulss 8 (Tuvalu) (Italy); Spaliviero, B. [Servizio di Radiologia, Ospedale, I-31033 Castelfranco V.to, Ulss 8 (Tuvalu) (Italy); Dell`Antonio, C. [Servizio di Radiologia, Ospedale, I-31033 Castelfranco V.to, Ulss 8 (Tuvalu) (Italy); Avventi, P. [Servizio di Radiologia, Ospedale, I-31033 Castelfranco V.to, Ulss 8 (Tuvalu) (Italy)

    1996-07-01

    Objective. The purpose of the study was to evaluate the appearance of ``cubital bursitis`` on ultrasonography and CT and MR imaging. ``Cubital bursitis`` is a rare pathological condition involving a large swelling of the bicipito-radial or interosseous bursae located at the insertion of the distal biceps tendon on the radial tuberosity. Design and patients. We report on five patients with ``cubital bursitis`` resulting from their work or sporting activities. All patients underwent an ultrasound and MR examination. CT scans were performed on two patients before and after contrast enhancement. Results. Ultrasound studies showed a fusiform anechoic or hypoechoic lesion. CT images showed the lesions but there were some difficulties in determining the exact extent of the bursae. MR imaging showed the enlarged bursae and their fluid content. Four patients each underwent a surgical procedure. Conclusion. Ultrasound and CT were effective in the evaluation of ``cubital bursitis``, but with some diagnostic difficulties. MR imaging is probably the method of choice for determining both the development of the bursae and their fluid content. (orig.)

  9. SURGICAL MANAGEMENT OF REFRA CTORY RETRO - CALCANEAL BURSITIS EVALUATION OF ITS RESULTS

    Directory of Open Access Journals (Sweden)

    Vinod Kumar

    2015-06-01

    Full Text Available CONTEXT: Heel pain is common in middle and elderly people due various causes. BACKGROUND: Retrocalcaneal bursitis may not respond for medical treatment and may need surgery for relief of pain . AIM: To study the results of surgical treatment in Retrocalcaneal bursitis . MATERIALS AND METHODS: T he patients with refractory retrocalcaneal bursitis were taken up for the study. inclusion criteria is pain , swelling over poster o superior aspect of the heel no t responding to conservative treatment like heat , analgesics and local steroids. The only contraindication was uncontrolled diabetes. X - ray of heel lateral view was taken in all patients and prominence of posterio superior part was assessed. Pre and postop eratively the foot were assessed hy Ankle and foot scale. Through lateral incision the prominent bony prominence and retrocalcaneal bursa was excised. RESULTS: 25 patients with refractory retrocalcaneal bursitis underwent surgery. 15 males and 10 females w ith mean age of 46 years and mean duration fo r symptioms of one year and eight months and mean fallow up period of one year and one month. The pre - operative ankle and foot scale score was 37 to 43 points with a median of 41 points. Post - operative score was 76 to 83 with a median of 81 points. 20 patients ( 80% had complete relief of symptoms. Four patents ( 16% had minimal pain after long walking. O ne patient had moderate pain restricting his daily activities ( 4% . CONCLUSIONS: surgical excision of prominent spur along with retrocalcaneal bursa gives good result.

  10. Appearance of the weight-bearing lateral radiograph in retrocalcaneal bursitis

    NARCIS (Netherlands)

    van Sterkenburg, M.N.; Muller, B.; Maas, M.; Sierevelt, I.N.; van Dijk, C.N.

    2010-01-01

    Background and purpose A retrocalcaneal bursitis is caused by repetitive impingement of the bursa between the Achilles tendon and the posterosuperior calcaneus. The bursa is situated in the posteroinferior corner of Kager's triangle (retrocalcaneal recess), which is a radiolucency with sharp borders

  11. Olecranon bursitis as initial presentation of gout in asymptomatic normouricemic patients

    NARCIS (Netherlands)

    Emad, Yasser; Ragab, Yasser; El-Shaarawy, Nashwa; Rasker, J.J.

    2014-01-01

    Background Acute bursitis is a less frequent presentation of gout, especially in normouricemic subjects compared to the typical pattern of acute gouty arthritis. Aim of the work The aim of the current case reports is to describe the clinical and the magnetic resonance imaging features of acute gout

  12. Scapulothoracic bursitis as a significant cause of breast and chest wall pain: underrecognized and undertreated.

    Science.gov (United States)

    Boneti, Cristiano; Arentz, Candy; Klimberg, V Suzanne

    2010-10-01

    Pain is one of the most commonly reported breast complaints. Referred pain from inflammation of the shoulder bursa is often overlooked as a cause of breast pain. The objective of this study is to evaluate the role of shoulder bursitis as a cause of breast/chest pain. An IRB-approved retrospective review from July 2005 to September 2009 identified 461 patients presenting with breast/chest pain. Cases identified with a trigger point in the medial aspect of the ipsilateral scapula were treated with a bursitis injection at the point of maximum tenderness. The bursitis injection contains a mixture of local anesthetic and corticosteroid. Presenting complaint, clinical response and associated factors were recorded and treated with descriptive statistics. Average age of the study group was 53.4 ± 12.7 years, and average BMI was 30.4 ± 7.4. One hundred and three patients were diagnosed with shoulder bursitis as the cause of breast pain and received the bursitis injection. Most cases (81/103 or 78.6%) presented with the breast/chest as the site of most significant discomfort, where 8.7% (9/103) had the most severe pain at the shoulder, 3.9% (4/103) at the axilla and 3.9% (4/103) at the medial scapular border. Of the treated patients, 83.5% (86/103) had complete relief of the pain, 12.6% (13/103) had improvement of symptoms with some degree of residual pain, and only 3.9%(4/103) did not respond at all to the treatment. The most commonly associated factor to the diagnosis of bursitis was the history of a previous mastectomy, present in 27.2% (28/103) of the cases. Shoulder bursitis represents a significant cause of breast/chest pain (22.3% or 103/461) and can be successfully treated with a local injection at site of maximum tenderness in the medial scapular border.

  13. Pes Anserine Bursitis in Symptomatic Osteoarthritis Patients: A Mesotherapy Treatment Study.

    Science.gov (United States)

    Saggini, Raoul; Di Stefano, Alexandra; Dodaj, Ira; Scarcello, Laura; Bellomo, Rosa Grazia

    2015-08-01

    Pes anserine bursitis strongly affects quality of life in patients with osteoarthritis. Treatment includes nonsteroidal anti-inflammatory drugs (NSAIDs), physiotherapy, and injections of corticosteroid, with highly variable responses; recovery can take 10 days to 36 months. Mesotherapy is a minimally invasive technique consisting of subcutaneous injections of bioactive substances. The goal is to modulate the pharmacokinetics of the injected substance and prolong the effects at a local level. To evaluate the effects of mesotherapy with diclofenac for anserine bursitis associated with knee osteoarthritis. One hundred and seventeen patients with anserine bursitis associated with grade II Kellgren-Lawrence knee osteoarthritis, assessed by clinical, radiographic, and ultrasonographic examination, were evaluated and treated. They were randomly divided into two groups (A, mesotherapy; B, control). Group A completed nine sessions of mesotherapy with sodium diclofenac (25 mg/1 mL; Akis®, IBSA, Lugano, Switzerland), 1 mL for each session, three times per week. Group B received 21 oral administrations of sodium diclofenac (50 mg; Voltaren®, Novartis, Parsippany, NJ), once a day for 3 weeks. Primary outcome measures were pain intensity assessed by visual analogue scale (VAS), along with ability to perform activities of daily living, ability to participate in sports, level of pain, symptoms, and quality of life, as assessed by the Knee injury and Osteoarthritis Outcome Score. These measures were performed before and after the treatment period and at 30 and 90 days' follow up. In both groups pain level decreased significantly after the treatment period. Ultrasonography showed a reduction of the hypoechoic area related to anserine bursitis only in group A. Administration of conventional NSAIDs (diclofenac) by mesotherapy is effective in managing anserine bursitis in knee osteoarthritis in the short term and mid-term. These observations could be of interest for efforts

  14. One- vs 2-Stage Bursectomy for Septic Olecranon and Prepatellar Bursitis: A Prospective Randomized Trial.

    Science.gov (United States)

    Uçkay, Ilker; von Dach, Elodie; Perez, Cédric; Agostinho, Americo; Garnerin, Philippe; Lipsky, Benjamin A; Hoffmeyer, Pierre; Pittet, Didier

    2017-07-01

    To assess the optimal surgical approach and costs for patients hospitalized with septic bursitis. From May 1, 2011, through December 24, 2014, hospitalized patients with septic bursitis at University of Geneva Hospitals were randomized (1:1) to receive 1- vs 2-stage bursectomy. All the patients received postsurgical oral antibiotic drug therapy for 7 days. Of 164 enrolled patients, 130 had bursitis of the elbow and 34 of the patella. The surgical approach used was 1-stage in 79 patients and 2-stage in 85. Overall, there were 22 treatment failures: 8 of 79 patients (10%) in the 1-stage arm and 14 of 85 (16%) in the 2-stage arm (Pearson χ(2) test; P=.23). Recurrent infection was caused by the same pathogen in 7 patients (4%) and by a different pathogen in 5 (3%). Outcomes were better in the 1- vs 2-stage arm for wound dehiscence for elbow bursitis (1 of 66 vs 9 of 64; Fisher exact test P=.03), median length of hospital stay (4.5 vs 6.0 days), nurses' workload (605 vs 1055 points), and total costs (Sw₣6881 vs Sw₣11,178; all Pbursitis requiring hospital admission, bursectomy with primary closure, together with antibiotic drug therapy for 7 days, was safe, effective, and resource saving. Using a 2-stage approach may be associated with a higher rate of wound dehiscence for olecranon bursitis than the 1-stage approach. Clinicaltrials.gov Identifier: NCT01406652. Copyright © 2017 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

  15. Ultrasound-Guided 50% Ethyl Alcohol Injection for Patients With Malleolar and Olecranon Bursitis: A Prospective Pilot Study

    OpenAIRE

    2016-01-01

    Objective To evaluate the feasibility and effect of ultrasound-guided ethyl alcohol injection on malleolar and olecranon synovial proliferative bursitis. Methods Twenty-four patients received ultrasound-guided 50% diluted ethyl alcohol injection at the site of synovial proliferative bursitis after aspiration of the free fluid. Results Swelling and symptoms significantly decreased in 13 of the 24 patients without any complications. Eleven patients had partial improvement in swelling and sympto...

  16. Septic and non-septic olecranon bursitis in the accident and emergency department--an approach to management.

    Science.gov (United States)

    Stell, I M

    1996-01-01

    Olecranon bursitis is relatively common. One third of episodes are septic. Most of the remainder are non-septic, with occasional rheumatological causes. Trauma can cause both septic and non-septic olecranon bursitis. Clinical features are helpful in separating septic from non-septic olecranon bursitis, but there may be local erythema in both. Aspiration should be carried out in all cases, and if the presence of infection is still in doubt, microscopy, Gram staining, and culture of the aspirate will resolve the issue. Septic olecranon bursitis should be treated by aspiration, which may need to be repeated, and a long course of antibiotics. Some cases will need admission, and a few will need surgical treatment. Non-septic olecranon bursitis can be managed with aspiration alone. Non-steroidal anti-inflammatory drugs probably hasten symptomatic improvement. Intrabursal corticosteroids produce a rapid resolution but concern remains over their long term local effects. Recovery from septic olecranon bursitis can take months. PMID:8894865

  17. Olecranon Bursitis Caused by Candida parapsilosis in a Patient with Rheumatoid Arthritis

    Science.gov (United States)

    Rios, Grissel

    2016-01-01

    Septic bursitis is usually caused by bacterial organisms. However, infectious bursitis caused by fungi is very rare. Herein, we present a 68-year-old woman with long-standing rheumatoid arthritis who developed pain, erythema, and swelling of the right olecranon bursa. Aspiration of the olecranon bursa showed a white blood cell count of 3.1 × 103/μL (41% neutrophils, 30% lymphocytes, and 29% monocytes). Fluid culture was positive for Candida parapsilosis. She was treated with caspofungin 50 mg intravenously daily for 13 days followed by fluconazole 200 mg orally daily for one week. She responded well to this treatment but had recurrent swelling of the bursa. Bursectomy was recommended but she declined this option. This case, together with other reports, suggests that the awareness of uncommon pathogens, their presentation, and predisposing risk factors are important to establish an early diagnosis and prevent long-term complications. PMID:27595032

  18. Anserina bursitis. A treatable cause of knee pain in patients with degenerative arthritis.

    Science.gov (United States)

    Brookler, M I; Mongan, E S

    1973-07-01

    The anserina bursa is located on the medial surface of the tibia deep to the tendons of the sartorius, gracilis, and semimembranosus muscles and superficial to the insertion of the tibial collateral ligament. Knee pain, a palpable swelling of the bursa, and tenderness over the medial anterior aspect of the tibia just below the knee are the hallmarks of anserina bursitis. In a three-year period, 24 patients with anserina bursitis were seen in a rheumatology clinic. All but one were women, 18 were obese, and only four were under 50 years old. Knee x-ray studies showed degenerative arthritis in 20 of the 24 patients. In ten, varus knee deformities were present, while three had valgus deformities. Ultrasound or local steroid injections gave dramatic relief in all but one patient.

  19. Olecranon Bursitis Caused by Candida parapsilosis in a Patient with Rheumatoid Arthritis

    Directory of Open Access Journals (Sweden)

    Carla F. Gamarra-Hilburn

    2016-01-01

    Full Text Available Septic bursitis is usually caused by bacterial organisms. However, infectious bursitis caused by fungi is very rare. Herein, we present a 68-year-old woman with long-standing rheumatoid arthritis who developed pain, erythema, and swelling of the right olecranon bursa. Aspiration of the olecranon bursa showed a white blood cell count of 3.1×103/μL (41% neutrophils, 30% lymphocytes, and 29% monocytes. Fluid culture was positive for Candida parapsilosis. She was treated with caspofungin 50 mg intravenously daily for 13 days followed by fluconazole 200 mg orally daily for one week. She responded well to this treatment but had recurrent swelling of the bursa. Bursectomy was recommended but she declined this option. This case, together with other reports, suggests that the awareness of uncommon pathogens, their presentation, and predisposing risk factors are important to establish an early diagnosis and prevent long-term complications.

  20. ESTUDIO DEL EFECTO DE LA ACUPUNTURA EN EL TRATAMIENTO DE LA BURSITIS DE HOMBRO

    OpenAIRE

    TORRES GARCIA, JOSE AGUSTIN

    2009-01-01

    LA BURSITIS ES LA INFLAMACION DE LAS BURSAS, QUE SON PEQUENAS BOLSAS LLENAS DE LIQUIDO SEROSO QUE SE ENCUENTRAN ENTRE LOS TENDONES Y EL PLANO OSEO. ALGUNOS AUTORES MENCIONAN QUE ESTE PADECIMIENTO SE ENCUENTRA, MAS FRECUENTEMENTE DESPUES DE LOS 40 ANOS DE EDAD. EN LA REGION DEL HOMBRO SE ENCUENTRAN CONJUNTADAS SIETE ARTICULACIONES LAS CUALES LE DAN FORMA A UN COMPLEJO LLAMADO CINTURA ESCAPULAR. EN ESTA CINTURA ESCAPULAR SE ENCUENTRAN ONCE BURSAS, DE LAS CUALES SE PUEDEN AFECTAR UNA O MAS EN F...

  1. Citric acid treatment of chronic nonhealing ulcerated tophaceous gout with bursitis.

    Science.gov (United States)

    Nagoba, Basavaraj S; Punpale, Ajay; Poddar, Ashok; Suryawanshi, Namdev M; Swami, Ganesh A; Selkar, Sohan P

    2013-12-01

    The ulceration associated with gout tophi is very difficult to treat because of impaired and halted local inflammatory response resulting from the gout treatment regimen. We report chronic nonhealing tophaceous gout with bursitis in an 80-year-old male, not responding to conventional treatment modality for months together. This nonhealing ulcer was treated successfully with local application of 3% citric acid ointment for 22 days.

  2. OSTEOCHONDROMA OF THE PROXIMAL HUMERUS WITH FRICTIONAL BURSITIS AND SECONDARY SYNOVIAL OSTEOCHONDROMATOSIS.

    Science.gov (United States)

    De Groote, J; Geerts, B; Mermuys, K; Verstraete, K

    2015-01-01

    We report a case of multiple hereditary exostosis in a 33-year old patient with clinical symptoms of pain and impression of a growing mass of the left shoulder alerting potential risk of malignant transformation of an osteochondroma. Imaging studies illustrated perilesional bursitis surrounding an osteochondroma of the proximal humerus. Malignant transformation was excluded with MRI. Fragments of the osteochondroma were dislocated in the inflammatory synovial bursa illustrating a case of secondary synovial osteochondromatosis.

  3. [Treatment of septic olecranon and patellar bursitis by excision and vacuum-assisted closure therapy].

    Science.gov (United States)

    Walter, G; Kemmerer, M; Hoffmann, R

    2013-08-01

    Treatment of septic olecranon and patellar bursitis differs considerably and is currently under discussion. We therefore performed a retrospective study of our patients with septic bursitis in the past 5 years. Between March 2007 and February 2012 we treated 79 patients with septic olecranon (n = 43) and patellar (n = 36) bursitis surgically: 61-males, 18 females, age 51 (range: 11-91) years. Four patients had not been treated before, 25 had suffered recurrences after 1-10 previous procedures, and 9 patients had not improved after conservative therapy. 34 patients presented with traumatic rupture or fistula of their bursae. In all cases we performed a radical bursectomy and vacuum-assisted therapy for 4 to 5 days. In addition, patients received systemic antibiotics. We phoned all patients and were successful in 57 cases (72 %). We questioned these patients for range of movement, limitations at work, pain, sensibility disorder, satisfaction with the result and further surgical procedures. In all cases we took tissue specimens for cultures, in 48 preparations histological examination was performed. Microbiological and histological results are discussed in detail. 40 patients were free of complaints, 15 complained of mild pain, 54 of 57 had unlimited range of motion. Minor discomforts at desk work were reported by 5 of 43 patients, 12 out of 36 patient reported discomfort when performing on their knees. There was no recurrence in the period of investigation. We recommend our treatment concept for septic olecranon and patellar bursitis because patient satisfaction is high and recurrences are reliably avoided. The soft tissue is spared, so that plastic covering procedures are seldom necessary. Georg Thieme Verlag KG Stuttgart · New York.

  4. Prevalence of Locomotory System Disorders in Veal Calves and Risk Factors for Occurrence of Bursitis

    Directory of Open Access Journals (Sweden)

    Marta Brščić

    2011-12-01

    Full Text Available The study aimed to assess the prevalence of locomotory system disorders within a wide cross-sectional study in 174 veal calves farms and to investigate risk factors associated to disorders with a relevant prevalence (>1%. A representative sample of the European veal production systems was considered in the three major producing countries (100 in NL, 50 in FR, 24 in IT. One batch/farm was observed in three stages of the fattening. At each visit calves with evidence of bursitis, hoof lesions, joint lesions, and lameness were recorded. A set of production system descriptors gathered by an interview to the farmer were considered as potential risks. Results showed an average prevalence ≤1% of calves for hoof and joint lesions, and lameness at any stage. Bursitis was observed on 0.2%, 4.1% and 11.2% of calves at 3, 13 wks and at the end of fattening, respectively. Risk factors for bursitis were linked to concrete and wooden slatted floors, to space allowance ≤1.8 m2/calf, and floors aged <8 years while type of housing system (small vs. large groups was not relevant. There was a significant interaction between stage of fattening and type of floor on bursitis. At the early stage, slatted and bedded floor were similar while at the end of the fattening the highest least mean was observed for calves on concrete floors. Bedding materials had a preventive effect. Rubber or straw should be largely adopted for veal calves as alternative solutions to hard floors in order to improve animals’ comfort, locomotory system health and welfare status.

  5. Prevalence of Locomotory System Disorders in Veal Calves and Risk Factors for Occurrence of Bursitis

    Directory of Open Access Journals (Sweden)

    Marta Brščić

    2011-10-01

    Full Text Available The study aimed to assess the prevalence of locomotory system disorders within a wide cross-sectional study in 174 veal calves farms and to investigate risk factors associated to disorders with a relevant prevalence (>1%. A representative sample of the European veal production systems was considered in the three major producing countries (100 in NL, 50 in FR, 24 in IT. One batch/farm was observed in three stages of the fattening. At each visit calves with evidence of bursitis, hoof lesions, joint lesions, and lameness were recorded. A set of production system descriptors gathered by an interview to the farmer were considered as potential risks. Results showed an average prevalence ≤1% of calves for hoof and joint lesions, and lameness at any stage. Bursitis was observed on 0.2%, 4.1% and 11.2% of calves at 3, 13 wks and at the end of fattening, respectively. Risk factors for bursitis were linked to concrete and wooden slatted floors, to space allowance ≤1.8 m2/calf, and floors aged <8 years while type of housing system (small vs. large groups was not relevant. There was a significant interaction between stage of fattening and type of floor on bursitis. At the early stage, slatted and bedded floor were similar while at the end of the fattening the highest least mean was observed for calves on concrete floors. Bedding materials had a preventive effect. Rubber or straw should be largely adopted for veal calves as alternative solutions to hard floors in order to improve animals’ comfort, locomotory system health and welfare status.

  6. Large bursitis formation associated with osteochondroma of the scapula: magnetic resonance imaging findings

    Directory of Open Access Journals (Sweden)

    Elif Karadeli

    2016-03-01

    Full Text Available Osteochondroma is the most common benign bone tumors. 27-year-old man was admitted with complaints of increased swelling of the left shoulder motion. After imaging and histological examination diagnosed osteochondroma. Pain is often connected to the mechanical effect of environmental osteochondroma tissue mass is the result of symptoms. This can result in bursitis. [Cukurova Med J 2016; 41(0.100: 95-97

  7. Rice body formation in bicipito-radial bursitis: ultrasound, CT, and MRI findings

    Energy Technology Data Exchange (ETDEWEB)

    Spence, L.D.; Adams, J.; Eustace, S. [Department of Radiology, Boston Medical Center, One Boston Medical Center Place, Boston MA 02118 (United States); Gibbons, D. [Department of Pathology, Boston Medical Center, Boston, Massachusetts (United States); Mason, M.D. [Department of Orthopedics, Boston Medical Center, Boston, Massachusetts (United States)

    1998-01-01

    The bicipito-radial bursa, which lies at the biceps tendon insertion on the radial tuberosity, is a rare site of chronic bursitis. We describe the clinical, radiological, and pathological findings in a case complicated by multiple rice body formation. In so doing, we describe MR appearances that allow discrimination of this entity from both synovial chondromatosis and pigmented villonodular synovitis. (orig.) With 3 figs., 8 refs.

  8. Retrocalcaneal bursitis but not Achilles tendinopathy is characterized by increased pressure in the retrocalcaneal bursa.

    Science.gov (United States)

    Lohrer, Heinz; Nauck, Tanja

    2014-03-01

    We questioned whether different forms of Achilles tendon overuse injuries can be differentiated by retrocalcaneal bursa pressure measurement. Retrocalcaneal bursa pressure was determined by using invasive pressure measurement in patients suffering from retrocalcaneal bursitis (n=13) or Achilles tendinopathy (n=15), respectively. Standardized measurements were taken with the subject lying prone. Initially, the foot and ankle was in a spontaneous, unsupported position. Then passive dorsiflexion was induced by an increasing pressure which was applied in five defined steps against the plantar forefoot. Mean pressures found in unloaded position were 30.5 (SD 28.9) mmHg in retrocalcaneal bursitis and -9.9 (SD 17.2) mmHg in Achilles tendinopathy (pbursitis and 32.5 (SD 48.9) mmHg for Achilles tendinopathy (p=0,051). Higher retrocalcaneal bursa pressure values were found in patients suffering from chronic retrocalcaneal bursitis. This result supports the hypothesis that retrocalcaneal bursa hypertension leads to an impingement lesion of the corresponding anterior Achilles tendon. Copyright © 2013 Elsevier Ltd. All rights reserved.

  9. Use of X-rays to treat shoulder tendonitis/bursitis: a historical assessment.

    Science.gov (United States)

    Calabrese, Edward J; Dhawan, Gaurav; Kapoor, Rachna

    2014-08-01

    This article assesses the therapeutic efficacy of ionizing radiation for the treatment of shoulder tendonitis/bursitis in the USA over the period of its use (human 1936-1961; veterinary 1954-1974). Results from ~3,500 human cases were reported in the clinical case studies over 30 articles, and indicated a high treatment efficacy (>90 %) for patients. Radiotherapy was effective with a single treatment. The duration of treatment effectiveness was prolonged, usually lasting until the duration of the follow-up period (i.e., 1-5 years). Therapeutic effectiveness was reduced for conditions characterized as chronic. Similar findings were reported with race horses in the veterinary literature. These historical findings are consistent with clinical studies over the past several decades in Germany, which have used more rigorous study designs and a broader range of clinical evaluation parameters. Radiotherapy treatment was widely used in the mid twentieth century in the USA, but was abandoned following the discovery of anti-inflammatory drugs and the fear of radiation-induced cancer. That X-ray treatment could be an effective means of treating shoulder tendonitis/bursitis, as a treatment option, and is essentially unknown by the current medical community. This paper is the first comprehensive synthesis of the historical use of X-rays to treat shoulder tendonitis/bursitis and its efficacy in the USA.

  10. Endoscopic bursectomy for the treatment of septic pre-patellar bursitis: a case series.

    Science.gov (United States)

    Dillon, John P; Freedman, Ilan; Tan, James S M; Mitchell, David; English, Shaun

    2012-07-01

    Operative treatment for septic pre-patellar bursitis generally involves open debridement in addition to an extended course of intravenous antibiotics. Skin necrosis and wound breakdown are potential complications of this procedure in addition to scar sensitivity and a prolonged recovery. We report endoscopic bursectomy for the treatment of septic pre-patellar bursitis in eight patients over a 3-year period. All patients had microbiological confirmation of an infective process. The average age was 36 years (23-68 years). The average hospital stay was 6 days (4-9 days). No patient had a recurrence or complained of tenderness or hypoaesthesia around their wound. No patient experienced wound complications or skin necrosis. The average return to work time was 18 days (7-22 days). We conclude that endoscopic bursectomy is a safe and effective treatment for septic pre-patellar bursitis with a shortened hospital stay and a quicker return to work than conventional open debridement.

  11. Chronic Open Infective Lateral Malleolus Bursitis Management Using Local Rotational Flap

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    Yong-Beom Lee

    2017-01-01

    Full Text Available Background. Using a sinus tarsi rotational flap is an uncommon approach to treating chronic open infective lateral malleolus bursitis. Methods. We treated eight patients, including six males, using this approach. First, we debrided all the infected tissues and used a negative pressure wound closure system where needed. After acute infection had been controlled, the local rotational flap was used for cases where the wound could not be closed by a simple suture or bone exposure. The rotational flap was detached with a curved skin incision at the sinus tarsi next to the open wound and sutured to the defect, paying careful attention to the superficial peroneal nerve. The donor site was managed with a split-thickness skin graft. Results. The patients’ mean age was 74.1 years. Six patients had a wound after suppurative infection, but two patients had ulcer-type bursitis. Six patients demonstrated full flap healing, but two patients had venous congestion necrosis. Conclusion. A sinus tarsi rotational flap is a useful method to ensure healing and coverage of chronic open lateral malleolus bursitis, especially for small to medium wounds with cavity and bone exposure.

  12. Subscapular bursitis as a rare manifestation of dermatomyositis: a case report

    Science.gov (United States)

    Kim, Kyung Rok; Konig, Maximilian F.; Park, Jin Kyun

    2015-01-01

    Dermatomyositis (DM) is characterized by proximal muscle weakness and characteristic skin rash. Pain is a less common feature and usually indicates inflammation of extramuscular structures such as fascia. Here we report a rare case of subscapular bursitis in a 48-year-old woman with DM. She initially presented with severe, sharp, stabbing pain in her right shoulder that worsened with shoulder movement. Magnetic resonance imaging (MRI) revealed inflammation in the right subscapular bursae. A few months later, the patient developed periungual erythema, Gottron’s papules, and shawl sign with muscle pain in her thighs. DM was diagnosed based on the presence of interface dermatitis on skin biopsy and diffuse muscle inflammation on MRI. Bursitis and myalgia responded incompletely to nonsteroidal anti-inflammatory drugs but promptly to corticosteroids. Here we report a case of subscapular bursitis as a rare manifestation of DM. Pain in patients with DM may warrant physicians to evaluate for the presence of additional inflammatory processes in the perimuscular structures. PMID:27708933

  13. Diagnosis and management of cranial and caudal nuchal bursitis in four horses.

    Science.gov (United States)

    García-López, José M; Jenei, Thomas; Chope, Kate; Bubeck, Kirstin A

    2010-10-01

    4 horses with a history of neck pain, abnormal head carriage, and related inability to perform were examined. Cranial nuchal bursitis was diagnosed in 2 horses, and caudal nuchal bursitis was diagnosed in the other 2. All 4 horses had prominent swelling in the region between the frontal bone and temporal fossa (ie, the poll) and abnormal head carriage. Ultrasonographic examination revealed fluid distention and synovial thickening of the cranial or caudal nuchal bursa in all 4 horses. Ultrasonography-guided aspiration of the affected region was performed successfully in 3 horses. Radiography revealed bony remodeling and mineralization over the dorsal aspect of the atlas in 1 horse and a radiolucency at the axis in another. Nuclear scintigraphy revealed an increase in radioisotope uptake at the level of C2 in 1 horse. Although a septic process was considered among the differential diagnoses in all horses, a septic process could only be confirmed in 1 horse. All horses were refractory to conservative management consisting of intrabursal injection of anti-inflammatory medications. Bursoscopic debridement and lavage of the affected bursae resulted in resolution of the clinical signs in all horses, and they all returned to their intended use. Cranial and caudal nuchal bursitis, of nonseptic or septic origin, should be considered as a differential diagnosis in horses with head and neck pain. Horses undergoing surgical intervention consisting of nuchal bursoscopy have the opportunity to return to their original degree of exercise.

  14. Femoral nerve palsy caused by ileopectineal bursitis after total hip replacement: a case report

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    Bähr Mathias

    2011-05-01

    Full Text Available Abstract Introduction Infectious ileopectineal bursitis is a rare complication after total hip replacement and is associated mainly with rheumatoid arthritis. The main complications are local swelling and pain, but communication of the inflamed bursa with the joint can occur, leading to subsequent cartilage damage and bone destruction. Case presentation We report a case of a 47-year-old Caucasian woman without rheumatoid arthritis who reported pain and palsy in her left leg almost one year after total hip replacement. She was diagnosed with an ileopectineal bursitis after total hip replacement, leading to femoral nerve palsy. The diagnosis was obtained by thorough clinical examination, the results of focused computed tomography and magnetic resonance imaging. Conclusion To the best of our knowledge, this is the first report of non-infectious ileopectineal bursitis in a patient without rheumatoid arthritis as a complication of total hip replacement. This rare case underlines the importance of proper neurologic examination of persistent conditions after orthopedic intervention in otherwise healthy individuals. We believe this case should be useful for a broad spectrum of medical specialties, including orthopedics, neurology, radiology, and general practice.

  15. Bursite iliopectínea: relato de caso Iliopectineal bursitis: case report

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    Eduardo Amaral Gomes

    2010-10-01

    Full Text Available A bursite iliopectínea, embora não tenha muitos relatos na literatura, apresenta-se clinicamente com sinais e sintomas frequentemente encontrados nos ambulatórios e consultórios. Sua clínica é de dor na parte anterior do quadril que piora à extensão, abdução e rotação interna do mesmo. O diagnóstico é confirmado pelo ultrassom ou ressonância nuclear magnética do quadril. A bursite iliopectínea responde bem ao tratamento conservador com anti-inflamatório não hormonal e repouso. Devido a esta boa evolução, não raro, pode-se tratar uma bursite iliopectínea com sucesso sem se saber o que está tratando.Although there are not many reports in literature, iliopectineal bursitis presents clinically with signs and symptoms frequently found in outpatient services and practice. Its clinical presentation is anterior hip pain that worsens with the extension, abduction and internal rotation of the hip. The diagnosis is confirmed by ultrasound or magnetic nuclear resonance imaging of the hip. The iliopectineal bursitis responds well to conservative treatment with non-hormonal anti-inflammatory drugs and rest. Due to its good evolution, it is not rare to treat iliopectineal bursitis successfully without even knowing what is being treated.

  16. Atypical extraspinal musculoskeletal tuberculosis in immunocompetent patients: Part II, tuberculous myositis, tuberculous bursitis, and tuberculous tenosynovites

    Energy Technology Data Exchange (ETDEWEB)

    Abdelwahab, I.F. [Coney Island Hospital, Brooklyn, New York (United States); Bianchi, S. [Clinique et Fondation des Grangettes, Geneva (Switzerland)]. E-mail: stefanobianchi@bluewin.ch; Martinoli, C. [Universita di Genova, Cattedra di Radiologia, DICMI, Genoa (Italy); Klein, M. [Univ. of Alabama School of Medicine, Dept. of Pathology, Birmingham, Alabama (United States); Hermann, G. [Mount Sinai Medical Center, Dept. of Radiology, New York, New York (United States)

    2006-12-15

    Tuberculosis involving the soft tissue from adjacent bone or joint is well recognized. However, primary tuberculous pyomyositis, tuberculous bursitis, and tuberculous tenosynovitis are rare entities constituting 1% of skeletal tuberculosis. Tuberculosis tenosynovitis involves most commonly the tendon sheaths of the hand and wrist, and tuberculous bursitis occurs most commonly around the hip. The greater trochanteric bursa and the greater trochanter are the most frequent sites of tuberculous bursitis. Cases of primary tuberculous pyomyositis and tenosynovitis of the tendons of the ankle and foot are seldom reported in the radiology literature. All imaging modalities - plain radiography, bone scan, computed tomography, and magnetic resonance imaging (MRI) - provide information that is helpful in determining therapy. MRI in particular, with its multiplanar capabilities and superb contrast of soft tissue, can demonstrate the extent of the soft tissue mass and access the adjacent bones and joints. However, MRI has no diagnostic specificity in regard to tuberculosis, and in nonendemic areas, biopsy is strongly recommended. All patients in this review were permanent residents of North America or Western Europe and were immunocompetent. Examples of atypical presentations of the above entities are demonstrated. (author)

  17. A cross-sectional study of the prevalence and associated risk factors for bursitis in weaner, grower and finisher pigs from 93 commercial farms in England.

    Science.gov (United States)

    Gillman, C E; Kilbride, A L; Ossent, P; Green, L E

    2008-03-17

    A cross-sectional study of 93 farms in England was carried out to estimate the prevalence and associated risk factors for bursitis. A total of 6250 pigs aged 6-22 weeks were examined for presence and severity of bursitis. Details of pen construction, pen quality and farm management were recorded including floor type, presence of bedding, condition of the floor and floor materials. The prevalence of bursitis was 41.2% and increased with each week of age (OR 1.1). Two-level logistic regression models were developed with the outcome as the proportion of pigs affected with bursitis in a pen. Pigs kept on soil floors with straw bedding were used as the reference level. In comparison with these soil floors, bursitis increased on concrete floors where the bedding was deep throughout (OR 4.6), deep in part (OR 3.7), and sparse throughout (OR 9.0), part slatted floors (OR 8.0), and fully slatted floors (OR 18.8). Slip or skid marks in the dunging area (OR 1.5), pigs observed slipping during the examination of the pen (OR 1.3) and wet floors (OR 3.6) were also associated with an increased risk of bursitis. The results indicate that bursitis is a common condition of growing pigs and that the associated risk factors for bursitis were a lack of bedding in the lying area, presence of voids and pen conditions which increased the likelihood of injury.

  18. Popliteal cysts and subgastrocnemius bursitis are associated with knee symptoms and structural abnormalities in older adults: a cross-sectional study.

    Science.gov (United States)

    Cao, Yuelong; Jones, Graeme; Han, Weiyu; Antony, Benny; Wang, Xia; Cicuttini, Flavia; Ding, Changhai

    2014-03-03

    The role of popliteal cysts and subgastrocnemius bursitis in knee joint homeostasis is uncertain. The aim of this study is to describe cross-sectional associations between popliteal cysts, subgastrocnemius bursitis, knee symptoms and structural abnormalities in older adults. A cross-sectional sample of 900 randomly-selected subjects (mean age 63 years, 48% female) were studied. Knee pain, stiffness and dysfunction were assessed by self-administered Western Ontario McMaster Osteoarthritis Index (WOMAC) questionnaire. Radiographic knee osteophyte and joint space narrowing (JSN) were recorded. Magnetic resonance imaging (MRI) was utilized to assess popliteal cysts, subgastrocnemius bursitis, cartilage defects and bone marrow lesions (BMLs). Popliteal cysts were present in 11.7% and subgastrocnemius bursitis in 12.7% of subjects. Subgastrocnemius bursitis was more common in those with popliteal cyst (36.2% versus 9.7%, P bursitis was associated with increased osteophytes and JSN in the medial tibiofemoral compartment. Both were significantly associated with cartilage defects in all compartments, and with BMLs in the medial tibiofemoral compartment. Furthermore, both popliteal cysts and subgastrocnemius bursitis were significantly associated with increased weight-bearing knee pain but these associations became non-significant after adjustment for cartilage defects and BMLs. Popliteal cysts and subgastrocnemius bursitis are associated with increased symptoms as well as radiographic and MRI-detected joint structural abnormalities. Longitudinal data will help resolve if they are a consequence or a cause of knee joint abnormalities.

  19. [CT/MRI image characteristics of iliopsoas bursitis in avascular necrosis of femoral head].

    Science.gov (United States)

    Gong, Ennian; Jia, Baoliang; Shi, Zhichao; Zhou, Liping; Xu, Guojuan; Tian, Zaichao

    2008-03-01

    To investigate the spectrum of CT and MR imaging and surgical operation findings in iliopsoas bursitis in patients with avascular necrosis of femoral head so as to enhance the diagnostic ability. A total of 1,415 patients with avascular necrosis of the femoral head were analyzed retrospectively; of them, 15 patients were complicated by iliopsoas bursitis surgically or aspiration of synovial fluid between May 2005 and May 2007. Fifteen cases were all necrosis of the bilateral femoral head and 17 hips were combined with iliopsoas bursitis. There were 14 males and 1 female, aging 29-58 years. The course of disease was 1 month to 3 years. All 15 patients had limitation of ability of the hips and the "4" type sign was positive. The Harris score of hip's function was 54-78 (mean 62.7). Five patients of them can be touched a palpable cystic mass and tenderness in the inguinal area, and 3 of them associated with femoral neuropathy and 2 patients presented slight atrophy of the thigh muscle in suffering side. All these cases were taken X-ray films of positive and frog-leg lateral position, helical CT scan with 5 mm thinness, and MRI was performed in 6 patients with TlWI, T2WI, T2WI and fat-saturated inversion recovery sequence. The radiographs were the primary basis evidences for diagnosis and degrees of the avascular necrosis of femoral head. According to the standards of Association Research Circulation Osseuse, there were 2 hips at stage II (II C 2), 6 hips at stage III ( II B 1, III C 5 and 9 hips at stage IV. The X-ray films showed the bulging of the fat pad and soft tissue swelling in 6 patients. CT analysis disclosed that the enlarged iliopsoas bursae appeared as hypodense, well-defined, thin-walled (bursitis presented as low signal on T1WI and water-like high signal on T2WI and markedly higher signal on STIR in 6 cases. The demonstration of the extent, size, mass effects and its relation and subsequent affection to surrounding anatomical structures were clearly

  20. MR imaging after rotator cuff repair: full-thickness defects and bursitis-like subacromial abnormalities in asymptomatic subjects

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    Zanetti, M.; Hodler, J. [Dept. of Radiology, University Hospital Balgrist, Zurich (Switzerland); Jost, B.; Gerber, C. [Dept. of Orthopedic Surgery, University Hospital Balgrist, Zurich (Switzerland)

    2000-06-01

    Objective. To determine the prevalence and extent of residual defects or retears and bursitis-like subacromial abnormalities on MR images after rotator cuff repair in asymptomatic subjects, and to define the clinical relevance of these findings.Design and patients. Fourteen completely asymptomatic patients and 32 patients with residual symptoms were investigated 27-53 months (mean 39 months) after open transosseous reinsertion of the rotator cuff. Coronal T2-weighted turbo spin-echo and turbo STIR or T2-weighted fat-suppressed MR images were obtained. The prevalence and extent of residual defects or retears of the rotator cuff and bursitis-like subacromial abnormalities were determined.Results. Residual defects or retears were detected in three (21%) and bursitis-like abnormalities in 14 (100%) of the 14 asymptomatic patients. Fifteen (47%) residual defects or retears and 31 (97%) bursitis-like abnormalities were diagnosed in the 32 patients with residual symptoms. The size of the residual defects/retears was significantly smaller in the asymptomatic group (mean 8 mm, range 6-11 mm) than in the symptomatic group (mean 32 mm, range 7-50 mm) (t-test, P=0.001). The extent of the bursitis-like subacromial abnormalities did not significantly differ (t-test, P>0.05) between asymptomatic (mean 28 x 3 mm) and symptomatic patients (mean 32 x 3 mm).Conclusion. Small residual defects or retears (<1 cm) of the rotator cuff are not necessarily associated with clinical symptoms. Subacromial bursitis-like MR abnormalities are almost always seen after rotator cuff repair even in patients without residual complaints. They may persist for several years after rotator cuff repair and appear to be clinically irrelevant. (orig.)

  1. Case Report of Pes Anserine Bursitis patient treated with Bee Venom Acua-Acupuncture Therapy by Using DITI

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    Moon Ja-Young

    2004-02-01

    Full Text Available Objective : The purpose of this study is to report the effect of Bee Venom Acua-Acupuncture Therapy to the patient of Pes Anserine Bursitis by using DITI. Patient & Methods : The patient was 60-year-old woman who complained severe knee pain. She was treated by bee venom acuaacupuncture therapy. To estimate the efficacy of tratment, we used DITI, visual analog scale, knee joint check(ROM. Results : In this case, we treated patient of Pes Anserine Bursitis for 28 days. bee venom acua-acupuncture therapy efficiently relieved patient's pain and improved ROM. DITI and Visual analog scale also showed significantly valuable changes.

  2. Is ultrasound-guided injection more effective in chronic subacromial bursitis?

    Science.gov (United States)

    Hsieh, Lin-Fen; Hsu, Wei-Chun; Lin, Yi-Jia; Wu, Shih-Hui; Chang, Kae-Chwen; Chang, Hsiao-Lan

    2013-12-01

    Although ultrasound (US)-guided subacromial injection has shown increased accuracy in needle placement, whether US-guided injection produces better clinical outcome is still controversial. Therefore, this study aimed to compare the efficacy of subacromial corticosteroid injection under US guidance with palpation-guided subacromial injection in patients with chronic subacromial bursitis. Patients with chronic subacromial bursitis were randomized to a US-guided injection group and a palpation-guided injection group. The subjects in each group were injected with a mixture of 0.5 mL dexamethasone suspension and 3 mL lidocaine into the subacromial bursa. The primary outcome measures were the visual analog scale for pain and active and passive ranges of motion of the affected shoulder. Secondary outcome measures were the Shoulder Pain and Disability Index, the Shoulder Disability Questionnaire, and the 36-item Short-Form Health Survey (SF-36). The primary outcome measures were evaluated before, immediately, 1 wk, and 1 month after the injection; the secondary outcome measures were evaluated before, 1 wk, and 1 month after the injection. Of the 145 subjects screened, 46 in each group completed the study. Significantly greater improvement in passive shoulder abduction and in physical functioning and vitality scores on the SF-36 were observed in the US-guided group. The pre- and postinjection within-group comparison revealed significant improvement in the visual analog scale for pain and range of motion, as well as in the Shoulder Pain and Disability Index, Shoulder Disability Questionnaire, and SF-36 scores, in both groups. The US-guided subacromial injection technique produced significantly greater improvements in passive shoulder abduction and in some items of the SF-36. US is effective in guiding the needle into the subacromial bursa in patients with chronic subacromial bursitis.

  3. Prepatellar and olecranon bursitis: literature review and development of a treatment algorithm.

    Science.gov (United States)

    Baumbach, Sebastian F; Lobo, Christopher M; Badyine, Ilias; Mutschler, Wolf; Kanz, Karl-Georg

    2014-03-01

    Olecranon bursitis and prepatellar bursitis are common entities, with a minimum annual incidence of 10/100,000, predominantly affecting male patients (80 %) aged 40-60 years. Approximately 1/3 of cases are septic (SB) and 2/3 of cases are non-septic (NSB), with substantial variations in treatment regimens internationally. The aim of the study was the development of a literature review-based treatment algorithm for prepatellar and olecranon bursitis. Following a systematic review of Pubmed, the Cochrane Library, textbooks of emergency medicine and surgery, and a manual reference search, 52 relevant papers were identified. The initial differentiation between SB and NSB was based on clinical presentation, bursal aspirate, and blood sampling analysis. Physical findings suggesting SB were fever >37.8 °C, prebursal temperature difference greater 2.2 °C, and skin lesions. Relevant findings for bursal aspirate were purulent aspirate, fluid-to-serum glucose ratio 3,000 cells/μl, polymorphonuclear cells >50 %, positive Gram staining, and positive culture. General treatment measures for SB and NSB consist of bursal aspiration, NSAIDs, and PRICE. For patients with confirmed NSB and high athletic or occupational demands, intrabursal steroid injection may be performed. In the case of SB, antibiotic therapy should be initiated. Surgical treatment, i.e., incision, drainage, or bursectomy, should be restricted to severe, refractory, or chronic/recurrent cases. The available evidence did not support the central European concept of immediate bursectomy in cases of SB. A conservative treatment regimen should be pursued, following bursal aspirate-based differentiation between SB and NSB.

  4. Subacromial bursitis with giant rice bodies as initial presentation of rheumatoid arthritis.

    Science.gov (United States)

    Subramaniam, Ramesh; Tan, Justina Wei Lyn; Chau, Cora Yuk Ping; Lee, Keng Thiam

    2012-10-01

    Rice body formation is a nonspecific response to chronic synovial inflammation associated with tuberculous arthritis, rheumatoid arthritis, juvenile rheumatoid arthritis, seronegative inflammatory arthritis, and even osteoarthritis. Such bodies were termed rice bodies because of their close resemblance to grains of polished white rice. We present a case report of a middle-aged woman with right shoulder subacromial/subdeltoid bursitis with giant rice body formation as her initial presentation of rheumatoid arthritis. Her right shoulder symptoms resolved after subacromial and subdeltoid bursectomy and removal of the rice bodies. She subsequently developed inflammatory arthritis of other joints, met the criteria for rheumatoid arthritis, and has been treated medically.

  5. Septic bursitis after ultrasound-guided percutaneous treatment of rotator cuff calcific tendinopathy.

    Science.gov (United States)

    Sconfienza, Luca Maria; Randelli, Filippo; Sdao, Silvana; Sardanelli, Francesco; Randelli, Pietro

    2014-08-01

    Calcific tendinopathy of the rotator cuff is a common condition. Ultrasound-guided percutaneous aspiration is one of several options to treat this condition. The main advantages of this procedure are short duration, good outcome, and low cost. Furthermore, only minor complications have been reported in the literature, namely, vagal reactions during the procedure and mild postprocedural pain. We report the first case of septic bursitis after ultrasound-guided percutaneous treatment of calcific tendinopathy. Although this is generally considered a very safe procedure, a risk of infection should be taken into account. Copyright © 2014 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  6. Acute inguinal pain associated with iliopectineal bursitis in four professional soccer players.

    Science.gov (United States)

    Brunot, S; Dubeau, S; Laumonier, H; Creusé, A; Delmeule, T; Reboul, G; Das Neves, D; Bouin, H

    2013-01-01

    Four professional soccer players were investigated for acute or subacute pain in the inguinal region. Clinical tests were negative for an inguinal hernia or adductor tendinitis. Resisted hip flexion caused pain. MRI in these four patients showed the onset of iliopectineal bursitis, with signal abnormalities predominantly at the periphery of the psoas tendon in contact with the iliopectineal eminence. Ultrasound-guided steroid injection allowed the two players injected to continue their sporting activity. The two other players were treated by 3 and 7 days rest and oral anti-inflammatory treatment. Copyright © 2012 Éditions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

  7. An epidermal inclusion cyst mimicking chronic prepatellar bursitis: a case report.

    Science.gov (United States)

    Mayo, Meredith; Werner, Jordan; Joshi, Bhavesh; Abramovici, Liugia; Strauss, Eric J

    2013-12-01

    Soft tissue lesions are common to the prepatellar region, often due to acute or chronic trauma, and most frequently include prepatellar bursitis, lipomas, and ganglion cysts. We report a case of a posttraumatic prepatellar epidermal inclusion cyst to highlight the diagnostic complexities that can arise with soft tissue lesions in this location. On the basis of our case report, treating orthopaedic surgeons should consider the possibility of an epidermal inclusion cyst in patients who present with atypical anterior soft tissue masses with a history of trauma to the anterior knee. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  8. Arthroscopic bursectomy with concomitant iliotibial band release for the treatment of recalcitrant trochanteric bursitis.

    Science.gov (United States)

    Farr, Derek; Selesnick, Harlan; Janecki, Chet; Cordas, Daniel

    2007-08-01

    Trochanteric bursitis with lateral hip pain is a commonly encountered orthopaedic condition. Although most patients respond to corticosteroid injections, rest, physical therapy (PT), stretching, and anti-inflammatory medications, those with recalcitrant symptoms may require operative intervention. Studies have explored the use of the arthroscope in the treatment of these patients. However, these reports have not addressed the underlying pathology in this chronic condition. We believe that the iliotibial band must be addressed and is the main cause of pain, inflammation, and trochanteric impingement leading to the development of bursitis. We report a new technique for arthroscopic trochanteric bursectomy with iliotibial band release. Our technique involves 2 incisions--one 4 cm proximal to the greater trochanter along the anterior border of the iliotibial band, and the other 4 cm distal and along the posterior border. The 30 degrees arthroscope is introduced through the inferior portal, and a cannula is introduced through the superior portal. A 5.5-mm arthroscopic shaver is inserted through the superior cannula to clear off the surface of the iliotibial band, so that it may be adequately visualized. A hooked electrocautery probe is then used to longitudinally incise the iliotibial band until it no longer rubs, causing impingement over the greater trochanter.

  9. Successful Treatment of Gluteal Pain from Obturator Internus Tendinitis and Bursitis with Ultrasound-Guided Injection.

    Science.gov (United States)

    Chen, Boqing; Rispoli, Leia; Stitik, Todd; Leong, Michelle

    2017-10-01

    This case report describes what the authors believe is the first case of a patient with obturator internus tendinitis and bursitis successfully treated with a corticosteroid injection using a trans-tendinous lateral to medial approach. The patient presented with right gluteal pain not relieved by physical therapy or right hip and ischial bursa corticosteroid injections. Pelvic and lumbar spine MRIs and EMG/NCS findings were unremarkable. Physical examination demonstrated tenderness to palpation at the right middle lower gluteal region. Ultrasound imaging with sonopalpation identified the maximal local tender point as the right obturator internus muscle and/or its underlying bursa. A 22-gauge 3.5-inch needle was inserted in-plane to the transducer and longitudinal to the obturator internus from a lateral to medial direction, an approach previously described in cadavers. The obturator internus tendon sheath and bursa were injected with 2.5 ml of 0.5% lidocaine combined with 10 mg of triamcinolone. The patient reported immediate complete relief of pain with continued relief at 2 and 6 months post-injection. This case report demonstrates an injection of the obturator internus tendon sheath and bursa using a trans-tendinous approach, which may be successful for treatment of patients presenting with persistent gluteal pain from obturator internus tendinitis and bursitis.

  10. Groin pain and iliopsoas bursitis: always a cause-effect relationship?

    Science.gov (United States)

    Di Sante, Luca; Paoloni, Marco; De Benedittis, Stefano; Tognolo, Lucrezia; Santilli, Valter

    2014-01-01

    Iliopsoas bursitis (IB) is characterized by inflammation and enlargement of the iliopsoas bursa. Although this condition is often associated with degenerative or inflammatory arthritis, infections, trauma, overuse and impingement syndromes, osteonecrosis and hip replacement, the pathogenesis of IB remains uncertain. We present a case report of IB associated with moderate hip osteoarthritis (HOA). We present a case report of a 73-year-old man with chronic left hip pain that did not respond to conservative treatments. An ultrasonography examination of the left hip revealed fluid-induced distension of the iliopsoas bursa, which was treated with aspiration followed by a corticosteroid-anesthetic injection. At the 30-day follow-up, despite an initial improvement in the patient's symptoms, both the pain and functional limitation returned, though not in association with bursa distension. The patient therefore underwent a total hip arthroplasty, which fully relieved the symptoms. We hypothesize that iliopsoas bursitis may, when associated with other pathological conditions, not be the only source of pain. It should, nevertheless, be considered for differential diagnosis purposes.

  11. Protothecal bursitis after simultaneous kidney/liver transplantation: a case report and review.

    Science.gov (United States)

    Ramírez, I; Nieto-Ríos, J F; Ocampo-Kohn, C; Aristizábal-Alzate, A; Zuluaga-Valencia, G; Muñoz Maya, O; Pérez, J C

    2016-04-01

    Solid organ transplantation is an accepted therapy for end-stage diseases of the kidneys, liver, heart, and lungs. Unfortunately, transplantation is associated with infectious complications. Here, we present a case report of Prototheca wickerhamii olecranon bursitis and review all of the cases in solid organ transplant (SOT) recipients published in the literature to date. In our patient, the infection resolved with surgical therapy and limited antifungal therapy, and no symptoms have recurred over 24 months of follow-up. A review of the literature suggests that 50% of SOT recipients with Prototheca infection present with disseminated infection, and the overall mortality is 75%. More studies are required to determine the optimal management of protothecosis in this population. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. Suture slippage in knotless suture anchors resulting in subacromial-subdeltoid bursitis.

    Science.gov (United States)

    Hayeri, Mohammad Reza; Keefe, Daniel T; Chang, Eric Y

    2016-05-01

    Rotator cuff repair using a suture bridge and knotless suture anchors is a relatively new, but increasingly used technique. The suture bridge technique creates an anatomically similar and more secure rotator cuff repair compared with conventional arthroscopic techniques and the use of knotless anchors eliminates the challenges associated with knot tying during arthroscopic surgery. However, previous in vitro biomechanical tests have shown that the hold of the suture in a knotless suture anchor is far lower than the pullout strength of the anchor from bone. Up until now slippage has been a theoretical concern. We present a prospectively diagnosed case of in vivo suture loosening after rotator cuff repair using a knotless bridge technique resulting in subacromial-subdeltoid bursitis.

  13. Research Regarding some Live Attenuated Vaccines Used in Immunoprophylaxis of the Avian Infectious Bursitis

    Directory of Open Access Journals (Sweden)

    Emil Tirziu

    2010-10-01

    Full Text Available In our research four live attenuated vaccines against avian infectious bursitis (two inland produced and two imported were tested: Biavac, Biaromvac-Pa, Gumboro Vaccine Nobilis 228e and Live Virus Vaccine Tablets Gumboro, M.B. Strain. The research was made in production conditions on 44,400 broiler chickens maintained in industrial system and raised on bedding and in batteries. The broilers were kept in four poultry houses, each of them representing an experimental group. We mention that vaccines were administered only one time. Vaccines efficiency was assessed by immunoenzymatic test. In that purpose, for each poultry house, 20 broilers were isolated and identified by a tibial ring, their immune response being followed between 5 and 42 days of age. Analyzing the results about individual antibodies titer during the experiment, the significant differences were observed both in poultries and phases. The best results were obtained using Live Virus Vaccine Tablets Gumboro, M.B. strain.

  14. Scapulothoracic bursitis and snapping scapula syndrome: a critical review of current evidence.

    Science.gov (United States)

    Warth, Ryan J; Spiegl, Ulrich J; Millett, Peter J

    2015-01-01

    Symptomatic scapulothoracic disorders, such as painful scapular crepitus and/or bursitis, are uncommon; however, they can produce significant pain and disability in many patients. To review the current knowledge pertaining to snapping scapula syndrome and to identify areas of further research that may be helpful to improve clinical outcomes and patient satisfaction. Systematic review. We performed a preliminary search of the PubMed and Embase databases using the search terms "snapping scapula," "scapulothoracic bursitis," "partial scapulectomy," and "superomedial angle resection" in September 2013. All nonreview articles related to the topic of snapping scapula syndrome were included. The search identified a total of 167 unique articles, 81 of which were relevant to the topic of snapping scapula syndrome. There were 36 case series of fewer than 10 patients, 16 technique papers, 11 imaging studies, 9 anatomic studies, and 9 level IV outcomes studies. The level of evidence obtained from this literature search was inadequate to perform a formal systematic review or meta-analysis. Therefore, a critical review of current evidence is presented. Snapping scapula syndrome, a likely underdiagnosed condition, can produce significant shoulder dysfunction in many patients. Because the precise origin is typically unknown, specific treatments that are effective for some patients may not be effective for others. Nevertheless, bursectomy with or without partial scapulectomy is currently the most effective primary method of treatment in patients who fail nonoperative therapy. However, many patients experience continued shoulder disability even after surgical intervention. Future studies should focus on identifying the modifiable factors associated with poor outcomes after operative and nonoperative management for snapping scapula syndrome in an effort to improve clinical outcomes and patient satisfaction. © 2014 The Author(s).

  15. RS3PE Syndrome with Iliopsoas Bursitis Distinguished from an Iliopsoas Abscess Using a CT-guided Puncture.

    Science.gov (United States)

    Fukui, Shoichi; Iwamoto, Naoki; Tsuji, Sosuke; Umeda, Masataka; Nishino, Ayako; Nakashima, Yoshikazu; Suzuki, Takahisa; Horai, Yoshiro; Koga, Tomohiro; Kawashiri, Shin-ya; Ichinose, Kunihiro; Hirai, Yasuko; Tamai, Mami; Nakamura, Hideki; Origuchi, Tomoki; Kawakami, Atsushi

    2015-01-01

    A 55-year-old man was diagnosed with remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome. Contrast-enhanced computed tomography for cancer screening showed a mass with low-density centers with an enhanced rim in the left iliopsoas muscle. We suspected an iliopsoas abscess and performed computed-tomography-guided puncture of the mass. Both Gram staining and the culture of the fluid were negative. We diagnosed the patient with RS3PE syndrome with iliopsoas bursitis and administered low-dose corticosteroids without antibiotics. The symptoms, including left hip pain, quickly disappeared following treatment. Clinicians should be aware that iliopsoas bursitis may resemble an iliopsoas abscess. As a result, it is important to make an accurate differential diagnosis.

  16. Giant iliopectineal bursitis presenting as neuropathy and severe edema of the lower limb: case illustration and review of the literature.

    Science.gov (United States)

    Iwata, Takahiro; Nozawa, Satoshi; Ohashi, Minoru; Sakai, Hiroshi; Shimizu, Katsuji

    2013-05-01

    We report a 61-year-old woman with rheumatoid arthritis (RA: Steinblocker stage III, class 3) who developed severe swelling and neuropathy of the right lower limb caused by an iliopectineal bursa associated with destruction of the hip joint. Physical examination revealed an inguinal mass and groin pain. X-ray examination indicated destruction of the hip joint. Contrast-enhanced computed tomography showed the bursa connected with the hip joint and a markedly compressed external iliac vein among the inguinal ligament, pubis, and bursa. The patient underwent partial synovial resection and total hip arthroplasty for recovery of hip function, and this led to successful resolution of the symptoms and bursa. We present the characteristic images from this case and review all previously reported cases of RA iliopsoas bursitis causing leg swelling or neuropathy, and summarize the background. Since this lesion may cause various symptoms, clinical awareness that iliopsoas bursitis may present with unique clinical symptoms may aid correct diagnosis.

  17. Trochanteric bursitis

    Science.gov (United States)

    ... Walk down instead. Swim instead of running or cycling. Run on a smooth, soft surface, such as a track. Avoid running on cement. If you have flat feet, try special shoe inserts and arch supports (orthotics). Make sure your ...

  18. Infectious olecranon and patellar bursitis: short-course adjuvant antibiotic therapy is not a risk factor for recurrence in adult hospitalized patients.

    Science.gov (United States)

    Perez, Cédric; Huttner, Angela; Assal, Mathieu; Bernard, Louis; Lew, Daniel; Hoffmeyer, Pierre; Uçkay, Ilker

    2010-05-01

    No evidence-based recommendations exist for the management of infectious bursitis. We examined epidemiology and risk factors for recurrence of septic bursitis. Specifically, we compared outcome in patients receiving bursectomy plus short-course adjuvant antibiotic therapy (7 days). Retrospective study of adult patients with infectious olecranon and patellar bursitis requiring hospitalization at Geneva University Hospital from January 1996 to March 2009. We identified 343 episodes of infectious bursitis (237 olecranon and 106 patellar). Staphylococcus aureus predominated among the 256 cases with an identifiable pathogen (85%). Three hundred and twelve cases (91%) were treated surgically; 142 (41%) with one-stage bursectomy and closure and 146 with two-stage bursectomy. All received antibiotics for a median duration of 13 days with a median intravenous component of 3 days. Cure was achieved in 293 (85%) episodes. Total duration of antibiotic therapy [odds ratio (OR) 0.9; 95% confidence interval (95% CI) 0.8-1.1] showed no association with cure. In multivariate analysis, only immunosuppression was linked to recurrence (OR 5.6; 95% CI 1.9-18.4). Compared with 14 days of antibiotic treatment (OR 0.9; 95% CI 0.1-10.7) was equivalent, as was the intravenous component (OR 1.1; 95% CI 1.0-1.3). In severe infectious bursitis requiring hospitalization, adjuvant antibiotic therapy might be limited to 7 days in non-immunosuppressed patients.

  19. Ankylosis of the distal interphalangeal joint in a horse after septic arthritis and septic navicular bursitis.

    Science.gov (United States)

    Honnas, C M; Schumacher, J; Kuesis, B S

    1992-04-01

    A 6-month-old 300-kg Quarter Horse filly was treated for septic arthritis of the distal interphalangeal joint and septic navicular bursitis that developed as a result of a deep puncture to the foot. Initial treatment consisted of establishing ventral drainage for the navicular bursa, lavage of the distal interphalangeal joint, and administration of broad-spectrum antimicrobial drugs and non-steroidal anti-inflammatory drugs. Because of continuing sepsis in the distal interphalangeal joint, subsequent treatment included packing the defect in the bottom of the foot with cancellous bone in an attempt to prevent ascending contamination of the joint, placing the limb in a short limb cast, and inserting a Penrose drain into the joint for passive drainage of septic exudate. The goal of treatment was to encourage ankylosis of the distal interphalangeal joint. Because of the filly's persistent lameness and laxity of the lateral collateral ligament in the contralateral carpus, the palmar nerves of the affected foot were injected with a long-acting local anesthetic at the level of the proximal sesamoid bones to encourage weight-bearing. Ankylosis of the distal interphalangeal joint was complete 9 months after the puncture, but a grade-2 lameness remained and the horse had a varus deformity resulting from ligamentous laxity of the lateral collateral ligament in the contralateral carpus.

  20. Bone erosion and subacromial bursitis caused by diphtheria-tetanus-poliomyelitis vaccine.

    Science.gov (United States)

    Salmon, J H; Geoffroy, M; Eschard, J P; Ohl, X

    2015-11-17

    Revaxis(®) is a vaccine against diphtheria, tetanus and poliomyelitis (dT-IPV). This vaccine should not be administered by the intradermal or intravenous route. Poor injection techniques and related consequences are rare. We report a case of bursitis associated with reactive glenohumeral effusion complicated by bone erosion occurring after injection of the dT-IPV vaccine. A 26 year old patient was admitted for painful left shoulder causing functional impairment. Control magnetic resonance imaging showed bone oedema on the upper outer part of the humeral head, with a slight cortical irregularity, indicating that the vaccine was injected in contact with the bone at this location, causing erosion. Outcome was favourable after intra-articular corticosteroids. Reports of articular or periarticular injury after vaccination are extremely rare, in view of the substantial number of vaccines administered every year. The potential complications of vaccination are well known to general practitioners but under-reported in the literature. Copyright © 2015 Elsevier Ltd. All rights reserved.

  1. Massive subacromial-subdeltoid bursitis with rice bodies secondary to an orthopedic implant.

    Science.gov (United States)

    Urruela, Adriana M; Rapp, Timothy B; Egol, Kenneth A

    2012-09-01

    Both early and late complications following open reduction and internal fixation of proximal humerus fractures have been reported extensively in the literature. Although orthopedic implants are known to cause irritation and inflammation, to our knowledge, this is the first case report to describe a patient with rice bodies secondary to an orthopedic implant. Although the etiology of rice bodies is unclear, histological studies reveal that they are composed of an inner amorphous core surrounded by collagen and fibrin. The differential diagnosis in this case included synovial chondromatosis, infection, and the formation of a malignant tumor. Additional imaging studies, such as magnetic resonance imaging, and more specific tests were necessary to differentiate the rice bodies due to bursitis versus neoplasm, prior to excision. The patient presented 5 years following open reduction and internal fixation of a displaced proximal humerus fracture, with swelling in the area of the previous surgical site. Examination revealed a large, painless tumor-like mass on the anterior aspect of the shoulder. The patient's chief concern was the unpleasant aesthetic of the mass; no pain was reported. Upon excision of the mass, the patient's full, painless range of motion returned.

  2. [Bursitis with severe tendon and muscle necrosis on the lateral stifle area in cattle].

    Science.gov (United States)

    Nuss, K; Räber, M; Sydler, T; Muggli, E; Hässig, M; Guscetti, F

    2011-11-01

    In 21 animals, chronic swelling on the lateral aspect of the stifle also known as «perigonitis», «stable-syndrome» or «bursitis bicipitalis femoris» were evaluated. Ultrasonography showed increased fluid in the distal subtendinous bursa of the biceps femoris muscle and structural changes in the tendons, muscles, subcutis and fasciae. Soft tissue swelling and an irregular contour of the lateral tibial condyle were typical signs on radiographs. Macroscopic changes were found at the insertion of the biceps femoris muscle, the distal subtendinous bursa of the biceps femoris muscle, the lateral collateral ligament of the stifle, the origin of muscles on the lateral femoral condyle and the lateral tibial condyle. They mainly consisted of tendon and muscle tissue necrosis with granulation tissue. Histology revealed areas of coagulation necrosis in tendons and ligaments, in which occasionally Onchocerca spp. were seen. The severity of lesions correlated well with the clinical signs, which were associated with a poor prognosis in advanced cases.

  3. A Randomized Trial Among Compression Plus Nonsteroidal Antiinflammatory Drugs, Aspiration, and Aspiration With Steroid Injection for Nonseptic Olecranon Bursitis.

    Science.gov (United States)

    Kim, Joon Yub; Chung, Seok Won; Kim, Joo Hak; Jung, Jae Hong; Sung, Gwang Young; Oh, Kyung-Soo; Lee, Jong Soo

    2016-03-01

    Olecranon bursitis might be a minor problem in the outpatient clinic but relatively be common to occur. However, there are few well-designed studies comparing approaches to treatment. (1) Which treatment (compression bandaging with nonsteroidal antiinflammatory drugs [NSAIDs], aspiration, or aspiration with steroid injections) is associated with the highest likelihood of resolution of nonseptic olecranon bursitis? (2) Which treatment is associated with earliest resolution of symptoms? (3) What factors are associated with treatment failure by 4 weeks? We enrolled 133 patients from two centers; after applying prespecified exclusions (septic bursitis or concomitant inflammatory arthritis, intraarticular elbow pathology, recent aspiration or steroid injection done elsewhere, and refusal to participate), 90 patients were randomly allocated to receive compression bandaging with NSAIDs (C), aspiration (A), or aspiration with steroid injection (AS) groups (30 patients in each). The groups were similar at baseline in terms of age and gender. Seven patients (four from Group A and three from Group AS) were lost to followup. All patients were followed up weekly for 4 weeks, and the same treatment procedure was repeated if the bursitis recurred with any substantial fluid collection. At 4 weeks, the state of resolution and pain visual analog scale (VAS) were evaluated. Failed resolution was defined as presence of persistent olecranon bursal fluid collection at Week 4 after the initiation of the treatment; on the contrary, if bursal fluid collection was clinically reduced or completely disappeared by the end of Week 4, the treatment was considered successful. We compared the proportion of resolution by Week 4 and the median times to resolution among the treatment groups. In addition, we evaluated whether the resolution affected pain VAS and what factors were associated with the resolution. There were no differences in the proportion of patients whose bursitis resolved by Week 4

  4. Mycobacterium avium complex olecranon bursitis resolves without antimicrobials or surgical intervention: A case report and review of the literature

    Science.gov (United States)

    Working, Selene; Tyser, Andrew; Levy, Dana

    2015-01-01

    Introduction Nontuberculous mycobacteria are an uncommon cause of septic olecranon bursitis, though cases have increasingly been described in both immunocompromised and immunocompetent hosts. Guidelines recommend a combination of surgical resection and antimicrobials for treatment. This case is the first reported case of nontuberculous mycobacterial olecranon bursitis that resolved without medical or surgical intervention. Case presentation A 67-year-old female developed a painless, fluctuant swelling of the olecranon bursa following blunt trauma to the elbow. Due to persistent bursal swelling, she underwent three separate therapeutic bursal aspirations, two involving intrabursal steroid injection. After the third aspiration, the bursa became erythematous and severely swollen, and bursal fluid grew Mycobacterium avium complex. Triple-drug antimycobacterial therapy was initiated, but discontinued abruptly due to a rash. Surgery was not performed. The patient was observed off antimicrobials, and gradually clinically improved with a compressive dressing. By 14 months after initial presentation, clinical exam revealed complete resolution of the previously erythematous bursal mass. Discussion This is the first reported case of nontuberculous mycobacterial olecranon bursitis managed successfully without surgery or antimicrobials. Musculoskeletal nontuberculous mycobacterial infections are challenging given the lack of clinical data about optimal duration and choice of antimicrobials or the role of surgery. Additionally, the potential toxicity and drug interactions of antimycobacterials are not insignificant and warrant close monitoring if treatment is pursued. Conclusion This case raises an important clinical question of whether close observation off antimicrobials is appropriate in select cases of immunocompetent patients with localized atypical mycobacterial disease of soft tissue and skeletal structures. PMID:26793457

  5. [Femoral superficial vein thrombosis due to a large iliopsoas bursitis secondary to polyethylene wear debris in total hip arthroplasty].

    Science.gov (United States)

    Lax Pérez, R; Salinas Gilabert, J E; Lajara Marco, F; Lax Pérez, A; Ferrero Manzanal, F; García-Gálvez, A; Izquierdo Plazas, L

    2012-01-01

    A 76 year old male patient with a history of implantation of a total hip arthroplasty Perfecta (Orthomet(®)), who presented with an iliac fossa mass, increased diameter of the thigh, and pain during hip flexion and extension. CT and ultrasound show the presence of a giant cystic mass in left iliac fossa about 7 cm in diameter next to the prosthesis. A pseudo-tumour secondary to wear debris after placement of a total arthroplasty is rare. We present a case of a large iliopsoas bursitis caused by polyethylene particles, which caused compression and thrombosis of the superficial femoral vein. Copyright © 2011 SECOT. Published by Elsevier Espana. All rights reserved.

  6. [Superficial femoral vein thrombosis due to large psoas bursitis secondary to particle disease in total hip arthroplasty].

    Science.gov (United States)

    Lax-Pérez, R; Salinas-Gilabert, J E; Lajara-Marco, F; Lax-Pérez, A; Corraliza-Zamorano, A; García-Gálvez, A; Izquierdo-Plazas, L

    2012-01-01

    Male, 76 year-old patient with a history of total hip arthroplasty who presents with a mass in the iliac fossa with swelling of the thigh and hip pain upon flexion and extension. Complementary ultrasound and computed tomography scan studies show a giant lobulated cystic mass in the left iliac fossa, 7 cm in diameter, near the prosthesis. Cyst formation caused by polyethylene disease after total hip arthroplasty is infrequent. We present a case of large psoas bursitis secondary to the release of polyethylene particles which caused superficial femoral vein compression and thrombosis.

  7. Surgery for Retrocalcaneal Bursitis: A Tendon-splitting versus a Lateral Approach

    Science.gov (United States)

    Anderson, John A.; Suero, Eduardo; O’Loughlin, Padhraig F.

    2008-01-01

    For patients with refractory retrocalcaneal bursitis (Haglund’s syndrome), the most effective surgical approach has not been defined. We asked whether patients undergoing the tendon-splitting approach and the lateral approach would have comparably effective relief of pain for both types of calcaneal ostectomies. We retrospectively reviewed 30 patients (31 feet) who underwent the tendon-splitting approach and compared their results with 32 previous patients (35 feet) who had a lateral incision. Minimum followup was 12 months (mean, 16 months; range, 12–23 months) for the tendon-splitting group and 15 months (mean, 51 months; range, 15–109 months) for the lateral group. The mean American Orthopaedic Foot and Ankle Society score improved from 43 points preoperatively to 81 points (range, 8–100 points) postoperatively in the tendon-splitting group and from 54 points to 86 points (range, 55–100 points) in the lateral group. The mean physical component score of the Short Form-36, version 2, at followup was 52 (range, 22–61) in the tendon-splitting group and 49 (range, 34–63) in the lateral group. The median return to normal function was 4.1 months (range, 3–13 months) in the tendon-splitting group and 6.4 months (range, 4–20 months) in the lateral group. Both approaches to calcaneal ostectomy provided symptomatic pain relief. However, patients in the tendon-splitting group returned to normal function quicker than patients in the lateral group. Level of Evidence: Level III, retrospective comparative study. See the Guidelines for Authors for a complete description of levels of evidence. PMID:18465183

  8. Epidural cystic masses associated with interspinous bursitis, synovial and discal cysts; Formacoes cisticas epidurais relacionadas a bursite interespinhosa, cisto sinovial e cisto discal

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Frederico Guilherme de Paula Lopes; Souza, Ricardo Andre de; Brotto, Marcos Pama D' Almeida; Suguita, Fabio Massaaki; Amaral, Denise Tokechi; Amaral, Lazaro Luis Faria do [Hospital Beneficencia Portuguesa de Sao Paulo, Sao Paulo, SP (Brazil). MedImagem], e-mail: fgpls@yahoo.com.br

    2009-03-15

    The authors describe some cases of epidural cysts, namely synovial, discal, ligamentum flavum cysts, and cysts secondary to interspinous bursitis, all of these conditions determining radicular, dural sac compression or spinal canal stenosis. Magnetic resonance imaging findings and localization of these entities are described. (author)

  9. Changes of synovial fluid protein concentrations in supra-patellar bursitis patients after the injection of different molecular weights of hyaluronic acid.

    Science.gov (United States)

    Chen, Carl P C; Hsu, Chih Chin; Pei, Yu-Cheng; Chen, Ruo Li; Zhou, Shaobo; Shen, Hsuan-Chen; Lin, Shih-Cherng; Tsai, Wen Chung

    2014-04-01

    Knee pain is commonly seen in orthopedic and rehabilitation outpatient clinical settings, and in the aging population. Bursitis of the knee joint, especially when the volume of the synovial fluid is large enough, can compress and distend the nearby soft tissues, causing pain in the knee joint. Out of all the bursae surrounding the knee joint, supra-patellar bursitis is most often associated with knee pain. Treatment strategies in managing supra-patellar bursitis include the aspiration of joint synovial fluid and then followed by steroid injection into the bursa. When supra-patellar bursitis is caused by degenerative disorders, the concept of viscosupplementation treatment may be effective by injecting hyaluronic acid into the bursa. However, the rheology or the changes in the concentrations of proteins (biomarkers) that are related to the development of bursitis in the synovial fluid is virtually unexplored. Therefore, this study aimed to identify the concentration changes in the synovial fluid total protein amount and individual proteins associated with supra-patellar bursitis using the Bradford protein assay and western immunoglobulin methods. A total of 20 patients were divided into two groups with 10 patients in each group. One group received the high molecular weight hyaluronic acid product of Synvisc Hylan G-F 20 and the other group received the low molecular weight hyaluronic acid product of Hya-Joint Synovial Fluid Supplement once per week injection into the bursa for a total of 3 weeks. Significant decreases in the synovial fluid total protein concentrations were observed after the second dosage of high molecular weight hyaluronic acid injections. Apolipoprotein A-I, interleukin 1 beta, alpha 1 antitrypsin, and matrix metalloproteinase 1 proteins revealed a trend of decreasing western immunoblotting band densities after hyaluronic acid injections. The decreases in apolipoprotein A-I and interleukin 1 beta protein band densities were significant in the high

  10. 'Bald trochanter' spontaneous rupture of the conjoined tendons of the gluteus medius and minimus presenting as a trochanteric bursitis.

    Science.gov (United States)

    LaBan, Myron M; Weir, Susan K; Taylor, Ronald S

    2004-10-01

    A 66-yr-old white woman presented with progressive complaints of right lateral hip and thigh pain associated with a disabling limp without an antecedent history of trauma. Physical examination revealed localized pain over the right greater trochanter to palpation. A full pain-free range of motion of the right hip was associated with weakness in the hip abductors. The patient ambulated with a compensated right Trendelenburg gait. Subsequent magnetic resonance imaging demonstrated a trochanteric bursitis and an effusion of the hip and a full-thickness tear of the gluteus medius muscle, with both a disruption and retraction of the tendon of an atretic gluteus minimus muscle. Conjoined tendon pathology of both the gluteus medius and minimus as, revealed by magnetic resonance examination, is probably more frequent than heretofore commonly recognized. In patients presenting with "intractable" complaints of a trochanteric bursitis and an ambulatory limp due to weakness in the hip abductors, imaging studies calling attention to a possible tendon rupture may be diagnostic.

  11. [Impingement lesion of the distal anterior Achilles tendon in sub-Achilles bursitis and Haglund-pseudoexostosis-a therapeutic challenge].

    Science.gov (United States)

    Lohrer, H; Arentz, S

    2003-12-01

    Retrocalcaneal bursitis in athletes is frequently misdiagnosed. Results of conservative treatment are not very promising. This investigation evaluates the results of 39 consecutive cases in 38 patients surgically treated due to chronic retrokalkaneal bursitis in a sport specific population. Preoperative MRI and ultrasound investigation showed corresponding lesions (focal degeneration, partial rupture) of the anterior Achilles tendon. This is possibly the result of a previously undescribed impingement lesion produced by the Haglund's bone and the chronically inflamed retrocalcaneal bursa. During operation this lesion was additionally addressed in 85% of the cases. Follow up was done after 32 months. Success rate was 54%. VISA-A Score at follow up was 80.6 points. Training and competition activities were started at 16 weeks and 9 months respectively. Unsatisfying results were analysed. In two cases Haglund's bone resection was incomplete and had to be removed in a reoperation. Additionally one deep wound infection had to be revised. Due to the distal Achilles tendon fiber extensions around the medial and lateral calcaneal bone, an unintended Achilles tendon lesion, induced by the edge of the osteotome seems to be possible. Two calcanear stress fractures complicated the postoperative rehabilitation.

  12. Effectiveness of ultrasound-guided injections combined with shoulder exercises in the treatment of subacromial adhesive bursitis.

    Science.gov (United States)

    Gasparre, Giuseppe; Fusaro, Isabella; Galletti, Stefano; Volini, Silvia; Benedetti, Maria Grazia

    2012-05-01

    The aim of this study was to evaluate whether the association of exercises for the shoulder with ultrasound-guided injection into the bursa significantly improves the treatment outcome in adhesive bursitis. Two groups of 35 patients, one treated with ultrasound-guided injection (UGI) and the other one with ultrasound-guided injection and home exercise program (UGI-exercise) for 1 month, were assessed for pain and shoulder function before treatment, 1 and 3 months post-treatment. Fourteen patients in UGI group and 23 patients in the UGI-exercises group were completely free of pain after 1 month (p = 0.031). At 3 months' follow-up, patients in the UGI-exercise group showed a significant improvement with respect to the other group (p = 0.005). No differences were found in function assessment. The UGI combined with shoulder exercises in the treatment of subacromial adhesive bursitis is effective to ensure a more frequent complete pain relief in the medium term.

  13. Relation Between Subacromial Bursitis on Ultrasonography and Efficacy of Subacromial Corticosteroid Injection in Rotator Cuff Disease: A Prospective Comparison Study.

    Science.gov (United States)

    Lee, Doo-Hyung; Hong, Ji Yeon; Lee, Michael Young; Kwack, Kyu-Sung; Yoon, Seung-Hyun

    2017-05-01

    To evaluate the correlations between subacromial bursitis (bursal thickening and effusion) on ultrasonography and its response to subacromial corticosteroid injection in patients with rotator cuff disease. Prospective, longitudinal comparison study. University-affiliated tertiary care hospital. Patients with rotator cuff disease (N=69) were classified into 3 groups based on ultrasonographic findings; (1) normative bursa group (group 1, n=23): bursa and effusion thickness 2mm and effusion thickness 2mm. A single subacromial injection with 20mg of triamcinolone acetonide. Visual analog scale (VAS) of shoulder pain, Shoulder Disability Questionnaire (SDQ), angles of active shoulder range of motion (flexion, abduction, external rotation, and internal rotation), and bursa and effusion thickness at pre- and posttreatment at week 8. There were no significant differences between the 3 groups in demographic characteristics pretreatment. Groups 2 and 3 showed a significant difference compared with group 1 in changes on the VAS and abduction; group 3 showed a significant difference compared with group 1 in changes of the SDQ, internal rotation, and external rotation; and all groups showed significant differences when compared with each other (groups 1 and 3, 2 and 3, and 1 and 2) in changes of thickness. A patient with ultrasonographic observation of subacromial bursitis, instead of normative bursa, can expect better outcome with subacromial corticosteroid injection. Therefore, we recommend a careful selection of patients using ultrasonography prior to injection. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  14. Arthroscopic Surgery in the Treatment of Limb Joint Bursitis%关节镜下手术治疗四肢关节滑囊炎

    Institute of Scientific and Technical Information of China (English)

    段圆慧; 田孟强; 刘军; 曹建刚; 田峥巍

    2013-01-01

    Objective To explore the therapeutic effects of arthroscopic surgery for limb joints bursitis.Methods From April 2008 to March 2011,arthroscopic bursa resection was performed on 17 cases of limb joint bursitis,including 13 cases of knee prepatellar subcutaneous bursitis,2 cases of elbow olecranon subcutaneous cyst and 2 cases of greater trochanteric bursitis.Results The operation time ranged from 23 to 60 min,with an average of 32 min.The postoperative hospital stay was 3-7 d (mean,4 d).17 patients were followed up for 2 to 19 months,with an average of 9.6 months.1 case of traumatic prepatellar bursitis relapsed and others healed well,without obvious scar on the skin,significant pain and dysfunction.Conclusion Arthroscopy surgery for larger limb joints bursitis has satisfactory therapeutic effects with small incision and quick recovery.%目的 探讨关节镜下手术治疗四肢关节滑囊炎的效果.方法 2008年4月~ 2011年3月,关节镜下滑囊切除术治疗四肢关节滑囊炎17例,其中膝关节髌前皮下滑囊炎13例,肘关节鹰嘴皮下囊肿2例,股骨大转子滑囊炎2例.结果 手术时间23 ~60 min,平均32 min.术后3~7d出院,平均4d.17例随访2~19个月,平均9.6月,1例外伤性髌前滑囊炎术后3周复发,余患者均愈合良好,皮肤无明显瘢痕,无明显疼痛和功能障碍.结论 关节镜下手术治疗四肢较大的关节周围滑囊炎效果良好,体表切口小,恢复快.

  15. Infrapatellar bursitis with Mycobacterium malmoense related to immune reconstitution inflammatory syndrome in an HIV-positive patient.

    Science.gov (United States)

    Leth, Steffen; Jensen-Fangel, Søren

    2012-11-27

    The immune reconstitution inflammatory syndrome (IRIS) after starting antiretroviral treatment for HIV infection can be caused by a great variety of pathogens. Among these are non-tuberculous mycobacteria (NTM), with Mycobacterium avium complex being the most commonly described finding. Antimycobacterial treatment of NTM in cases of IRIS is controversial. We report the case of a 39-year-old man diagnosed with HIV-1 infection during admission to hospital with Pneumocystis jirovecii pneumonia (PCP) and a CD4 cell count of 60/μl. The patient started antiretroviral treatment and made an uneventful recovery from the PCP diagnosis, but was readmitted after 2.5 months with a purulent infrapatellar bursitis on the left knee. A surgical procedure was performed and Mycobacterium malmoense was grown from the pus from the bursa. The patient recovered without supplemental antimycobacterial treatment. To our knowledge, this is the first report on IRIS caused by M malmoense.

  16. Raynaud's phenomenon and bilateral olecranon bursitis co-existing in a patient with chronic hepatitis B and D treated with pegylated interferon.

    Science.gov (United States)

    Arain, Shafique Rehman; Umer, Tahira Perveen

    2016-06-01

    Pegylated interferon remains the first line treatment for patients with hepatitis D virus and more than one year therapy may be necessary. Interferon a has the most extensive clinical application and is used for the treatment of chronic hepatitis B and D virus as well as HCV infections. The attachment of polyethylene glycol to interferon increases its half-life. Treatment with peg interferon is associated with many troublesome and occasionally with serious or even life-threatening side effects. In this case report, we have described a patient with chronic hepatitis B and D, who developed Raynaud's phenomenon, ischaemic digital necrosis and bilateral olecranon bursitis during Pegylated interferon therapy. The patient underwent a very extensive workup in order to determine the underlying cause of his digital ischaemia and olecranon bursitis, which was finally determined to be secondary to the use of Pegylated interferon.

  17. Pharmacopuncture and Autohemo-Seperated Regeneration Pharmacopuncture for Acute Traumatic Subdeltoid Bursitis with Patial Tear of Subscapularis Tendon After Bongchuna Treatment - A Case Report -

    Directory of Open Access Journals (Sweden)

    Won-Kyo Oh

    2011-06-01

    Full Text Available This is a case report about effect of soyeom pharmacopuncture, bee venom and autohemo-seperated regeneration pharmacopuncture(ASRP for acute traumatic subdeltoid bursitis with partial tear of subscapularis tendon, which was diagnosed by symptoms and MRI(Magnetic resonance imaging and caused by bongchuna treatment. We evaluated the patient using Visual Analogue Scale(VAS every two or four days and range of movement(ROM, physical examination of shoulder about one per ten days and observed improvement with reexamination by ultrasonography and MRI as well. Pharmacopuncture rapidly reduced pain and improved range of motion and function of shoulder in patients with acute sub-deltoid bursitis even though it was severe symptom. Our result suggest that autohemo-seperated regeneration pharmacopuncture might be effective in regenerating the tear of soft tissue such as subscapularis tendon.

  18. Effects of kinesiotaping versus non-steroidal anti-inflammatory drugs and physical therapy for treatment of pes anserinus tendino-bursitis: A randomized comparative clinical trial.

    Science.gov (United States)

    Homayouni, Kaynoosh; Foruzi, Shima; Kalhori, Fereshte

    2016-09-01

    Pes anserinus tendino-bursitis is a condition caused by repetitive friction over the bursa or direct trauma to knee joint and it presents with proximal medial tibial pain and swelling. The aim of this study is to determine the effects of kinesiotaping in comparison with naproxen and physical therapy in treatment of pes anserinus tendino-bursitis. In a randomized comparative clinical trial 56 patients with clinical diagnosis of pes anserinus tendino-bursitis were randomly assigned to kinesiotaping and naproxen/physical therapy (28 patients in each group). Kinesiotaping on the tender area in the form of space-correction (lifting) technique was used and repeated for three times with a one-week interval. Another group received naproxen (250mg TID for 10 days) and ten sessions of daily physical therapy. The visual analog scale (VAS) was used for evaluation of pain. The depth of swelling of the area was measured with sonography before and after treatment. Wilcoxon signed ranks test has been used for determining the influence of interventions on pain (VAS) and swelling scores in each group. The ANCOVA (Analysis of covariance) test was applied for comparing the influence of interventions on VAS and swelling scores after adjustment for co-variables. At end of the study, 27 patients remained in the kinesiotaping group and 19 patients in naproxen/physical therapy group. Treatment with kinesiotaping significantly decreased the pain (P=0.0001) and swelling scores (P=0.0001) in comparison with naproxen/physical therapy after adjustment for baseline characteristics. Kinesiotaping was safe without any complications except for a mild local skin irritation in one patient. Kinesiotaping is more effective than naproxen plus physical therapy in reduction of pain and swelling in patients with pes anserinus tendino-bursitis. www.ClinicalTrials.gov identifier is NCT01680263.

  19. Diagnosis of bursitis by B-mode ultrasonography in 160 cases%B超诊断160例滑囊炎

    Institute of Scientific and Technical Information of China (English)

    朱敬珍; 王美霞; 张梅

    2011-01-01

    目的:讨论滑囊炎的影像表现及滑囊与关节腔的关系。方法:对160例四肢大关节处滑囊炎进行B超定位诊断。结果:滑囊炎发生在肘部20例,臀部15例,膝前部50例,腘窝部80例,足踝部5例,均经手术、穿刺及病理学证实。超声诊断与手术符合率95%,结论:滑囊的B超定位诊断对滑囊炎的治疗方案与手术方法的选择有重要的参考意义。%Objective:To discuss the relationship between the bursitis image performance and slip joint space capsule. Methods:A total of 160 cases of bursitis in large joints limbs were examined by B-mode ultrasonography. Results:The patients included 20 with the disease in the elbow, 15 in hip, 50 in knee, 80 popliteal fossa and 5 in ankle. All the cases were confirmed with surgery, puncture and pathological examination. It was showed that the consistent rate of B-mode ultrasonography was 95%. Conclusion:B-mode ultrasonography is of great reference value for diagnosis and surgical treatment of bursitis.

  20. Treating goose foot bursitis by knife acupuncture plus ozone%小针刀配合臭氧治疗鹅足滑囊炎

    Institute of Scientific and Technical Information of China (English)

    李振

    2015-01-01

    目的:探讨小针刀配合臭氧治疗鹅足滑囊炎的疗效。方法:临床收集60例确诊为鹅足滑囊炎的患者,给予小针刀及臭氧治疗1~3次,观察疗效。结果:60例中临床控制13例,显效38例,有效8例,无效1例。结论:小针刀配合臭氧治疗鹅足滑囊炎疗效显著,值得临床推广。%Objective: Knife acupuncture plus ozone for goose foot bursitis was investigated. Methods: Clinical collected 60 diagnosed patients with goose foot bursitis, who recieved knife acupuncture plus ozone treatment 1~3 times. Results: In 60 cases, controlled in 13 cases, 38 cases of markedly effective, effective in 8 cases, 1 case was invalid. Conclusion: The knife acupuncture plus ozone for goose foot bursitis showed significant effects, is worthy of promotion.

  1. Ultrasonographic assessment of pes anserinus tendon and pes anserinus tendinitis bursitis syndrome in patients with knee osteoarthritis.

    Science.gov (United States)

    Toktas, Hasan; Dundar, Umit; Adar, Sevda; Solak, Ozlem; Ulasli, Alper Murat

    2015-01-01

    The aim of this study was to assess the ultrasonographic (US) findings of pes anserinus tendon and bursa in patients with knee osteoarthritis (OA) with or without clinical pes anserinus tendinitis bursitis syndrome (PATBS). A total of 157 female patients with the diagnosis of knee OA on both knees (314 knees), and 30 age, and body mass index- matched healthy female controls without knee pain (60 knees), were included in the study. PATBS was clinically diagnosed. US evaluation parameters were the measurement of the thickness of pes anserinus tendon insertion region (PA) and examination of the morphologic intratendinous PA tissue characteristics and pes anserinus bursitis (PAB). Radiographic knee osteoarthritis graded I-IV according to Kellgren and Lawrence (KL) for each knee was recorded. Pain and functional status were assessed by the Visual Analog Scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). There were 183 PATBS (58.3%) clinical diagnoses among the 314 knees with OA. The mean thickness of PA in the patients with knee OA graded 1,2,3,4 with/without PATBS was significantly greater than the controls (p = 0.001). The mean thickness of PA in knees with OA KL graded 3 and 4 with/without PATBS, was greater than knees with OA KL graded 1 and 2 with/without PATBS (p < 0,05) (except knee OA KL graded 2 with PATBS versus knee OA KL graded 4 without PATBS).The knee OA KL graded 1,2,3,4 with PATBS had significantly more PAB and less loss of normal fibrillar echotexture of PA compared to controls and knees with OA KL graded 1,2,3,4 without PATBS (p < 0.05). The VAS scores of knees with OA KL graded 3, 4 with PATBS were significantly greater than those of knees with OA KL graded 3,4 without PATBS (p < 0.05). PA thickness was significantly associated with the KL grade (r: 0.336, p:0.001) and PATBS (r: 0.371, p < 0.001). It is concluded that the mean thickness of PA in knees with OA with/without PATBS was significantly greater than the

  2. A cross-sectional study of the prevalence and associated risk factors for capped hock and the associations with bursitis in weaner, grower and finisher pigs from 93 commercial farms in England.

    Science.gov (United States)

    KilBride, A L; Gillman, C E; Ossent, P; Green, L E

    2008-03-17

    The prevalence of capped hock in 5601 post-weaning pigs from 93 pig farms in England was 17.2%. The prevalence increased with age. Once adjusted for age, the lowest prevalence of capped hock was observed in pigs kept on soil floors (usually covered with deep straw bedding). There was no significant increase in the risk of capped hock in pigs kept on solid concrete floors with deep straw bedding. However, pigs kept on solid concrete with some, or the entire pen, sparsely bedded and pigs kept on partially or fully slatted floors had an approximately threefold increased risk of capped hock. This did not vary significantly between these four floor types. This was in contrast to the associated risks for bursitis in the same pigs, where as the floor went from highly resilient (straw and solid floors) to hard and perforated (fully slatted) the risk of bursitis increased in a similar way to a dose response. No other variables that were measured were associated with a change in risk for capped hock, while observation of pigs slipping or slip marks and wet, dirty and worn pens were also associated risks for bursitis. These results indicate that capped hock and bursitis are both affected by exposure to floors, but in different ways. The prevalence of capped hock was associated only with floor hardness, with deep straw protecting the pigs, while bursitis was associated with both changes in bedding depth (hardness), floor material (soil versus concrete) and floor construction (solid versus slatted floors) and in factors associated with locomotion (slipping and slip marks). These results indicate that the aetiology of capped hock and bursitis might differ.

  3. Surgical Correction of Posttraumatic Scapulothoracic Bursitis, Rhomboid Major Muscle Injury, Ipsilateral Glenohumeral Instability, and Headaches Resulting from Circus Acrobatic Maneuvers

    Directory of Open Access Journals (Sweden)

    John G. Skedros

    2015-01-01

    Full Text Available We report the case of a 28-year-old transgender (male-to-female patient that had a partial tear of the rhomboid major tendon, scapulothoracic bursitis, and glenohumeral instability on the same side. These conditions resulted from traumatic events during circus acrobatic maneuvers. Additional aspects of this case that make it unique include (1 the main traumatic event occurred during a flagpole exercise, where the patient’s trunk was suspended horizontally while a vertical pole was grasped with both hands, (2 headaches were associated with the periscapular injury and they improved after scapulothoracic bursectomy and rhomboid tendon repair, (3 surgical correction was done during the same operation with an open anterior capsular-labral reconstruction, open scapulothoracic bursectomy without bone resection, and rhomboid tendon repair, (4 a postoperative complication of tearing of the serratus anterior and rhomboid muscle attachments with recurrent scapulothoracic pain occurred from patient noncompliance, and (5 the postoperative complication was surgically corrected and ultimately resulted in an excellent outcome at the one-year final follow-up.

  4. Current evidence for effectiveness of interventions for cubital tunnel syndrome, radial tunnel syndrome, instability, or bursitis of the elbow: a systematic review.

    Science.gov (United States)

    Rinkel, Willem D; Schreuders, Ton A R; Koes, Bart W; Huisstede, Bionka M A

    2013-12-01

    To provide an evidence-based overview of the effectiveness of interventions for 4 nontraumatic painful disorders sharing the anatomic region of the elbow: cubital tunnel syndrome, radial tunnel syndrome, elbow instability, and olecranon bursitis. The Cochrane Library, PubMed, Embase, PEDro, and CINAHL were searched to identify relevant reviews and randomized clinical trials (RCTs). Two reviewers independently extracted data and assessed the quality of the methodology. A best-evidence synthesis was used to summarize the results. One systematic review and 6 RCTs were included. For the surgical treatment of cubital tunnel syndrome (1 review, 3 RCTs), comparing simple decompression with anterior ulnar nerve transposition, no evidence was found in favor of either one of these. Limited evidence was found in favor of medial epicondylectomy versus anterior transposition and for early postoperative therapy versus immobilization. No evidence was found for the effect of local steroid injection in addition to splinting. No RCTs were found for radial tunnel syndrome. For olecranon bursitis (1 RCT), limited evidence for effectiveness was found for methylprednisolone acetate injection plus naproxen. Concerning elbow instability, including 2 RCTs, one showed that nonsurgical treatment resulted in similar results compared with surgery, whereas the other found limited evidence for the effectiveness in favor of early mobilization versus 3 weeks of immobilization after surgery. In this review no, or at best, limited evidence was found for the effectiveness of nonsurgical and surgical interventions to treat painful cubital tunnel syndrome, radial tunnel syndrome, elbow instability, or olecranon bursitis. Well-designed and well-conducted RCTs are clearly needed in this field.

  5. Rilonacept in the treatment of subacromial bursitis: A randomized, non-inferiority, unblinded study versus triamcinolone acetonide.

    Science.gov (United States)

    Carroll, Matthew B; Motley, Spencer A; Wohlford, Susanna; Ramsey, Bryan C

    2015-12-01

    Subacromial bursitis is caused by inflammation of the bursa that separates the superior surface of the supraspinatus tendon from the overlying coraco-acromial ligament and acromion. While multiple cytokines are implicated, interleukin-1 beta appears to play a prominent role. Rilonacept, an interleukin-1 trap, may be an alternative to corticosteroid injection for the management of this condition. This single center, randomized, non-inferiority, unblinded study recruited 33 subjects over 9 months. Twenty subjects received 160mg intrabursal injection of rilonacept and 13 received a 6mL mixture of lidocaine, bupivacaine, and 80mg triamcinolone acetonide. QuickDASH, subject reported pain, and adverse events were recorded at time of injection, 2 days later, 2 weeks later, and 4 weeks later. Primary outcome was improvement in QuickDASH 4 weeks post-injection. Secondary outcomes were improvement in subject reported pain and occurrence of adverse events at 4 weeks. Both study groups were equally matched for age, gender, ethnicity, and site of bursa injection. Both medications demonstrated a statistically significant improvement in QuickDASH 4 weeks post-injection, but triamcinolone acetonide injection offered greater improvement (P=0.004). Both medications demonstrated improvement in subject reported pain but between group comparison at 4 weeks showed that triamcinolone was superior (P=0.044). No statistically significant differences in adverse events were noted between groups, but subjects who received rilonacept experienced more episodes of diarrhea and headache. While improvement in QuickDASH and pain was noted with a single intrabursal injection of rilonacept at 4 weeks, injection with triamcinolone acetonide was more efficacious. This trial was registered with www.clinicaltrials.gov (NCT01830699). Copyright © 2015 Société française de rhumatologie. Published by Elsevier SAS. All rights reserved.

  6. Accessibility of extra-articular pathologies of iliopsoas tendon and bursitis of greater trochanter in hip arthroscopy.

    Science.gov (United States)

    Thorey, Fritz; Budde, Stefan; Ettinger, Max; Albrecht, Urs Vito; Ezechieli, Marco

    2012-11-01

    Different pathologies leading to psoas tendon pain and chronic bursitis of the greater trochanter are well known. The purpose of the study was to underline the accessibility of the psoas tendon at lesser trochanter, reproduce the results and measure the distances to anatomical landmarks. Twelve hips of six human cadavers underwent hip arthroscopy. The accessibility of the iliopsoas tendon at the lesser trochanter and the bursa at the greater trochanter was documented with the camera. In addition to the usual access portals, alternative ventral ports were analysed concerning accessibility of the lesser trochanter. Afterwards, arthroscopy needles were placed along the extra-articular portals followed by dissection. The distances of the portals in relation to important anatomical landmarks were analysed. The accessibility to the iliopsoas tendon at the lesser trochanter and to the bursa at the greater trochanter throughout the conventional portals was reproducible. Sufficient distances to the important anatomical landmarks could be shown. The mean distance of the distal ventro-lateral and the wide distal ventro-lateral portal to the nervous cutaneous femoris lateralis was 26.8 ± 5.4 mm and 32.2 ± 3.9 mm. The mean distance from the more ventral located portals to the nervous arteria and vena femoralis was 28.3 ± 2.1 mm. This is the first study known to us that describes in detail the accessibility of the extra-articular structures underlined by anatomical preparation. In addition, it was demonstrated that a more ventrally located portal had sufficient distance to the important neurovascular structures of the ventral femur and can also be used in addendum if necessary.

  7. Relationship between years in the trade and the development of radiographic knee osteoarthritis and MRI-detected meniscal tears and bursitis in floor layers. A cross-sectional study of a historical cohort

    DEFF Research Database (Denmark)

    Jensen, Lilli Kirkeskov; Rytter, Søren; Marott, Jacob Louis

    2012-01-01

    An increased risk of developing knee disorders including radiographic knee osteoarthritis (OA) have been shown among workers with kneeling working demands. There may also be a dose-related association between duration of employment in occupations with kneeling work and development of radiographic...... knee OA and magnetic resonance imaging (MRI)-detected meniscal tears and bursitis....

  8. Treating 48 cases of ischiogluteal bursitis in TCM%中医综合疗法治疗坐骨结节滑囊炎48例

    Institute of Scientific and Technical Information of China (English)

    杨雨果

    2015-01-01

    Objective: To observe efficacy of fire needle, cupping plus TCM medicine on ischiogluteal bursitis. Methods: 24 cases in the observed group received fire needle, cupping plus TCM medicine. 24 cases in the control group took conventional partial closure treatment. Results: The total efficiency in the observed group was 95.83%, obviously higher than 83.33% in the control group (P<0.05). Conclusion: TCM on ischiogluteal bursitis could get significant efficacy, was worthy of promotion.%目的:观察火针结合拔罐,同时辅以中药内服治疗坐骨结节滑囊炎的疗效.方法:观察组24例采用火针结合拔罐,同时辅以中药内服综合治疗,对照组24例采用常规局部封闭治疗.结果:观察组总有效率为95.83%,明显高于对照组的 83.33%,观察组与对照组比较,差异有统计学意义(P<0.05).结论:中医综合疗法治疗坐骨结节滑囊炎效果显著,具有较好的临床应用价值.

  9. Treating36 cases of olecranon bursitis in the integrative medicine%中西医结合治疗尺骨鹰嘴滑囊炎36例

    Institute of Scientific and Technical Information of China (English)

    杨雨果

    2016-01-01

    Objective: To observe clinical effects of the integrative medicine on olecranon bursitis. Methods: 18 cases in the observed group were treated by fire needle plus western medicine. 18 cases in the control group received conventional partial closure. Results: The total efifciency in the observed group was 88.89%, higher than 83.33% in the control group, with a signiifcantly statistical difference (P<0.05). Conclusion: The integrative medicine was obviously effective on olecranon bursitis, and showed a good clinical value.%目的:观察火针结合西药内服治疗尺骨鹰嘴滑囊炎的疗效。方法:观察组18例采用火针结合西药内服治疗,对照组18例采用常规局部封闭治疗。结果:观察组总有效率为88.89%,高于对照组的83.33%,观察组与对照组比较,差异有统计学意义(P<0.05)。结论:中西医结合治疗尺骨鹰嘴滑囊炎效果显著,具有较好的临床应用价值。

  10. Surgical Treatment of Chronic Retrocalcaneal Bursitis:An analysis of 8 Cases%手术治疗慢性跟腱囊炎8例分析

    Institute of Scientific and Technical Information of China (English)

    张智; 陆俊峰; 吴小满; 赵东升

    2013-01-01

    Objective To investigate the effect of surgical treatment of chronic retrocalcaneal bursitis. Methods In this retrospective study,from February 2008 to February 2011,8 patients(9 heels) with retrocalcaneal bursitis were treated surgically. There were 3 male (3 heels) and 5 female (6 heels) with mean age of 50. 4years(from 32years to 61 years). The surgical treatment of chronic retrocalcaneal bursitis by means of complete detachment and reattachment of the Achilles tendon,removal of the retrocalcaneal exostosis,and excision of the retrocalcaneal bursa through a lateral approach. Postoperative use of a non-weight-bearig below-the-kneel cast for up 6~8 weeks with foot positioned at a plantarflexion. Patients were identified via chart review. Results The mean duration of postoperative follow-up was 12 months (10 months to 21 months). There were no wound complications or postoperative infections. The average time to return to normal daily function was 4 months. The American Orthopaedic Foot and Ankle Society score (AO-FAS) were 54befor operation and 92 after operation. Conclusion Complete detachment and reattachment of the Achilles tendon,removal of the retrocalcaneal exostosis,and excision of the retrocalcaneal bursa are effective treatment for the retrocalcaneal bursitis.%目的 探讨慢性跟腱囊炎的手术治疗效果.方法 我们对2008年2月至2011年2月收治的8例(9足)慢性跟腱囊炎病例进行回顾性分析,男3例(3足),女5例(6足),年龄32~51岁,平均50.4岁.手术方法采用跟腱外侧入路,剥离跟腱止点将跟腱向上掀起,清除跟骨后上炎性滑囊组织及侵蚀破坏的骨组织,用摆锯去除跟骨后上增生骨嵴并修理平整,如跟腱内有钙化及变性组织一并切除,用带线锚钉将跟腱缝合于止点上.术后踝关节跖屈位短腿石膏固定6~8周,定期随访.结果 8例患者随访10~21个月,平均随访12个月.切口均一期愈合,无感染.功能采用美国足踝协

  11. Efectividad de la acupuntura y la auriculoterapia en la bursitis de hombro de pacientes atendidos en el policlínico Tula Aguilera

    Directory of Open Access Journals (Sweden)

    Arely Díaz Cifuentes

    2015-02-01

    Full Text Available Se realizó un estudio experimental con el objetivo de comparar la efectividad de la acupuntura y la auriculoterapia en el tratamiento de la bursitis de hombro, en pacientes que fueron atendidos en el policlínico “Tula Aguilera” de Camagüey, durante el periodo de enero a diciembre de 2013. El universo de estudio estuvo integrado por 250 pacientes que asistieron a la consulta de fisiatría, de dicha área de salud, con el diagnóstico de bursitis de hombro, quedando conformada la muestra por 180 pacientes mayores de 30 años. Se excluyeron los pacientes que usaron tratamiento farmacológico una semana antes, con lesiones dermatológicas en los lugares a puncionar, con trastornos de coagulación y/o psiquiátricos. La muestra se dividió en dos grupos de 90 pacientes cada uno, asignados aleatoriamente, el A tratado con acupuntura y el B con auriculoterapia. Predominaron los pacientes de 40 a 49 años, para un 66,1 %. Los síntomas clínicos se redujeron notablemente a los 15 días con la acupuntura y a los 30 con la auriculoterapia. La recuperación del grado de arco articular, tanto para los movimientos de rotación interna como para los de abducción, fue mayor en los pacientes tratados con acupuntura. Los pacientes que tuvieron un tiempo corto de evolución de la enfermedad antes del tratamiento fueron los que tuvieron mejor respuesta al mismo, con un 52,7 %. Los resultados evidencian la mayor efectividad de la acupuntura

  12. Manipulation Combined with Zhenggu Powder on the Treatment of 1 Cases of Chronic Suprapatellar Bursitis%手法配合正骨散外敷治疗慢性髌上滑囊炎1例

    Institute of Scientific and Technical Information of China (English)

    王洪浩; 李承环

    2015-01-01

    Objective: To investigate the application and analysis of manipulation combined Zhenggu Powder in clinical curative effect in treating chronic suprapatellar bursitis.Methods:Using Manipulation combined with zhenggu powder.Results:The patient recovered without recurrence,follow up.Conclusion:Manipulation combined with zhenggu powder for the treatment of chronic suprapatellar bursitis can have better clinical effect.%目的:探讨和分析应用手法结合正骨散治疗慢性髌上滑囊炎的临床疗效。方法:运用中医手法按摩及正骨散外敷。结果:患者痊愈,追访未复发。结论:手法结合正骨散对于治疗慢性髌上滑囊炎可有较好的临床效果。

  13. Bursitis of the Hip

    Science.gov (United States)

    ... Symptoms include joint pain and tenderness, swelling and warmth around the affected area. The pain is often ... your ability to function normally, you may need physical therapy to help you move again. This is ...

  14. Platelet-rich plasma for treatment of ischiogluteal bursitis%富血小板血浆治疗坐骨结节滑囊炎

    Institute of Scientific and Technical Information of China (English)

    沈梓维; 林子洪; 郑秋坚; 王良泽; 叶圣龙; 李盛; 钱思浓

    2014-01-01

    BACKGROUND:Ischiogluteal bursitis has been recognized for a long time, but its treatment stil limits to local blocking injection and surgery methods that were developed 40 years ago. OBJECTIVE:To observe the efficacy of platelet-rich plasma on ischiogluteal bursitis. METHODS:Data of 15 patients with ischiogluteal bursitis were colected. Al the patients with ischiogluteal bursitis were treated with bilateral platelet-rich plasma (n=10) or local blocking injection (n=5). Patients’ outcomes were assessed by visual analogue scale, the Treatment Satisfaction Questionnaire for Medication (TSQM) Version II and recurrence rate. The folow-up time was from 6 to 14 months. RESULTS AND CONCLUSION: There was no statistical difference in visual analogue scale score between the platelet-rich plasma group and local blocking group (F=0.219,P=0.643), but the score of visual analogue scale in the platelet-rich plasma group was higher during short-term folow-up (within 1 week after treatment), but lower in the long-term folow-up. In the aspects of overal satisfaction score, clinical effectiveness and side effects, the platelet-rich plasma group was inferior to the local blocking group at short-term folow-up, especialy at 1 week after treatment; however, these scores became better in the platelet-rich plasma group than the local blocking group during the long-term folow-up period. In addition, no statistical difference in the convenience score was found between the two groups. At the last folow-up, the recurrence rate in the platelet-rich plasma group was lower than that in the local blocking group. Both the platelet-rich plasma and local blocking injection can significantly reduce the pain of patients with ischiogluteal bursitis. Local blocking injection has better short-term effectiveness. Platelet-rich plasma injection works moderately, but its effectiveness can last for longer time, and the recurrence rate is lower.%背景:坐骨结节滑囊炎被认识长久,

  15. Ultrasound Diagnosis of Bursitis Around the Knee%膝关节周围滑囊炎的超声诊断

    Institute of Scientific and Technical Information of China (English)

    申素芳; 张志桐; 穆维娜

    2012-01-01

    Objective To study the ultrasound diagnosis value of bursitis around knee joint. Methods Knee joints of 124 cases were scanned, in order to observe whether every synovial bursal around knee joint became bigger and wider, and to measure its form, boundary, internal echo and so on, also to observe the relationship between bursal around the knee joint and surrounding structures, and whether it connected with joint cavity. Then the contrast observation of lateral knee joint and knee joint was proceeded. Results 62 cases showed simplex suprapatellar bursa effusion, 3leases showed popliteal fossa cyst, 11 cases showed subcutaneous prepatellar bursa effusion, 5 cases showed subcutaneous infrapatellar bursa effusion, 5 cases showed infrapatellar bursitis effusion, 6 cases showed anserine bursa pathology. Conclusion It is simple and feasible to examine synovial cyst around the knee joint by ultrasound diagnosis, which provide effective evidence for early diagnosis of orthopedic doctors.%目的 探讨超声检查对膝关节周围滑囊炎的诊断价值.方法 对120例患者的膝关节进行扫查,观察膝关节周围各滑液囊是否增大、增宽,测量其大小,观察其形态、边界及内部回声等特征,与周围的毗邻关系及是否与关节腔相连通,并与对侧膝关节对比观察.结果 单纯髌上囊积液62例,腘窝囊肿31例,髌前皮下囊积液l1例,髌下皮下囊积液5例,髌下深囊积液5例,鹅足囊病变6例.结论 超声对膝关节滑液囊肿的检查简便易行,为骨科医生的早期诊断提供了有效依据.

  16. The Morel-Lavallée Lesion as a Rare Differential Diagnosis for Recalcitrant Bursitis of the Knee: Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Ivor S. Vanhegan

    2012-01-01

    Full Text Available A 72 year-old-male was referred to our institution with recalcitrant prepatellar bursitis. The injury was sustained after striking his right knee against a post whilst horse riding 9 months ago. Previous treatments included repeated aspiration and excision of the bursa with elastic compression bandaging. A diagnosis of a Morel-Lavallée internal degloving injury was made, and the lesion was satisfactorily managed by an internal quilting procedure to eliminate the potential dead space. A review of the literature reveals 29 published reports of Morel-Lavallée lesions with sufficient information for inclusion. These came from 14 separate countries with a total of 204 lesions in 195 patients. The most common anatomical location was the greater trochanter/hip (36%, followed by the thigh (24% and the pelvis (19%. Most were managed surgically with evacuation of the haematoma and necrotic tissue followed by debridement, which was often repeated (36%. Conservative treatment with percutaneous aspiration and compression bandaging was the next most common treatment (23%. The knee was the fourth most common region affected (16%, and only 3 other lesions in the literature have been managed with a quilting procedure.

  17. Efficacy Observation on Massage, Herbal Fumigation Combined with Behavioral Intervention Treating Radiohumeral Bursitis%推拿、中药熏蒸结合行为干预治疗网球肘的疗效观察

    Institute of Scientific and Technical Information of China (English)

    伍国维

    2014-01-01

    目的:观察推拿、中药熏蒸配合行为干预治疗网球肘的疗效。方法:将80例网球肘患者随机分为治疗组(40例)和对照组(40例),治疗组采用推拿、中药熏蒸结合行为干预治疗,对照组采用针刺治疗,观察两组临床疗效。结果:治疗组优良率为85.0%,高于对照组的55.0%(P<0.05)。结论:推拿、中药熏蒸配合行为干预治疗网球肘疗效显著。%Objective:To observe the curative effects of massage, herbal fumigation combined with behavioral intervention treating radiohumeral bur-sitis. Methods: 80 cases of radiohumeral bursitis were randomly divided into treatment group (40 cases) and control group (40 cases), treatment group adopted treatment of massage, herbal fumigation combined with behavioral intervention, control group treated with acupuncture, clinical effi-cacy of the two groups was observed. Results:The excellent and good rate of treatment group was 85%, higher than that of control group by 55%(P<0.05). Conclusion:Efficacy of massage, herbal fumigation combined with behavioral intervention treating radiohumeral bursitis is significant.

  18. Investigating the Effect of Extracorporeal Shock Wave Therapy on reducing Chronic Pain in Patients with Pes Anserine Bursitis: A Randomized, Clinical- Controlled Trial

    Directory of Open Access Journals (Sweden)

    Saeid Khosrawi

    2017-01-01

    Full Text Available Background: Knee pain, is one of the most common causes of patients' referring to physiatric clinics, and several factors, are involved in its creation. One of these factors is pes anserine bursitis (PAB for which various treatment methods are used. This study aims to investigate the effect of this method on reducing chronic pain in these patients. Materials and Methods: This clinical trial was conducted in 2013- 2014 on patients with PAB referring to academic, physical medicine clinics. The patients with chronic PAB (pain duration more than 3 months, who were refractory to conservative treatments, were randomly divided into two 20-member experimental groups (extracorporeal shock wave therapy [ESWT] and sham ESWT. Pain scores of all patients were measured using the Visual Analog Scale (VAS and McGill Pain Questionnaire (MPQ (total and present pain indexes [TPIs and PPIs] before intervention, immediately after intervention (3rd week, and after 8 weeks. The pain scores were then compared and statistically analyzed. Results: In the ESWT group, the mean patient pain score of the VAS and TPI in MPQ were significantly lower than in the sham ESWT group immediately after intervention (3rd week: P=0.02, P= 0.04 respectively; and 8 weeks after the end of treatment: P=0.01, P= 0.000. Moreover, the PPI in both groups had significantly decreased over time, although in ESWT group this decrement was significantly more than sham ESWT group (P < 0.001. Conclusion: The results showed that ESWT could be effective in reducing the pain and treating PAB.

  19. Brucelose em bovinos com bursite cervical diagnosticada em abatedouro sob inspeção federal Brucelosis in cattle with supraspinous bursitis diagnosed in an abattoir under federal inspection

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    Laerte Pereira de Almeida

    2000-04-01

    Full Text Available Estudo epidemiológico tipo caso-controle realizado em Uberlândia, Minas Gerais (MG, Brasil, pesquisou a ocorrência de brucelose em bovinos com bursite cervical, abatidos no período de agosto de 1993 a julho de 1994. O diagnóstico sorológico de brucelose foi realizado mediante a prova de soroaglutinação rápida em placa. Os casos de bursite foram identificados por técnico do Serviço de Inspeção Federal (SIF, com base em características morfológicas, previamente padronizadas. Para a determinação da "Razão de Odds" e do risco atribuível entre bursite e brucelose, utilizaram-se 30 animais com o quadro e, como controle, 90 bovinos sem a patologia. Dos animais com bursite, 13,3% eram brucélicos, contra 5,6% do grupo controle (P=0,115. Dentre aqueles com brucelose e bursite, as bolsas continham fibrina (40,0% e projeções digitiformes (33,3%; apenas nas bursites dos sorologicamente negativos encontraram-se presença de pus, de nódulos e de líquido viscoso. A "Razão de Odds" encontrada entre brucelose e bursite foi da ordem de 2,61, não sendo demonstrado associação entre bursite cervical e sorologia positiva para brucelose (P>0,05. No âmbito da Saúde Pública e ocupacional, sugere-se a atenção de técnicos e profissionais, visando diminuir o risco de infecção e evitar contaminação de carcaças, equipamentos e instalações.Epidemiological study case-control type carried out in Triângulo abattoir in the city of Uberlândia in the State of Minas Gerais, Brazil, has identified the ocorrence of brucelosis in bovine with supraspinous bursitis, slaughtered from August, 1993 to July, 1994. To diagnose brucelosis "Rapid Agglutination" test was performed on plate with the padronizated antigen count considered positive over 100. The bursas examined were identified by technicians of the Federal Inspection Service based on the presence of ten standardized morphological characteristics. Using the case-control design, 30 animals

  20. Targeted knockout of TNF-α by injection of lentivirus-mediated siRNA into the subacromial bursa for the treatment of subacromial bursitis in rats.

    Science.gov (United States)

    Wang, Yi; Li, Quan; Wei, Xianzhao; Xu, Jie; Chen, Qi; Song, Shuang; Lu, Zhe; Wang, Zimin

    2015-09-01

    Subacromial bursitis (SAB) is the major source of pain in rotator cuff disease. Although multiple investigations have provided support for the role of inflammatory cytokines in SAB, few have focussed on the use these cytokines in the treatment of SAB. The aim of the present study was to observe the therapeutic efficacy of lentivirus‑mediated RNA interference (RNAi) on carrageenan‑induced SAB by injecting lentivirus‑tumor necrosis factor (TNF)‑α‑RNAi expressing TNF‑α small interfering (si)RNA. Using screened siRNA segments, an siRNA was designed. A lentivirus vector expressing siRNA was established and packed as lentivirus particles. A lentivirus that expressed the negative sequence was used as a lentivirus‑negative control (NC). The carrageenan‑induced SAB model was established in 32 male Sprague‑Dawley rats. The modeled rats were randomly assigned to four groups: Lentivirus‑RNAi treatment group, lentivirus‑NC group, SAB group and phosphate‑buffered saline (PBS) blank control group. The lentivirus was injected (1x10(7) transducing units) into the subacromial bursa of the rats in the lentivirus‑RNAi group and lentivirus‑NC group, whereas 100 µl PBS was injected at the same site in the SAB group and the PBS blank control group. At 5 weeks following injection, the animals were sacrificed and venous blood was obtained. The effect of TNF‑α interference and the expression of inflammatory cytokines were determined by reverse transcription‑quantitative polymerase chain reaction, western blotting, hematoxylin and eosin staining, Van Gieson's staining and immunofluorescence. The expression of TNF‑α was decreased in the lentivirus‑TNF‑α‑RNAi group compared with that in the SAB group. Morphological observations revealed that the number of inflammatory cells were reduced and damage to tendon fibers was attenuated in this group, suggesting that the downregulation of the protein expression levels of TNF‑α‑associated nuclear

  1. Relationship between years in the trade and the development of radiographic knee osteoarthritis and MRI-detected meniscal tears and bursitis in floor layers. A cross-sectional study of a historical cohort

    Science.gov (United States)

    Rytter, Søren; Marott, Jacob Louis; Bonde, Jens Peter

    2012-01-01

    Objectives An increased risk of developing knee disorders including radiographic knee osteoarthritis (OA) have been shown among workers with kneeling working demands. There may also be a dose-related association between duration of employment in occupations with kneeling work and development of radiographic knee OA and magnetic resonance imaging (MRI)-detected meniscal tears and bursitis. Design A cross-sectional study of a historical cohort. Setting Members of the trade unions for floor layers and graphic designers in Denmark. Participants 92 male floor layers and 49 graphic designers aged 36–70 years were randomly selected among participants from a clinical and radiographic study of 156 floor layers and 152 graphic designers. Outcome measures Radiographic tibiofemoral (TF) and patellofemoral (PF) knee-OA and MRI-detected meniscal tears and bursitis. Results were adjusted for age, earlier knee traumas, sports activities and body mass index in logistic regression models. Association between TF OA and years in the floor-laying trade was graphically examined by a restricted cubic spline with four knots. Results Increase in number of years with exposure to kneeling work is associated with radiographic TF knee OA with ORs 0.7, 95% CI 0.07 to 4.42; OR 1.89, 95% CI 0.29 to 12.3; OR 4.82, 95% CI 1.38 to 17 for 30 years of kneeling work, respectively. MRI-verified medial meniscal tears was increased among subjects with kneeling work with OR 1.96, 95% CI 0.79 to 4.88 to OR 4.73, 95% CI 1.16 to 19.4 but was not associated with duration of employment. Periarticular bursitis was increased in subjects with <20 years of kneeling working activity. Lateral meniscal tears and PF knee OA were not associated with duration of kneeling working activity or with kneeling work in general. Conclusions The findings suggest a dose–response relationship for radiographic TF knee OA in floor layers with a significant amount of kneeling work and an increase of MRI-verified medial

  2. Formações císticas epidurais relacionadas a bursite interespinhosa, cisto sinovial e cisto discal Epidural cystic masses associated with interspinous bursitis, synovial and discal cysts

    Directory of Open Access Journals (Sweden)

    Frederico Guilherme de Paula Lopes Santos

    2009-04-01

    Full Text Available Os autores apresentam casos de cistos epidurais, dentre eles os cistos sinoviais, discais, do ligamento amarelo e relacionados a bursite interespinhosa, todas essas condições determinando compressão radicular, do saco dural ou estenose do canal vertebral. Descrevem as características de imagem e localização na ressonância magnética nessas diferentes afecções.The authors describe some cases of epidural cysts, namely synovial, discal, ligamentum flavum cysts, and cysts secondary to interspinous bursitis, all of these conditions determining radicular, dural sac compression or spinal canal stenosis. Magnetic resonance imaging findings and localization of these entities are described.

  3. What Are Bursitis and Tendinitis?

    Science.gov (United States)

    ... elbow, pitcher’s shoulder, swimmer’s shoulder, and jumper’s knee. Tennis Elbow and Golfer’s Elbow Tennis elbow is an injury to the tendon in the ... be suggested such as: An elbow band for tennis elbow A brace for the ankle or foot A ...

  4. Bilateral Olecranon Tophaceous Gout Bursitis

    OpenAIRE

    Güzelali Özdemir; Alper Deveci; Kemal Andıç; Niyazi Erdem Yaşar

    2017-01-01

    In this case, we present a patient with the diagnosis of bilateral olecranon tophaceous gout. After the surgical treatment, there was no limitation of range of motion or wound problem at 6th month control.

  5. Bilateral Olecranon Tophaceous Gout Bursitis

    Directory of Open Access Journals (Sweden)

    Güzelali Özdemir

    2017-01-01

    Full Text Available In this case, we present a patient with the diagnosis of bilateral olecranon tophaceous gout. After the surgical treatment, there was no limitation of range of motion or wound problem at 6th month control.

  6. What Are Bursitis and Tendinitis?

    Science.gov (United States)

    ... Two types of tendinitis can affect the shoulder. Biceps tendinitis causes pain in the front or side of the shoulder. Pain may also travel down to the elbow and forearm. Raising your arm over your head may also be painful. The biceps muscle in the front of the upper arm ...

  7. 消定膏治疗急性髌上滑囊炎的影像学评价%Imaging Evaluation of Xiaoding Ointment in the Treatment of Acute Patellar Bursitis

    Institute of Scientific and Technical Information of China (English)

    林志艳; 王学香; 王琳; 李莉

    2016-01-01

    OBJECTIVE:To evaluate clinical efficacy through comparing the change of CT image in infrapatellar fat pad before and after Xiaoding ointment in the treatment of acute patellar bursitis of knee joint. METHODS:73 patients with acute patellar bur-sitis were randomly divided into observation group(39 cases)and control group(34 cases). Observation group was given Xiaoding ointment for local application,qd,7 d as a courses,3 courses in total;control group was given triamcinolone acetonide 30 mg af-ter the extraction of articular cavity effusion,once a week,totally for 3 times. All patients of two groups underwent knee CT exami-nation for observation of the infrapatellar fat pad and articular cavity effusion volume change before and after treatment. Clinical ef-ficacies were compared between 2 groups. RESULTS:CT image alterations of treatment group showed that infrapatellar fat pad den-sity were decreased,anteroposterior diameter,vertical diameter,internal to external diameter were significantly reduced. The total effective rate of treatment group was 92.31%,which was better than that of control group(88.24%),with statistical significance (P<0.05). CONCLUSIONS:Xiaoding ointment demonstrate markedly curative effects in the treatment of acute patellar bursitis, and CT image is an effective method for diagnosis of infrapatellar fat pad.%目的:通过对比消定膏在治疗膝关节急性髌上滑囊炎前后患者髌下脂肪垫计算机体层成像(CT)图像的变化,评价其临床疗效.方法:73例急性髌上滑囊炎患者采用随机数字表法分为观察组39例和对照组34例.观察组患者给予消定膏局部敷贴, qd,7 d为1个疗程,共3个疗程;对照组患者在抽取关节腔积液后注入醋酸曲安奈德30 mg,每周1次,共治疗3次.两组患者治疗前后均行膝关节CT检查,对比观察髌下脂肪垫的变化,并比较临床疗效.结果:治疗后,观察组患者髌下脂肪垫的密度减低,前后径、上下径、内

  8. 高频彩色多普勒超声引导下髋部滑囊炎的介入治疗探讨%Investigation of high frequency color Doppler ultrasound guided intervention treatment for hip bursitis

    Institute of Scientific and Technical Information of China (English)

    王平; 李武; 梁小华; 鄂占森

    2016-01-01

    Objective To investigate effect by high frequency color Doppler ultrasound guided intervention treatment for hip bursitis. Methods A total of 90 hip bursitis patients were divided by different detection measures into group A (received high frequency color Doppler ultrasound imaging), group B (received noninvasive angiography) and group C (received three-dimensional C plane), with 30 cases in each group. Influence by bursitis on surrounding muscles, nerve, and blood vessel was evaluated in accordance with ultrasonogram characteristics, especially on hip back muscle group, hip back cross arterial circulation and sciatic nerve, to choose appropriate measure in intervention treatment. Curative effects were compared across the three groups. Results Group A had higher total effective rate by intervention treatment as 96.7% than group B (70.0%) and group C (66.7%), and their difference had statistical significance (P<0.05). Conclusion Implement of high frequency color Doppler ultrasound guided intervention treatment provides ideal effect, which is obviously better than effects in the other two groups. This method is worth promoting and applying.%目的:探讨高频彩色多普勒超声引导下髋部滑囊炎的介入治疗效果。方法90例髋部滑囊炎患者,根据检测方式不同分成 A 组(应用高频彩色多普勒超声成像技术)、B 组(应用无创血管造影技术)、C 组(应用三维 C 平面技术),各30例。根据声像图特点评估滑囊炎对周围肌肉、神经、血管等影响,尤其是对髋后区肌群、臀后十字动脉循环、坐骨神经等的影响,以选择合适的介入方式治疗。对比三组患者的治疗效果。结果A 组介入治疗有效率为96.7%,高于 B 组(70.0%)和 C 组(66.7%),差异具有统计学意义(P<0.05)。结论应用高频彩色多普勒超声引导下介入治疗效果最为理想,明显优于其他两组的治疗效果,值得推广应用。

  9. 针刺肘缝穴配合手法治疗膝关节鹅足滑囊炎临床研究%Clinical Study on Treatment of Knee Anserine Bursitis by Acupuncture on Zhoufeng Point and Manipulation Therapy

    Institute of Scientific and Technical Information of China (English)

    侯志

    2016-01-01

    目的:观察针刺肘缝穴配合手法治疗膝关节鹅足滑囊炎的临床疗效。方法:86例膝关节鹅足滑囊炎患者随机分为观察组和对照组各43例,观察组采用针刺肘缝穴配合手法治疗,对照组采用双氯芬酸二乙胺乳胶剂外用治疗,比较两组治疗前后Lysholm膝关节功能评分与鹅足囊处压痛压力值变化,评价临床疗效。结果:两组治疗后Lysholm膝关节功能评分、鹅足囊处压痛压力值较治疗前均显著升高,差异有统计学意义(P<0.05);治疗后观察组的Lysholm膝关节功能评分、鹅足囊处压痛压力值均高于对照组,差异有统计学意义(P<0.05);总有效率观察组97.67%,对照组83.72%,两组疗效比较差异有统计学意义(P<0.05)。结论:针刺肘缝穴配合手法治疗膝关节鹅足滑囊炎疗效较好。%Objective:To observe the clinical curative effect of acupuncture on Zhoufeng point and manipu-lation therapy on treatment of knee anserine bursitis. Methods:A total of 86 patients with knee anserine bursitis were randomly divided into observation group and control group,with 43 cases in each group. The observation group was treated by acupuncture on Zhoufeng point and manipulation therapy. The control group was treated by Votalin emulsion inunction. The Lysholm knee function score and value of tenderness on anserine bursa of the two groups were observed,then the clinical curative effect of the two groups were e-valuated. Results:After treatment,the knee function score and value of tenderness on anserine bursa of the two groups were significantly increased. Compared with those before treatment ,the differences were statistical-ly significant(P<0.05). After treatment,the knee function score and value of tenderness on anserine bursa of the observation group was higher than those of the control group and the differences were statistically signif-icant ( P<0 . 05 ) . The total effective rate of the

  10. Clinicopathologic features of ischial tuberosity bursitis complicated with ischemic fasciitis%坐骨结节囊肿伴缺血性筋膜炎的临床病理特征

    Institute of Scientific and Technical Information of China (English)

    肖艳景; 张全武; 娄欣; 赵红梅; 和莹莹; 乔思杰

    2010-01-01

    目的 探讨坐骨结节囊肿伴缺血性筋膜炎的临床表现、病理形态特征及鉴别诊断.方法 对2例坐骨结节囊肿伴缺血性筋膜炎病例进行组织形态学、免疫组织化学分析,并复习相关文献.结果 缺血性筋膜炎常见于老年患者,有长期卧床病史,好发于躯体突出部位的皮下组织.形态学表现:病变的中央为纤维素样坏死区,坏死区周围为增生的纤维母细胞和薄壁小血管所形成的肉芽肿样区域,可见大的、核仁明显、胞质深染、具有异型性的纤维母细胞.免疫组化:纤维母细胞vimentin(+),CK(-).结论 ①缺血性筋膜炎是一种罕见病变,临床表现及形态学与肉瘤相似,容易误诊;②以前报道认为该病变常见于年老体弱、长期卧床的患者,本文发现,在坐骨结节囊肿基础上也可发生该病变.%Objective To investigate the clinicopathologic features, diagnosis and differential diagnosis of ischial tuberosity bursitis complicated with ischemic fasciitis. Methods Two cases of ischial tuberosity bursitis complicated with ischemic fasciitis were reported. Based on histological and immunohistochemical studies and the literature was reviewed. Results Ischemic fasciitis occurred primarily in the deepsubcutis of the aged patients who were frequently immobilized or debilitated. It had a priority to occur over body prominences. The characteristic histologic appearances of the lesions were fibronoid necrosis in the central zones and myxoid change involving lobules of adipose tissue. These areas were surrounded by a peripheral rim of granulation tissue consisting of capillary and fibroblasts containing atypical, enlarged degenerated fibroblasts with abundant basophilic cytoplasm, large hyperchromatic, smudged nuclei, and prominent nucleoli. Immunohistochemical staining showed the fibroblasts were positive for vimentin and MSA, negative for fasciitis may occur in the base of ischial tuberosity patients, besides the above

  11. Trochanteric bursitis after total hip arthroplasty: treatment and risk factors for failure%髋关节置换术后股骨大粗隆滑囊炎的治疗及相关危险因素分析

    Institute of Scientific and Technical Information of China (English)

    瞿玉兴; 徐建达; 蒋涛; 赵洪; 高益; 郑冲

    2011-01-01

    [目的]探讨髋关节置换术后股骨大粗隆滑囊炎糖皮质激素注射治疗的疗效及非手术治疗失败的可能危险因素.[方法] 通过随访2003年3月~2009年4月本科收治的术后股骨大粗隆滑囊炎患者24例27髋的治疗情况,并结合临床特点分析非手术治疗失败的可能危险因素.[结果]经糖皮质激素注射治疗后,21例股骨大粗隆滑囊炎疼痛得到缓解,缓解率为78%.治疗预后与患者的年龄、体重指数、肢体不等长有关(P<0.05),而与患者的性别、手术入路无关.[结论]糖皮质激素注射治疗对全髋关节置换术后股骨大粗隆滑囊炎是有效的,同时在年轻患者、肥胖者及肢体短缩者中治疗效果一般.%[ Objective] To examine the therapeutic effect of corticosteroid injection as treatment for post- arthoplasty trochanteric bursitis and the risk factors for failure of nonoperative treatment. [ Methods] From March 2003 to April 2009, 24 patients (27 hip) were followed - up. Combined with the clinical features of patients, we analyzed the risk factors for failure of nonoperative treatment. [ Results] Symptoms were relieved in 21 hips (78%) after corticosteroid injection. We found a significant correlation between prognosis and age, BMI and leg- length discrepancy, but no correlation between gender and operative approach. [ Conclusion] Corticosteroid injection is an effective treatment for postarthoplasty trochanteric bursitis. The failure of medical treatment usually focuses on fatter or younger patients or those with leg - length discrepancy.

  12. Efficacy of Arthroscopic Resection of the Subacromial Bursa in Treatment of Simple Subacromial Bursitis%关节镜下切除肩峰下滑囊治疗单纯肩峰下滑囊炎疗效观察

    Institute of Scientific and Technical Information of China (English)

    刘玉健; 潘昭勋; 崔岩; 翟龙地; 曲连军

    2013-01-01

    Objective To evaluate the efficacy of arthroscopic resection of the subacromial bursa in treat-ment of simple subacromial bursitis.Methods From January 2006 to January 2012,40 cases of recurrent subacromial bursitis were treated in our department including 28 men and 10 women,aged 20~65 years old,an average of 43.All pa-tients had no history of trauma,diagnosed with simplex subacromial bursitis exact ,had the symptoms of shoulder pain or discomfort,muscle restricted activities,pain arc positive,Neer sign weakly positive.MRI scans showed high signal in the SAB in T1,X-ray showed shoulder was normal or mild degeneration .All the patients were randomly divided into group A and group B.The treatment of group A(observe group) was arthroscopic SAB resection .The treatment of group B(control group) was injection of hormones and anesthetics ,EMS and conventional shoulder functional exercise .All patients were observed and recorded VAS before and after treatment for 1 month,3months,1 year and 2 years.Results The VAS score of two groups after treatment for 1 month and 3 months was not significantly different (P>0.05).The VAS score of two groups after treatment for 1 year and 2 years had significant difference (P<0.01),and VAS score of group A was less than group B.Conclusion The arthroscopic resection of SAB is an effective treatment for simple subacromial bursitis and long-term efficacy is superior to conservative treatment .%  目的 观察关节镜下切除肩峰下滑囊(SAB)治疗单纯肩峰下滑囊炎的疗效。方法 我院自2006年1月~2012年1月收治40例单纯肩峰下滑囊炎的患者,其中男28例,女12例,年龄20~65岁,平均43岁。所有患者均无明显外伤史。所有患者诊断单纯肩峰下滑囊炎,确切排除其他疾病引起的肩峰下滑囊炎。患肩上举、外展困难并疼痛或不适,疼痛反应弧症阳性,Neer症弱阳性。 MRI示肩峰下滑囊T1高信号,X线示患肩无异常或轻度退变。

  13. Clinical study of the acupuncture treatment for subacromial bursitis assessed by SPADI%采用 SPADI 评估毫针点刺法治疗肩峰下滑囊炎的临床研究

    Institute of Scientific and Technical Information of China (English)

    李亨; 许学猛; 曾科学; 李鹏; 胡零三

    2014-01-01

    目的:探讨基于解剖认识,使用量表客观评估使用毫针点刺的方法治疗肩峰下滑囊炎患者的临床效果。方法104例肩峰下滑囊炎患者随机分成3组:试验Ⅰ组37例,采用毫针点刺加参麦针痛点注射方法治疗;试验Ⅱ组35例,采用毫针点刺法治疗;对照组32例,采用局部封闭法治疗。采用SPADI评分方法评估治疗后肩关节活动功能改善情况。结果治疗后3组患者症状均有不同程度缓解,术后随访1周总有效率分别为95%,91%和91%,术后随访3个月总有效率分别为92%,77%和72%。3组术后1周疗效比较无显著性差异,术后3个月试验组疗效明显优于试验Ⅱ组和对照组。结论毫针点刺法治疗肩峰下滑囊炎疗效较好,值得推广应用。%Objective It is to objectively evaluate the clinical curative effect of acupuncture therapy on subacromial bursi -tis by scales based on the understanding of anatomy .Methods 104 cases of subacromial bursitis patients were randomly divid-ed into three groups:test groupⅠ(n=37) treated with the use of a needle prick plus Shenmai trigger point injection therapy , test group Ⅱ( n=35) treated with the use of the needle prick therapy , control group ( n=32 ) treated with partial closure . The improvement of movement function of shoulder joint after treatment was evaluated by SPADI .Results The symptoms of all the patients in the three groups were relieved more or less after treatment , in one week after operation , the total effective rates of test groupⅠ, test groupⅡand control group were 95%, 91% and 91% respectively , in three months after operation the rates were 92%, 77%and 72%respectively .There was no significant difference in curative effect after one week among the three groups , but the effect after three months in test groupⅠwas much better than that in the other two groups .Conc lusion Acupuncture needle prick method has a good curative effect on

  14. Observation on Clinical Effect of Combined Modality Therapy in Treating Knee Osteoarthritis Complicated by Pes Anserine Bursitis%综合疗法治疗膝骨关节炎并发症鹅足滑囊炎临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    付本升; 牛潞芳; 乔晋琳

    2013-01-01

    Objective To observe the clinic curative effect of combined modality therapy in treating knee osteoarthritis complicated by pes anserine bursitis. Methods Two hundred patients with knee osteoarthritis complicated by pes anserine bursitis were injected with 20 mg sodium hyaluronate into the joint cavity, combining with seal treatment in the pes anserine. After a course of treatment of five weeks, the changes of pain, contracture and swelling index in knee were statistically analyzed. Results After a course of treatment of five weeks, 59 patients showed full rehabilitation, 100 patients showed evident effect, 38 patients took a favorable turn,and 3 patients showed no effect. The recovery rate was 39.5%,the obvious effective rate was 79.5 %, and the total effective rate was 98.5 %. Conclusion The sodium hyaluronate injected into joint cavity combined with seal treatment can be effective in treating knee osteoarthritis complicated by pes anserine bursitis, and has a good clinical application value.%  目的观察综合疗法治疗膝骨关节炎并发症鹅足滑囊炎的疗效。方法膝骨关节炎并发症鹅足滑囊炎的患者200例,关节腔内注射玻璃酸钠20 mg,鹅足部局部封闭治疗。完成一个疗程(5周)的治疗后,对治疗前后患者膝部的疼痛、挛缩、肿胀等指标的变化情况进行统计学分析。结果治愈59例,显效100例,好转38例,无效3例,治愈率39.5%,显效率79.5%,临床总有效率98.5%。结论关节腔内注射玻璃酸钠合并鹅足部局部封闭治疗能有效治疗膝骨关节炎并发鹅足滑囊炎,具有较好的临床推广应用价值。

  15. Lipoma arborescens: caso raro de ruptura do manguito rotador associado à presença de lipoma arborescens na bursa subacromial-subdeltoidea e glenoumeral

    OpenAIRE

    Benegas, Eduardo; Ferreiro Neto,Arnaldo Amado; Teodoro, Daniel Sabatini; Silva, Marcos Vinícius Muriano da [UNESP; de Oliveira, Augusto Medaglia; Filippi, Renée Zon; Prada, Flávia Santis

    2012-01-01

    Lipoma arborescens é uma condição rara de moléstia intra-articular, usualmente monoarticular, caracterizada por extensa proliferação dos vilos sinoviais e hiperplasia da gordura subsinovial. O tecido sinovial é progressivamente substituído por células maduras de gordura na membrana sinovial. O presente trabalho é o relato de caso de uma condição rara de lipoma arborescens tanto intra-articular (glenoumeral) como da bursa subacromial-subdeltoide além de ruptura do tendão do supraespinhoso. As ...

  16. 超声引导下复方倍他米松联合玻璃酸钠注射治疗肩峰下滑囊炎的临床研究%Effectiveness of ultrasound-guided subacromial bursa injection of betamethasone combined with hyaluronate in treatment of subacromial bursitis

    Institute of Scientific and Technical Information of China (English)

    成雪晴; 卢漫; 贺凡丁; 郭璇妍

    2015-01-01

    目的:评价超声引导下复方倍他米松联合玻璃酸钠注射治疗肩峰下滑囊炎(SAB)的疗效。方法收集2013年1月至2014年9月因肩部疼痛于四川省人民医院附属医院超声科就诊的门诊患者200例,将其中72例诊断为单纯性SAB且欲行超声引导下肩峰下滑囊注射治疗的患者纳入本研究,随机分为2组。试验组给予复方倍他米松联合玻璃酸钠注射,对照组给予复方倍他米松注射,所有患者治疗后第1周和第4周进行电话随访,治疗前、后均进行疼痛评分(视觉模拟评分法, VAS)和肩关节主动外展活动度评分。结果2组患者治疗后1周和4周,VAS评分及肩关节主动外展活动度评分均较治疗前明显改善(P均<0.05)。治疗后1周,试验组与对照组VAS评分及肩关节主动外展活动度评分比较,差异无统计学意义(P均>0.05);治疗后4周,试验组VAS评分明显低于对照组(2.08±1.95vs 3.14±2.0,P<0.05),试验组肩关节主动外展活动度评分明显高于对照组(7.12±2.10vs 6.11±1.93,P<0.05)。结论超声引导下肩峰下滑囊内复方倍他米松联合玻璃酸钠注射可有效治疗SAB,其缓解疼痛及改善肩关节主动外展活动范围的短期疗效优于单一使用复方倍他米松注射治疗。%ObjectiveTo evaluate the effectiveness of ultrasound-guided (US-guided) subacromial bursa injection of betamethasone combined with hyaluronate for treatment of subacromial bursitis.MethodsA total of 72 patients who were diagnosed as subacromial bursitis by ultrasound and then decided to performed US-guided subacromial bursa injection were randomly divided into two groups. The study group was treated with compound betamethasone suspension followed by sodium hyaluronate, and the control group was treated only with compound betamethasone suspension. Visual analogue score (VAS) and the shoulder active abduction range of motion (AAROM) score

  17. 激光针刀、药物注射联合超短波治疗鹅足滑囊炎的临床研究%Clinical research on triple therapy of laser needle-knife surgery plus drug injection and ultrashort wave therapy for Pes anserinus tendinitis bursitis syndrome

    Institute of Scientific and Technical Information of China (English)

    黄芳; 梁永翠; 郭俐宏; 张晓明

    2015-01-01

    Objective It is to observe the clinical efficacy of triple therapy( laser needle-knife surgery plus drug injection and ultrashort wave therapy)on Pes anserinus tendinitis bursitis syndrome(PATB).Methods Fifty-five patients with PATB were randomly allocated to treatment group ( 30 cases ) and control group ( 25 cases ) , the treatment group was treated by strengthen the riple therapy( laser needle-knife surgery plus drug injection and ultrashort wave therapy) , the control group was treated by Glucosamine sulfate capsules only.7 days was one treatment course and both groups were treated for two courses. VAS scores were evaluated before and after treatment in both group, and the clinical curative effect were compared.Results After treatment, VAS scores in both groups were improved compared with that before treatment (P<0.05), and the improve-ment of VAS scores in the treatment group was more significant than that in the control group(P<0.05).The clinical cure rate and total efficacy rate were significantly higher in the treatment group than that in the control group.Conclusion The triple ther-apy( laser needle-knife surgery plus drug injection and ultrashort wave therapy) has a good curative effect on PATB, which can obviously relive the patients'pain symptoms, and its effect is superior to that of treatment with glucosamine sulfate capsules only.%目的:观察激光针刀+药物封闭注射+超短波联合治疗鹅足滑囊炎的临床疗效。方法将55例鹅足滑囊炎患者按患者意愿分为2组,治疗组35例给予激光针刀+药物封闭注射+超短波联合治疗,对照组20例给予硫酸氨基葡萄糖胶囊口服,2组均以7 d为1个疗程,连续治疗4个疗程。观察2组治疗前后视觉模拟评分量表( VAS)疼痛评分,比较2组临床治疗效果。结果治疗结束后,2组VAS 疼痛评分均较治疗前明显改善( P 均<0.05),且治疗组VAS疼痛评分改善程度明显优于对照组(P<0.05)

  18. Radiotherapy for shoulder impingement; Bestrahlung beim Impingementsyndrom des Schultergelenks

    Energy Technology Data Exchange (ETDEWEB)

    Adamietz, B. [Universitaetsklinikum Erlangen (Germany). Inst. fuer Radiologie; Sauer, R.; Keilholz, L. [Universitaetsklinikum Erlangen (Germany). Strahlentherapeutische Klinik

    2008-05-15

    Background and Purpose: Up to now, degenerative shoulder diseases were summarized by the term 'periarthritis humeroscapularis'. Actual shoulder diseases can be differentiated etiopathologically according to a primary and secondary impingement syndrome. Narrowing of the subacromial space, which is caused by an osseous shape variant, leads to primary impingement. Secondary impingement develops, when the subacromial space is reduced by swelling tissue below the osseous shoulder roof. This study aimed for the exact diagnosis to indicate therapy and to classify the results according to the Constant score. Patients and Methods: From August 1999 to September 2002, 102 patients with 115 shoulder joint conditions underwent radiation therapy (RT). All joints received two RT series (6 x 0.5 Gy/series) applied in two to three weekly fractions, totaling a dosage of 6.0 Gy (250 kV, 15 mAs, 1-mm Cu filter). The second RT course started 6 weeks after the end of the first. 115 shoulders were examined before RT, 6 weeks after the second RT course and, finally, during the follow-up from January to May 2003. Results: Pain relief was achieved in 94/115 shoulder joints (82%) after 18-month follow-up (median). A significant difference existed between secondary impingement and primary/non-impingement according to response. Tendinosis calcarea, bursitis subdeltoidea, tendovaginitis of the long biceps tendon, and capsulitis adhaesiva responded well to therapy. Conclusion: Shoulder diseases of secondary impingement demonstrate a good response to RT. Less or no benefit was found in primary impingement syndrome or complete rotator cuff disruption and acute shoulder injuries, respectively. (orig.)

  19. Fasciitis necroticans efter artroskopi af præpatellar bursitis

    DEFF Research Database (Denmark)

    Schlesinger, NH; Friis-Møller, Alice; Hvolris, Jesper

    2007-01-01

    Necrotizing fasciitis (NF) is a life-threatening soft tissue infection in superficial and deep fascias. NF is most often caused by mixed aerobic and anaerobic bacteria. The treatment is early and aggressive surgical debridement, antibiotics and hyperbaric oxygen. In this case description, a nearly...

  20. Fasciitis necroticans efter artroskopi af præpatellar bursitis

    DEFF Research Database (Denmark)

    Schlesinger, NH; Friis-Møller, Alice; Hvolris, Jesper

    2007-01-01

    Necrotizing fasciitis (NF) is a life-threatening soft tissue infection in superficial and deep fascias. NF is most often caused by mixed aerobic and anaerobic bacteria. The treatment is early and aggressive surgical debridement, antibiotics and hyperbaric oxygen. In this case description, a nearly...

  1. Fasciitis necroticans efter artroskopi af præpatellar bursitis

    DEFF Research Database (Denmark)

    Schlesinger, NH; Friis-Møller, Alice; Hvolris, Jesper

    2007-01-01

    Necrotizing fasciitis (NF) is a life-threatening soft tissue infection in superficial and deep fascias. NF is most often caused by mixed aerobic and anaerobic bacteria. The treatment is early and aggressive surgical debridement, antibiotics and hyperbaric oxygen. In this case description, a nearly...... 60-year-old man developed NF after arthroscopic synovectomy of an infected prepatellar bursa. We stress the point that the endoscopic technique itself might be responsible for the spreading of bacteria to the fascias. This is a subject for further investigation Udgivelsesdato: 30. april...

  2. CALCINOSIS CUTIS METASTÁSICA: CALCIFILAXIS (ARTERIOLOPATÍA URÉMICA CALCIFICADA. A PROPÓSITO DE UN CASO. [METASTATIC CALCINOSIS CUTIS: CALCIPHYLAXIS (CALCIFIED UREMIC ARTERIOLOPATHY. A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Lourdes Bolla de Lezcano

    2013-07-01

    Full Text Available Resumen La calcifilaxis es un síndrome clínico caracterizado por una calcificación vascular progresiva que ocasiona la aparición de lesiones violáceas, frecuentemente dolorosas, en la piel de pacientes con insuficiencia renal crónica, diálisis o trasplante renal, asociado usualmente a niveles elevados de hormona paratiroidea. Se presenta el caso clínico de una mujer de 44 años, diabética con insuficiencia renal crónica, en hemodiálisis desde hace 2 años, que fue diagnosticada de calcifilaxis tras sospecha clínica y biopsia de lesiones cutáneas. Abstract Calciphylaxis is a clinical syndrome characterized by progressive vascular calcification that causes the appearance of purplish lesions, often painful, in the skin of patients with chronic renal failure, dialysis or kidney transplantation, usually associated with elevated levels of parathyroid hormone. We report a case of a 44-year-old diabetic woman with chronic renal failure on hemodialysis for 2 years. She was diagnosed with calciphylaxis after clinical suspicion and biopsy of skin lesions.

  3. Bursitis por mercurio tras accidente laboral: a propósito de un caso Bursitis due to Mercury after a work accident: a case report

    Directory of Open Access Journals (Sweden)

    Susana Lastras González

    2010-06-01

    Full Text Available Auxiliar de enfermería de 28 años que acude al Servicio de Urgencias porque refiere dolor y dificultad para la movilización en rodilla derecha, tras accidente laboral, hace dos días. Refiere que se resbaló mientras transportaba 32 termómetros de mercurio, rompiéndose éstos sobre su rodilla, creando una pequeña herida, siendo la puerta de entrada del metal. En la radiografía, se objetiva el cuerpo extraño metálico, correspondiente a mercurio, en bursa rotuliana. Tras el diagnóstico, se realizó la extracción de la bursa, recuperándose la trabajadora totalmente tras la intervención. Con este caso clínico que aportamos, queremos conocer los efectos del mercurio en la salud de las personas expuestas a dicho metal, estudiar los errores acontecidos en este accidente laboral, valorando cuáles hubieran sido las medidas de actuación preventiva adecuadas para evitar la repetición de este tipo de accidentes y, por último, reflexionar acerca de la relación beneficio-riesgo del uso del mercurio en aparatos de medición en el ámbito sanitario.A 28-year-old woman, nursing assistant, who attends to emergency service, referring pain and difficulty mobilizing right knee after a work accident two days ago. She relates that slipped while carrying 32 mercury thermometers, breaking them on her knee, creating a small wound, being the gateway to the metal. In the radiograph, we objective a metallic foreign body, corresponding to mercury, in patellar bursa. After the diagnosis, the bursa was extracted, and the worker recovered completely, after surgery. With this case report we bring, we want to know the health effects of mercury in people exposed to this metal, studying the errors occurred in this accident, assessing measures of preventive action that would have been neccesary to preclude recurrence of this type accidents and, finally, think about the risk-benefit balance the use of mercury in measuring devices in healthcare.

  4. Lipoma arborescens: caso raro de ruptura do manguito rotador associado à presença de lipoma arborescens na bursa subacromial-subdeltoidea e glenoumeral Lipoma arborescens: rare case of rotator cuff tear associated with the presence of lipoma arborescens in the subacromial-subdeltoid and glenohumeral bursa

    Directory of Open Access Journals (Sweden)

    Eduardo Benegas

    2012-01-01

    Full Text Available Lipoma arborescens é uma condição rara de moléstia intra-articular, usualmente monoarticular, caracterizada por extensa proliferação dos vilos sinoviais e hiperplasia da gordura subsinovial. O tecido sinovial é progressivamente substituído por células maduras de gordura na membrana sinovial. O presente trabalho é o relato de caso de uma condição rara de lipoma arborescens tanto intra-articular (glenoumeral como da bursa subacromial-subdeltoide além de ruptura do tendão do supraespinhoso. As apresentações clínicas, histológicas e radiográficas assim como o tratamento são discutidos no presente estudo. A apresentação do caso contempla também a avaliação radiográfica, ressonância magnética e exame patológico. Apesar do lipoma arborescens ser uma condição rara, tal hipótese deve ser considerada frente a um caso com hiperproliferação sinovial e lipossubstituição da sinovial.Lipoma arborescens is a rare intra-articular disease that is usually monoarticular and is characterized by extensive proliferation of the synovial villi and hyperplasia of the subsynovial fat. The synovial tissue is progressively replaced by mature fat cells in the synovial membrane. The present study reports a case of a rare condition of lipoma arborescens that was simultaneously intra-articular (glenohumeral joint and in the subacromial-subdeltoid bursa, in association with a torn supraspinatus tendon. The clinical, histological and radiographic presentations and treatment are discussed here. The description of this case includes radiographic and magnetic resonance evaluations and pathological examination. Although lipoma arborescens is a rare condition, it should be taken into consideration in cases presenting synovial hyperproliferation and synovial fat replacement.

  5. Sports and other soft tissue injuries, tendinitis, bursitis, and occupation-related syndromes.

    Science.gov (United States)

    Huang, H H; Qureshi, A A; Biundo, J J

    2000-03-01

    This review highlights three areas: plantar fasciitis, Achilles tendinitis, and carpal tunnel syndrome. The diagnosis and treatment of plantar fasciitis are reviewed; nonsurgical treatments remain the mainstay of management. Several recent articles support the use of night splints. Some novel treatments recently investigated, including low intensity laser irradiation and extracorporeal shock wave lithotripsy, are reviewed, as well as the effectiveness of steroid injection. Novel treatments for Achilles tendinitis are also reviewed, including the use of injection therapy and the treatment approach of one author for the management of Achilles tendon rupture. Nonsurgical techniques in the treatment of carpal tunnel syndrome, such as yoga, ultrasound, noninvasive laser neurolysis, manipulation, nerve and tendon gliding exercises, and medications, are reviewed. Prednisolone was shown to be effective in the treatment of mild to moderate disease and nonsteroidal anti-inflammatory drugs were found to be ineffective.

  6. Distal fascia lata lengthening: an alternative surgical technique for recalcitrant trochanteric bursitis.

    Science.gov (United States)

    Pretell, Juan; Ortega, Javier; García-Rayo, Ramón; Resines, Carlos

    2009-10-01

    This article presents a simple technique for fascia lata lengthening that is less aggressive, can be performed under local anaesthetic with little morbidity and disability, and has excellent results. Eleven patients (13 hips) were enrolled in this study. Mean age was 54.6 years, there was one man and ten women. Outcomes were assessed by using a visual analog pain scale, Harris hip score and Lickert scale (satisfaction). There was a mean follow-up time of 43 months (range 15-84). All patients were scored by the Harris hip scale with a mean improvement from 61 (range 48-77) to 91 (range 76-95) after surgery. The mean visual analogue scale (VAS) score improved from 83 (range 60-99) to 13 (range 0-70). We had 12 of 13 patients reporting a good result. Mean surgical time was 15 min, and only one seroma was reported as a complication. No inpatient management was needed. In conclusion, distal "Z" lengthening of the fascia lata appears to be a good alternative for treatment of this condition.

  7. Distal fascia lata lengthening: an alternative surgical technique for recalcitrant trochanteric bursitis

    Science.gov (United States)

    Ortega, Javier; García-Rayo, Ramón; Resines, Carlos

    2009-01-01

    This article presents a simple technique for fascia lata lengthening that is less aggressive, can be performed under local anaesthetic with little morbidity and disability, and has excellent results. Eleven patients (13 hips) were enrolled in this study. Mean age was 54.6 years, there was one man and ten women. Outcomes were assessed by using a visual analog pain scale, Harris hip score and Lickert scale (satisfaction). There was a mean follow-up time of 43 months (range 15–84). All patients were scored by the Harris hip scale with a mean improvement from 61 (range 48–77) to 91 (range 76–95) after surgery. The mean visual analogue scale (VAS) score improved from 83 (range 60–99) to 13 (range 0–70). We had 12 of 13 patients reporting a good result. Mean surgical time was 15 min, and only one seroma was reported as a complication. No inpatient management was needed. In conclusion, distal “Z” lengthening of the fascia lata appears to be a good alternative for treatment of this condition. PMID:19214507

  8. Proliferating Trichilemmal Tumor of the Knee Mimicking Prepatellar Bursitis on Ultrasonogram: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Il Jin; Kim, Tae Eun; Lee, Il Gi; Shin, Hyeon Woong [Daegu Fatima Hospital, Daegu (Korea, Republic of)

    2011-03-15

    Proliferating trichilemmal tumor is a rare benign tumor of skin appendage. It is usually solitary, more common in women after the fourth decade of life, and almost exclusively confined to the scalp and back of the neck. We report herein an unusual case of proliferating trchilemmal tumor which occurred on the knee

  9. Tennis elbow

    Science.gov (United States)

    Epitrochlear bursitis; Lateral epicondylitis; Epicondylitis - lateral; Tendonitis - elbow ... Philadelphia, PA: Elsevier; 2017:chap 25. Biundo JJ. Bursitis, tendinitis, and other periarticular disorders and sports medicine. ...

  10. [Diseases of the extremities of swine in relationship to the floor condition with special reference to bursitis].

    Science.gov (United States)

    Berner, H; Hermanns, W; Papsthard, E

    1990-02-01

    In 2 pig farms, 102 sows kept in single ranging on plain concrete floor, 168 sows kept in single ranging on cast-iron grates and 27 fattening pigs kept in group penning on concrete slatted floors were repeatedly examined for the incidence of auxiliary synovial bursae (ASB). The clinical examination was completed by radiological, patho-anatomical and histological examinations of the rear legs. In sows, ASB were found on two prominences of the bones: on the latero-plantar area of the calcaneum and the fourth tarsal bone as well as on the plantar tarsal sesamoid bone. ASB on the rear legs were found in 41.2% of the sows kept on plain concrete floor and in 59.5% of the sows kept on cast-iron grates. The ASB of the sows kept on cast-iron grates were larger than those of the sows kept on plain concrete floor. In 49% of the sows kept on plain concrete floor the skin covering the ASB was reddened, in 45% of the sows kept on cast-iron grates it was covered with scab. Injury and necrosis of the skin as well as injury of the ASB themselves were found only in animals kept on cast-iron grates and made up 5% of the cases. In 30% of the cases, palpation of the ASB induced defensive movement. The palpation of ball-shaped, soft bursae more often caused defensive movement than did the palpation of flat-shaped, hard bursae. The occurrence of ASB was combined with kyphosis of the spine, false posture of the rear legs, dystasia, hyperextension of the fetlock, arthrosis of the ankle joint, and anomalies of the claws. In fattening pigs, the ASB were localized at the lateroplantar area of the calcaneum and the fourth tarsal bone as well as at the posterior surface of the calcaneum. At the end of the fattening period, ASB were detected in 26 out of 27 fattening pigs. All of the 48 ASB that were examined histologically showed signs of inflammation. In 30 cases the inflammation was chronic, in 18 cases it turned out to be florid. The results indicate that ASB cause pain during the developing phase and also in the chronic stage.

  11. Arm Care. Relief and Prevention for Shoulder Tendonitis, Tennis Elbow, Bursitis and Wrist Sprain in Athletics and Other Activities.

    Science.gov (United States)

    Nirschl, Robert P.

    The book provides a practical and meaningful treatment program for athletes involved in sports which injure the arm or shoulder to a high degree, such as tennis, baseball, swimming, raquetball, pole vaulting, javelin throwing, and weight training. The book's chapters present information on: (1) symptoms of injury; (2) the anatomy of injury; (3)…

  12. Arm Care. Relief and Prevention for Shoulder Tendonitis, Tennis Elbow, Bursitis and Wrist Sprain in Athletics and Other Activities.

    Science.gov (United States)

    Nirschl, Robert P.

    The book provides a practical and meaningful treatment program for athletes involved in sports which injure the arm or shoulder to a high degree, such as tennis, baseball, swimming, raquetball, pole vaulting, javelin throwing, and weight training. The book's chapters present information on: (1) symptoms of injury; (2) the anatomy of injury; (3)…

  13. 鼻内镜咽囊手术疗效观察%Nasal endoscopy in treatment of pharyngeal bursitis

    Institute of Scientific and Technical Information of China (English)

    方小明

    2006-01-01

    目的:探讨鼻内镜咽囊手术的疗效,并观察术后创面的变化.方法:鼻内镜手术治疗咽囊炎12例、咽囊囊肿8例.术后第3天起用生理盐水冲洗鼻腔、鼻咽, 每周鼻内镜下观察创面的变化.结果:治愈12例, 有效6例,无效2例.术后创面白膜在2~3周内脱落.结论:鼻内镜手术治疗咽囊炎、咽囊囊肿疗效较好、创伤小.

  14. CT Features of Ischial Tuberosity Bursitis%坐骨结节滑囊炎的CT表现

    Institute of Scientific and Technical Information of China (English)

    柳黔忠; 徐国富; 何永松

    2013-01-01

    目的:探讨坐骨结节滑囊炎的CT特征.材料与方法:回顾性分析28例经手术病理证实的坐骨结节滑囊炎的CT表现.结果:28例中,CT扫描于坐骨结节与臀大肌之间的间隙内可见28个囊性密度肿块,大小2.8cm×2.2 cm ~6.5 cm×4.3 cm,16例边界清楚,12例边界不清楚,4例患者行增强扫描示肿块内无明显强化,分隔及囊壁可有轻度强化.术前诊断正确率达85.7%.结论:坐骨结节滑囊炎的CT表现具有一定的特征性,CT对其诊断方面具有重要的临床应用价值.

  15. The massage treats bursitis in shoulder clinical experience%推拿治疗肩周炎临床体会

    Institute of Scientific and Technical Information of China (English)

    吴大鹏; 姚国荣; 贺仕雄; 袁久安; 蔡力; 韩毅; 田宏宇; 冯枭

    2011-01-01

    目的:观察以推拿为主封闭治疗肩周炎的临床效果.方法:将120例患者随机分为治疗组、对照组,每组各70例.比较两组治疗前后的疼痛评分与运动功能综合评分.结论:应用该方法治疗肩周炎,具有起效快、治愈率高等特点,是治疗肩周炎的有效方法之一.

  16. Arthroscopic therapy of olecranon bursitis%经关节镜治疗肘关节鹰嘴滑囊炎

    Institute of Scientific and Technical Information of China (English)

    郑鹏; 韩基雄; 杨轶

    2009-01-01

    [目的]总结报道5例肘关节鹰嘴滑囊炎经关节镜手术治疗方法和疗效.[方法]2006年2月~2007年7月对5例肘关节鹰嘴滑囊炎行关节镜下滑囊切除,观察疗效及并发症并进行疗效随访.[结果]5例患者均获得随访,随访时间为8~20个月,平均随访12个月.1例术后出现皮下积液,给予间断穿刺加压包扎后愈合.所有患者无局部疼痛,关节活动度正常,无复发.[结论]经关节镜微创治疗肘关节鹰嘴滑囊炎安全可行,疗效满意.

  17. 针灸治疗肩周炎概况%Acupuncture and moxibustion to treat bursitis in shoulder survey

    Institute of Scientific and Technical Information of China (English)

    徐菁菁; 易玮; 范志勇; 曹忠耀

    2010-01-01

    本文对目前临床上针灸治疗肩周炎的现状做一概述,并着重介绍了灸法,拔罐等温热治疗方法在临床上的运用及疗效.以此探讨针灸治疗肩周炎的研究上存在的问题以及温热疗法的临床价值及发展前景.

  18. 鼻内镜下咽囊炎的手术治疗%Endoscopic management for pharyngeal bursitis

    Institute of Scientific and Technical Information of China (English)

    程泽星; 张攀; 雷大鹏

    2006-01-01

    目的:探讨鼻内镜手术治疗咽囊炎的方法及疗效.方法:鼻内镜下手术治疗咽囊炎27例,其中电动切削器切除咽囊11例,等离子低温射频刀切除咽囊16例.结果:治愈20例,有效7例.结论:鼻内镜下咽囊手术直观、微创、安全、有效,等离子低温射频刀手术创伤更小.

  19. 咽囊炎漏诊误诊临床分析%Misdiagnosis of Pharyngeal bursitis: Clinical analysis

    Institute of Scientific and Technical Information of China (English)

    游龙贵; 张克辉; 张小安; 刘衍球; 蔡庄兰; 蓝玉清

    2006-01-01

    咽囊炎患者在临床并不多见.好发于儿童和青少年.我科近些年在临床工作中诊断了20余例咽囊炎病例.其中漏诊或误诊6例,现就这些病例漏渗或误诊的原因作一分析。

  20. Mycobacterium avium complex olecranon bursitis resolves without antimicrobials or surgical intervention: A case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Selene Working

    2015-01-01

    Conclusion: This case raises an important clinical question of whether close observation off antimicrobials is appropriate in select cases of immunocompetent patients with localized atypical mycobacterial disease of soft tissue and skeletal structures.

  1. Tenosynovitis

    Science.gov (United States)

    ... of the tendon sheath References Biundo JJ. Bursitis, tendinitis, and other periarticular disorders and sports medicine. In: ... Saunders; 2016:chap 263. Schmidt MJ, Adams SL. Tendinopathy and bursitis. In: Marx JA, Hockberger RS, Walls ...

  2. What Are Shoulder Problems?

    Science.gov (United States)

    ... Surgery if tears are severe. Rotator Cuff Disease: Tendinitis and Bursitis In tendinitis of the shoulder, tendons become inflamed (red, sore, ... shoulder or by jobs with frequent overhead reaching. Tendinitis and bursitis may occur alone or at the ...

  3. Knee Injuries

    Science.gov (United States)

    ... bursitis . Symptoms of bursitis in the knee include warmth, tenderness, swelling, and pain on the front of ... injury without the aid of a television screen. Physical Therapy Depending on the type of knee injury ...

  4. Knee pain (image)

    Science.gov (United States)

    ... front of the knee can be due to bursitis, arthritis, or softening of the patella cartilage as ... knee. Overall knee pain can be due to bursitis, arthritis, tears in the ligaments, osteoarthritis of the ...

  5. Joint pain

    Science.gov (United States)

    ... or conditions. It may be linked to arthritis , bursitis , and muscle pain . No matter what causes it, ... Autoimmune diseases such as rheumatoid arthritis and lupus Bursitis Chondromalacia patellae Crystals in the joint: Gout (especially ...

  6. Orthopedic Health: Healthy Joints for a Lifetime / Keep Your Moving Parts Moving

    Science.gov (United States)

    ... frozen shoulder, fracture (break), arthritis, sprains and strains, bursitis. Spine Common problems: Back pain from injuries, herniated disks, spinal stenosis. Elbow Common problems: Bursitis, tendinitis (including "tennis elbow"), overuse, traumatic or repetitive ...

  7. Repetitive Motion Disorders

    Science.gov (United States)

    ... or daily activities. RMDs include carpal tunnel syndrome, bursitis, tendonitis, epicondylitis, ganglion cyst, tenosynovitis, and trigger finger. ... or daily activities. RMDs include carpal tunnel syndrome, bursitis, tendonitis, epicondylitis, ganglion cyst, tenosynovitis, and trigger finger. ...

  8. Medial and Lateral Plantar Nerve Entrapment

    Science.gov (United States)

    ... Foot Problems Overview of Foot Problems Achilles Tendon Bursitis Achilles Tendon Enthesopathy Bunion Corns and Calluses Damage ... the Foot Freiberg Disease Hammer Toe Inferior Calcaneal Bursitis Medial and Lateral Plantar Nerve Entrapment Metatarsal Joint ...

  9. Tendinitis Pain: Should I Apply Ice or Heat?

    Science.gov (United States)

    ... Laskowski, M.D. References Questions and answers about bursitis and tendinitis. National Institute of Arthritis and Musculoskeletal ... Diseases. http://www.niams.nih.gov/Health_Info/Bursitis. Accessed Aug. 1, 2017. Marx JA, et al., ...

  10. Shoulder pain

    Science.gov (United States)

    ... This condition is called rotator cuff tendinitis or bursitis. Shoulder pain may also be caused by: Arthritis ... shoulder joint Bone spurs in the shoulder area Bursitis , which is inflammation of a fluid-filled sac ( ...

  11. Heel Pain

    Science.gov (United States)

    ... in the big toe joint; an inflamed bursa (bursitis), a small, irritated sac of fluid; a neuroma ( ... sometimes painful deformity generally is the result of bursitis caused by pressure against the shoe and can ...

  12. Early diagnosis of bilateral sub-deltoid bursitis using clinic-based ultrasonography in a patient receiving infliximab therapy for ulcerative pouchitis.

    LENUS (Irish Health Repository)

    Veerappan, S G

    2010-12-01

    Infliximab, a monoclonal chimeric antibody to tumour necrosis factor (TNF)α, is a novel therapy used in the management of chronic refractory pouchitis that is unresponsive to conventional medical therapy.

  13. Whole-body fluorodeoxyglucose positron emission tomography/computed tomography in patients with active polymyalgia rheumatica: evidence for distinctive bursitis and large-vessel vasculitis.

    Science.gov (United States)

    Yamashita, Hiroyuki; Kubota, Kazuo; Takahashi, Yuko; Minaminoto, Ryogo; Morooka, Miyako; Ito, Kimiteru; Kano, Toshikazu; Kaneko, Hiroshi; Takashima, Hiroshi; Mimoiri, Akio

    2012-09-01

    To investigate fluorodeoxyglucose (FDG) accumulation in large joints, bursas, and large vessels in patients with polymyalgia rheumatica (PMR) using 18-FDG positron emission tomography/computed tomography (PET/CT) and to differentiate PMR from similar diseases. Fourteen untreated patients with active PMR and 17 control patients with rheumatoid arthritis (n = 11) or other active rheumatic diseases (n = 6) underwent 18-FDG PET/CT. FDG uptake in large joints, bursas and vertebral spinous processes was evaluated by calculating maximum standardised uptake values and by visual scoring (scale 0-4). PET scan images were scored in seven vascular regions, and total vascular scores (range 0-21) were calculated. Polymyalgia rheumatica patients showed increased FDG uptake in ischial tuberosities, greater trochanters, and lumbar spinous processes. Positive results at two or more of these sites showed high sensitivity (85.7%) and specificity (88.2%) for the diagnosis of PMR, and shoulder or hip-joint involvement showed low disease specificity. High FDG accumulations were found in the aortas and subclavian arteries of two PMR patients who were asymptomatic for temporal arteritis and scanty synovium and perisynovium, based on FDG uptake. PET/CT images of the 12 PMR patients without apparent vascular involvement showed synovitis and/or perisynovitis. Fluorodeoxyglucose-PET/CT may be useful for the detection of PMR lesions, which are difficult to identify using other methods.

  14. 累及黏液囊的关节病性银屑病%A case of bursitis related to psoriatic arthritis

    Institute of Scientific and Technical Information of China (English)

    屈丽娜; 张福仁

    2009-01-01

    报告关节病性银屑病致黏液囊炎1例.患者男,60岁.因银屑病15年,指(趾)关节疼痛3年,右肘伸侧肿胀1个月来诊.右肘关节外侧鳞屑性红斑伴压痛,关节伸侧有一囊肿;双膝关节肿胀无压痛.影像学检查示尺骨鹰嘴和髌上黏液囊炎均伴有邻近部位的附着点炎.

  15. 针灸推拿配合臭氧治疗肩周炎%Acupuncture and moxibustion massage coordination ozone therapy bursitis in shoulder

    Institute of Scientific and Technical Information of China (English)

    李绍维

    2011-01-01

    目的:探讨针灸推拿配合臭氧治疗肩周炎的有效方法.方法:对78例肩周炎患者运用针灸推拿配合臭氧治疗.结果:治疗78例,痊愈45例,显效20例,有效13例,无效0例,有效率100%.结论:针灸推拿配合臭氧治疗肩周炎效果显著.

  16. 推拿配合针灸治疗肩周炎疗效观察%Massage coordination acupunture therapy the bursitis in shoulder curative effect observation

    Institute of Scientific and Technical Information of China (English)

    马福学

    2010-01-01

    目的:观察推拿治疗肩周炎的临床疗效.方法:将56例肩周炎患者随机分为2组,治疗组采用手法配合针灸治疗,对照组单纯针灸治疗,每日1次.各组均以10次为1个疗程,连续治疗2个疗程后观察临床疗效.结果:治疗组疗效明显优于对照组,差异有统计学意义(P<0.05).结论:手法配合针灸治疗肩周是较有效的方法.

  17. The massage coordination electricity needle treats bursitis in shoulder 65 examples%推拿配合电针治疗肩周炎65例

    Institute of Scientific and Technical Information of China (English)

    王同; 张岩

    2010-01-01

    肩周炎是肩关节周围炎的简称.祖国医学又称"漏肩风"、"冻结肩"、"五十肩"等,是由于急、慢性劳损或其他原因所致肌腱、韧带、关节囊等软组织退行性变,以肩关节疼痛和肩关节运动受限为主要特征的常见疾病.

  18. Pathogeny and Therapeutic Development of Prepatellar Bursitis%髌前滑囊炎的病因和治疗进展

    Institute of Scientific and Technical Information of China (English)

    林霖; 王立德

    2002-01-01

    @@ 膝关节的周围有许多滑囊,多位于骨突与肌肉,肌腱与皮肤和肌肉与肌肉之间.滑囊的解剖与生理类似腱鞘与关节滑膜.正常情况下囊内存在有少许滑液,以适应膝关节活动.当有炎症时,则渗出增多,出现肿胀,疼痛.膑前皮下囊位于髌骨与皮肤之间,不与关节囊相通,是膝部易患病的滑囊之一.学者们主要从病因和治疗两个方面进行深入研究.本文根据目前国外有关研究报道情况将有关文献综述如下.

  19. 综合治疗肩周炎275例疗效观察%Complex therapy bursitis in shoulder 275 example curative effect observation

    Institute of Scientific and Technical Information of China (English)

    康永华; 吴晓峰

    2011-01-01

    肩周炎是常见病,多发病,治疗方法有很多种,往往单一疗效不确定,严重影响患者生活质量.笔者根据多年临床经验和体会,总结一套行之有效的综合治疗肩周炎方法,能够较快缓解病痛,直至治愈.下面详细介绍治疗方法,以供参考应用.

  20. 12例坐骨结节滑囊炎的手术治疗%Operation of 12 cases of ischiogluteal bursitis

    Institute of Scientific and Technical Information of China (English)

    李青松; 李林

    2010-01-01

    [背景]观察坐骨结节滑囊炎切除术的临床疗效.[病例报告]12例对保守治疗无效或反复发作的坐骨结节滑囊炎患者行滑囊切除术,无复发、感染及发生其他并发症病例.[讨论]坐骨结节滑囊炎应与坐骨神经痛相鉴别,一般经保守治疗多数可治愈,保守治疗无效或反复发作者应行滑囊切除术.

  1. 肩周炎病理及其治疗策略综述%Bursitis in shoulder pathology and its treatment strategy summary

    Institute of Scientific and Technical Information of China (English)

    王信

    2006-01-01

    目的:探讨肩周炎的病理及治疗策略.方法:从医学界多年来对肩周炎病理研究及治疗方法进行分析、总结.结果:目前肩周炎的病理研究及治疗方法都已日趋规范化和系统化.结论:作为一种常见病,医学界对此进行了大量研究,提出了许多独到的见解,与此相应的,肩周炎治疗方法的实践和研究,也取得了丰硕的成果,这都为肩周炎病症的最后攻克展现了光辉的前景.

  2. Plateau area bursitis in shoulder patient's health education%高原地区肩周炎病人的健康教育

    Institute of Scientific and Technical Information of China (English)

    杨晓英; 李东

    2006-01-01

    近几年来,高原地区肩周炎发病率逐年上升。目前,有部分临床病例,为更好地进行功能恢复,对肩周炎患者进行了合理健康教育,取得了一定的经验。现报告如下。

  3. 微创治疗慢性滑囊炎临床报导%Minimally invasive treatment of chronic bursitis clinical reports

    Institute of Scientific and Technical Information of China (English)

    张玮曾; 刘福尧

    2013-01-01

    目的 探讨慢性滑囊炎的微创治疗方法.方法 对8例慢性非特异性滑囊炎采用关节镜下滑囊切除术.结果 8例慢性滑囊炎全部治愈,无严重并发症.结论 采用关节镜下滑囊切除治疗慢性滑囊炎创伤小,效果良好.

  4. Massage physical therapy to treat bursitis in shoulder 78 example%推拿理疗治疗肩周炎78例

    Institute of Scientific and Technical Information of China (English)

    张岩; 杨洋

    2010-01-01

    肩周炎患者肩部疼痛各有其重点,功能障碍亦有偏重,在手法治疗时应掌握其重点.注意区别肩周炎发病所处的早、中、后三期.早期症状为疼痛较甚,夜不能寐,故应以轻柔和缓的手法活血通络止痛,慎用扳、摇、拨等被动手法,否则使肩部疼痛加重;中期疼痛较缓,肩部功能活动受限,应以轻柔手法与被动手法兼施,以达到活血通络止痛、松解关节粘连、恢复肩关节正常功能的目的;后期肩部疼痛基本消失,肩关节功能严重受限,主要以被动手法松解粘连,而辅以轻柔手法以止痛.另外,嘱患者作肩部功能的自我锻炼,注意保暖,能加强疗效,避免反复,早日康复.

  5. Arthroscopic radiofrequency treatment of olecranon bursitis%关节镜下等离子射频治疗尺骨鹰嘴滑囊炎

    Institute of Scientific and Technical Information of China (English)

    郭明锋

    2013-01-01

    目的 探讨关节镜下等离子射频治疗尺骨鹰嘴滑囊炎手术.方法 选择难治性尺骨鹰嘴滑囊炎病例18例,应用关节镜辅助下经皮等离子消融气化,治疗滑囊炎.结果 关节镜辅助下等离子射频气化治疗18例术后均无感染复发,无血管神经损伤等并发症.结论关节镜下等离子射频治疗尺骨鹰嘴滑囊炎,是一种操作安全、有效的治疗方法.

  6. Clinical Observations on Fire Needling Treatment for Subacromial Bursitis%燔针劫刺治疗肩峰下滑囊炎临床观察

    Institute of Scientific and Technical Information of China (English)

    周立武

    2009-01-01

    目的 观察燔针劫刺治疗肩峰下滑囊炎的临床疗效.方法 将110例肩峰下滑囊炎患者随机分为治疗组和对照组,每组各55例.治疗组采用燔针劫刺治疗,对照组采用药物治疗,共治疗2个疗程,治疗结束后4星期评定疗效.结果 治疗组总有效率为96.4%,对照组总有效率为89.1%,两组比较差异具有统计学意义(P<0.05),治疗组总有效率优于对照组.结论 燔针劫刺是治疗肩峰下滑囊炎的较佳方法.

  7. The curative effect of traumatic bursitis by arthroscopic%关节镜下治疗创伤性滑囊炎的疗效观察

    Institute of Scientific and Technical Information of China (English)

    陈为坚; 靳安民; 段杨; 胡孔和; 魏丹; 刘丽丽

    2010-01-01

    目的:观察关节镜监视下治疗创伤性滑囊炎的临床疗效.方法:选择创伤性滑囊炎患者51例,病程8天~12个月,平均46天.其中下肢35例,上肢16例.结果:随访2个月-1年,平均4个月,治愈48例,总有效率94.1%.结论: 关节镜下治疗创伤性滑囊炎创伤小,治愈率高,不影响关节功能,临床治疗效果满意.

  8. 膝周滑囊炎的鉴别诊断与治疗%Bursitis around the knee joint:differential diagnosis and treatment

    Institute of Scientific and Technical Information of China (English)

    王振海; 刘永灿; 王天胜

    2004-01-01

    目的探讨膝关节周围滑囊炎的鉴别诊断与治疗方法.方法回顾我院自2000年3月~2002年3月诊治的32例膝周滑囊炎,通过膝关节镜检查治疗后,经查体及患者主诉明确最后诊断.采取保守治疗,并进行临床随访分析.结果随访8~40周,9例无膝内病变且仅为一种滑囊炎的3周以内治愈.23例合并2种以上滑囊炎(包括4例合并膝内病变者)3~5周治愈.结论对膝周滑囊炎,根据主诉及查体,先区分关节内外,再辨别疼痛部位,可以进行鉴别诊断.本病保守治疗可治愈.

  9. B型超声波在80例滑囊炎诊断中的应用%Application of ultrasound in diagnosis of 80 cases of bursitis

    Institute of Scientific and Technical Information of China (English)

    高前丽

    2001-01-01

    对80例四肢大关节处滑囊炎进行定位诊断,其中肘部7例,臀部5例,膝前部18例,腘窝部48例,足踝部2例,均经手术、穿刺及病理证实.超声诊断与手术符合率95%.通过讨论滑囊炎的影像表现及滑囊与关节腔的关系,认为滑囊炎的定位诊断,对其治疗方案及手术方法的选择有重要参考意义.

  10. 小针刀配合臭氧治疗肩周炎58例%Small needle knife coordination ozone therapy bursitis in shoulder 58 example

    Institute of Scientific and Technical Information of China (English)

    李绍维

    2011-01-01

    目的:探讨小针刀配合臭氧技术治疗肩周炎的有效方法.方法:对58例肩周炎患者应用小针刀配合臭氧综合 方法进行治疗.结果:治疗58例,痊愈52例,占89%,显效4例,占6%,有效2例,占3%,无效 0例.总有效率100%.结论:小 针刀配合臭氧技术治疗肩周炎效果显著.

  11. Small needle knife to add the massage therapy to treat the bursitis in shoulder%小针刀加推拿疗法治疗肩周炎

    Institute of Scientific and Technical Information of China (English)

    李松林

    2010-01-01

    肩周炎是由寒湿侵入形成的慢性无菌性炎症,软组织广泛粘连,微循环障碍.小针刀能松解粘连,疏通阻滞,但局限性在于不能针对广泛粘连.推拿能利滑关节,增大肌肉伸展性,使变性组织改善,对结节及肌肉挛缩又有其局限.而先行小针刀再实施推拿,两者相辅相成取得了95%的优良率.

  12. Arthroscopie therapy of prepatellar bursitis with radiofrequency%关节镜下等离子刀治疗髌前滑囊炎

    Institute of Scientific and Technical Information of China (English)

    陈峰; 金先跃

    2008-01-01

    目的 探讨关节镜下等离子刀治疗髌前滑囊炎的可行性.方法 2005年2月~2007年2月,采用局麻关节镜监视下等离子刀治疗髌前滑囊炎10例.男3例,女7例,年龄25~66岁.镜视下将含有肾上腺素的生理盐水注入囊壁脏层组织,采用囊外剥离和囊内射频汽化切割处理囊壁组织.结果 术后随访10例,无感染和血管神经损伤,疗效满意.结论 局部麻醉关节镜下髌前滑囊切除术方法可行,安全可靠,疗效满意.

  13. Radiotherapy for treatment of bursitis. Indication, technique, own results, literature survey; Strahlentherapie bei der Periarthropathia humeroscapularis (PHS). Indikation, Technik, eigene Ergebnisse, Literaturuebersicht

    Energy Technology Data Exchange (ETDEWEB)

    Heyd, R. [Staedtische Kliniken Offenbach am Main (Germany). Strahlenklinik]|[Frankfurt Univ. (Germany). Klinik fuer Strahlentherapie und Onkologie; Schopohl, B.; Boettcher, H.D. [Frankfurt Univ. (Germany). Klinik fuer Strahlentherapie und Onkologie

    1998-12-31

    Our own experience covers 41 primarily chronic cases. The patients have been irradiated with a telecobalt device with isocentric opposing fields, receiving 4x1.0 Gy within two weeks; 15 patients (36.6%) received a second radiation treatment (8 Gy), and one patient (2.4%) a third (12 Gy). After a follow-up period of 44 months on the average, the results were: Complete remittence of pain in 44%, abatement of pain in 44%, and no effect in 12%. Improvement of shoulder joint motility was achieved in 78%. The rate of recidivation was as low as 3%. A statistical evaluation of data acquired revealed that the prognosis is worst in case of a long period of pain preceding commencement of radiotherapy, combined with intensive prior therapy. (orig./CB) [Deutsch] In einer eigenen Untersuchung wurden 41 ueberwiegend chronische Faelle mit 4x1,0 Gy in 2 Wochen an einem Telekobaltgeraet mit isozentrischen Gegenfeldern behandelt, 15 (36,6%) erhielten eine 2. Bestrahlungsserie (8 Gy), ein Fall (2,4%) eine Dritte (12 Gy). Nach einem Nachbeobachtungszeitraum von median 44 Monaten fand sich bei 44% eine komplette Schmerzremission, bei 44% eine Linderung und 12% waren ohne einen Einfluss der Behandlung. Eine Verbesserung der Motilitaet des Schultergelenkes wurde bei 78% erreicht. Die Rezidivrate lag bei nur 3%. Nach statistischer Bearbeitung der Daten erwies sich die Kombination einer langen Beschwerdedauer vor Einleitung der Radiotherapie und intensiver Vortherapie als prognostisch unguenstiger (p=0,02). (orig.)

  14. Diagnosis and Treatment of Olecranon Bursitis on Dogs%犬肘头皮下黏液囊炎的诊治

    Institute of Scientific and Technical Information of China (English)

    韩名书; 于文会

    2013-01-01

    犬肘头皮下黏液囊炎俗称“肘肿”,多发生在大体型犬肘部皮下,是大型犬常发的一种外科病.患病犬有的一侧发病,有的两侧同时发病.本病治疗可采用手术治疗和保守治疗,发病初期可采用保守治疗,中后期保守治疗效果不佳,多采用手术治疗.

  15. Treatment of Prepatellar Bursitis with Debridement under Arthroscopy%关节镜下清理术治疗髌前滑囊炎

    Institute of Scientific and Technical Information of China (English)

    张羽飞; 王福生; 王立德; 乔刚

    2003-01-01

    目的:研究关节镜下治疗髌前滑囊炎的方法.方法:13例髌前滑囊炎患者,男8例,女5例.囊肿最大8cm×10cm,最小5cm×6cm,全部病例均于关节镜下手术切除囊肿,并彻底冲洗,局部加压包扎,术后伸膝位石膏固定.结果:术后随访时间3~21个月.全部病人无1例复发及感染.所有病人膝前皮肤均表现有不同程度的凹陷形成,仅有2例病人残留有膝前Ⅱ°疼痛,1例病人皮肤有麻木感.结论:关节镜下手术治疗髌前滑囊炎,疗效满意,方法简单,并发症少.

  16. To treat pharyngeal bursitis by microwave under nasal endoscope%鼻内镜下微波治疗咽囊炎的临床应用

    Institute of Scientific and Technical Information of China (English)

    甄宏韬; 高起学; 崔永华; 孔维佳

    2005-01-01

    目的:探讨鼻内镜下微波治疗咽囊炎的疗效,并观察术后创面的变化.方法:鼻内镜下微波治疗咽囊炎11例、咽囊囊肿6例.术后第2天起用生理盐水冲洗鼻腔、鼻咽,每周鼻内镜下观察创面的变化,并记录白膜脱落的时间.结果:治愈14例,有效3例.术后创面白膜在2~3周内脱落.结论:鼻内镜检查有助于咽囊炎的诊断.鼻内镜下微波治疗咽囊炎,术后用生理盐水冲洗鼻腔、鼻咽,疗效较好、创伤小.

  17. Effectiveness of a Seat Pad in Reducing Back Pain in Long-Distance Drivers Deployed to Kuwait, October 2008-May 2009

    Science.gov (United States)

    2009-12-01

    care, or having more than one injury. For injury type, overuse injuries included bursitis , tendonitis, and joint pain; traumatic injuries included...POV Accident Bruise o Road Marching o Abdomen Stress Fracture Field Training Do Upper Back Tendonitis D Lower Back D Bursitis D Airborne Jump D...Chest 0 Bruise D POV Accident D Abdomen 0 Stress Fracture D Road Marching 0 Upper Back 0 Tendonitis 0 Field Training 0 Lower Back 0 Bursitis 0

  18. Bursae and tendon sheaths around the shoulder joints of the dog and their radiographic anatomy

    Energy Technology Data Exchange (ETDEWEB)

    Kuenzel, W. (Veterinaermedizinische Univ., Vienna (Austria). Inst. fuer Anatomie)

    1983-01-01

    The relationships of bursae, pouches and tendon sheaths around the shoulder joints of 25 dogs were examined by preparation, X-ray photographs and casts. The casts were done with a mixture of Technovit 7143 and pumbiferous colour. In this way X-ray photographs could be done without influence on the shape of the shoulder joints and the surrounding bursae, pouches and tendon sheaths. Afterwards the casts could be compared with the photographs. A bursa subdeltoidea was found in no case. The m. infraspinatus has two bursae. The bursa subtendinea m. infraspinati lies between the tuberculum majus humeri and the tendon of the muscle. Proximal to this bursa is constantly found the bursa acromialis m. infraspinati. The articular capsule possesses a lateral pouch under the tendon of m. supraspinatus. The tendon and the proximal part of the m. coracobrachialis is surrounded by the vagina synovialis m. coracobrachialis. The distal end of the tendon sheath of m. biceps is divided by synovial folds.

  19. Arm clump of nerve to hinder the acupuncture coordination massage to treat the bursitis in shoulder%臂丛神经阻滞下针刺配合推拿治疗肩周炎

    Institute of Scientific and Technical Information of China (English)

    黄燕芳

    2011-01-01

    目的:了解臂丛神经阻滞下针刺配合推拿治疗肩周炎的临床疗效,总结临床治疗肩周炎的经验.方法:将40例肩周炎患者随机分为治疗组和对照组,各20例,治疗组使用臂丛神经阻滞下针刺配合推拿疗法,对照组使用单纯的针刺疗法,然后观察比较两组患者治疗前后的肩关节疼痛,运动功能,活动度等疗效.结果:治疗组在治愈率和总有效率,肩关节疼痛,运动功能,活动度上明显优于对照组,P<0.05.结论:臂丛神经阻滞下针刺配合推拿治疗肩周炎的疗效显著,应当予以临床推广.

  20. 压痛测试仪对于膝鹅足滑囊炎压痛值的评价研究%Evaluation on Tenderness Values of Anserine Bursitis of the Knee Joint by Tenderness Measurement Instrument

    Institute of Scientific and Technical Information of China (English)

    王平; 古恩鹏; 戚天臣

    2010-01-01

    目的:评价运用压痛测试仪测量鹅足囊处压痛方法及其对活血化瘀膏疗效的意义.方法:本研究60例鹅足滑囊炎患者,治疗组30例,外敷活血化瘀膏;对照组30例,外涂扶他林乳胶荆.应用压痛测试仪分别于治疗前、治疗1周、治疗2周测量鹅足囊处的压痛值.结果:活血化瘀膏组及扶他林乳胶剂组治疗前后鹅足囊处压痛均有缓解(P<0.05或P<0.01).结论:压痛测试仪有利于压痛的量化评定,活血化瘀膏可明显减轻鹅足滑囊炎中鹅足囊处的压痛.

  1. The electricity needle cupping glasses treats the bursitis in shoulder 50 examples curative effects observation%电针拔罐治疗肩周炎50例疗效观察

    Institute of Scientific and Technical Information of China (English)

    霍艳平

    2008-01-01

    肩周炎是祖国医学痹证的范畴,又称"肩凝证"和"漏肩风"等.在临床上多见于40岁以上的人,该病在治疗上方法较多,也都有一定的疗效,笔者近年来在临床上采用电针拔罐综合治疗的方法,取得了满意的效果.

  2. 脾虚奶牛黏液囊炎和关节炎发病机理及治疗%Pathogenesis and Therapy of the Bursitis and the Arthritis of Milch Cow with Spleen Deficiency Symptom

    Institute of Scientific and Technical Information of China (English)

    魏守海; 李英伦

    2006-01-01

    脾位于腹中,其经脉络于胃,与胃相表里,开窍于口。脾的生理功能是主运化和统摄血液,在体合肌肉,开窍于口,其华在唇。《安骥集.师皇五脏论》日:“脾是脏中之母”。脾虚证是临床上常见的慢性综合征侯群,按中医分型可包括脾气虚、脾阳虚、脾阴虚及有关的夹杂证等。其中以脾气虚为多见,简称脾虚。其病理症状及体征,主要表现为腹胀腹痛、大便溏泄、食欲不振、四肢倦怠、肌肉消瘦、水肿、内脏下垂、出血等。上述症状中以消化系统的改变为主。

  3. 围刺针法结合推拿治疗肱骨外上髁炎58例的临床分析%Therapy of 58 cases of radiohumeral bursitis by acupuncture combined with massage

    Institute of Scientific and Technical Information of China (English)

    张义方; 黄正国; 朱向会

    2007-01-01

    目的:观察围刺针法结合推拿治疗肱骨外上髁炎的临床疗效.方法:采用围刺针法结合推拿治疗58例,10 d为1疗程,治疗2个疗程.结果:治愈50例(87.0%),显效4例,有效2例,无效2例,总有效率为97%.结论:围刺针法结合推拿治疗肱骨外上髁炎疗效佳.

  4. 消防训练致髌上滑囊炎治疗方式探讨%Discussion of the treatment mode of fire service training induced suprapatellar Bursitis

    Institute of Scientific and Technical Information of China (English)

    赵岩

    2012-01-01

    目的 探讨消防员训练致髌上滑囊炎的治疗方法并提出预防措施.方法 将74例原发性髌上滑囊炎患者随机分为治疗组50例和对照组24例.对照组采用传统治疗方法,治疗组采用治疗髌上脂肪垫方法.治疗后比较2组临床疗效.结果 治疗组总有效率为100.0%高于对照组的79.2%,差异有统计学意义(P<0.05).结论 通过治疗髌下脂肪垫对于髌上滑囊炎的治疗有显著的疗效.

  5. The needle knife union liquid expansion law treats the bursitis in shoulder clinical observation%针刀联合液体扩张法治疗肩周炎的临床观察

    Institute of Scientific and Technical Information of China (English)

    李复兴

    2007-01-01

    目的:观察针刀联合液体扩张法对肩周炎的临床疗效.方法:采用完全随机抽样的方法,将观察病例分为治疗组192例,针刀对照组90例,将两组临床疗效及疼痛缓解时间进行评定.结果:治疗组治愈140例,好转44例,无效8例,总有效率95.84%;对照组治愈44例,好转28例,无效9例,总有效率80%.两组治愈率比较差异有显著性意义(P<0.01),治疗组临床总疗效优于对照组(P<0.05),疼痛缓解时间治疗组优于对照组(P<0.05).结论:针刀联合液体扩张法治疗肩周炎疗效显著,疼痛缓解时间短,临床治愈率及总疗效优于针刀组.其方法简单,便于操作,值得基层医院临床推广.

  6. 小针刀联合电针治疗肩周炎150例临床体会%The small needle knife union electricity needle will treat bursitis in shoulder 150 example clinical experience

    Institute of Scientific and Technical Information of China (English)

    袁明春

    2011-01-01

    目的:研究探讨采用小针刀和电针联合治疗肩周炎的临床体会.方法:对近几年来采用小针刀联合电针治疗肩周炎的临床资料进行分析和讨论.结果:150例中治愈120例、显效19例、好转10例、无效1例.结论:采用小针刀联合电针治疗肩周炎,操作简单、痛苦小、见效快、疗效短等优点,值得基层医院推广.

  7. The acupuncture adds the technique to treat the bursitis in shoulder 50 example attainment experience%针刺加手法治疗肩周炎50例心得体会

    Institute of Scientific and Technical Information of China (English)

    傅冰

    2010-01-01

    肩周炎又称肩关节周围炎,是以肩关节疼痛和活动不便为主要症状的常见病症.本病的好发年龄在50岁左右,故有"五十肩"之称.女性略多于男性,体力劳动者和脑力劳动者均可发病.本病如得不到有效治疗,有可能使肩关节发生粘连,妨碍日常生活.笔者采用针刺结合手法治疗的方法,疗效显著,值得推广,现将具体内容介绍如下.

  8. 战士基础训练动作致Gerdy结节创伤滑囊炎59例分析%Analysis of 59 cases about praumapic bursitis on Gerdy code result from the basic action training in soldiers

    Institute of Scientific and Technical Information of China (English)

    韩忠孝; 杨长山; 秦伟杰; 索骥

    2004-01-01

    Gerdy结节滑囊炎是内皮细胞组成的封闭性囊,少数与关节沟通,位于关节附近,介于肌肉或肌腱在骨突起的滑动处,我院于2000年7月—2003年7月共收治59例该病新兵患者,现分析如下。

  9. 针灸推拿治疗肩周炎临床疗效观察%The acupuncture and moxibustion massage treats the bursitis in shoulder clinical curative effect to observe

    Institute of Scientific and Technical Information of China (English)

    姜洪林

    2010-01-01

    目的:观察和讨论中医针灸,推拿治疗肩周炎的临床疗效.方法:取肩关节周围及肢体穴位,通过中医针灸,推拿,拔罐等治疗后,必要时配合穴位注射.结果:痊愈13例,好转4例,无效0例,总有效率100%.结论:通过观察,综合疗法能够迅速减轻痛苦,缩短治疗时间,具有很好的临床疗效,是一种治疗肩周炎的有效方法.

  10. 臂丛神经封闭和痛点注射在肩周炎治疗中的作用%Effect of brachial plexus block combined with paint injection on patients with bursitis in shoulder

    Institute of Scientific and Technical Information of China (English)

    侯春生; 张涛

    2008-01-01

    肩周炎是骨科门诊常见病、多发病。采用臂丛神经封闭和痛点注射能在阻断痛觉刺激传导的同时,缓解局部肌肉的紧张和痉挛从而达到治疗目的。作者对2005年至2007年104例肩周炎的临床资料进行分析,现将治疗体会报告如下。

  11. 针刺肩痛穴治疗肩周炎临床疗效观察%The Observation of Clinical Curative Effect of Treating Bursitis in Shoulder with Acupuncture by Pricking Shoulder Pain Point

    Institute of Scientific and Technical Information of China (English)

    刘圣; 王保卫; 杨洪; 张霞; 李志宇; 陈以国

    2007-01-01

    目的:观察针刺肩痛穴疗法对肩周炎的临床疗效.方法:采用针刺肩痛穴疗法:每5日为1疗程,治疗4个疗程,根据临床症状判断疗效.结果:针刺肩痛穴对肩周炎总有效率为95.9%,简单易行,费用低廉,适合在农村推广利用.

  12. 臭氧配合肩关节周围痛点阻滞治疗肩周炎42例%Ozone coordination shoulder joint the pain spot to hinder to treat bursitis in shoulder 42 example

    Institute of Scientific and Technical Information of China (English)

    李绍维

    2010-01-01

    目的:探讨臭氧配合痛点阻滞治疗肩周炎的有效方法.方法:对42例肩周炎患者运用臭氧配合痛点阻滞治疗.结果:治疗42例,痊愈38例,占90%,显效3例,占7%,有效1例,占2%,无效0例,有效率100%.结论:臭氧配合痛点阻滞治疗肩周炎效果显著.

  13. The medicine whip whips the therapy coordination to take care of treats bursitis in shoulder%药鞭拍打疗法配合调护治疗肩周炎

    Institute of Scientific and Technical Information of China (English)

    程卫国; 吴小萍

    2011-01-01

    肩周炎,属中医痹症范畴,是由风寒、湿热等外邪侵袭人体、闭阻经络气血运行不畅,引起的肢体关节肌肉疼痛、肿胀,重着麻木或活动不利的一类疾患.临床上常见以中老年人,伏案工作者,五十岁左右人多见,患者生活工作非常不便.笔者采用药鞭拍击法配合调护治疗肩周炎,即把桑枝和柳枝浸泡在中药酒液中后,再用柳枝或桑枝作器械,应用推拿手法轻快拍打患痛关节,利用拍打外力使药液渗透到肌体,发挥疗效.

  14. According to pulls the Daraf merge ultrashort wave to treat the bursitis in shoulder clinical observation%点按牵拉法合并超短波治疗肩周炎的临床观察

    Institute of Scientific and Technical Information of China (English)

    梁亮标; 何青

    2011-01-01

    目的:为了观察点按牵拉法合并超短波治疗肩周炎的临床效果.方法:将86例肩周炎患者随机分为两组,治疗组采用点按牵拉法合并超短波治疗,对照组采用传统电针、按摩治疗.结果:治疗1疗程后治疗组的疗效明显高于对照组,经统计学处理有显著意义(p<0.05),表明点按牵拉法合并超短波治疗肩周炎优于传统的电针、按摩治疗,值得推广应用.

  15. To massage the musculus subscapularis to treat the bursitis in shoulder clinically to analyze%按摩肩胛下肌治疗肩周炎的临床分析

    Institute of Scientific and Technical Information of China (English)

    朱丽华

    2010-01-01

    目的:探讨不同的按摩手法治疗肩周炎的疗效.方法:把30例肩周炎患者分成试验组和对照组,对照组进行常规手法治疗,试验组配合按摩肩胛下肌.结果:试验组的总有效率为93.33%,对照组为80%.结论:配合按摩肩胛下肌治疗肩周炎可提高临床治愈率.

  16. 髌上滑囊炎与髌下脂肪垫炎的治疗及两者相关性的临床研究%Treatment of suprapatellar bursitis and inflamation of subpatellar fat pad and their correlation

    Institute of Scientific and Technical Information of China (English)

    沈曙晶; 刘厚宁; 蒋佑升

    2008-01-01

    目的 探讨原发性髌上滑囊炎与髌下脂肪垫炎的治疗及其相关性.方法 对26例用传统方法治疗无效的原发性髌上滑囊炎患者,在髌下脂肪垫注射曲安奈德治疗并分析其疗效.结果 终止治疗后3~4个月评定效果.治愈17例,好转6例,无效3例,复发3例.结论 髌下脂肪垫注射曲安奈德治疗髌上滑囊炎治愈率高,复发率低,且疗效与病程密切相关,并推断原发性髌上滑囊炎可能继发于髌下脂肪垫炎.

  17. 鼻内镜下微波治疗慢性咽囊炎26例临床体会%Clinical effect of microwave therapy for 26 cases of chronic pharyngeal bursitis under nasal enaoscope

    Institute of Scientific and Technical Information of China (English)

    王世军; 张丽琴

    2009-01-01

    目的 探讨鼻内镜下微波治疗慢性咽囊炎的临床疗效.方法 对26例慢性咽囊炎患者在鼻内镜下采用微波治疗.结果 26例患者治疗均获成功.术后平均随访1年,症状消失,鼻咽部创面愈合良好,无复发.结论 鼻内镜下微波治疗慢性咽囊炎疗效良好.

  18. Ping Qi Acupuncture Needles with Catgut Implantation at the Treatment of 110 Cases of Bursitis Brachioradial%平针齐刺法配合穴位埋线治疗肱桡滑囊炎110例

    Institute of Scientific and Technical Information of China (English)

    林宪军; 王栋

    2009-01-01

    @@ 肱桡滑囊炎,又称肱骨外上髁炎,俗称"网球肘",是指由于肘关节急慢性劳损,前臂旋转用力不当,前臂深腕肌的起点损伤或风寒痹阻脉络经筋痉挛所引起的肱骨外上髁、肱桡关节滑囊处无菌性炎症.往往采取封闭、推拿、手术治疗,效果不是很理想.

  19. 温针灸加理疗治疗肩周炎疗效观察%Warm acupuncture and moxibustion adds the physical therapy to treat bursitis in shoulder curative effect observation

    Institute of Scientific and Technical Information of China (English)

    李忠爽

    2010-01-01

    肩周炎又称"五十肩、冻结肩"、"漏肩风"等,是好发于中老年的一种退行性、炎症性病变;虽部分患者经功能性锻练可自行痊愈,但时间长、痛苦大、功能恢复不全,如能积极地治疗,可缩短病程加速痊愈.我科近6年来采用温针灸配合物理疗法,治疗该病取得满意疗效,现报道如下.

  20. 温针灸配合拔罐治疗肩周炎32例%The Clinical Curative Effect Observations of 64 Cases the Bursitis in Shoulder Patients by the Warm Acupuncture Union Cupping

    Institute of Scientific and Technical Information of China (English)

    杜彦云; 鹿月惠; 崔洪亮

    2014-01-01

    目的 观察温针灸配合拔罐治疗肩周炎的临床疗效.方法 选取该病患者64例,随机分成两组.治疗组予温针灸配合拔罐治疗,对照组采用常规针刺方法治疗.结果 治疗三个疗程后(一个疗程10天)观察疗效.总有效率84.38%,愈显率62.50%.与对照组比较(P<0.01),差异具有显著意义.结论 温针灸配合拔罐疗法治疗肩周炎疗效优于单纯针刺疗法.

  1. Preliminary Clinical Observation of the Relationship Between Arrhythmia and Chronic Pharyngeal Bursitis in Children%儿童心律失常与慢性咽囊炎关系的临床初步观察

    Institute of Scientific and Technical Information of China (English)

    邹月娥; 王富森

    2002-01-01

    目的:探讨儿童心律失常与慢性咽囊炎的关系.方法:对22例8~14岁不明原因的心律失常患儿行鼻窦CT扫描及鼻咽纤维镜筛选检查,发现其中5例患儿合并有慢性咽囊炎,对5例合并慢性咽囊炎患儿行鼻内窥镜下病灶消除术,术后3月及6月行长程动态心电图检查,比较手术前后心电变化.结果:4例患儿术后3月症状消失,长程动态心电图恢复正常.1例患儿术后3月症状缓解,长程动态心电图检查仍有不同程度的心电异常,术后6月长程动态心电图恢复正常.结论:儿童慢性咽囊炎可能为心律失常的病因或诱因之一.

  2. 中西医结合治疗坐骨结节滑囊炎32例疗效观察%Treatment of 32 cases of ischial tuberosity bursitis by combined traditional Chinese and western medicine

    Institute of Scientific and Technical Information of China (English)

    顾成中; 朱定德

    2002-01-01

    目的观察中西医结合治疗坐骨结节滑囊炎的临床疗效.方法 47例坐骨结节滑囊炎患者随机分为2组,对照组15例单用西医方法,以坐骨结节滑囊炎穿刺抽液,并注入确炎舒松和普鲁卡因治疗,治疗组在对照组治疗的基础上加用阳和汤加减.2组均10日为1个疗程,5个疗程后统计疗效.结果治疗组总有效率96.9%,对照组总有效率73.3%,2组比较有显著性差异(P<0.05).结论中西医结合治疗坐骨结节滑囊炎疗效确切.

  3. 水针疗法配合中药外敷治疗肩周炎84例%The acupuncture with medicinal injection coordination traditional Chinese medicine externally applies treats the bursitis in shoulder 84 examples

    Institute of Scientific and Technical Information of China (English)

    李文强

    2009-01-01

    目的:通过用水针疗法配合自制中药外敷治疗肩周炎84例,观察它的治疗效果.方法:针对我院中医伤科门诊2008年1~8月收治的84病例,采用水针疗法,用当归、野木瓜注射液,或用利多卡因、祛炎舒松、维生素B12注射液,配合自制中药外敷隔日1次,5次为1个疗程.结果:通过用水针疗法配合自制中药外敷治疗肩周炎84例的疗效分析,经过统计学分析处理,总有效率达到97.6%.结论:用水针疗法配合自制中药外敷治疗肩周炎具有价格低廉、方法简单、疗效可靠、病人容易接受、具有广阔的发展前景,值得推广.

  4. 小针刀、手法配合超短波治疗肩周炎%The small needle sword wielder French penicillin gathers the ultrashort wave to treat bursitis in shoulder

    Institute of Scientific and Technical Information of China (English)

    李俊

    2011-01-01

    肩周炎又称肩关节周围炎,又名"冻结肩"、"五十肩".本病好发于50岁左右人群,女性高于男性,多见于体力劳动者.是以肩周活动时疼痛、功能受限为其主要临床表现.此病中西医治疗方法很多,如推拿、针灸、封闭、拔火罐等疗效不佳.本人采用小针刀结合手法、超短波治疗肩周炎取得满意疗效.

  5. 火针治疗膝关节周围慢性滑囊炎93例%Treating Chronic Bursitis Around Knee Joint with Fire Needle: A Report of 93 Cases

    Institute of Scientific and Technical Information of China (English)

    冯祯根

    2009-01-01

    膝关节周围慢性滑囊炎主要指髌前、髌下滑囊慢性炎症,以膝周有局限性肿块为主。一般中西药物较难见效,本人自1999年11月份起用火针局刺为主治疗取得较满意疗效,现将有完整资料的93例总结分析如下:

  6. 电针温针火罐发泡治疗肩周炎132例%The electricity needle acupuncture plus heat cupping glass becomes spongy treats the bursitis in shoulder 132 examples

    Institute of Scientific and Technical Information of China (English)

    杨明玉

    2010-01-01

    笔者通过长期的临床实践,总结出了肩周炎的治疗应以温通经脉、行气活血为原则,局部取穴:如肩髃、肩前、天宗和痛点为主,配合循经和辩证配穴,临床采用温针灸,电针加火罐发泡先结合具有止痛、改善局部循环、促进机体康复的作用.

  7. Shoulder Problems: Symptom Checker Flowchart

    Science.gov (United States)

    ... INFLAMMATION in or around a joint, also called BURSITIS, or a serious INFECTION of the bone, the ... as ibuprofen, for pain.Start OverDiagnosisYou may have BURSITIS or ROTATOR CUFF SYNDROME.Self CareUse an anti- ...

  8. Injury Incidence and Injury Risk Factors Among Soldiers in the United States Army Ordnance School

    Science.gov (United States)

    2009-07-01

    tissues, bones or joints.28 Some examples of overuse injuries include shin splints, tendonitis, stress fractures and bursitis .29 In a study...0 other 0 UnknoWn 5.Type of Injury (check one) 0 Normal exam 0 Abrasion/Laceration O.A.rthritis 0 Bursitis D Contusion 0 Dislocation D

  9. Manejo estético y endodóncico de dientes con formación radicular incompleta

    OpenAIRE

    L.A. Dávila Rodríguez; D.A. Barcha Barreto; E. León Barrios; M.A. Simancas Pallares

    2013-01-01

    La necrosis pulpar es una de las principales complicaciones de los traumatismos dentales lo que implica en un diente inmaduro la interrupción de la maduración de la raíz y el cierre apical. Una terapia llamada "apexificación" se requiere para inducir la formación de una barrera calcificada apical permitiendo un relleno permanente y hermético de la raíz. Numerosos materiales han sido recomendados para inducir apexificación y conservar la estética en dientes con ápices inmaduros como el mineral...

  10. Manejo estético y endodóncico de dientes con formación radicular incompleta

    OpenAIRE

    L.A. Dávila Rodríguez; D.A. Barcha Barreto; E. León Barrios; M.A. Simancas Pallares

    2013-01-01

    La necrosis pulpar es una de las principales complicaciones de los traumatismos dentales lo que implica en un diente inmaduro la interrupción de la maduración de la raíz y el cierre apical. Una terapia llamada "apexificación" se requiere para inducir la formación de una barrera calcificada apical permitiendo un relleno permanente y hermético de la raíz. Numerosos materiales han sido recomendados para inducir apexificación y conservar la estética en dientes con ápices inmaduros como el mineral...

  11. Tomografía computada multidetector de arterias coronarias: estado del arte. Parte II: Aplicaciones clínicas

    OpenAIRE

    Meave González,Aloha; Alexánderson Rosas,Erick; Rodríguez Valero,Mónica; Meléndez Ramírez,Gabriela; Martínez García, Alfonso; Sierra Fernández,Carlos; Calleja Torres,Rodrigo; García-Rojas Castillo,Leonardo; Lamothe Molina,Pedro Alberto; Herrera Zarza,Mary Carmen; Armas de Ávila,Martha; Ochoa López,Juan Manuel; Vázquez-Lamadrid,Jorge; Kimura Hayama,Eric

    2008-01-01

    En los inicios de la evaluación de enfermedad coronaria la tomografía computada multidetector de arterias coronarias (TCMD) se limitaba casi exclusivamente a la detección de placas calcificadas en las arterias coronarias con el cálculo del índice de Calcio, cuyo valor por sí solo es limitado. Sin embargo, en la actualidad gracias al advenimiento de nueva tecnología, las aplicaciones clínicas potenciales de este método incluyen la detección de estenosis arterial coronaria, la evaluación de pue...

  12. Tonsilolito gigante: a propósito de un caso

    OpenAIRE

    Silvestre Donat, Francisco Javier; Plá Mocholí, A.; Estellés Ferriol, José Enrique; Martínez Mihi, Victoria

    2005-01-01

    Los tonsilolitos son pequeñas concreciones calcificadas que se forman en las criptas de las amígdalas palatinas formados por sales cálcicas o en combinación con otras sales minerales y que suelen tener pequeño tamaño. En pocas ocasiones han sido descritos tonsilolitos de grandes dimensiones o en localizaciones periamigdalinas. Nosotros presentamos el caso de una mujer de 55 años de edad que tenía sintomatología de disfagia y molestias en la faringe con sensación de cue...

  13. Ways to Prevent Percussion Overuse Injuries

    Science.gov (United States)

    Fidyk, Steve

    2009-01-01

    It is a proven fact that the repetitive nature of percussion playing can cause carpal tunnel syndrome, bursitis, and tendinitis. This paper offers ways to prevent percussion overuse injuries, particularly by developing a healthy warmup routine.

  14. Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow

    Science.gov (United States)

    2016-09-29

    Allergic Rhinitis; Asthma; Back Pain; Benign Prostatic Hypertrophy; Bursitis; Depression; Anxiety; Diabetes Mellitus; Esophageal Reflux; HIV Infections; Hyperlipidemia; Hypertension; Insomnia; Irritable Bowel Syndrome; Obesity; Osteoporosis (Senile); Shoulder Pain; Sinusitis; Symptomatic Menopause; Urinary Incontinence; Urinary Tract Infection; Vaginitis

  15. Lesión de tennis leg asociada a rotura parcial del tendón de Aquiles

    National Research Council Canada - National Science Library

    Martinez, Xavier; Puigdellivol, Jordi; Dalmau, Antoni; Pedret, Carles; Bové, Toni; Rodas, Gil

    2010-01-01

    .... We present the case of a professional basketball player with a history of Achilles tendonitis and retrocalcaneal bursitis, who had a tennis leg associated to a partial rupture of the Achilles tendon...

  16. Medial epicondylitis - golfer's elbow

    Science.gov (United States)

    ... Saunders; 2009:chap 19. Schmidt MJ, Adams SL. Tendinopathy and bursitis. In: Marx JA, Hockberger RS, Walls ... and Disorders Read more Sports Injuries Read more Tendinitis Read more A.D.A.M., Inc. is ...

  17. Questions and Answers About Shoulder Problems

    Science.gov (United States)

    ... deciding whether surgery is required. Rotator Cuff Disease: Tendinitis and Bursitis These conditions are closely related and may occur alone or in combination. Tendinitis is inflammation (redness, soreness, and swelling) of a ...

  18. Ways to Prevent Percussion Overuse Injuries

    Science.gov (United States)

    Fidyk, Steve

    2009-01-01

    It is a proven fact that the repetitive nature of percussion playing can cause carpal tunnel syndrome, bursitis, and tendinitis. This paper offers ways to prevent percussion overuse injuries, particularly by developing a healthy warmup routine.

  19. Rotator Cuff Injuries

    Science.gov (United States)

    ... cuff are common. They include tendinitis, bursitis, and injuries such as tears. Rotator cuff tendons can become ... cuff depends on age, health, how severe the injury is, and how long you've had the ...

  20. Arm Injuries and Disorders

    Science.gov (United States)

    ... of muscles, joints, tendons, and other connective tissue. Injuries to any of these parts of the arm ... a fall, or an accident. Types of arm injuries include Tendinitis and bursitis Sprains Dislocations Broken bones ...

  1. Methicillin-resistant Staphylococcus aureus infection of the subacromial bursa: an unusual complication following subacromial corticosteroid injection (a report of two cases)

    National Research Council Canada - National Science Library

    Teoh, Kar H; Jones, Sian A; Gurunaidu, Subramaniam; Pritchard, Mark G

    2015-01-01

    .... Subacromial septic bursitis is a recognized but rare complication. There have been no reports of methicillin-resistant Staphylococcus aureus infections of the subacromial bursa after subacromial injections in the literature...

  2. Shoe Inserts and Prescription Custom Orthotics

    Science.gov (United States)

    ... to treat injuries such as shin splints or tendinitis. Functional orthotics are usually crafted of a semi- ... treat foot problems such as plantar fasciitis, bursitis, tendinitis, diabetic foot ulcers, and foot, ankle, and heel ...

  3. Ultrasonography as a prognostic and objective parameter in Achilles tendinopathy:

    DEFF Research Database (Denmark)

    Bakkegaard, Mads; Johannsen, Finn E; Højgaard, Betina

    2015-01-01

    eccentric exercises of the calf muscles and if needed supplemented with corticosteroid injections. The patients were examined clinically and by US (tendon thickness, hyper- and hypoechogenicity, calcification, bursitis, calcaneusspure, tenosynovitis, gray scale and color Doppler focusing on increased flow...

  4. Ultrasound in the evaluation of enthesitis: status and perspectives

    DEFF Research Database (Denmark)

    Gandjbakhch, Frédérique; Terslev, Lene; Joshua, Fredrick

    2011-01-01

    . The definition of ultrasound enthesitis and elementary features varied among authors. Grey-scale enthesitis was characterized by increasing thickness (94% of studies), hypoechogenicity (83%), enthesophytes (69%), erosions (67%), calcifications (52%), associated bursitis (46%) and cortical irregularities (29...

  5. True bursal pigmented villonodular synovitis

    Energy Technology Data Exchange (ETDEWEB)

    Abdelwahab, Ibrahim Fikry [Department of Radiology, New York Methodist Hospital, Affiliated with New York Hospital-Cornell Medical Center, Brooklyn, NY (United States); Kenan, Samuel [Department of Orthopedics, New York University Medical Center, NY (United States); Steiner, German C. [Department of Pathology, Hospital for Joint Diseases/Orthopedic Institute, New York, NY (United States); Abdul-Quader, Mohammed [Department of Radiology, New York Presbyterian Hospital, Columbia University, New York, NY (United States)

    2002-06-01

    We describe two cases of pigmented villonodular synovitis affecting true bursae. This study was also designed to discuss the term ''pigmented villonodular bursitis'', not confined to true synovial bursae, sometimes creating misunderstanding. (orig.)

  6. Sindromes Dolorosos Regionales, Columna, Hombro y Rodilla

    Directory of Open Access Journals (Sweden)

    Wolff C. Verónica, Dra.

    2012-07-01

    En la rodilla, los trastornos periarticulares incluyen bursitis y tendinitis de distintas estructuras, y hay que considerar la osteonecrosis dentro del diagnóstico diferencial del dolor de rodilla del adulto mayor.

  7. HAGLUND SYNDROME: A CASE REPORT

    OpenAIRE

    Indira; Prakash; Venkateshwaran,; Shivashankar,; Gowrish

    2015-01-01

    Haglund Syndrome is one of the causes of posterior heel pain. It is the inflammation of the tendoachilles at the calcaneal insertional site and the regional soft tissues. It comprises of insertional Achilles tendinopathy, retrocalcaneal & retroachilles bursitis and posterior calcaneal bony spur. Imaging plays a very important role in the diagnosis as it can be mimicked by several other conditions like isolated retrocalcaneal bursitis, enthesopathies and accessory soleu...

  8. Subdeltoid Bursa Tuberculosis with Rice Body Formation–A Case Report

    Directory of Open Access Journals (Sweden)

    Santosh L. Munde

    2015-01-01

    Full Text Available Tuberculous tenosynovitis and bursitis account for approximately 1%. A 56 years old female presented with swelling in left shoulder, gradually increasing in size with slight restriction in movement since last three months. X-ray revealed no abnormality of humerus head. Histopathological examination showed granulomatous tissue with multiple rice bodies. A positive culture of mycobacterium tuberculosis confirmed the diagnosis of tuberculosis. We here report a case of subdeltoid bursitis with rice body formation and without active bone and joint tuberculosis.

  9. Accuracy of musculoskeletal imaging for the diagnosis of polymyalgia rheumatica: systematic review

    Science.gov (United States)

    Mackie, Sarah Louise; Koduri, Gouri; Hill, Catherine L; Wakefield, Richard J; Hutchings, Andrew; Loy, Clement; Dasgupta, Bhaskar; Wyatt, Jeremy C

    2015-01-01

    Objectives To review the evidence for accuracy of imaging for diagnosis of polymyalgia rheumatica (PMR). Methods Searches included MEDLINE, EMBASE and PubMed. Evaluations of diagnostic accuracy of imaging tests for PMR were eligible, excluding reports with bursitis had sensitivity 80% (95% CI 55% to 93%) and specificity 68% (95% CI 60% to 75%), whereas bilateral subacromial-subdeltoid bursitis had sensitivity 66% (95% CI 43% to 87%) and specificity 89% (95% CI 66% to 97%). Sensitivity for ultrasound detection of trochanteric bursitis ranged from 21% to 100%. In four ultrasound studies reporting both subacromial-subdeltoid bursitis and glenohumeral synovitis, detection of subacromial-subdeltoid bursitis was more accurate than that of glenohumeral synovitis (p=0.004). MRI and PET/CT revealed additional areas of inflammation in the spine and pelvis, including focal areas between the vertebrae and anterior to the hip joint, but the number of controls with inflammatory disease was inadequate for precise specificity estimates. Conclusions Subacromial-subdeltoid bursitis appears to be the most helpful ultrasound feature for PMR diagnosis, but interpretation is limited by study heterogeneity and methodological issues, including variability in blinding and potential bias due to case–control study designs. Recent MRI and PET/CT case–control studies, with blinded readers, yielded promising data requiring validation within a diagnostic cohort study. PMID:26535139

  10. Factors associated with regional rheumatic pain disorders in a population of Puerto Ricans with diabetes mellitus

    Science.gov (United States)

    Font, Yvonne M.; Castro-Santana, Lesliane E.; Nieves-Plaza, Mariely; Maldonado, Mirna; Mayor, Ángel M.

    2015-01-01

    The aim of the study was to determine the prevalence and factors associated with bursitis/tendonitis disorders in Puerto Ricans with diabetes mellitus (DM). A cross-sectional study was performed in 202 adult Puerto Ricans (100 DM patients and 102 non-diabetic subjects). For each participant, a complete medical history and a musculoskeletal exam were systematically performed. Socio-demographic parameters, health-related behaviors, comorbidities, and pharmacotherapy were determined for all subjects. For DM patients, disease duration, glycemic control, and DM long-term complications were also examined. Multivariate logistic regression analyses were used to determine the factors associated with bursitis/tendonitis disorders. The mean (SD) age for DM patients and non-diabetic controls were 53.3 (12.9) and 50.0 (13.1) years; 64.0 and 64.7 % of DM patients and controls were females, respectively. Overall, the prevalence of bursitis/tendonitis was higher in DM patients than among non-diabetics (59.0 % vs. 29.4 %, pbursitis/tendonitis as compared to non-diabetics. Specifically, DM patients had a higher frequency of flexor tenosynovitis, De Quervain’s tenosynovitis, lateral epicondylitis, medial epicondylitis, trochanteric bursitis, and anserine bursitis than non-diabetic subjects (pbursitis/tendonitis were more likely to be female [OR (95 % CI) 4.55 (1.42, 14.55)] and have peripheral vascular disease [OR (95 % CI) 8.48 (1.71, 41.93)]. In conclusion, bursitis/tendonitis disorders were common in this population of Hispanics with DM. Among DM patients, bursitis/tendonitis disorders were more frequent in women and those with long-term complications such as peripheral vascular disease. PMID:24522480

  11. Acetabular anteversion is associated with gluteal tendinopathy at MRI

    Energy Technology Data Exchange (ETDEWEB)

    Moulton, Kyle M. [University of Saskatchewan, Department of Medical Imaging, Saskatoon, SK (Canada); Royal University Hospital, Department of Medical Imaging, Saskatoon, SK (Canada); Aly, Abdel-Rahman [University of Saskatchewan, Department of Physical Medicine and Rehabilitation, Saskatoon, SK (Canada); Rajasekaran, Sathish [Health Pointe - Pain, Spine and Sport Medicine, Edmonton, AB (Canada); Shepel, Michael; Obaid, Haron [University of Saskatchewan, Department of Medical Imaging, Saskatoon, SK (Canada)

    2015-01-15

    Gluteal tendinopathy and greater trochanteric pain syndrome (GTPS) remain incompletely understood despite their pervasiveness in clinical practice. To date, no study has analyzed the morphometric characteristics of the hip on magnetic resonance imaging (MRI) that may predispose to gluteal tendinopathy. This study aimed to evaluate whether acetabular anteversion (AA), femoral neck anteversion (FNA), and femoral neck-shaft angle (FNSA) are associated with MRI features of gluteal tendinopathy. A total of 203 MRI examinations of the hip met our inclusion and exclusion criteria. A single blinded investigator measured AA, FNA, and FNSA according to validated MRI techniques. Two blinded subspecialty-trained musculoskeletal radiologists then independently evaluated the presence of gluteal tendinosis, trochanteric bursitis, and subgluteal bursitis. Statistical analysis was performed using a one-way analysis of variance (ANOVA; post-hoc Tukey's range test). At MRI, 57 patients had gluteal tendinosis with or without bursitis, 26 had isolated trochanteric bursitis, and 11 had isolated subgluteal bursitis. AA was significantly (p = 0.01) increased in patients with MRI evidence of gluteal tendinosis with or without bursitis [mean: 18.4 , 95 % confidence interval (CI): 17.2 -19.6 ] compared with normal controls (mean: 15.7 , 95 % CI: 14.7 -16.8 ). Similarly, AA was significantly (p = 0.04) increased in patients with isolated trochanteric bursitis (mean: 18.8 , 95 % CI: 16.2 -21.6 ). No association was found between FNA or FNSA and the presence of gluteal tendinopathy. Interobserver agreement for the presence and categorization of gluteal tendinopathy was very good (kappa = 0.859, 95 % CI: 0.815-0.903). Our MRI study suggests that there is an association between increased AA and gluteal tendinopathy, which supports a growing body of evidence implicating abnormal biomechanics in the development of this condition. (orig.)

  12. Acetabular anteversion is associated with gluteal tendinopathy at MRI.

    Science.gov (United States)

    Moulton, Kyle M; Aly, Abdel-Rahman; Rajasekaran, Sathish; Shepel, Michael; Obaid, Haron

    2015-01-01

    Gluteal tendinopathy and greater trochanteric pain syndrome (GTPS) remain incompletely understood despite their pervasiveness in clinical practice. To date, no study has analyzed the morphometric characteristics of the hip on magnetic resonance imaging (MRI) that may predispose to gluteal tendinopathy. This study aimed to evaluate whether acetabular anteversion (AA), femoral neck anteversion (FNA), and femoral neck-shaft angle (FNSA) are associated with MRI features of gluteal tendinopathy. A total of 203 MRI examinations of the hip met our inclusion and exclusion criteria. A single blinded investigator measured AA, FNA, and FNSA according to validated MRI techniques. Two blinded subspecialty-trained musculoskeletal radiologists then independently evaluated the presence of gluteal tendinosis, trochanteric bursitis, and subgluteal bursitis. Statistical analysis was performed using a one-way analysis of variance (ANOVA; post-hoc Tukey's range test). At MRI, 57 patients had gluteal tendinosis with or without bursitis, 26 had isolated trochanteric bursitis, and 11 had isolated subgluteal bursitis. AA was significantly (p = 0.01) increased in patients with MRI evidence of gluteal tendinosis with or without bursitis [mean: 18.4°, 95 % confidence interval (CI): 17.2°-19.6°] compared with normal controls (mean: 15.7°, 95 % CI: 14.7°-16.8°). Similarly, AA was significantly (p = 0.04) increased in patients with isolated trochanteric bursitis (mean: 18.8°, 95 % CI: 16.2°-21.6°). No association was found between FNA or FNSA and the presence of gluteal tendinopathy. Interobserver agreement for the presence and categorization of gluteal tendinopathy was very good (kappa = 0.859, 95 % CI: 0.815-0.903). Our MRI study suggests that there is an association between increased AA and gluteal tendinopathy, which supports a growing body of evidence implicating abnormal biomechanics in the development of this condition.

  13. Hydroxyapatite crystal deposition disease: imaging aspects and biological behavior; Doenca de deposito de hidroxiapatita: aspectos por imagem e comportamento biologico

    Energy Technology Data Exchange (ETDEWEB)

    D' Aquino, Danilo Olavarria; Pinto, Alexandre de Lavra; Costa, Mauro Jose Brandao da; Fanelli, Vania A. [Hospital Sao Francisco, Ribeirao Preto, SP (Brazil)]. E-mail: documenta@netside.com.br; Abud, Lucas Giansante [Sao Paulo Univ., Ribeirao Preto, SP (Brazil). Faculdade de Medicina

    2005-04-15

    Objective: to demonstrate, using imaging methods (x-ray, computed tomography (CT), magnetic resonance imaging (MRI) and ultrasound (US), the phases of hydroxyapatite crystal deposition disease in joints, particularly in the shoulder, from the silent phase to the intra-osseous migration of calcifications and radiologic follow-up examinations showing complete remission after physical therapy. Material and method: we evaluated 27 joints (25 shoulders, one hip and one elbow) of patients followed-up with radiographs. Patients extremely symptomatic and refractory to treatment were referred to MRI or US. Results: total remission of calcifications was observed in 15 joints after treatment - 14 shoulders and one elbow. In two joint, migration of the calcification to bone was observed: one to the bursa subdeltoidea, one to biceps tendon, one to subcoracoid recess and one to the interior of the infra spinal muscle. In two cases MRI and CT scans showed a high inflammatory process triggered by the disease. Conclusion: hydroxyapatite crystal deposition disease affects multiple joints and can vary from asymptomatic to extremely symptomatic. Imaging methods show all phases of the disease, including the migratory phase. In general, the use of x-ray is enough for the diagnosis and follow-up. MRI and CT provide a more accurate diagnosis in the active phase of the disease. In this paper, remission was seen with physiotherapy (iontophoresis) in 55% of the cases. (author)

  14. 针刀结合手法分型治疗网球肘与单纯手法治疗的疗效比较%Comparison Curative Effect of Meed-knife Technique Type and Pure Technique Type in Treatment of Radiohumeral Bursitis

    Institute of Scientific and Technical Information of China (English)

    高国友; 梁雪

    2015-01-01

    Objective To study the needle knife combination technique and simple technique different effect for the treatment of tennis elbow.Methods Selected 62 patients with tennis elbow from January 2012 to January 2014, were randomly divided into two groups, the needle knife group because of more than 2%, and prednisolone closed, after stripping with 4 needle knife and cut the elbow and the starting point refers to the total muscle tendon adhesion and half ring parts, to cut off the local microvascular nerve bundle, the control group treated by simple technique, compared two groups of curative effect.Results Needle knife group was 85.29%, the control group was 46.43%, the difference between the two groups have statistical signiifcance. Grip strength and tenderness of needle knife group, the elbow joint function score is better than that of control group, the differences between the two groups have statistical significance.Conclusion Needle knife in the treatment of tennis elbow effect than simple operative curative effect is ideal.%目的:探讨针刀结合手法与单纯手法治疗网球肘的不同效果。方法选择2012年1月~2014年1月网球肘患者62例,随机分为两组,针刀组采用2%利多因加强的松龙作痛点封闭,之后用4号针刀剥离并切断肘关节伸指肌总腱起点附着处和半环形部分,切断局部微血管神经束,对照组采用单纯手法治疗,比较两组疗效。结果针刀组优良率85.29%,对照组优良率46.43%,P<0.05,差异具有统计学意义。针刀组的握力、压痛、肘关节功能等评分优于对照组,P<0.05,差异具有统计学意义。结论针刀治疗网球肘效果比单纯手术治疗疗效理想。

  15. The clinical studies with extracorporeal shock wave therapy(ESWT)to treat tennis elbows subacromial bursitis and painful heel%体外冲击波治疗网球肘、肩周炎及跟痛症的作用探讨

    Institute of Scientific and Technical Information of China (English)

    邢更彦; 井茹芳; 杨传铎

    2001-01-01

    目的探讨体外冲击波治疗网球肘、肩周炎及跟痛症的疗效 . 方法应用国产 ESWO冲击波骨科治疗机治疗网球肘 102例、肩周炎 95例及跟痛症 86例 , 并与对照组进行比较 . 结果经 8~ 26月随访 , 结果显示 , 3种疾病治疗组疗效优良率与对照组间差异均极其显著 ( P < 0.01) . 结论该法治疗上述疾病具有安全、有效、无创、没有并发症等特点 .

  16. 阳和汤熏洗联合西药治疗坐骨结节滑囊炎32例临床观察%Yanghe Decoction Fumigation Combined with Clinical Observation of 32 Cases of Western Medicine in the Treatment of Ischial Tuberosity Bursitis

    Institute of Scientific and Technical Information of China (English)

    杨海波

    2014-01-01

    [目的]观察阳和汤熏洗联合西药治疗坐骨结节滑囊炎疗效.[方法]使用前瞻性设计方法,对32例住院患者,以坐骨结节滑囊炎穿刺抽液,并注入曲氨奈德及利多卡因治疗.活血化瘀,消肿止痛,阳和汤(麻黄6g,熟地黄15g,白芥子10g,甘草3g,炮姜炭、桂枝10g),1剂/d,水煎1000mL,熏洗.均连续治疗2周为1疗程.观测临床症状、不良反应.连续治疗2疗程,判定疗效.[结果]痊愈26例,好转5例,无效1例,总有效率96.88%.[结论]阳和汤熏洗联合西药治疗坐骨结节滑囊炎疗效确切.

  17. Miao tattoos the face and exiles to the frontier gathers the joint activity treatment adhesion time bursitis in shoulder clinical research%缪刺配合关节活动治疗粘连期肩周炎的临床研究

    Institute of Scientific and Technical Information of China (English)

    李良; 赵绮娜

    2011-01-01

    目的:观察缪刺配合关节活动治疗粘连期肩周炎的临床疗效及相对普通针刺治疗的优势.方法:将60例粘连期肩周炎患者随机分为2组,实验组采用缪刺疗法配合关节活动治疗,对照组予普通针刺治疗,隔日治疗1次,15次为1个疗程.结果:治疗组疗效明显优于对照组,差异有统计学意义(P<0.05).结论:与普通针刺相比,缪刺配合关节活动的临床疗效更佳,即刻镇痛效应尤其显著.

  18. Arm clump of anaesthesia the technique lysis coordination massage treats the bursitis in shoulder clinical observation%臂丛麻醉下手法松解术配合推拿治疗肩周炎的临床观察

    Institute of Scientific and Technical Information of China (English)

    翁文水; 林玉芬; 郑国良; 黄少淳; 郑银家; 吴昌跃

    2010-01-01

    目的:观察臂丛神经麻醉下肩关节松解术配合推拿手法治疗肩周炎的疗效.方法:34例患肩周炎的患者在臂丛麻醉下通过手法松解关节粘连,术后配合推拿治疗.结果:大多数患者经治疗后效果满意,病情明显改善.结论:采用臂丛麻醉下进行肩关节炎的治疗,病人痛苦小,疗效确切,值得推广.

  19. The pain spot injection and the technique hold back treat 68 example stubborn bursitis in shoulder curative effect observation%痛点注射和手法按压治疗68例顽固性肩周炎疗效观察

    Institute of Scientific and Technical Information of China (English)

    昌玉华

    2010-01-01

    目的:寻找一种综合治疗顽固性肩周炎的有效方法.方法:痛点注射和手法按压,并配合理疗和中药热敷及功能锻炼,治疗68例顽固性肩周炎.结果:治愈42例占75%,显效8例占14.3%,有效5例占7.1%,总有效率98%.结论:痛点注射和手法按压治疗顽固性肩周炎见效快,疗效好.

  20. Effect of acupuncture with warmed needle combined with experience point on radiolhumeral bursitis in 56 patients%温针灸配合经验穴治疗肱骨外上髁炎56例临床疗效观察分析

    Institute of Scientific and Technical Information of China (English)

    程海龙

    2009-01-01

    目的 观察温针灸配合经验穴(冲阳穴)治疗肱骨外上髁炎的临床疗效.方法 采用随机分组的方法,治疗组56例,在主穴治疗的基础上配合经验穴和温针灸;对照组55例,在主穴治疗的基础上配合电针治疗.结果 治疗组总有效率100%,对照组总有效率96.4%.结论 温针灸配合经验穴治疗肱骨外上髁炎疗效明显优于对照组,疗效确切.

  1. 小针刀切剥加独角膏外敷治疗股骨大转子慢性滑囊炎%Treatment of chronic bursitis of trochanter major with the small needle knife and Dujiao (独角) mastic

    Institute of Scientific and Technical Information of China (English)

    颜慧玫; 钟强; 张雄辉

    2007-01-01

    我院自2000年6月-2005年7月,应用小针刀切剥加独角膏外敷法和注射法治疗股骨大转子慢性滑囊炎患者90例,其中小针刀切剥加独角膏外敷治疗50例,注射治疗40例,现总结报告如下。

  2. 阳和汤熏洗联合西药治疗坐骨结节滑囊炎32例临床观察%Yanghe Decoction Fumigation Combined with Clinical Observation of 32 Cases of Western Medicine in the Treatment of Ischial Tuberosity Bursitis

    Institute of Scientific and Technical Information of China (English)

    杨海波

    2014-01-01

    [目的]观察阳和汤熏洗联合西药治疗坐骨结节滑囊炎疗效.[方法]使用前瞻性设计方法,对32例住院患者,以坐骨结节滑囊穿刺抽液,并注入曲氨奈德及利多卡因治疗.活血化瘀,消肿止痛,阳和汤(麻黄6g,熟地黄15g,白芥子10g,甘草3g,炮姜炭、桂枝10g),1剂/d,水煎1000mL,熏洗.均连续治疗2周为1疗程.观测临床症状、不良反应.连续治疗2疗程,判定疗效.[结果]痊愈26例,好转5例,无效1例,总有效率96.88%.[结论]阳和汤熏洗联合西药治疗坐骨结节滑囊炎疗效确切.

  3. Efeito do pH na calcificação in vitro de pele porcina In Vitro calcification of porcine skin: influence of pH

    Directory of Open Access Journals (Sweden)

    Thelma M. Batista

    2007-12-01

    Full Text Available A engenharia de tecidos tem sido utilizada como alternativa na reconstrução de tecidos duros e moles. Este estudo teve como objetivo a calcificação "in vitro" de pele porcina visando à obtenção de um material para regeneração de tecido duro. As matrizes de pele porcina foram calcificadas em cela dupla termostatizada a 37 °C em pH 7,4 e pH 9,0 e caracterizadas por microscopia eletrônica de varredura (MEV, termogravimetria (TGA, espectroscopia no infravermelho (FTIR, calorimetria exploratória diferencial (DSC e difração de raios X. Os resultados obtidos por DSC mostraram que as amostras calcificadas têm um pequeno aumento nos valores de temperatura de desnaturação em relação à amostra não calcificada, enquanto as curvas termogravimétricas mostraram uma porcentagem maior de material inorgânico para o pH 7,4 em comparação com as amostras obtidas em pH 9,0. A formação de sais de fosfato de cálcio nas fibras de colágeno foi confirmada por difração de raios X (DRX, espectroscopia no infravermelho (FTIR e microscopia eletrônica de varredura (MEV.Tissue engineering has been used as an alternative in the reconstruction of hard and soft tissues. The objective of this work was to study the in vitro calcification of porcine skin aiming at obtaining a material to be used for regeneration of hard tissue. Pig skin was calcified at 37 °C, pH 7.4 and pH 9.0 and characterized by scanning electron microscopy (SEM, thermogravimetric analysis (TGA, infrared spectroscopy (FTIR, differential scanning calorimetry (DSC and X ray diffraction (XRD. The results obtained by DSC showed that calcified samples had a small increase in the values of denaturation temperature when compared with uncalcified samples. Thermogravimetric curves showed higher quantity of inorganic material for the pH 7.4 matrix when compared to samples obtained in pH 9.0. The formation of calcium phosphate salts on collagen fibers was seen by SEM, which was also confirmed

  4. Herd- and sow-related risk factors for lameness in organic and conventional sow herds

    DEFF Research Database (Denmark)

    Knage-Rasmussen, Kristian Møllegaard; Houe, Hans; Rousing, Tine

    2014-01-01

    included in the study were clinical parameters and factors related to the production system. Sows were examined visually by one of four trained observers. The organic sows were assigned scores for lameness, body condition, hoof length, bursitis, abscesses and leg wounds, while the conventional sows were...... assigned scores for lameness, body condition and bursitis. A multivariable analysis was carried out by logistic regression with the herd and observer as random effects. The average herd lameness prevalence in gestation and lactation sows in organic herds was 11% in summer/autumn and 4.6% in winter....../spring. ‘Wounds, bursitis and abscess’ on legs (OR=4.7, P3 (OR=1.79, P=0.008) were associated with increased risk of lameness in Danish organic sow herds. Season (winter/spring v. summer/autumn) lowered the risk of lameness (OR=0.37, P

  5. MR imaging of the elbow in the injured athlete.

    Science.gov (United States)

    Wenzke, Daniel R

    2013-03-01

    This article summarizes key MR imaging findings in common athletic elbow injuries including little leaguer's elbow, Panner disease, osteochondritis dissecans, olecranon stress fracture, occult fracture, degenerative osteophyte formation, flexor-pronator strain, ulnar collateral ligament tear, lateral ulnar collateral ligament and radial collateral ligament tear, lateral epicondylitis, medial epicondylitis, biceps tear, bicipitoradial bursitis, triceps tear, olecranon bursitis, ulnar neuropathy, posterior interosseous nerve syndrome, and radial tunnel syndrome. The article also summarizes important technical considerations in elbow MR imaging that enhance image quality and contribute to the radiologist's success.

  6. Endoscopic resection of the inflamed bicipitoradial bursa extended around the radial neck

    Science.gov (United States)

    Lui, Tun Hing

    2013-01-01

    The bicipitoradial bursa lies at the insertion of the biceps tendon on the radial tuberosity. It is an unusual site for chronic bursitis and most often, results from repetitive mechanical trauma or overuse. Other causes include tuberculosis, immunological complications of the rheumatological disease, for example, psoriatic arthropathy, rheumatoid arthritis and synovial chondromatosis. Unlike ganglion cyst arising from the elbow joint, resection of the bursa through the elbow arthroscopy is not possible as the bursa is not communicated with the joint. We reported a patient with rheumatoid arthritis presenting with bicipitoradial bursitis extended around the radial neck which was successfully resected endoscopically. PMID:23704464

  7. [Tendinitis of the hip region].

    Science.gov (United States)

    Samson, M; Lequesne, M

    1991-06-21

    Tendinitis and bursitis are less common around the hip than around the shoulder. Nevertheless, they must be recognized to avoid unnecessary and costly diagnostic errors. Their various clinical forms are studied in detail. Tendino-bursitis of the gluteus medius muscle is the most frequent in its subacute form, but it is rare in its acute, pseudo-gouty form. Calcification of the reflected tendon of the rectus femoris muscle often closely resembles arthritis of the hip. Synovial cysts of the psoas bursa and rupture of the gluteus medius tendon are rare but must be known. Local injections of corticosteroids play an important part in the treatment of these diseases.

  8. Imaging of bursae around the shoulder joint

    Energy Technology Data Exchange (ETDEWEB)

    Bureau, N.J. [Department of Radiology, Hotel-Dieu de Montreal Hospital, Montreal, Quebec (Canada); Dussault, R.G. [Department of Radiology, Health Sciences Center, University of Virginia, Charlottesville, Virginia (United States); Keats, T.E. [Department of Radiology, Health Sciences Center, University of Virginia, Charlottesville, Virginia (United States)

    1996-08-01

    The authors present a review of the anatomy of the major bursae around the shoulder joint and discuss the use of the different imaging modalities which demonstrate their radiologic features. The calcified subacromial-subdeltoid bursa has a characteristic appearance on plain radiographs. When inflamed it can be visualized by ultrasound and magnetic resonance imaging. Calcific bursitis may involve the subcoracoid bursa. This bursa may mimic adhesive capsulitis of the shoulder or complete rotator cuff tear when injected inadvertently during shoulder arthrography. Less well known are three coracoclavicular ligament bursae. These are also subject to calcific bursitis and have a typical radiologic appearance. (orig.). With 6 figs.

  9. Rhabdomyolysis in DOMS

    Energy Technology Data Exchange (ETDEWEB)

    Martinez Carsi, C. [Hospital 9 d' Octubre, Valencia (Spain). Serveis de Medicina Nuclear; Ruiz Hernandez, G. [Hospital Clinic Universitari, Valencia (Spain). Serveis de Medicina Nuclear; Sanchez Marchori, C.; Munoz Moliner, J. [Hospital 9 d' Octubre, Valencia (Spain). Serveis de Traumatologia

    1999-07-01

    A 26-year-old man with a previous history of external twin bursitis was remitted to our Department for a bone scintigraphy. Before the study, the patient performed an elevated number of intense sprints. Bone scintigraphy showed a bilaterally increased activity in both anterior rectum muscles suggesting rhabdomyolysis. Biochemical studies and MRT confirmed the diagnosis. (orig.) [German] Ein 26jaehriger Mann mit vorausgehender M.-gastrocnemius-Bursitis wurde zur Skelettszintigraphie in unsere Abteilung ueberwiesen. Vor der Untersuchung fuehrte der Patient mehrere Kurzstreckensprints durch. Die Skelettszintigraphie ergab eine erhoehte Aktivitaet in beiden Mm. recti femoris, die auf eine Rhabdomyolyse hinweist. Biochemische Untersuchungen und MRT bestaetigten die Diagnose. (orig.)

  10. HAGLUND SYNDROME: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Indira

    2015-07-01

    Full Text Available Haglund Syndrome is one of the causes of posterior heel pain. It is the inflammation of the tendoachilles at the calcaneal insertional site and the regional soft tissues. It comprises of insertional Achilles tendinopathy, retrocalcaneal & retroachilles bursitis and posterior calcaneal bony spur. Imaging plays a very important role in the diagnosis as it can be mimicked by several other conditions like isolated retrocalcaneal bursitis, enthesopathies and accessory soleus muscle. Though plain radiograph is the initial modality of investigation, MRI is preferred as it offers superior soft tissue contrast resolution and accurate diagnosis.

  11. Pericardite constritiva com calcificação extensa

    Directory of Open Access Journals (Sweden)

    Marcelo Villaça Lima

    2011-01-01

    Full Text Available Paciente com sinais e sintomas de insuficiência cardíaca direita de etiologia desconhecida, transferida para tratamento em hospital de referência da zona leste de São Paulo, com diagnóstico de pericardite constritiva calcificada, tratada cirurgicamente. Essa patologia caracteriza-se por processo de calcificação irreversível do pericárdio, e o tratamento cirúrgico é a alternativa para o controle dos sintomas e a melhora da qualidade de vida dos pacientes. Esse caso chamou a atenção pela extensão da calcificação e por seu local de distribuição, atingindo o septo interventricular, fato que dificultou o diagnóstico pelo aspecto inusitado das imagens, deixando dúvida se haveria outra doença associada.

  12. Traumatic foot injuries in horses: surgical management.

    Science.gov (United States)

    Burba, Daniel J

    2013-01-01

    Managing traumatic foot wounds in horses may require surgical intervention. These wounds include coronary-band and heel-bulb lacerations, septic pedal osteitis, septic navicular bursitis, sepsis of the collateral cartilages, and hoof-wall injuries. This article provides a practical overview of the surgical management of these types of wounds.

  13. Haglund syndrome: historical and systematic review

    Directory of Open Access Journals (Sweden)

    A. P. Sereda

    2014-01-01

    Full Text Available Haglund syndrome is one of the leading causes of pain and functional disorders in the posterior heel. It consists of retrocalcaneal pain caused by retrocalcaneal bursitis and impindgement Achilles tendon tenopathy due to Haglund's deformity. Throughout historical rewiev and systematic rewiev of current conservative and surgical treatments for Haglund syndrome performed in the article.

  14. Haglund syndrome: historical and systematic review

    OpenAIRE

    A. P. Sereda; Kavalerskiy, G.M.

    2014-01-01

    Haglund syndrome is one of the leading causes of pain and functional disorders in the posterior heel. It consists of retrocalcaneal pain caused by retrocalcaneal bursitis and impindgement Achilles tendon tenopathy due to Haglund's deformity. Throughout historical rewiev and systematic rewiev of current conservative and surgical treatments for Haglund syndrome performed in the article.

  15. Effect of corticosteroid injection for trochanter pain syndrome: Design of a randomised clinical trial in general practice

    NARCIS (Netherlands)

    A. Brinks (Tineke); R.M. van Rijn (Rogier); A.M. Bohnen (Arthur); G.L.J. Slee (Gabriël); J.A.N. Verhaar (Jan); B.W. Koes (Bart); S.M. Bierma-Zeinstra (Sita)

    2007-01-01

    textabstractBackground. Regional pain in the hip in adults is a common cause of a general practitioner visit. A considerable part of patients suffer from (greater) trochanteric pain syndrome or trochanteric bursitis. Local corticosteroid injections is one of the treatment options. Although clear

  16. Locomotor diseases among male long-haul truck drivers and other professional drivers

    DEFF Research Database (Denmark)

    Jensen, Anker; Kaerlev, Linda; Tüchsen, Finn

    2007-01-01

    -249) and for other truck drivers (SHR: 130, 95% CI: 108-156) compared to bus drivers (SHR: 110, 95% CI: 79-149). All drivers had high SHR for lesions of the ulnar nerve (SHR: 159, 95% CI: 119-207), especially bus drivers (SHR: 197, 95% CI: 116-311). Long-haul truck drivers had high SHRs for synovitis and bursitis...

  17. Prototecosis Informe de tres casos

    Directory of Open Access Journals (Sweden)

    Miguel Guzmán

    1983-12-01

    Full Text Available Se presentan tres casos clínicos de prototecosis vistos y estudiados en el lnstituto Nacional de Salud. Uno corresponde a la forma tegumentaria y los otros dos a formas de bursitis del olécranon. Se discuten los aspectos biológicos, clínicos y de laboratorio de esta rara entidad causada por algas.

  18. Achilles Pain.

    Science.gov (United States)

    Connors, G. Patrick

    Five ailments which can cause pain in the achilles tendon area are: (1) muscular strain, involving the stretching or tearing of muscle or tendon fibers; (2) a contusion, inflammation or infection called tenosynovitis; (3) tendonitis, the inflammation of the tendon; (4) calcaneal bursitis, the inflammation of the bursa between the achilles tendon…

  19. Mycobacterium marinum Infection After Exposure to Coal Mine Water.

    Science.gov (United States)

    Huaman, Moises A; Ribes, Julie A; Lohr, Kristine M; Evans, Martin E

    2016-01-01

    Mycobacterium marinum infection has been historically associated with exposure to aquariums, swimming pools, fish, or other marine fauna. We present a case of M marinum left wrist tenosynovitis and elbow bursitis associated with a puncture injury and exposure to coal mine water in Illinois.

  20. Radiotherapy in degenerative-dystrophic and inflammatory diseases of the osteoarticular system

    Energy Technology Data Exchange (ETDEWEB)

    Pereslegin, I.A.; Zolotkov, A.G.; Alejnikov, G.E. (Vtoroj Moskovskij Gosudarstvennyj Meditsinskij Inst. (USSR))

    1984-07-01

    Analysis of a 3-6 year follow-up of 565 patients with deforming arthrosis, spondylosis, osteochondrosis, spondylarthrosis and calcareous bursitis indicates the efficacy of the proposed standardized complex of topometric and roentgenotherapeutic methods. Medical and social rehabilitation was achieved in most of the patients. The quantitative assessment of the therapeutic results makes it possible to interpret them objectively and unambiguously.

  1. TREATMENT OF 62 CASES OF EXTERNAL HUMERAL EPICONDYLITIS WITH STILETTO NEEDLE

    Institute of Scientific and Technical Information of China (English)

    JIA Jian-xin; WEN Zhi-hua

    2006-01-01

    @@ External humeral epicondylitis, also known as brachioradial bursitis, popularly called "tennis elbow" refers to the acute or chronic myofascitis, the injury of the common extensor tendon of the humeral epicondyle. The authors have recently treated 62 cases of the disease by means of stiletto needle, the therapeutic effect of the treatment is so satisfactory, following is the report of the treatment.

  2. Ergonomic Assessment of Handheld Laser Technology in De-painting Process

    Science.gov (United States)

    2004-03-11

    abducted (similar to cradling a phone). This awkward posture can cause unnecessary stress at the shoulder ( acromioclavicular joint and the...awkward posture can cause unnecessary stress at the shoulder ( acromioclavicular joint and the glenohumeral joint) and may contribute to bursitis or

  3. Subacromial impingement syndrome

    NARCIS (Netherlands)

    Umer, M.; Qadir, I.; Azam, M.

    2012-01-01

    Subacromial impingement syndrome (SAIS) represents a spectrum of pathology ranging from subacromial bursitis to rotator cuff tendinopathy and full-thickness rotator cuff tears. The relationship between subacromial impingement and rotator cuff disease in the etiology of rotator cuff injury is a

  4. Ultrasonography of the Rotator Cuff

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Yong Cheol [Samsung Medica Center, Sungkyunkwan University College of Medicine, Seoul (Korea, Republic of)

    2006-09-15

    The ultrasonography (US) is an important modality in evaluating shoulder disease. It is accurate in diagnosing the various shoulder diseases including tendinosis, calcific tendinitis, and subacromial bursitis as well as rotator cuff tears. This article presents a pictorial review of US anatomy of the shoulder, the technical aspects of shoulder US, major types of shoulder pathology, and interventional procedure under US guidance

  5. MR Imaging Features of Obturator Internus Bursa of the Hip

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Ji Young; Lee, Sun Wha; Kim, Jong Oh [School of Medicine, Ewha Womans University, Seoul (Korea, Republic of)

    2008-08-15

    The authors report two cases with distension of the obturator internus bursa identified on MR images, and describe the location and characteristic features of obturator internus bursitis; the 'boomerang'-shaped fluid distension between the obturator internus tendon and the posterior grooved surface of the ischium

  6. Cervical Spondylitis and Epidural Abscess Caused by Brucellosis: a Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Reşorlu Hatice

    2016-12-01

    Full Text Available Brucellosis is a zoonotic disease widely seen in endemic regions and that can lead to systemic involvement. The musculoskeletal system is frequently affected, and the disease can exhibit clinical involvements such as arthritis, spondylitis, spondylodiscitis, osteomyelitis, tenosynovitis and bursitis. Spondylitis and spondylodiscitis, common complications of brucellosis, predominantly affect the lumbar and thoracic vertebrae.

  7. Capitellocondylar total elbow replacement in late-stage rheumatoid arthritis

    DEFF Research Database (Denmark)

    Ovesen, Janne; Olsen, Bo Sanderhoff; Johannsen, Hans Viggo

    2012-01-01

    of instability. Other complications included 2 maltracking elbows, 2 triceps tendon ruptures, 2 cases of operative olecranon bursitis, and 2 ulnar nerve palsies. One elbow showed radiolucent lines of more than 1 mm in the circumference of the ulnar component; none of the other elbows showed any signs...

  8. The Achilles heel of adults and children

    NARCIS (Netherlands)

    Wiegerinck, J.I.

    2014-01-01

    This thesis focuses on the imaging and treatment of the Achilles heel of adults and children. The figurative and literal Achilles heel consists of a number of pathologies: ankle impingement, Achilles tendinopathy, retrocalcaneal bursitis and calcaneal apophysitis. Research as well as diagnosis and t

  9. Effect of corticosteroid injection for trochanter pain syndrome: Design of a randomised clinical trial in general practice

    NARCIS (Netherlands)

    A. Brinks (Tineke); R.M. van Rijn (Rogier); A.M. Bohnen (Arthur); G.L.J. Slee (Gabriël); J.A.N. Verhaar (Jan); B.W. Koes (Bart); S.M. Bierma-Zeinstra (Sita)

    2007-01-01

    textabstractBackground. Regional pain in the hip in adults is a common cause of a general practitioner visit. A considerable part of patients suffer from (greater) trochanteric pain syndrome or trochanteric bursitis. Local corticosteroid injections is one of the treatment options. Although clear evi

  10. Symptomatic knee disorders in floor layers and graphic designers. A cross-sectional study

    DEFF Research Database (Denmark)

    Jensen, Lilli Kirkeskov; Rytter, Søren; Bonde, Jens Peter

    2012-01-01

    Previous studies have described an increased risk of developing tibio-femoral osteoarthritis (TF OA), meniscal tears and bursitis among those with a trade as floor layers. The purpose of this study was to analyse symptomatic knee disorders among floor layers that were highly exposed to kneeling...

  11. Subacromial impingement syndrome

    NARCIS (Netherlands)

    Umer, M.; Qadir, I.; Azam, M.

    2012-01-01

    Subacromial impingement syndrome (SAIS) represents a spectrum of pathology ranging from subacromial bursitis to rotator cuff tendinopathy and full-thickness rotator cuff tears. The relationship between subacromial impingement and rotator cuff disease in the etiology of rotator cuff injury is a matte

  12. Locomotor diseases among male long-haul truck drivers and other professional drivers

    DEFF Research Database (Denmark)

    Jensen, Anker; Kaerlev, Linda; Tüchsen, Finn

    2007-01-01

    -249) and for other truck drivers (SHR: 130, 95% CI: 108-156) compared to bus drivers (SHR: 110, 95% CI: 79-149). All drivers had high SHR for lesions of the ulnar nerve (SHR: 159, 95% CI: 119-207), especially bus drivers (SHR: 197, 95% CI: 116-311). Long-haul truck drivers had high SHRs for synovitis and bursitis...

  13. Soldier Mobility: Innovations in Load Carriage System Design and Evaluation (la Mobilite du combattant: innovations dans la conception et l’evaluation des gilets d’intervention)

    Science.gov (United States)

    2001-05-01

    patellar tendinitis , bursitis, and ligamentous strain. These conditions can arise from an abrupt increase in road marching mileage or intensity or...locomotion, helps lift the weight of body and backpack during the stride) - biceps femoris (flexes the knee, extends the hip) - tibialis anterior

  14. Excessive progression in weekly running distance and risk of running-related injuries

    DEFF Research Database (Denmark)

    Nielsen, Rasmus Østergaard; Parner, Erik Thorlund; Nohr, Ellen Aagaard

    2014-01-01

    trochanteric bursitis, injury to the tensor fascia latae, and patellar tendinopathy) existed in those who progressed their weekly running distance by more than 30% compared with those who progressed less than 10% (hazard ratio = 1.59; 95% confidence interval: 0.96, 2.66; P = .07). Conclusion Novice runners who...

  15. Evaluación de las placas coronarias por tomografía computarizada multidetector de 16 filas. Correlación con ecografía intravascular

    Directory of Open Access Journals (Sweden)

    Patricia Carrascosa

    2008-01-01

    Full Text Available IntroducciónEl 50% de las muertes de etiología cardiovascular se deben a la enfermedad arteriosclerótica. Estudios recientes demostraron que las placas ateromatosas más propensas al desarrollo de un evento coronario son las que presentan ciertas características particulares, como un centro o core lipídico y remodelación positiva, denominadas placas vulnerables. La determinación temprana de la presencia de este tipo de placas ateroscleróticas tendría un impacto clínico de suma importancia y podría ayudar a prevenir el desarrollo de un síndrome coronario agudo en el futuro.ObjetivoDeterminar la certeza diagnóstica de la angiografía coronaria por tomografía computarizada multidetector de 16 filas (16-ACTCM en la identificación, la caracterización y la cuantificación de las lesiones arterioscleróticas coronarias en comparación con la ecografía intravascular (EIV.Material y métodosSe estudiaron 45 pacientes con indicación de angiografía coronaria con 16-ACTCM y EIV.En cada segmento coronario se analizaron la carga de placa y las características de la placa aterosclerótica, que se clasificó en blanda, fibrosa y cálcica. La certeza diagnóstica de la 16-ACTCM para determinar la carga de placa y la identificación de placas coronarias se calculó con el método exacto binomial. Sobre la base de un análisis con curvas ROC se determinó el punto de corte para cada tipo de placa, así como la densidad media y la desviación estándar en unidades Hounsfield [UH]. Se evaluó además la certeza diagnóstica de la ACTCM para el diagnóstico de estenosis coronaria = 50%.ResultadosPara la detección de carga de placa, la sensibilidad fue del 96,2% y la especificidad fue del 81,9%. Para la detección de placas blandas, fibrosas y calcificadas, la sensibilidad y la especificidad fueron del 94,6% y 92,62%, del 94,9% y 98,5% y del 93,2% y 95,1%, respectivamente.Con un valor de corte de 85 UH, la 16-ACTCM diferenció correctamente el 86

  16. Avaliação da captura de fragmentos por meio da filtração intra-aórtica em pacientes submetidos à troca valvar aórtica Particulate emboli capture by an intra-aortic filter device during aortic valve replacement

    Directory of Open Access Journals (Sweden)

    Osanan Amorim Leite Filho

    2008-09-01

    Full Text Available OBJETIVO: O objetivo deste estudo foi avaliar a atividade embólica de pacientes portadores de estenose aórtica calcificada submetidos a troca valvar aórtica por meio da filtração intra-aórtica com dispositivo EMBOL-X® System (Edwards Lifesciences Inc., Mountain View, CA, USA. MÉTODOS: De janeiro de 2007 a julho de 2007, foi utilizado o filtro intra-aórtico EMBOL-X após o despinçamento aórtico em 13 portadores de estenose aórtica calcificada submetidos a troca valvar aórtica consecutivamente. A média de idade dos pacientes foi 63,7 anos (34-79 e 61,5% eram do sexo feminino. A média do tempo de CEC foi 60,2±7,5 (45-72 minutos e a média do tempo despinçamento aórtico foi 50±7,5 (35-63 minutos. Após a retirada dos filtros, eles foram fixados em formalina, analisados macroscopicamente e quantificados os fragmentos capturados. Foi realizado exame histológico do material capturado. RESULTADOS Não foi observado nenhum caso de complicação neurológica. Nenhum paciente apresentou insuficiência renal pós-operatória. Não houve óbitos hospitalares. Partículas embólicas foram encontradas em cinco (38,5% dos filtros. Das partículas embólicas capturadas, em dois (40% filtros havia fibrina, dois (40% apresentavam tecido conjuntivo, um (20% continha hemácias e em um não foi possível determinar a natureza. CONCLUSÃO: O dispositivo EMBOL-X® System foi efetivo na captação de fragmentos intra-aórticos na substituição da valva aórtica em pacientes com estenose aórtica calcificada.OBJECTIVE: This study aims to analyze the embolic activity in patients with calcified aortic stenosis who underwent aortic valve replacement using intra-aortic filtration with an EMBOL-X® System device (Edwards Lifesciences Inc., Mountain View, CA, USA. METHODS: From January 2007 to July 2007, 13 consecutive patients with calcified aortic stenosis, who underwent isolated aortic valve replacement using intra-aortic filtration by an EMBOL

  17. Fungus ball of the paranasal sinuses: Report of two cases and literature review.

    Science.gov (United States)

    Bosi, Guilherme Rasia; de Braga, Gustavo Lisbôa; de Almeida, Tobias Skrebsky; de Carli, Adriana

    2012-04-01

    Introdução: Bola fúngica dos seios paranasais é uma infecção não invasiva que se caracteriza por sua cronicidade, sendo a maioria relacionada com tratamento endodôntico prévio. Acomete principalmente o seio maxilar, embora todos os seios possam ser envolvidos. O principal agente etiológico é o Aspergillus spp. A tomografia computadorizada, devido às apresentações radiológicas características, sugere o diagnóstico que é realizado definitivamente através de análises histopatológicas. O tratamento padrão-ouro é a cirurgia sinusal endoscópica com antrostomia meatal média.Objetivo: Relatar dois casos de bola fúngica dos seios paranasais e ressaltar aspectos importantes desta patologia.Relato dos Casos: Caso 1) Paciente do sexo feminino, 78 anos, apresentou-se com queixas de dor facial há 6 meses e história prévia de tratamento endodôntico. Ao exame físico constatou-se a presença de secreção purulenta em meato médio esquerdo. O Raio X apresentou velamento completo do seio maxilar esquerdo, enquanto a tomografia computadorizada mostrou lesão calcificada neste local. Realizou-se sinusotomia que evoluiu bem. Caso 2) Paciente do sexo feminino, 70 anos, procurou atendimento por história de sinusites de repetição. Ao exame físico não se percebeu nenhuma particularidade. A tomografia computadorizada, assim como a ressonância magnética, detectou espessamento da parede mucosa do seio maxilar esquerdo, além de uma massa calcificada. Realizou-se a mesma sequência de tratamento e a paciente também evoluiu bem.Considerações finais: A infecção fúngica deve ser considerada nos pacientes que se apresentam com sinusite crônica, que não respondem ao uso de antibióticos e que possuem história de manipulação endodôntica.

  18. CAMBIOS EN LA FLORA BÉNTICA DE ARRECIFE HORNOS (VERACRUZ, MÉXICO

    Directory of Open Access Journals (Sweden)

    José Luis Godínez-Ortega

    2009-01-01

    Full Text Available El Arrecife Hornos pertenece al Sistema Arrecifal Veracruzano y por su accesibilidad a la costa ha sufrido el impacto antropogénico directo causando cambios en su biodiversidad. El objetivo del presente estudio fue conocer la composición y estructura florística, además de verificar los posibles cambios florísticos que han ocurrido en el área desde el último estudio en 1962. Los muestreos fueron realizados en las épocas de secas y lluvias (abril, 2008 y junio, 2008, respectivamente. La atribución de flora presente para 5 formas de vida (pastos marinos + epífitas, calcificadas/costrosas, filamentosas, tubulares/ laminares, racemosas/carnosas fue realizada con base en el análisis de la cobertura vegetal muestreada en 50 m2. Al comparar las especies del presente estudio con las especies reportadas en la literatura previamente se observó que de las 58 especies, 25 son nuevos reportes para Arrecife Hornos. La flora en 2008 fue pobre en comparación con las reportadas en 1962 (27 especies comparadas con las 58 especies. La flora de 1962 tenía un índice de Cheney de 3.5 que indica una flora mixta con elementos tropicales y subtropicales, sin embargo, para el presente estudio observamos un índice de 25 lo cual indica una flora tropical sin elementos subtropicales. Diversas especies de Sargassum hystrix var. buxifolium y S. polyceratium, comunes en 1962 han desparecido de Arrecife Hornos y especies con afinidad a aguas tropicales como Caulerpa racemosa y C. sertularioides están ahora presentes. Los valores de cobertura nos demuestran que Arrecife Hornos está cubierto en su mayoría por Thalassia testudinum y algas calcificadas (Lithophyllum aff. congestum y en menor proporción algas filamentosas, laminares y racemosas. El presente estudio sugiere la existencia de cambios en la composición y cobertura fitobentónica de Arrecife Hornos.

  19. Imaging of the Bursae

    Directory of Open Access Journals (Sweden)

    Zameer Hirji

    2011-01-01

    Full Text Available When assessing joints with various imaging modalities, it is important to focus on the extraarticular soft tissues that may clinically mimic joint pathology. One such extraarticular structure is the bursa. Bursitis can clinically be misdiagnosed as joint-, tendon- or muscle-related pain. Pathological processes are often a result of inflammation that is secondary to excessive local friction, infection, arthritides or direct trauma. It is therefore important to understand the anatomy and pathology of the common bursae in the appendicular skeleton. The purpose of this pictorial essay is to characterize the clinically relevant bursae in the appendicular skeleton using diagrams and corresponding multimodality images, focusing on normal anatomy and common pathological processes that affect them. The aim is to familiarize radiologists with the radiological features of bursitis.

  20. Surgical repair of the gluteal tendons: a report of 72 cases.

    Science.gov (United States)

    Walsh, Michael J; Walton, Judie R; Walsh, Nichola A

    2011-12-01

    Lateral hip pain is a common problem in middle-aged women. This pain is usually attributed to trochanteric bursitis and treated as such. This study reports the results of investigation, the findings at surgery, the operative technique, the histopathologic findings, and the results of gluteal tendon repair in 72 patients with long-standing trochanteric pain and reports a classification of the operative findings. Six patients (7%) in the original study cohort of 89 patients were lost to follow-up, but of the remaining patients, 65 of 72, or 90%, were pain-free or had minimal pain (P gluteal tendons causing chronic lateral hip pain addresses the problem directly and reliably relieves the symptoms of so-called "trochanteric bursitis."

  1. A rare complication of reduction malarplasty.

    Science.gov (United States)

    Lee, Joon Seok; Lee, Jeong Woo; Yang, Jung Dug; Chung, Ho Yun; Cho, Byung Chae; Choi, Kang Young

    2015-04-01

    In this report, the authors introduce a rare complication after reduction malarplasty in a 21-year-old male patient. The patient underwent two-jaw surgery and reduction malarplasty at a local plastic surgery clinic in December 2012. He presented with mass-like swelling of the left temporomandibular joint (TMJ) and a clicking sound with jaw movement that began 5 months after surgery. Physical examination, ultrasonography, and enhanced facial 3-dimensional computed tomography indicated suspicion of TMJ capsule injury. Therefore, mass excisional biopsy was performed with plate and screw removal. Biopsy results of the excised cystic mass revealed bursitis. The patient's symptoms disappeared after surgery. This is the first report of bursitis as a rare complication after reduction malarplasty. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

  2. Diagnosis and treatment of heel pain in chronic inflammatory arthritis using ultrasound.

    Science.gov (United States)

    Cunnane, G; Brophy, D P; Gibney, R G; FitzGerald, O

    1996-06-01

    The authors examined the role of ultrasound (US) in diagnosis and management of heel pain in chronic inflammatory arthritis. Nineteen patients underwent US examination. Eight patients (2 with previously unsuccessful nonguided injections), had 11 US-guided corticosteroid injections for treatment of retrocalcaneal bursitis (n = 6), plantar fasciitis (n = 3), and posterior tibial tenosynovitis (n = 2). US-demonstrated Achilles tendon rupture (n = 2), Achilles tendinitis (n = 8), posterior tibial tenosynovitis (n = 6), peroneus longus tenosynovitis (n = 2), retrocalcaneal bursitis (n = 13), and plantar fasciitis (n = 4). Loss of smooth bone contour (n = 13) correlated with bone erosions on plain radiographs in all but one case. Ten of 11 guided injections resulted in full resolution of heel pain. The diverse causes of heel pain are highlighted, and the ability of US to provide information with management implications is confirmed. US-guided corticosteroid injection is beneficial, especially after failure of nonguided injection.

  3. Haglund syndrome with pump bump.

    Science.gov (United States)

    Kucuksen, Sami; Karahan, Ali Yavuz; Erol, Kemal

    2012-01-01

    Haglund's syndrome, which is an inflammation of the bursa and a bony enlargement on the back of the heel that most often leads to painful bursitis, is a rare cause of retrocalcaneal pain. The clinical diagnosis is often confusing as the clinical picture may mimic other causes of hindfoot pain such as isolated retrocalcaneal bursitis or hindfoot involvement from more systemic disorders such as seronegative spondyloarthropathies (Reiter's syndrome, ankylosing spondylitis) or rheumatoid arthritis. This report is of a 60-year-old woman with a painful swelling of the right heel, who was diagnosed with Haglund syndrome. The characteristic clinical photograph (showing the prominent 'pump bump'), radiographical and magnetic resonance imaging features are presented.

  4. Anserina Bursitis—A Treatable Cause of Knee Pain in Patients with Degenerative Arthritis

    Science.gov (United States)

    Brookler, Morton I.; Mongan, Edward S.

    1973-01-01

    The anserina bursa is located on the medial surface of the tibia deep to the tendons of the sartorius, gracilis, and semimembranosus muscles and superficial to the insertion of the tibial collateral ligament. Knee pain, a palpable swelling of the bursa, and tenderness over the medial anterior aspect of the tibia just below the knee are the hallmarks of anserina bursitis. In a three-year period, 24 patients with anserina bursitis were seen in a rheumatology clinic. All but one were women, 18 were obese, and only four were under 50 years old. Knee x-ray studies showed degenerative arthritis in 20 of the 24 patients. In ten, varus knee deformities were present, while three had valgus deformities. Ultrasound or local steroid injections gave dramatic relief in all but one patient. PMID:4731586

  5. Interobserver reliability in musculoskeletal ultrasonography: results from a "Teach the Teachers" rheumatologist course

    DEFF Research Database (Denmark)

    Naredo, ee.; Møller, I.; Moragues, C.

    2006-01-01

    : The shoulder, wrist/hand, ankle/foot, or knee of 24 patients with rheumatic diseases were evaluated by 23 musculoskeletal ultrasound experts from different European countries randomly assigned to six groups. The participants did not reach consensus on scanning method or diagnostic criteria before......, tendon lesions, bursitis, and power Doppler signal. Afterwards they compared the ultrasound findings and re-examined the patients together while discussing their results. RESULTS: Overall agreements were 91% for joint effusion/synovitis and tendon lesions, 87% for cortical abnormalities, 84......% for tenosynovitis, 83.5% for bursitis, and 83% for power Doppler signal; kappa values were good for the wrist/hand and knee (0.61 and 0.60) and fair for the shoulder and ankle/foot (0.50 and 0.54). The principal differences in scanning method and diagnostic criteria between experts were related to dynamic...

  6. MRI of the Achilles tendon: A comprehensive review of the anatomy, biomechanics, and imaging of overuse tendinopathies

    Energy Technology Data Exchange (ETDEWEB)

    Pierre-Jerome, Claude; Moncayo, Valeria; Terk, Michael R. (Dept. of Radiology, Emory Univ. Orthopedics and Spine Center, Atlanta, GA (United States)), e-mail: cpierr3@emory.edu

    2010-05-15

    The Achilles tendon is the largest tendon in the body; it plays an important role in the biomechanics of the lower extremity. It can withstand great forces, especially during sporting exercises and pivoting. The pathologies related to the Achilles tendon are diverse and many carry undesirable consequences. We retrospectively analyzed the images of patients who underwent examinations of the ankle/foot region to review the anatomy of the Achilles tendon and its surroundings and to search for pathologies consistent with overuse injuries. The anatomy of the tendon is described from origin to insertion. The imaging characteristics of the Achilles tendon including pitfalls are reviewed. We also describe the Achilles overuse injuries: paratenonitis, tendinosis, tendon tear, atypical tear, tendon re-tear, retrocalcaneal bursitis, retro-Achilles bursitis, Haglund's deformity, and tendon calcification. We present other entities like tendon ossification and failed transplanted Achilles tendon, with emphasis on MRI

  7. Minor rheumatology: Nonsystemic rheumatic disease of juxta-articular soft tissues of the upper extremity. Part 1

    OpenAIRE

    A E Karateev; D. E. Karateev; E. S. Orlova; Yu. A. Ermakova

    2015-01-01

    Rheumatic diseases of juxta-articular soft tissues (RDJAST) (tendinitis, tenosynovitis, bursitis, etc.) are one of the most common causes of disability and one the most common reasons for seeking medical advice. To manage patients with RDJAST is an important part of practising rheumatologists’ work. But unfortunately, the issues of diagnosis and therapy of this pathology have been relatively rarely discussed on the pages of Russian medical journals and at the scientific congresses and confere...

  8. Musculoskeletal infections: ultrasound appearances

    Energy Technology Data Exchange (ETDEWEB)

    Chau, C.L.F. [Department of Radiology, North District Hospital, NTEC, Fanling, NT, Hong Kong (China)]. E-mail: c8681@yahoo.com; Griffith, J.F. [Department of Diagnostic Radiology and Organ Imaging, Prince of Wales Hospital, NTEC, Shatin, NT, Hong Kong (China)

    2005-02-01

    Musculoskeletal infections are commonly encountered in clinical practice. This review will discuss the ultrasound appearances of a variety of musculoskeletal infections such as cellulitis, infective tenosynovitis, pyomyositis, soft-tissue abscesses, septic arthritis, acute and chronic osteomyelitis, and post-operative infection. The peculiar sonographic features of less common musculoskeletal infections, such as necrotizing fasciitis, and rice body formation in atypical mycobacterial tenosynovitis, and bursitis will also be presented.

  9. Postoperative osteomyelitis following implant arthroplasty of the foot: diagnosis with indium-111 white blood cell scintigraphy

    Energy Technology Data Exchange (ETDEWEB)

    Bakst, R.H.; Kanat, I.O.

    1987-11-01

    Many complications can occur following insertion of silicone elastomer implants into the foot. Postoperative infection may be difficult to distinguish from other conditions such as dislodgment, fracture, ectopic and heterotopic new bone formation, synovitis, and bursitis. White blood cell scintigraphy, in conjunction with the clinical scenario, may prove to be an invaluable tool in the diagnosis of postoperative osteomyelitis, subsequent to implant arthroplasties. 32 references.

  10. MedlinePlus Health Prescriptions: Developing a Pragmatic Approach for Clinic Use

    Science.gov (United States)

    2016-09-29

    Acne Vulgaris; Allergic Rhinitis; Anxiety; Asthma; Back Pain; Prostatic Hyperplasia; Bursitis; Chronic Obstructive Pulmonary Disease; Cough; Coronary Artery Disease; Depression; Diabetes Mellitus; Diarrhea; Gastroesophageal Reflux; Fibromyalgia; Headache; HIV Infections; Hypothyroidism; Hyperlipidemia; Hypertension; Influenza; Sleep Initiation and Maintenance Disorders; Irritable Bowel Syndrome; Migraine Disorders; Obesity; Obstructive Sleep Apnea; Osteoarthritis; Senile Osteoporosis; Shoulder Pain; Sinusitis; Smoking Cessation; Tobacco Use Cessation; Menopause; Urinary Incontinence; Urinary Tract Infection; Vaginitis; Vertigo

  11. Intramuscular myxoid lipoma in the proximal forearm presenting as an olecranon mass with superficial radial nerve palsy: a case report

    OpenAIRE

    Hildebrand Kevin A; Medlicott Shaun AC; Lewkonia Peter

    2011-01-01

    Abstract Background Extremity lipomas may occur in any location, including the proximal forearm. We describe a case of a patient with an intramuscular lipoma presenting as an unusual posterior elbow mass. Case presentation We discuss the case of a 57-year-old Caucasian man who presented with a tender, posterior elbow mass initially diagnosed as chronic olecranon bursitis. A minor sensory disturbance in the distribution of the superficial radial nerve was initially thought to be unrelated, but...

  12. Haglund's Syndrome: Diagnosis and Treatment Using Sonography

    OpenAIRE

    Sofka, Carolyn M.; Adler, Ronald S.; Positano, Rock; Pavlov, Helene; Luchs, Jonathan S.

    2006-01-01

    Haglund's syndrome is a cause of retrocalcaneal pain. The clinical diagnosis of Haglund's syndrome is often confusing as the clinical picture may mimic other causes of hindfoot pain such as isolated retrocalcaneal bursitis or hindfoot involvement from more systemic arthropathies such as Reiter's syndrome or rheumatoid arthritis. With the increasing frequency of employing sonography as a diagnostic tool in the evaluation of foot and ankle pathology, recognition of the sonographic appearance of...

  13. Surgical treatment of Haglund’s disease: case report

    OpenAIRE

    Atesalp, A. Sabri; Demiralp, Bahtiyar; Erler, Kaan; Gur, Ethem

    2004-01-01

    Haglund’s disease is the posterior heel pain resulted from the retrocalceneal bursitis and chronic inflammation on the prominence of posterior calcaneus. It becomes prominent following excessive functional stresses. Surgery is an alternative choice of treatment. In the paper, we present the result of surgical procedure of 25 year old male with bilateral Haglund’s disease and surgical treatment principles of Haglund’s disease.

  14. Haglund Deformity – Surgical Resection by the Lateral Approach

    OpenAIRE

    Natarajan, S; VL Narayanan

    2015-01-01

    The aim of this study was to analyse the outcome of surgical Haglund deformity is a prominence in the postero superolateral aspect of the calcaneum. Haglund deformity is a prominence in the postero superolateral aspect of the calcaneum, causing a painful bursitis, which may be difficult to treat by non-operative measures alone. Various surgical methods are available for effective treatment of refractory Haglund’s deformity. This study is to evaluate whether adequate resection of Haglund de...

  15. Calcaneal ostectomy for Haglund disease.

    Science.gov (United States)

    Pauker, M; Katz, K; Yosipovitch, Z

    1992-01-01

    From 1967 to 1987, operative treatment was performed on 28 feet in 22 patients with retrocalcaneal bursitis due to prominent posterior superior margin of the calcaneus (Haglund disease). Through a lateral or medial approach, the prominent bone was removed. The results indicated that excision of the retrocalcaneal bursa was not necessary. Preoperative planning and intraoperative examination was necessary in order to remove an adequate amount of bone, which was the key for a successful result.

  16. Comparison the percentage of detection of periarthritis in patients with rheumatoid arthritis using clinical examination or ultrasound methods

    Directory of Open Access Journals (Sweden)

    Hadi Karimzadeh

    2016-01-01

    Full Text Available Background: This study aimed to compare the percentage of detection of periarthritis in patients with rheumatoid arthritis using clinical examination and ultrasound methods. Materials and Methods: This study is a cross-sectional study which was conducted in Al-Zahra Hospital (Isfahan, Iran during 2014–2015. In our study, ninety patients were selected based on the American College of Rheumatology 2010 criteria. All patients were examined by a rheumatologist to find the existence of effusion, and the data were filled in the checklist. The ultrasonography for detecting effusion in periarticular structures was done by an expert radiologist with two methods, including high-resolution ultrasonography and power Doppler. The percentage of effusion existence found by physical examination was compared by sonography, and the Chi-square and t-tests were used for data analysis. Results: The percentage of effusion found in areas with physical examination by rheumatologist was lower than the frequency distribution of effusions found by sonography (8.3% VS 14.2% (P < 0.001. In sonography, rotator cuff tendonitis is the most common periarthritis. Other findings in sonography were biceps tendinitis (10 cases, wrist tendonitis (13 cases, olecranon bursitis (9 cases, golfers elbow (4 cases, tennis elbow (4 cases, trochanteric bursitis (6 cases, anserine bursitis (6 cases, prepatellar bursitis (11 cases, and ankle tendonitis (7 cases. Tenderness on physical examination was found in 15% of the cases, and the evidence of periarthritis was found in 21/7% through sonography (P < 0.001 and 34% through Doppler sonography (P < 0.001. Conclusion: The percentage of periarthritis detection by ultrasonography and power Doppler sonography was higher than clinical examination. Hence, the ultrasonography is more accurate than physical examination.

  17. Cutaneous melioidosis in a healthy Danish man after travelling to South-East Asia.

    Science.gov (United States)

    Bodilsen, Jacob; Langgaard, Henrik; Nielsen, Hans Linde

    2015-01-16

    A healthy Danish man presented with infected prepatellar bursitis 8 months after being involved in a car accident in Malaysia resulting in exposure of a laceration of his knee to stagnant water. Tissue samples grew Burkholderia pseudomallei and diagnostic work up revealed no secondary foci. The patient was successfully treated with surgical debridement and 3 months of oral trimethoprim-sulfamethoxazole. At 6 months follow-up the patient was without relapse. 2015 BMJ Publishing Group Ltd.

  18. Rationale for Treatment of Hip Abductor Pain Syndrome

    OpenAIRE

    Bewyer, Dennis C; Bewyer, Kathryn J

    2003-01-01

    Patients with lower back or buttock pain that radiates into the posterior or lateral leg are often referred to physical therapy with a diagnosis of sciatica. Often the physical exam does not reveal neurologic findings indicative of radiculopathy. Instead, there is hip abductor muscle pain and weakness. This syndrome involves muscle imbalances that result in overuse strain of the gluteus medius and gluteus minimus muscles, myofascial trigger points, and trochanteric bursitis. This paper descri...

  19. Greater trochanter pain syndrome: A descriptive MR imaging study

    Energy Technology Data Exchange (ETDEWEB)

    Klontzas, Michail E., E-mail: miklontzas@gmail.com; Karantanas, Apostolos H., E-mail: akarantanas@gmail.com

    2014-10-15

    Objective: Greater trochanter pain syndrome (GTPS) is a diverse clinical entity caused by a variety of underlying conditions. We sought to explore the impact of (1) hip morphology, namely the center-edge angle (CEa) and femoral neck-shaft (NSa) angle, (2) hip abductor tendon degeneration, (3) the dimensions of peritrochanteric edema and (4) bursitis, on the presence of GTPS, using MR imaging. Materials and methods: The presence of pain was prospectively assessed blindly by the senior author. CEa and NSa were blindly measured in 174 hip MR examinations, after completion of the clinical evaluation by another evaluator. The existence and dimensions of T2 hyperintensity of the peritrochanteric soft tissues, the existence and dimensions of bursae, as well as degeneration and tearing of gluteus tendons were also recorded. Results: Out of 174 examinations, 91 displayed peritrochanteric edema (group A) and 34 bursitis, all with peritrochanteric edema (group B). A number of 78 patients from both A and B groups, showed gluteus medius tendon degeneration and one tendon tear. CEa of groups A and B were 6° higher than those of normals (group C, P = 0.0038). The mean age of normals was 16.6 years less than in group A and 19.8 years less than in group B (P < 0.0001). Bursitis was associated with pain with a negative predictive value of 97% (P = 0.0003). Conclusion: Acetabular morphology is associated with GTPS and the absence of bursitis was proved to be clinically relevant. Peritrochanteric edema alone was not associated with local pain.

  20. Calcaneal tendon: imaging findings; Tendao calcaneo: avaliacao por imagem

    Energy Technology Data Exchange (ETDEWEB)

    Montandon, Cristiano; Fonseca, Cristiano Rezio; Montandon Junior, Marcelo Eustaquio [Colegio Brasileiro de Radiologia e Diagnostico por Imagem, Sao Paulo, SP (Brazil)]. E-mail: crismontandon@hotmail.com; Lobo, Leonardo Valadares; Ribeiro, Flavia Aparecida de Souza; Teixeira, Kim-Ir-Sen Santos [Goias Univ., Goiania, GO (Brazil). Hospital de Clinicas. Dept. de Diagnostico por Imagem e Anatomia Patologica

    2003-12-01

    We reviewed the radiological and clinical features of 23 patients with calcaneal tendon diseases, who were submitted to ultrasound or magnetic resonance imaging. The objective of this study was to characterize the lesions for a precise diagnosis of calcaneal tendon injuries. A wide range of calcaneal tendon diseases include degenerative lesions, inflammation of the peritendinous tissue such as peritendinitis and bursitis, and rupture. Imaging methods are essential in the diagnosis, treatment and follow-up of calcaneal tendon diseases. (author)

  1. Non-neoplastic conditions presenting as soft-tissue tumours

    Energy Technology Data Exchange (ETDEWEB)

    Crundwell, N. [Royal National Orthopaedic Hospital, Stanmore, Middlesex (United Kingdom); O' Donnell, P. [Royal National Orthopaedic Hospital, Stanmore, Middlesex (United Kingdom); Saifuddin, A. [Royal National Orthopaedic Hospital, Stanmore, Middlesex (United Kingdom)]. E-mail: asif.saifuddin@rnoh.nhs.uk

    2007-01-15

    Review of referrals to our unit over the last 7 years showed that of approximately 750 cases referred as soft-tissue tumours, 132 were subsequently diagnosed as non-neoplastic lesions. The imaging characteristics of these lesions are presented to differentiate them from neoplasms. The most common diagnoses were myositis ossificans, ganglion cyst, abscess/infection, bursitis and synovitis. The imaging features of other rarer conditions will also be discussed.

  2. Fluid collections and juxta-articular cystic lesions of the shoulder: spectrum of MRI findings

    Energy Technology Data Exchange (ETDEWEB)

    Mellado, J.M.; Salvado, E.; Camins, A.; Ramos, A.; Sauri, A. [Institut de Diagnostic per la Imatge, Hospital Joan XXIII, Tarragona (Spain); Merino, X. [Institut de Diagnostic per la Imatge, Hospital Vall' Ebron, Barcelona (Spain); Calmet, J. [Orthopaedic Surgery, Hospital Joan XXIII, Carrer Doctor Mallafre Guasch, Tarragona (Spain)

    2002-03-01

    The MR imaging features of fluid collections and juxta-articular cystic lesions of the shoulder are discussed, with special focus on those related to subacromial impingement and rotator cuff tears. Other more unusual fluid collections and cystic lesions are described, including rice-bodies bursitis, idiopathic synovial osteochondromatosis, dialysis-related amyloid arthropathy, hemophilic arthropathy, infectious conditions, non-infectious inflammatory arthritis, and paralabral cysts. (orig.)

  3. BURSITIS—OFTEN AN INEXACT DIAGNOSIS

    Science.gov (United States)

    Carpenter, Donald P.

    1958-01-01

    The word bursitis is like arthritis in that it must be modified by another before it has meaning precise enough for useful medical description and communication. It is used loosely and generally to describe a number of clinical and pathological entities, among which are true primary bursitis, cystic degenerations, calcareous deposits in ligaments and tendons, and so-called “chronic sprains” where a calcified deposit cannot be demonstrated. It is possible to differentiate between these four entities in the light of present-day knowledge and to make a more accurate statement of diagnosis. Bursitis is often a symptom... not a primary disease and hence not a proper diagnosis. Calcareous deposits in ligaments and tendons with evident inflammatory reaction have been described in many locations. No area seems to be immune but the rotator cuff and supraspinatus tendon of the shoulder show the greatest incidence. The term inflammatory tendinitis appears to be a reasonably useful one for describing the clinical manifestations of the disease. For further accuracy it can be modified by saying that it is with calcification or without calcification as the case may be. There might be serious consequences from confusing the pain radiation of inflammatory tendinitis (with or without calcification) around the trochanteric region of the hip with true sciatic neuritis arising from a herniated intervertebral disk. PMID:13500222

  4. Involvement of the Inconstant Bursa of the Fifth Metatarsophalangeal Joint in Psoriatic Arthritis: A Clinical and Ultrasonographic Study

    Science.gov (United States)

    Ciancio, Giovanni; Volpinari, Stefania; Fotinidi, Maria; Furini, Federica; Bandinelli, Francesca; Orzincolo, Carlo; Trotta, Francesco

    2014-01-01

    Objective. To evaluate the involvement of the bursa located next to the head of the 5th metatarsal bone in patients with psoriatic arthritis (PsA) in comparison with the other seronegative spondyloarthritis (SpA). Methods. All patients with PsA seen during a period of 24 months were enrolled. The control group included healthy subjects and patients with the other SpA. All subjects underwent clinical and ultrasound (US) examination of the lateral surface of the 5th metatarsal. Results. 150 PsA patients (88 M; 62 F), 172 SpA (107 M; 65 F), and 95 healthy controls (58 M; 37 F) were evaluated. Based on clinical and US evaluation, bursitis was diagnosed in 17/150 (11.3%) PsA patients but in none of the SpA (P bursitis, US was more sensitive than clinical examination, although the difference did not reach statistical significance (P = 0.09). Conclusion. The bursa of the 5th metatarsophalangeal joint appears to be involved in PsA more frequently than by chance. If confirmed by other studies, this finding could be considered as a distinctive clinical sign of PsA, useful for differential diagnosis with the other SpA. In asymptomatic patients, US proved to be more sensitive in the detection of bursitis. PMID:25061602

  5. Assessment of ultrasound imaging and physical examination findings in greater trochanteric pain syndrome

    Directory of Open Access Journals (Sweden)

    Fulya Bakılan

    2015-03-01

    Full Text Available Objective: The aim of this study was to investigate the prevalence of greater trochanteric bursitis and gluteus medius tendinopathy using ultrasound in patients with greater trochanteric pain and assess the value of the pain on resisted hip abduction and pain on resisted hip internal rotation in predicting the presence of gluteus medius tendinopathy. Methods: The study was a retrospective analysis of 75 patients with greater trochanteric pain. The physical examination records were identified as pain on resisted hip abduction and hip internal rotation. After observing physical examination records, presence of greater trochanteric bursitis or gluteus medius tendinopathy were assessed in documented ultrasound findings. Results: Of the 75 patients with greater trochanteric pain, trochanteric bursitis was found in 41.4% of patients, gluteus medius tendinopathy was found in 20% of patients. A significant difference was found in both presence of pain on resisted hip abduction and internal rotation between patients with gluteus medius tendinopathy and patients with other abnormalities in favor of gluteus medius tendinopathy. Conclusion: In order to determine the etiology of greater trochanteric pain, physical examination and ultrasound imaging is important, especially examination of pain on resisted hip abduction and hip internal rotation is essential to detect gluteus medius tendinopathy.

  6. Soft-tissue rheumatism: diagnosis and treatment.

    Science.gov (United States)

    Reveille, J D

    1997-01-27

    Soft tissue rheumatism is one of the most common and most misunderstood categories of disorders facing the primary care physician. Among the more common types are subacromial bursitis, epicondylitis, trochanteric bursitis, anserine bursitis, and fibromyalgia. The keys to the diagnosis of soft-tissue rheumatism are the history and, more importantly, the physical examination. Extensive laboratory testing and radiographs are not as helpful in evaluating patients with these complaints. Treatment consists of nonsteroidal anti-inflammatory drugs (NSAIDs) and nonnarcotic analgesics. Especially in patients with localized disorders, intralesional injections of corticosteroids are particularly effective and safe and should be part of the armamentarium of the primary care practitioner. Fibromyalgia is a particularly challenging form of nonarticular rheumatism. The clinical presentation is rather characteristic, with the patient typically being a woman 30-60 years of age who presents with diffuse somatic pain. Patients often give a history of sleep disturbance, may be depressed, and show characteristic tender areas, or trigger points. Laboratory findings are normal. Management includes reassurance, correction of the underlying sleep disturbance with low doses of a tricyclic antidepressant, treatment with muscle relaxants and nonnarcotic analgesics or NSAIDs, and an exercise program with a strong aerobic component.

  7. MR imaging features of foot involvement in patients with psoriasis

    Energy Technology Data Exchange (ETDEWEB)

    Erdem, C. Zuhal [Department of Radiology, Zonguldak Karaelmas University, School of Medicine, Zonguldak (Turkey)], E-mail: sunarerdem@yahoo.com; Tekin, Nilgun Solak [Department of Dermatology, Zonguldak Karaelmas University, School of Medicine, Zonguldak (Turkey); Sarikaya, Selda [Department of Physical Therapy and Rehabilitation, Zonguldak Karaelmas University, School of Medicine, Zonguldak (Turkey); Erdem, L. Oktay; Gulec, Sezen [Department of Radiology, Zonguldak Karaelmas University, School of Medicine, Zonguldak (Turkey)

    2008-09-15

    Objective: To determine alterations of the soft tissues, tendons, cartilage, joint spaces, and bones of the foot using magnetic resonance (MR) imaging in patients with psoriasis. Materials and methods: Clinical and MR examination of the foot was performed in 26 consecutive patients (52 ft) with psoriasis. As a control group, 10 healthy volunteers (20 ft) were also studied. Joint effusion/synovitis, retrocalcaneal bursitis, retroachilles bursitis, Achilles tendonitis, soft-tissue edema, para-articular enthesophytes, bone marrow edema, sinus tarsi syndrome, enthesopathy at the Achilles attachment and at the plantar fascia attachment, plantar fasciitis, tenosynovitis, subchondral cysts, and bone erosions, joint space narrowing, subchondral signal changes, osteolysis, luxation, and sub-luxation were examined. Results: Clinical signs and symptoms (pain and swelling) due to foot involvement were present in none of the patients while frequency of involvement was 92% (24/26) by MR imaging. The most common MR imaging findings were Achilles tendonitis (acute and peritendinitis) (57%), retrocalcaneal bursitis (50%), joint effusion/synovitis (46%), soft-tissue edema (46%), and para-articular enthesophytes (38%). The most commonly involved anatomical region was the hindfoot (73%). Conclusion: Our data showed that the incidence of foot involvement was very high in asymptomatic patients with psoriasis on MR imaging. Further MR studies are needed to confirm these data. We conclude that MR imaging may be of importance especially in early diagnosis and treatment of inflammatory changes in the foot.

  8. Musculoskeletal ultrasound imaging of the plantar forefoot in patients with rheumatoid arthritis: inter-observer agreement between a podiatrist and a radiologist

    Directory of Open Access Journals (Sweden)

    Bowen Catherine J

    2008-07-01

    Full Text Available Abstract Background The use of musculoskeletal ultrasound (MSUS in the diagnosis and management of foot and ankle musculoskeletal pathology is increasing. Due to the wide use of MSUS and the depth and breadth of training required new proposals advocate tailored learning of the technique to discrete fields of practice. The aims of the study were to evaluate the inter-observer agreement between a MSUS radiologist and a podiatrist, who had completed basic skills training in MSUS, in the MSUS assessment of the forefoot of patients with Rheumatoid Arthritis. Methods A consecutive sample of thirty-two patients with rheumatoid arthritis was assessed for presence of synovitis, erosions and bursitis within the forefoot using MSUS. All MSUS assessments were performed independently on the same day by a podiatrist and one of two Consultant Radiologists experienced in MSUS. Results Moderate agreement on image acquisition and interpretation was achieved for bursitis (kappa 0.522; p Conclusion This study demonstrated good inter-observer agreement between a podiatrist and radiologist on MSUS assessment of the forefoot, particularly for bursitis and erosions, in patients with rheumatoid arthritis. There is scope to further evaluate and consider the role of podiatrists in the MSUS imaging of the foot following appropriate training and also in the development of reliable protocols for MSUS assessment of the foot.

  9. Distúrbio mineral ósseo e calcificação vascular em pacientes renais crônicos

    Directory of Open Access Journals (Sweden)

    Luis Alberto Batista Peres

    2014-04-01

    Full Text Available Calcificações vasculares têm sido associadas aos distúrbios minerais e ósseos. As alterações nas concentrações séricas de cálcio e fosfato são fatores importantes implicados no processo da calcificação arterial na doença renal crônica. A patogênese da calcificação vascular é um mecanismo complexo e não completamente claro, podendo corresponder a um processo ativo de transformação celular e ossificação heterotópica. Além da hipercalcemia e hiperfosfatemia, estão envolvidos neste processo alterações no metabolismo de substâncias inibidoras e promotoras de calcificação como a fetuína A, osteopontina, osteoprotegerina e proteína de matriz gla. Para o diagnóstico da lesão arterial calcificada, estão disponíveis diversos métodos, um método de estimativa do risco cardiovascular baseado em radiografias simples de coluna lombar e outro método baseado em radiografias simples da pelve e das mãos. Apresentamos, a seguir, uma revisão abordando a relação entre calcificações vasculares e os distúrbios minerais.

  10. Envolvimento do sistema nervoso central na cisticercose

    Directory of Open Access Journals (Sweden)

    Aristides Cheto de Queiroz

    1979-03-01

    Full Text Available No estudo do envolvimento do SNC na cisticercose, verificou-se uma freqüência de 0,3%, sempre como achado incidental no estudo de rotina de autópsias; apenas um caso mostrou boa correlação com a presença de manifestações neurológicas. Esta freqüência que é baixa em relação ao que é observado em outras regiões do Brasil, mostra que a neurocisticercose não representa um grande problema na região. As reações do hospedeiro ao embrião do cisticerco foram sempre do tipo inflamatório crônico e fibrosante. Neste estudo ficou demonstrada a importância do método de impregnação pela prata (Grocott na identificação do esqueleto do cisticerco no interior de lesões fibrosantes e/ou calcificadas.

  11. Extrusão de placa escleral senil: relato de um caso Extrusion of a senile scleral plaque: A case report

    Directory of Open Access Journals (Sweden)

    Eduardo Ferrari Marback

    2000-06-01

    Full Text Available Objetivo: Relatar caso de extrusão parcial espontânea de placa de transluscência focal senil de esclera calcificada. Método: Relato de caso de mulher de 75 anos, encaminhada com suspeita de tumor conjuntival, apresentando lesão leucoplásica em esclera, localizada anteriormente à inserção do músculo reto medial do olho esquerdo causando sensação de corpo estranho; instituindo-se tratamento por exérese e enxerto escleral. O exame histopatológico revelou tecido conjuntivo fibroso com calcificação. Conclusão: A extrusão de placa de transluscência senil de esclera deve ser considerada no diagnóstico diferencial dos tumores epibulbares.Purpose: To present a case of spontaneous extrusion of a calcified plaque of scleral focal senile translucency. Methods: Case report of a 75-year-old female, referred because of a epibulbar tumor suspicion. She complained of foreign body sensation and had a white scleral plaque in front of the left medial rectus insertion. The lesion was exci-sed and a scleral graft performed. The histologic examination showed fibrous connective tissue, with calcification. Conclusion: Spontaneous extrusion of senile scleral plaques should be included in the differential diagnosis of epibulbar tumors.

  12. Mediastinal histoplasmosis: report of the first two Brazilian cases of mediastinal granuloma Histoplasmose mediastinal: relato dos dois primeiros casos brasileiros de granuloma mediastinal

    Directory of Open Access Journals (Sweden)

    Luiz Carlos Severo

    2005-04-01

    Full Text Available This report documents the first two Brazilian cases of mediastinal granuloma due to histoplasmosis, presenting selected aspects on the diagnosis. Tissue samples revealing histoplasmosis were obtained from each of the patients by mediastinoscopy and thoracotomy. In the second patient, a subcarinal calcified mass eroded into the bronchial tree, leading to secondary bilateral aspiration pneumonitis one week after thoracotomy. Although rare, histoplasmosis should be included in the differential diagnosis of mediastinal granuloma, specially if there are calcifications greater than 10 mm in dimension.São relatados os dois primeiros casos de granuloma mediastinal por histoplasmose no Brasil, apresentando aspectos selecionados sobre dignóstico. O diagnóstico tecidual de histoplasmose foi obtido por mediastinoscopia e toracotomia, respectivamente. Em um paciente a massa calcificada subcarinal erodiu na árvore brônquica com pneumonite de aspiração bilateral uma semana após a toracotomia. Embora rara, histoplasmose deve ser incluída no diagnóstico diferencial de granuloma mediastinal especialmente com calcificação maior do que 10 mm de diâmetro.

  13. Quiste esplénico abscedado: reporte de un caso

    Directory of Open Access Journals (Sweden)

    Roxana Montenegro

    2003-12-01

    Full Text Available Los autores reportan un raro caso de un absceso esplénico crónico, en un paciente varón de 52 años de edad; a quien dos años antes de su ingreso al hospital se le diagnosticó en forma casual -diagnóstico por imágenes- un quiste esplénico con paredes calcificadas, estando previamente asintomático. Al momento de su ingreso se presentó con una historia de 12 meses de dolor leve en cuadrante superior izquierdo del abdomen como única manifestación positiva. Luego de una intervención quirúrgica, el diagnóstico correspondió a un absceso esplénico crónico o seudoquiste esplénico por los hallazgos anatomopatológicos. Se describe las características del caso y se revisa la literatura.

  14. [In vitro effect of the S3Pvac vaccine against cysticercosis in human mononucleate cells].

    Science.gov (United States)

    Díaz-Orea, María Alicia; Mijares, José Miguel; Arcega, Raúl; Gómez-Conde, Eduardo; Castellanos-Sánchez, Víctor Omar; Briones-Rojas, Rosendo; Flores-Alonso, Juan Carlos; Marín-Briones, Miguel Ángel; Santos-López, Gerardo

    2013-05-01

    Introduccion. La neurocisticercosis (NCC) es una infeccion parasitaria generada por el establecimiento de cisticercos de Taenia solium en el sistema nervioso central. La fase larvaria del parasito tambien afecta al cerdo, que es el huesped intermediario indispensable para la transmision. Por tal motivo, muchos investigadores se han enfocado en identificar antigenos protectores para prevenir la cisticercosis porcina e interrumpir la transmision. Entre ellos figuran los antigenos de la vacuna S3Pvac, constituida por tres peptidos protectores: KETc1, KETc12 y GK1. Objetivo. Evaluar el efecto de los peptidos vacunales KETc1, KETc12 y GK1 en celulas mononucleares de pacientes con NCC e individuos sanos. Sujetos y metodos. Estudio comparativo, prospectivo y transversal. Se analizo la proliferacion y el perfil de citocinas inducidos por los tres peptidos en celulas mononucleares de tres pacientes con NCC activa, 16 pacientes con NCC calcificada y 16 sujetos sanos. Resultados. KETc1 induce bajos niveles de proliferacion en las celulas de los pacientes con NCC activa y controlada, tanto en linfocitos como en monocitos. KETc12 y GK-1 inducen niveles positivos de proliferacion de monocitos en sujetos sanos. Conclusiones. El peptido KETc1 podria usarse como coadyuvante en el tratamiento de los pacientes con NCC activa, ya que indujo una respuesta Th2; y el peptido GK1, como estimulador del monocito/macrofago en inmunizaciones con otras proteinas.

  15. Prevalence and pattern of gluteus medius and minimus tendon pathology and muscle atrophy in older individuals using MRI

    Energy Technology Data Exchange (ETDEWEB)

    Chi, Andrew S. [University of Pennsylvania, Department of Radiology, Philadelphia, PA (United States); Long, Suzanne S.; Zoga, Adam C.; Read, Paul J.; Deely, Diane M.; Parker, Laurence; Morrison, William B. [Thomas Jefferson University Hospital, Department of Radiology, Philadelphia, PA (United States)

    2015-12-15

    To evaluate gluteus medius and minimus tendon pathology and muscle atrophy in older individuals using MRI. A retrospective MRI study of 185 individuals was performed. The inclusion criterion was age ≥50. Exclusion criteria were hip surgery, fracture, infection, tumor, or inadequate image quality. Greater trochanteric bursitis was graded none, mild, moderate, or severe. Gluteus medius, gluteus minimus, and iliopsoas tendinopathy was graded normal, tendinosis, low-grade partial tear, high-grade partial tear, or full thickness tear. Gluteus medius, gluteus minimus, tensor fascia lata, and iliopsoas muscle atrophy was scored using a standard scale. Insertion site of tendinopathy and location of muscle atrophy were assessed. Descriptive and statistical analysis was performed. There was increasing greater trochanteric bursitis and gluteus medius and minimus tendinopathy and atrophy with advancing age with moderate to strong positive associations (p < 0.0001) for age and tendinopathy, age and atrophy, bursitis and tendinopathy, and tendinopathy and atrophy for the gluteus medius and minimus. There is a weak positive association (p < 0.0001) for age and tensor fascia lata atrophy, and no statistically significant association between age and tendinopathy or between age and atrophy for the iliopsoas. Fisher's exact tests were statistically significant (p < 0.0001) for insertion site of tendon pathology and location of muscle atrophy for the gluteus medius. Gluteus medius and minimus tendon pathology and muscle atrophy increase with advancing age with progression of tendinosis to low-grade tendon tears to high-grade tendon tears. There is an associated progression in atrophy of these muscles, which may be important in fall-related hip fractures. (orig.)

  16. Ultrasound assessment of new onset bilateral painful shoulder in patients with polymyalgia rheumatica and rheumatoid arthritis.

    Science.gov (United States)

    Ruta, Santiago; Rosa, Javier; Navarta, David A; Saucedo, Carla; Catoggio, Luis J; Monaco, Ricardo García; Soriano, Enrique R

    2012-09-01

    The aim of our study was to investigate by ultrasound (US) the anatomical structures affected during a new episode of bilateral painful shoulder in patients with polymyalgia rheumatica (PMR) and rheumatoid arthritis (RA) and to compare the findings between these two conditions. PMR and RA patients complaining of new onset bilateral painful shoulder were included. Subjects without any known rheumatic condition with a new onset unilateral painful shoulder were assessed as a control group. US evaluation includes the depiction subacromial-subdeltoid (SAD) bursitis, long head biceps (LHB) tenosynovitis and/or gleno-humeral (GH) synovitis. Thirty patients with PMR, 30 with RA, and 60 controls were included for a total of 60 shoulders per group. Unilateral SAD bursitis and LHB tenosynovitis were significantly more frequent in patients with PMR when compared to those with RA (p < 0.0001 and p < 0.01, respectively) and controls (p < 0.001 and p < 0.01, respectively). Unilateral GH synovitis was more common in RA than in PMR and controls (p < 0.05 and p < 0.01, respectively). Bilateral SAD bursitis was significantly more frequent in patients with PMR than in those with RA (p < 0.01) as was bilateral LHB tenosynovitis (p < 0.01). No significant differences were found in bilateral GH synovitis. US-detected periarticular inflammatory involvement more frequently in PMR both unilaterally and bilaterally and intra-articular inflammatory involvement was commonly in RA but only unilaterally.

  17. Comparison the percentage of detection of periarthritis in patients with rheumatoid arthritis using clinical examination or ultrasound methods

    Science.gov (United States)

    Karimzadeh, Hadi; Seyedbonakdar, Zahra; Mousavi, Maryam; Karami, Mehdi

    2016-01-01

    Background: This study aimed to compare the percentage of detection of periarthritis in patients with rheumatoid arthritis using clinical examination and ultrasound methods. Materials and Methods: This study is a cross-sectional study which was conducted in Al-Zahra Hospital (Isfahan, Iran) during 2014–2015. In our study, ninety patients were selected based on the American College of Rheumatology 2010 criteria. All patients were examined by a rheumatologist to find the existence of effusion, and the data were filled in the checklist. The ultrasonography for detecting effusion in periarticular structures was done by an expert radiologist with two methods, including high-resolution ultrasonography and power Doppler. The percentage of effusion existence found by physical examination was compared by sonography, and the Chi-square and t-tests were used for data analysis. Results: The percentage of effusion found in areas with physical examination by rheumatologist was lower than the frequency distribution of effusions found by sonography (8.3% VS 14.2%) (P elbow (4 cases), tennis elbow (4 cases), trochanteric bursitis (6 cases), anserine bursitis (6 cases), prepatellar bursitis (11 cases), and ankle tendonitis (7 cases). Tenderness on physical examination was found in 15% of the cases, and the evidence of periarthritis was found in 21/7% through sonography (P < 0.001) and 34% through Doppler sonography (P < 0.001). Conclusion: The percentage of periarthritis detection by ultrasonography and power Doppler sonography was higher than clinical examination. Hence, the ultrasonography is more accurate than physical examination. PMID:28331520

  18. Preoperative conventional magnetic resonance images versus magnetic resonance arthrography of subacromial impingement syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Sang Hyuk; Park, Jung Hwan; Moon, Tae Yong [Pusan National Univ. Yangsan Hospital, Yangsan (Korea, Republic of); Lee, In Sook; Lee, Seung Jun [Pusan National Univ. Hospital, Busan (Korea, Republic of)

    2012-09-15

    To evaluate the usefulness of conventional magnetic resonance images (MRI) for arthroscopic surgery in subacromial impingement syndrome of the shoulder, as an alternative to MR arthrography with additional T2 fat saturation images (MRA). The preoperative MRI of 77 patients (45 females, 32 males) (52 right, 25 left) and MRA of 34 patients (14 females, 20 males) (24 right, 10 left) with subsequent arthroscopic confirmation of subacromial impingement syndrome were reviewed retrospectively. The lesions requiring arthroscopic surgery were 95 subacromial spurs, 101 subacromial bursitis, and 51 full-thickness and 44 partial thickness tears of the supraspinatus among 111 cases for both studies. A two by two table was constructed in order to calculate the sensitivity and specificity of both studies against arthroscopic outcomes. Also we analyzed the false positive and false negative cases of the full-thickness tears individually. The detection rates of subacromial spur and bursitis and full and partial thickness tears of the supraspinatus were 91%, 94%, 77%, and 65% in MRI and 93%, 100%, 83%, and 77% in MRA respectively. Their specificities were 33%, 33%, 90%, and 76% in MRI and 50%, 75%, 100%, and 71% in MRA respectively. Eleven false negative cases in regards to MRI resulted in Ellman's grade 3 partial thickness tear (72.7%), mild bursitis (63.6%), greater tuberosity erosion (45.5%), and negative fluid signal of the glenohumeral joint (81.8%). Three false positive cases on the MRI were induced from errors with lower window depth and width on the imagings. Two false negative cases on MRA were induced from the adhesion between Ellman's grade 3 rim rent tear and the glenohumeral joint cavity. Conventional MR images could be used to decide the arthroscopic surgery in subacromial impingement syndrome, as an alternative to MR arthrography with additional T2 fat saturation images.

  19. Hoof wall surgery in the horse: approaches to and underlying disorders.

    Science.gov (United States)

    Honnas, Clifford M; Dabareiner, Robin M; McCauley, Betsy H

    2003-08-01

    Because of the hoof capsule, surgery of the equine foot is often perceived to be quite difficult. Knowledge of the specific disease entities that require surgical intervention as well as an in-depth understanding of the anatomy of the tissues beneath the hoof capsule is a definite prerequisite to successful surgical treatment. This article details the surgical approaches used to treat septic navicular bursitis, septic pedal osteitis, infection of the collateral cartilages, and keratomas. The principles used to treat these conditions can be applied to a variety of other conditions for which access through the hoof wall is required.

  20. Radiographic Prevalence of Femoroacetabular Impingement in a Young Population with Hip Complaints Is High

    Science.gov (United States)

    2010-01-27

    by some authors to be a prearthritic condition leading to chondral and labral lesions of the hip , which may progress to degenerative joint disease [6...derangement of joint 717.9 Juvenile osteochondrosis of pelvis 732.1 Cyst of bone pelvis 733.25 Aseptic necrosis of hip 733.42 Other symptoms referable to joint ...719.6 Nonallopathic lesions, not elsewhere classified 739.5 Other bursitis NOS 727.3 Sprain strain hip thigh NOS 843.9 Iliofemoral ligament sprain

  1. MRI and US of gluteal tendinopathy in greater trochanteric pain syndrome.

    Science.gov (United States)

    Kong, Andrew; Van der Vliet, Andrew; Zadow, Steven

    2007-07-01

    Greater trochanteric pain syndrome is commonly due to gluteus minimus or medius injury rather than trochanteric bursitis. Gluteal tendinopathy most frequently occurs in late-middle aged females. In this pictorial review the pertinent MRI and US anatomy of the gluteal tendon insertions on the greater trochanter and the adjacent bursae are reviewed. The direct (peritendinitis, tendinosis, partial and complete tear) and indirect (bursal fluid, bony changes and fatty atrophy) MRI signs of gluteal tendon injury are illustrated. The key sonographic findings of gluteal tendinopathy are also discussed.

  2. Radiology.

    Science.gov (United States)

    Patel, Ketan; Wallace, Roxanne; Busconi, Brian D

    2011-04-01

    Hip and groin pain are a common complaint among athletes of all ages, and may result from an acute injury or from chronic, repetitive trauma. Hip injuries can be intraarticular, extraarticular, or both. Labral abnormalities may occur in asymptomatic patients as well as in those with incapacitating symptoms and signs. Athletic hip injury leading to disabling intraarticular hip pain most commonly involves labral tear. The extraarticular causes are usually the result of overuse activity, leading to inflammation, tendonitis, or bursitis. In clinical practice, the term athletic pubalgia is used to describe exertional pubic or groin pain.

  3. Achilles tendon disorders.

    Science.gov (United States)

    Weinfeld, Steven B

    2014-03-01

    Achilles tendon disorders include tendinosis, paratenonitis, insertional tendinitis, retrocalcaneal bursitis, and frank rupture. Patients present with pain and swelling in the posterior aspect of the ankle. Magnetic resonance imaging and ultrasound are helpful in confirming the diagnosis and guiding treatment. Nonsurgical management of Achilles tendon disorders includes nonsteroidal anti-inflammatory drugs, physical therapy, bracing, and footwear modification. Surgical treatment includes debridement of the diseased area of the tendon with direct repair. Tendon transfer may be necessary to augment the strength of the Achilles tendon. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. Power Doppler ultrasonography of painful Achilles tendons and entheses in patients with and without spondyloarthropathy-a comparison with clinical examination and contrast-enhanced MRI

    DEFF Research Database (Denmark)

    Wiell, Charlotte; Szkudlarek, Marcin; Hasselquist, Maria

    2013-01-01

    The objective of this study was to describe ultrasonography (US) and magnetic resonance imaging (MRI) findings at painful Achilles tendons and entheses in patients with and without spondyloarthropathy (SpA and non-SpA) and healthy control persons (CTRLs). Particularly, we aimed to investigate....../or enthesis due to sports-related causes and 10 CTRLs were examined at the Achilles tendons and entheses with US, MRI and clinical assessment. Intratendinous changes, entheseal changes, bursitis and peritendonitis were assessed. An US interobserver substudy was performed in nine persons. US findings showed...

  5. Impact of radiation therapy for benign diseases; Role de la radiotherapie dans les affections benignes

    Energy Technology Data Exchange (ETDEWEB)

    Kantor, G. [Institut National de la Sante et de la Recherche Medicale (INSERM), Fondation Bergonie, 33 - Bordeaux (France); Van Houtte, P.; Beauvois, S.; Roelandts, M. [Institut Bordet, Brussels (Belgium)

    1997-12-31

    Radiation therapy of benign diseases represent a wide panel of indications. Some indications are clearly identified as treatment of arteriovenous malformations (AVM), hyperthyroid ophthalmopathy, postoperative heterotopic bone formations or keloid scars. Some indications are under evaluation as complications induced by neo-vessels of age-related macular degeneration or coronary restenosis after angioplasty. Some indications remain controversial with poor evidence of efficiency as treatment of bursitis, tendinitis or Dupuytren`s disease. Some indications are now obsolete such as warts, or contra-indicated as treatment of infant and children. (authors)

  6. Longitudinal assessment of cyst-like lesions of the knee and their relation to radiographic osteoarthritis and MRI-detected effusion and synovitis in patients with knee pain

    Science.gov (United States)

    2010-01-01

    Introduction The purpose of the present study was to determine the prevalence of cystic lesions and cyst-like bursitides in subjects with frequent knee pain and to assess their relation to radiographic osteoarthritis (OA) severity; to describe bilaterality and size fluctuation of the lesions over 6 months; and to assess relations between the prevalence of synovium-lined lesions communicating with the joint capsule and severity of magnetic resonance imaging (MRI)-detected effusion and synovitis. Methods One hundred and sixty-three subjects (total 319 knees) aged 35 to 65 with chronic, frequent knee pain were included. Imaging with 3 Tesla MRI was performed at baseline and 6-month follow-up with the same protocols as those used in the Osteoarthritis Initiative. Severity of radiographic OA was assessed using the Kellgren-Lawrence grade (0 to 4). Severity of effusion and synovitis was graded 0 to 3 based on the Whole Organ Magnetic Resonance Imaging Score system. The associations of cysts and cyst-like bursitides and severity of radiographic OA, MRI-detected effusion and synovitis were analyzed using logistic regression controlling for clustering by person. The Wilcoxon signed-rank test was used to determine whether there was a significant change in the size of lesions between baseline and follow-up. Results At least one lesion (any type) was present in 222 (70%) knees. The most prevalent lesions were popliteal cysts (40%, 128/319), followed by subgastrocnemius bursitis (15%, 49/319) and proximal tibiofibular joint cysts (8%, 26/319). Bilateral lesions were seen in 49% of the subjects. Only popliteal cysts and subgastrocnemius bursitis showed a significant change in size (P bursitis was associated with increasing severity of effusion (P = 0.0072) and synovitis (P = 0.0033). Conclusions None of the cyst-like lesions analyzed seems to be a marker of radiographic OA severity in knees with chronic frequent pain. Subgastrocnemius bursitis may be used as a marker of effusion

  7. Evaluacion de los desórdenes musculo-esqueléticos (DMEs) mediante el método ERIN: caso de los conductores de autobús de la Universidad del Quindío

    OpenAIRE

    Gómez Yepes, Milena Elizabeth; Cremades Oliver, Lázaro Vicente; Montoya Taborda, Juan Fernando

    2015-01-01

    Uno de los mayores retos de la ergonomía ha sido el estudio de la interacción del hombre frente a los requerimientos físicos (postura, fuerza, movimiento). Cuando estos requerimientos sobrepasan la capacidad de respuesta del individuo o no hay una adecuada recuperación biológica de los tejidos, este esfuerzo puede asociarse a la presencia de los Desórdenes Musculo-Esqueléticos (DME) causantes de ausentismo laboral. Los DME ocupacionales más conocidos son: cervicalgia, epicondiditis, bursitis,...

  8. Vaccination-related shoulder dysfunction.

    Science.gov (United States)

    Bodor, Marko; Montalvo, Enoch

    2007-01-08

    We present two cases of shoulder pain and weakness following influenza and pneumococcal vaccine injections provided high into the deltoid muscle. Based on ultrasound measurements, we hypothesize that vaccine injected into the subdeltoid bursa caused a periarticular inflammatory response, subacromial bursitis, bicipital tendonitis and adhesive capsulitis. Resolution of symptoms followed corticosteroid injections to the subacromial space, bicipital tendon sheath and glenohumeral joint, followed by physical therapy. We conclude that the upper third of the deltoid muscle should not be used for vaccine injections, and the diagnosis of vaccination-related shoulder dysfunction should be considered in patients presenting with shoulder pain following a vaccination.

  9. Iliopsoas: Pathology, Diagnosis, and Treatment.

    Science.gov (United States)

    Anderson, Christian N

    2016-07-01

    Disorders of the iliopsoas can be a significant source of groin pain in the athletic population. Commonly described pathologic conditions include iliopsoas bursitis, tendonitis, impingement, and snapping. The first-line treatment for iliopsoas disorders is typically conservative, including activity modification, physical therapy, nonsteroidal anti-inflammatory drugs, and corticosteroid injections. Surgical treatment can be considered if the patient fails conservative measures and typically involves arthroscopic lengthening of the musculotendinous unit and treatment of concomitant intra-articular abnormality. Tendon release has been described: in the central compartment, in the peripheral compartment, and at the lesser trochanter, with similar outcomes observed between the techniques. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Anterior iliopsoas impingement after total hip arthroplasty.

    Science.gov (United States)

    Trousdale, R T; Cabanela, M E; Berry, D J

    1995-08-01

    Pain after total hip arthroplasty (THA) can be caused by a multitude of conditions, including infection, aseptic loosening, heterotopic ossification, and referred pain. It is also recognized that soft tissue inflammation about the hip, such as trochanteric bursitis, can lead to hip pain after THA. Two cases of persistent iliopsoas tendinitis following THA are reported, which are believed to be caused by psoas tendon impingement against a malpositioned, uncemented, metal-backed acetabular component. The authors are unaware of previous reports of this problem, and suggest that the problem be considered in the differential diagnosis of groin pain following THA.

  11. MR imaging of the forefoot: Morton neuroma and differential diagnoses.

    Science.gov (United States)

    Zanetti, Marco; Weishaupt, Dominik

    2005-09-01

    Magnetic resonance (MR) imaging of Morton neuromas is highly accurate. Morton neuromas are more conspicuous when the patient is prone positioned and the foot is plantar flexed than in the supine position with the toes pointing upward. MR imaging of Morton neuromas has a large influence on the diagnostic thinking and treatment plan of orthopedic foot surgeons. The most common differential diagnoses include intermetatarsal bursitis, stress fractures, and stress reactions. Some diagnoses (nodules associated with rheumatoid arthritis, synovial cyst, soft tissue chondroma, and plantar fibromatosis) are rare and can be diagnosed with histologic correlation only.

  12. Practical US of the forefoot.

    Science.gov (United States)

    Bianchi, Stefano

    2014-06-01

    Disorders affecting the forefoot are common in the clinical practice. Accurate history and physical examination are the mainstays of diagnosis but imaging modalities are frequently obtained to confirm the clinical suspicion and plan appropriate treatment. In this article we will present the ultrasound (US) technique of examination of the forefoot followed by a brief description of the normal US anatomy and of US appearance of the most frequent forefoot disorders; rheumatoid arthritis, osteoarthritis, overuse arthropathy, Morton neuromas, bursitis, mucoid cysts, foreign bodies, bone disorders.

  13. Subacromial impingement syndrome

    Directory of Open Access Journals (Sweden)

    Masood Umer

    2012-05-01

    Full Text Available Subacromial impingement syndrome (SAIS represents a spectrum of pathology ranging from subacromial bursitis to rotator cuff tendinopathy and full-thickness rotator cuff tears. The relationship between subacromial impingement and rotator cuff disease in the etiology of rotator cuff injury is a matter of debate. However the etiology is multi-factorial, and has been attributed to both extrinsic and intrinsic mechanisms. Management includes physical therapy, injections, and, for some patients, surgery. No high-quality RCTs are available so far to provide possible evidence for differences in outcome of different treatment strategies. There remains a need for high-quality clinical research on the diagnosis and treatment of SAIS.

  14. 职业与滑囊炎

    Institute of Scientific and Technical Information of China (English)

    曾秀诗; 郑邦健; 沈国安

    2002-01-01

    @@ 滑囊炎(bursitis)又称滑膜炎(synovitis),可分为急性和慢性滑囊炎,按不同病因可分为创伤性滑囊炎和非特异性滑囊炎[1].创伤性滑囊炎常与职业有关,如矿工的髌前滑囊炎,鹰嘴滑囊炎和肩峰下滑囊炎,石板磨光工人的髌前滑囊炎,木工、水电工和网球运动员的桡肱滑囊炎等.

  15. MRI and US of gluteal tendinopathy in greater trochanteric pain syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Kong, Andrew; Van der Vliet, Andrew [Regional Imaging Border, Albury, NSW (Australia); Zadow, Steven [Dr Jones and Partners Medical Imaging, Adelaide, SA (Australia)

    2007-07-15

    Greater trochanteric pain syndrome is commonly due to gluteus minimus or medius injury rather than trochanteric bursitis. Gluteal tendinopathy most frequently occurs in late-middle aged females. In this pictorial review the pertinent MRI and US anatomy of the gluteal tendon insertions on the greater trochanter and the adjacent bursae are reviewed. The direct (peritendinitis, tendinosis, partial and complete tear) and indirect (bursal fluid, bony changes and fatty atrophy) MRI signs of gluteal tendon injury are illustrated. The key sonographic findings of gluteal tendinopathy are also discussed. (orig.)

  16. Imaging of Soft Tissue Lesions of the Foot and Ankle

    Directory of Open Access Journals (Sweden)

    Seyed Hassan Mostafavi

    2010-05-01

    Full Text Available Differential diagnosis of soft tissue lesions of the foot may be narrowed with imaging. The cystic nature of ganglia, synovial cysts, and bursitis can be confirmed with MR imaging or sonography. Location and signal characteristics of noncystic lesions may suggest Morton's neuroma, giant cell tumor of the tendon sheath and plantar fibromatosis. Synovial-based lesions of the foot and ankle can be differentiated based on presence or absence of mineralization, lesion density, signal intensity, and the enhancement pattern. Knowledge of the incidence of specific neoplasms of the foot and ankle based on patient age aids in providing a limited differential diagnosis

  17. Radiographic changes in the os calcis in rheumatoid arthritis; Radiographische Veraenderungen am Fersenbein im Rahmen der chronischen Polyarthritis

    Energy Technology Data Exchange (ETDEWEB)

    Lakits, A. [Krankenhaus Lainz (Austria). Zentralroentgeninstitut; Haller, J. [Hanusch-Krankenhaus, Vienna (Austria). Roentgenabteilung; Steiner, E. [Vienna Univ. (Austria). Klinik fuer Roentgendiagnostik; Stenzel, I. [Krankenhaus Lainz (Austria). Zentralroentgeninstitut; Schneider, B. [Vienna Univ. (Austria). Inst. fuer Medizinische Statistik und Dokumentation; Czembirek, H. [Krankenhaus Lainz (Austria). Zentralroentgeninstitut; Smolen, J. [Krankenhaus Lainz (Austria). 2. Medizinische Abt. (Rheumatologie)

    1994-02-01

    Plain films of the calcanea of 768 patients with confirmed rheumatoid arthritis were examined retrospectively with reference to inflammatory rheumatic changes. 42 patients (5.5%) showed an erosion of the posterior upper calcaneal margin related to an Achilles bursitis. In three patients there were additional plantar erosions. The Achilles bursitis was bilateral in 50% of cases, particularly in patients in stages 2 and 3 according to Steinbrocker. In the majority of bilateral cases (62%) the size or shape of the lesions was asymmetrical. Our observations indicate that involvement of the os calcis is not uncommon in rheumatoid arthritis; routine examination of this bone would appear to be indicated even in patients without symptoms. Since the defect is unilateral in half the patients, unilateral occurrence of an erosive lesion cannot be regarded as a criterion for a bacterial-inflammatory bursitis. Contrary to the symmetrical involvement of joints in the hands in rheumatoid arthritis, defects in the calcanea are often unilateral or asymmetrical. (orig.) [Deutsch] Die Nativroentgenaufnahmen des Fersenbeins von 768 Patienten mit gesicherter chronischer Polyarthritis wurden retrospektiv hinsichtlich des Auftretens entzuendlich-rheumatischer Veraenderungen beurteilt. 42 Patienten (5,5%) zeigten eine Erosion der hinteren oberen Fersenbeinkante im Sinne eines Achillobursitisdefektes. Bei drei Patienten gelangte zusaetzlich eine plantare Erosion zur Darstellung. Der Achillobursitisdefekt war in 50% der Faelle beidseitig ausgebildet, wobei das bilaterale Auftreten bei Patienten in den Stadien II und III nach Steinbrocker ueberwog. Bei bilateralem Befall waren die Laesionen allerdings in der Mehrzahl der Faelle (62%) hinsichtlich Groesse und/oder Form asymmetrisch ausgebildet. Unsere Beobachtungen belegen, dass eine Fersenbeinbeteiligung im Rahmen der chronischen Polyarthritis nicht selten auftritt, weshalb routinemaessig Roentgenaufnahmen des Fersenbeins bei Patienten mit

  18. Imaging of the hip in patients with rheumatic disorders

    Energy Technology Data Exchange (ETDEWEB)

    Boutry, Nathalie [Department of Musculoskeletal Radiology, Roger Salengro Hospital, Centre Hospitalier Universitaire de Lille (France)]. E-mail: nboutry@chru-lille.fr; Khalil, Chadi [Department of Musculoskeletal Radiology, Roger Salengro Hospital, Centre Hospitalier Universitaire de Lille (France); Jaspart, Matthieu [Department of Musculoskeletal Radiology, Roger Salengro Hospital, Centre Hospitalier Universitaire de Lille (France); Department of Anatomy, Faculty of Medicine, Centre Hospitalier Universitaire de Lille (France); Marie-Helene, Vieillard [Department of Rheumatology, Roger Salengro Hospital, Centre Hospitalier Universitaire de Lille (France); Demondion, Xavier [Department of Musculoskeletal Radiology, Roger Salengro Hospital, Centre Hospitalier Universitaire de Lille (France); Department of Anatomy, Faculty of Medicine, Centre Hospitalier Universitaire de Lille (France); Cotten, Anne [Department of Musculoskeletal Radiology, Roger Salengro Hospital, Centre Hospitalier Universitaire de Lille (France)

    2007-07-15

    Hip joint abnormalities are commonly encountered in patients with rheumatic disorders. Although conventional radiography remains the mainstay for diagnosis of joint damage and subsequent follow-up, magnetic resonance imaging and, to a lesser extent, ultrasound have afforded the ability to detect early signs of articular involvement (i.e., synovitis and bone erosions), and to assess disease activity in treated patients. In more advanced stages of rheumatic disorders, magnetic resonance imaging and ultrasound are both useful in assessing paraarticular involvement (i.e., bursitis and synovial cysts)

  19. Identificación de fármacos sintéticos en productos naturales comercializados en Brasil: el caso indiano "Talun"

    OpenAIRE

    2008-01-01

    "Indiano Talun" es un producto que estaba siendo comercializado en cápsulas, con la información en el rótulo de ser "una planta para el tratamiento de dolores en la columna, artritis, artrosis, bursitis y várices". Su producción y comercialización fueron prohibidas por la Agência Nacional de Vigilância Sanitária (ANVISA) en junio de 2006, pero tiempo después podía ser encontrado con otra presentación, con embalajes y finalidad medicinal semejante, pero nombres diferentes. Se analizaron dos mu...

  20. La endodoncia en los pacientes mayores

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    B. Martín Biedma

    2015-06-01

    Full Text Available La endodoncia en el paciente geriátrico es un procedimiento cada vez más habitual en la clínica odontológica. Debemos, dadas las características médicas y dentales de muchos de estos pacientes mayores, planificar correctamente los procesos instrumentales y prever las posibles dificultades que puedan surgir motivadas por conductos estrechos, cámaras pulpares calcificadas etc. En la instrumentación de estos dientes, someteremos a los instrumentos a alto estrés por torsión, motivado por la amplia superficie de contacto entre el instrumento y las paredes, por lo que será totalmente necesario la realización de una preinstrumentación rotatoria y consideramos que es una buena opción el uso del movimiento recíproco. La preparación de los conductos debe dejar un remanente dentinario suficiente, mantenimiento del foramen apical y conicidad progresiva que facilita la administración de irrigantes a lo largo de la longitud de los conductos y las fuerzas de condensación para la obturación. Como irrigantes utilizamos, de forma general, el hipoclorito de sodio al 5% a lo largo de toda la fase instrumental; y una combinación del hipoclorito con un quelante durante la irrigación preobturación que activaremos con algún dispositivo ultrasónico o de aspiración apical negativa. La obturación la realizaremos con sistemas termoplásticos que nos aportan el mejor sellado tridimensional del sistema de conductos.

  1. Histoplasmose residual dos pulmões e linfonodos broncopulmonares em necropsias realizadas em Uberaba, MG

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    Sheila Jorge Adad

    1996-10-01

    Full Text Available Foram estudados pulmões e linfonodos broncopulmonares de 121 necrópsias seqüenciadas de adultos em Uberaba (MG, no período de 1992/1993, identificando-se nódulos e/ou linfonodos calcificados em 39 (30. 7% casos. Na intimidade destas estruturas calcificadas detectaram-se fungos com morfologia compatível com Histoplasma capsulatum em 27 (69,2% das 39 necrópsias; a pesquisa de bacilo-álcool- ácido-resistente através da técnica de Fite-Faraco foi negativa em todos os casos. Concluiu-se que em Uberaba a maioria dos nódulos e/ou linfonodos pulmonares calcificados encontrados em necrópsias está relacionada à infecção por Histoplasma capsulatum, levantando a possibilidade de tratar-se de uma área endêmica de histoplasmose, informação importante para o diagnóstico desta micose sistêmica em imunodeprímidos.Lungs and bronco-pulmonaiy lymph nodes were studiedfrom 127 sequencial adult autopsies done in Uberaba, MG, Brazil through the years 1992 and 1993. Calcified lung nodules and/or calcified lymph nodes were found in 39 (30.7% cases. For 27 (69.2% out of those 39 autopsies, fungi morphologically compatible with Histoplasma capsulatum were found within those calcified structures. Fite-Faraco stain for acid-fast bacilli ivas negative for all cases. It is concluded that the majority of calcified pulmonary nodes and calcified regional lymph nodes found at autopsies in Uberaba are related to infection with H. capsulatum. These findings raise the possibility for this fungal disease to be endemic in Uberaba. Such information might be relevant to the diagnosis of this systemic mycosis.

  2. Neurocisticercosis en pediatría

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    Jorge Malagón Valdez

    2009-01-01

    Full Text Available Cisticercosis: enfermedad parasitaria que afecta en México al 3% de la población. Se considera que hay más de 50 millones de infectados en el mundo, endémica en México, Centro y Sudamérica, Africa, Asia e India. Considerada la enfermedad infecciosa neurológica más importante mundialmente por sus manifestaciones clínicas. El agente causal en cerdos y humanos es el cisticerco de la Taenia solium, que puede alojarse en músculo, cerebro y ventrículos. Si se ingiere carne de cerdo contaminada con cisticercos, se adquiere la solitaria, que vive en los intestinos del ser humano y genera miles de huevecillos que se excretan por la materia fecal. Al ingerir alimentos contaminados con materia fecal por el humano y el cerdo, se adquiere la cisticercosis que compromete distintas partes del organismo, especialmente el SNC. El ser humano es el único hospedero de la solitaria y el cerdo es intermediario, por lo que la prevalencia de la teniasis-cisticercosis depende de este vínculo. Se diagnostica en zonas endémicas por la presencia de crisis convulsivas, cefalea, síntomas neurológicos focales, trastornos de visión, hipertensión endocraneal y tomografía cerebral con zonas hipodensas o quiste con un anillo hiperdenso. El tratamiento con antiparasitarios es controversial en pediatría, se sugiere administrarse en la fase quística no calcificada y en casos de epilepsia asociada. Pocos son los casos que ameritan tratamiento quirúrgico por hidrocefalia o por cisticerco intraventricular, que es muy raro.

  3. Implante percutâneo de valva aórtica: mito ou realidade? Percutaneous aortic aortic valve replacement: myth or reality?

    Directory of Open Access Journals (Sweden)

    Eduardo Keller Saadi

    2008-03-01

    Full Text Available A substituição valvar por prótese metálica ou biológica com o auxílio de circulação extracorpórea é o procedimento padrão-ouro para o tratamento da estenose aórtica calcificada. Embora os resultados sejam excelentes com a cirurgia convencional, alguns pacientes com idade avançada, doenças associadas, reoperações e disfunção ventricular esquerda grave apresentam alto risco cirúrgico. Nos últimos anos, técnicas de tratamento percutâneo foram desenvolvidas. A presente revisão tem por objetivo analisar a literatura desde o desenvolvimento experimental até a aplicação clínica desta nova modalidade de tratamento para pacientes com estenose aórtica grave e alto risco cirúrgico. O implante percutâneo de valva aórtica hoje vem sendo realizado por alguns centros e o cirurgião cardiovascular envolvido no tratamento das doenças valvares deve fazer parte deste desenvolvimento.Aortic valve replacement with mechanical or biological prosthesis with extracorporeal circulation is the gold-standard for the treatment of calcific aortic stenosis. Although the results are excellent with the conventional approach some elderly patients, with multiple high-risk comorbid conditions, reoperations and severe left ventricular dysfunction have high surgical risk. During the last years percutaneous techniques have been developed. The present study aim to analyse the literature, since the experimental development untill clinical application of this novel treatment in patients with high surgical risk aortic stenosis. Percutaneous implantation of aortic valve prosthesis is beeing done in some centers and the cardiovascular surgeon that treats valve disease should be involved in this development.

  4. Calcificaciones cardiovasculares: factores etiológicos implicados

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    Félix Grases

    2005-10-01

    Full Text Available Las calcificaciones cardiovasculares afectan a un importante sector de la población y pueden ser causa de serios problemas de salud. Así, alteran la flexibilidad de las arterias y facilitan la trombosis y su ruptura. Las calcificaciones valvulares dan lugar a diversos desórdenes que acaban en fallo cardíaco. En todos los casos la fase mineral corresponde a fosfatos cálcicos (fundamentalmente hidroxiapatita y en las arterias puede localizarse en la media o en la íntima. En las válvulas cardíacas naturales, la calcificación suele comenzar en la parte interna, mientras que en las prostéticas es superficial. El mecanismo general del proceso de calcificación implica la existencia de una lesión previa (debida a agentes citotóxicos, hipercolesterolemia, insuficiencia renal terminal, edad avanzada, hiperlipemia, obesidad, diabetes, infecciones bacterianas que actúa como inductora (nucleante heterogéneo de la calcificación. Si los factores represores (inhibidores de la cristalización, moduladores de la acción celular no poseen capacidad suficiente para impedir las primeras fases del proceso de calcificación, acabarán formándose placas calcificadas que ya será imposible eliminar sin utilizar cirugía. Puede concluirse, por lo tanto, que la prevención es fundamental para evitar el desarrollo de calcificaciones cardiovasculares, siendo necesario tanto identificar los factores promotores, relacionarlos con el tipo de calcificación y estudiar las vías de su control, como identificar los factores inhibidores de la cristalización y estudiar sus efectos.

  5. Painful heel: MR imaging findings.

    Science.gov (United States)

    Narváez, J A; Narváez, J; Ortega, R; Aguilera, C; Sánchez, A; Andía, E

    2000-01-01

    Heel pain is a common and frequently disabling clinical complaint that may be caused by a broad spectrum of osseous or soft-tissue disorders. These disorders are classified on the basis of anatomic origin and predominant location of heel pain to foster a better understanding of this complaint. The disorders include plantar fascial lesions (fasciitis, rupture, fibromatosis, xanthoma), tendinous lesions (tendinitis, tenosynovitis), osseous lesions (fractures, bone bruises, osteomyelitis, tumors), bursal lesions (retrocalcaneal bursitis, retroachilleal bursitis), tarsal tunnel syndrome, and heel plantar fat pad abnormalities. With its superior soft-tissue contrast resolution and multiplanar capability, magnetic resonance (MR) imaging can help determine the cause of heel pain and help assess the extent and severity of the disease in ambiguous or clinically equivocal cases. Careful analysis of MR imaging findings and correlation of these findings with patient history and findings at physical examination can suggest a specific diagnosis in most cases. The majority of patients with heel pain can be successfully treated conservatively, but in cases requiring surgery (eg, plantar fascia rupture in competitive athletes, deeply infiltrating plantar fibromatosis, masses causing tarsal tunnel syndrome), MR imaging is especially useful in planning surgical treatment by showing the exact location and extent of the lesion.

  6. Xeroradiography in the diagnosis of the Haglund syndrome.

    Science.gov (United States)

    Burhenne, L J; Connell, D G

    1986-09-01

    Xeroradiography is the radiographic method of choice for assessment of soft tissues and calcaneal detail in patients suffering from a painful swelling localized in the heel. The radiographic triad of retrocalcaneal bursitis, superficial tendo Achillis bursitis, and Achilles tendon thickening, in the presence of an intact posterior superior calcaneal margin, are readily evaluated with xeroradiography. The Haglund syndrome is a painful inflammation involving the two bursae which surround the Achilles tendon. It is associated with a prominent posterior superior calcaneal margin. Of the two objective measurements devised to assess this prominence, neither the posterior calcaneal angle of Philip and Fowler of greater than 75 degrees nor the parallel pitch line (PPL) has proved to be a reliable index. In the present study, we evaluated four patients with heel pain and swelling as well as 100 control patients. The findings suggest that the prominence of the posterior calcaneal angle should be assessed relative to the known normal range rather than by comparison to a single fixed angulation which is arbitrarily designated as being abnormal.

  7. Minor rheumatology: Nonsystemic rheumatic disease of juxta-articular soft tissues of the pelvis and lower extremity: Diagnosis and treatment. Part 3

    Directory of Open Access Journals (Sweden)

    A. E. Karateev

    2015-01-01

    Full Text Available Pain associated with rheumatic diseases of juxta-articular soft tissues (RDJAST of the pelvis and lower extremity is a frequent reason for seeking advice from general practitioners and rheumatologists. However, the true cause of painful sensations is often overlooked by a physician and the patient is long and frequently treated unsuccessfully for lumbago, coxarthrosis, or gonarthrosis.The complexities of topical diagnosis are largely associated with the fact that instrumental methods virtually always determine these or those degenerative changes in the lumbar spine and hip joint (HJ, which formally supports the presence of nonspecific low back pain and coxarthrosis. Differential diagnosis can be made between these conditions if their clinical features are considered, by discriminating symptoms, such as pains in the back or buttock, and those located predominantly in the hip and groin area.The most known forms of RDJAST of the pelvis and HJ may include trochanteritis, hip abductor and adductor syndromes, iliopectineal bursitis, and ischial tuberosity bursitis.This review briefly describes the major forms of RDJAST of the mentioned area, their clinical manifestations, and topical diagnostic techniques. It also considers main therapeutic approaches: the administration of nonsteroidal antiinflammatory drugs, local injections of glucocorticoids and plateletrich plasma, and physiotherapy.

  8. [Forefoot pain].

    Science.gov (United States)

    Damiano, Joël

    2010-03-20

    Forefoot chronic pain is a frequent problem in daily clinical practice. Mechanical pathology of the forefoot, usually called static metatarsalgia, represents the most frequent reason for consultation in pathology of the foot. The cause is a functionnal disorder or anatomic derangement of the forefoot architecture. Metatarsalgia can originate from a wide range of affections. Etiologies of chronic pain are described from medial to lateral with first ray pathologies (hallux valgus, hallux rigidus and sesamoid pathology) and first ray insufficiency, pathologies of the second, third and fourth ray and intermetatarsal spaces (second ray syndrome, Freiberg's disease, Morton neuroma, stress or bone insufficiency metatarsal fractures, intermetatarsal bursitis) and fifth ray pathology (lateral bursitis, quintus varus). Sometimes forefoot pain could also be caused by chronic inflammatory rheumatic diseases (rheumatoid and psoriatic arthritis) with a risk of structural metatarsophalangeal joints alteration. The pathology of the toes can, more rarely, explain a forefoot pain. So, several pathologic conditions can produce forefoot pain and the diagnostic approach must always be based on the anamnesis and clinical examination. In a second time if the cause is difficult to establish based solely on clinical findings, radiography and ultrasonography are today the most usefull auxiliary investigations.

  9. Intramuscular myxoid lipoma in the proximal forearm presenting as an olecranon mass with superficial radial nerve palsy: a case report

    Directory of Open Access Journals (Sweden)

    Hildebrand Kevin A

    2011-07-01

    Full Text Available Abstract Background Extremity lipomas may occur in any location, including the proximal forearm. We describe a case of a patient with an intramuscular lipoma presenting as an unusual posterior elbow mass. Case presentation We discuss the case of a 57-year-old Caucasian man who presented with a tender, posterior elbow mass initially diagnosed as chronic olecranon bursitis. A minor sensory disturbance in the distribution of the superficial radial nerve was initially thought to be unrelated, but was likely caused by mass effect from the lipoma. No pre-operative advanced imaging was obtained because the diagnosis was felt to have already been made. At the time of surgery, a fatty mass originating in the volar forearm muscles was found to have breached the dorsal forearm fascia and displaced the olecranon bursa. Tissue diagnosis was made by histopathology as a myxoid lipoma with no aggressive features. Post-operative recovery was uneventful. Conclusion We present a case of an unusual elbow mass presenting with symptoms consistent with chronic olecranon bursitis, a relatively common condition. The only unexplained pre-operative finding was the non-specific finding of a transient superficial radial nerve deficit. We remind clinicians to be cautious when diagnosing soft tissue masses in the extremities when unexplained physical findings are present.

  10. Knee joint examinations by magnetic resonance imaging: The correlation of pathology, age, and sex

    Directory of Open Access Journals (Sweden)

    Serhat Avcu

    2010-01-01

    Full Text Available Aims: The aim of our study was to investigate the incidence and coexistence of multiple knee joint pathologies and the distribution of knee joint pathologies according to age and sex. Patients and Methods: A retrospective analysis was performed using the clinical data of patients evaluated with magnetic resonance imaging (MRI of the knee joint. Data from 308 patients examined between August 2002 and July 2003 were included into this study. A Pearson correlation analysis was performed to examine the relationship between the pathological findings and the age and sex of the patients. Results: The ages of the patients ranged between 1 and 74 years (mean: 43.3 years. Age was significantly correlated with meniscal degeneration and tears, medial collateral ligament degeneration, parameniscal cyst, and chondromalacia patellae. There was a significant correlation between male gender and anterior cruciate ligament injury. Meniscal injury was significantly correlated with bursitis, as well as medial collateral ligament injury. Bone bruise was significantly correlated with medial collateral ligament injury, lateral collateral ligament injury, Baker′s cyst, and anterior cruciate ligament injury. Chondromalacia patellae was significantly correlated with anterior cruciate ligament injury, patellae alta, and osteochondral lesion. Bursitis (in 53.2% of the patients followed by grade-II meniscal degeneration (in 43% of the patients were the most common knee pathologies observed by MRI. Conclusions: MRI findings of select knee pathologies are significantly correlated with each other and the age and sex of the patient.

  11. Painful Heel: MR Imaging Findings

    Directory of Open Access Journals (Sweden)

    Babak Sanei

    2010-05-01

    Full Text Available Heel pain is a common and frequently disabling clinical complaint that may be caused by a broad spectrum of osseous or soft-tissue disorders. "nThese disorders are classified on the basis of anatomic origin and predominant location of heel pain to foster a better understanding of this complaint. The disorders include plantar fascial lesions (fasciitis, rupture, fibromatosis, xanthoma, tendinous (tendonitis, tenosynovitis, osseous lesions (fractures, bone bruises, osteomyelitis, tumors, bursal lesions (retrocalcaneal bursitis, retroachilleal bursitis, tarsal tunnel syndrome, and heel plantar fat pad abnormalities. With its superior soft-tissue contrast resolution and multiplanar capability, magnetic resonance (MR imaging can help determine the cause of heel pain and help assess the extent and severity of the disease in ambiguous or clinically equivocal cases. Careful analysis of MR imaging findings and correlation of these findings with patient history and findings at physical examination can suggest a specific diagnosis in most cases. The majority of patients with heel pain can be successfully treated conservatively, but in cases requiring surgery (eg, plantar fascia rupture in competitive athletes, deeply infiltrating plantar fibromatosis, masses causing tarsal tunnel syndrome, MR imaging is especially useful in planning surgical treatment by showing the exact location and extent of the lesion

  12. MRI findings of prepatellar Morel-Lavallee effusions

    Energy Technology Data Exchange (ETDEWEB)

    Borrero, Camilo G.; Maxwell, Norman; Kavanagh, Eoin [University of Pittsburgh Medical Center, Department of Radiology, Pittsburgh, PA (United States)

    2008-05-15

    To describe MR imaging characteristics and treatment options for prepatellar closed degloving injuries or Morel-Lavallee effusions. Imaging features are discussed that may aid in the distinguishing of this entity from 'housemaid's knee' or prepatellar bursitis. MR images of four young wrestlers were reviewed by two attending radiologists and one fellow, and correlative clinical data were collected using the electronic medical database. MR images in all cases showed a unilocular, T2 hyperintense prepatellar collection extending beyond the normal boundaries of the prepatellar bursa. No necrotic fat or blood products were identified in the collections. Surgical pathology proving the absence of synovial tissue was available for one case, and differentiation of the collection from the adjacent bursa was confirmed visually by the surgeon in a second case. Although prepatellar hemorrhagic bursitis and Morel-Lavallee effusions share many imaging features, making a specific diagnosis in most cases is not necessary, as treatment is often similar for both entities. (orig.)

  13. Artroscopia da articulação escapulotorácica: relato de casos Arthroscopy of the scapulothoracic joint: case reports

    Directory of Open Access Journals (Sweden)

    Carlos Vicente Andreoli

    2009-01-01

    Full Text Available A artroscopia escapulotorácica é um procedimento que apresenta indicações restritas, para ressecção de corpos livres, tumores benignos, bursites e escápulas em ressalto. Os autores relatam quatro casos de artroscopia da articulação escapulotorácica; no primeiro caso, foi realizada apenas a visualização do tumor benigno (osteocondroma; no segundo caso, a ressecção artroscópica de um osteocondroma; no terceiro caso, a bursectomia artroscópica devido à bursite escapulotorácica; e no quarto caso, bursectomia e escapulectomia súpero-medial parcial artroscópica devido à escápula em ressalto.Scapulothoracic arthroscopy is a procedure presenting restricted indications, for resecting free bodies, benign tumors, bursitis, and snaping scapula. The authors report four cases of scapulothoracic joint arthroscopy; in the first case, only a benign tumor (osteochondroma could be visualized; in the second case, arthroscopic resection of an osteochondroma was found; in the third case, arthroscopic bursectomy due to scapulothoracic bursitis, and; in the fourth case, bursectomy and partial superomedial arthroscopic scapulectomy due to snaping scapula.

  14. Knee joint examinations by magnetic resonance imaging: The correlation of pathology, age, and sex

    Directory of Open Access Journals (Sweden)

    Serhat Avcu

    2010-04-01

    Full Text Available Aims: The aim of our study was to investigate the incidence and coexistence of multiple knee joint pathologies and the distribution of knee joint pathologies according to age and sex. Patients and Methods: A retrospective analysis was performed using the clinical data of patients evaluated with magnetic resonance imaging (MRI of the knee joint. Data from 308 patients examined between August 2002 and July 2003 were included into this study. A Pearson correlation analysis was performed to examine the relationship between the pathological findings and the age and sex of the patients. Results: The ages of the patients ranged between 1 and 74 years (mean: 43.3 years. Age was significantly correlated with meniscal degeneration and tears, medial collateral ligament degeneration, parameniscal cyst, and chondromalacia patellae. There was a significant correlation between male gender and anterior cruciate ligament injury. Meniscal injury was significantly correlated with bursitis, as well as medial collateral ligament injury. Bone bruise was significantly correlated with medial collateral ligament injury, lateral collateral ligament injury, Baker’s cyst, and anterior cruciate ligament injury. Chondromalacia patellae was significantly correlated with anterior cruciate ligament injury, patellae alta, and osteochondral lesion. Bursitis (in 53.2% of the patients followed by grade-II meniscal degeneration (in 43% of the patients were the most common knee pathologies observed by MRI. Conclusions: MRI findings of select knee pathologies are significantly correlated with each other and the age and sex of the patient.

  15. Autologous implant of bone marrow mononuclear stem-cells as treatment for equine bicipital tendonitis: case report Implante autólogo de células mononucleares de médula ósea como tratamiento de tendinitis bicipital equina: reporte de caso clínico

    Directory of Open Access Journals (Sweden)

    BC Menarim

    2012-01-01

    Full Text Available Bicipital bursitis in the horse, the inflammation of the bicipital tendon and its surrounding bursa, has been reported to represent a low percentage of lameness cause. However, it is the main cause of lameness associated to the shoulder region and it has been under diagnosed. Due to high recurrence in different types of tendon injuries, treatments aiming to re-establish tendon functionality have been a focus of research. The aim of this study is to report the implant of a bone marrow mononuclear cell fraction as treatment for bicipital bursitis in a horse. A 7 year old crossbred draught gelding was presented with severe lameness of the left forelimb and pain in the shoulder region. Clinical and ultrasonographic evaluation revealed hemorrhagic synovial fluid, decrease of lameness after shoulder joint anesthesia and bicipital tendon fibers rupture and inflammation. The patient was successfully treated by triamcinolone injection adjacent to the tendon lesion followed by intralesional injection of bone marrow mononuclear cells seven days after the first treatment. Also, rest and controlled exercise were performed. Further clinical and ultrasound evaluations were executed at days 2, 15, 35, 75 and 120. After day 120 the horse started working and despite bicipital bursitis has been reported to exhibit high recurrence, neither clinical nor ultrasonographic signs of recurrence were reported for 15 months after lameness onset. These results suggest that use of regenerative medicine associated to rest and a controlled exercise protocol, accelerated tendon repair, reduced recovery period and allowed successful return to working activities without recurrence.La bursitis bicipital es la principal causa de cojera asociada al hombro equino, sin embargo representa un pequeño porcentaje de las causas de claudicaciones en caballos. Debido a la alta recurrencia observada en casos de tendinitis, tratamientos en base a medicina regenerativa se han tornado en un

  16. Muscle Gene Expression Patterns in Human Rotator Cuff Pathology

    Science.gov (United States)

    Choo, Alexander; McCarthy, Meagan; Pichika, Rajeswari; Sato, Eugene J.; Lieber, Richard L.; Schenk, Simon; Lane, John G.; Ward, Samuel R.

    2014-01-01

    Background: Rotator cuff pathology is a common source of shoulder pain with variable etiology and pathoanatomical characteristics. Pathological processes of fatty infiltration, muscle atrophy, and fibrosis have all been invoked as causes for poor outcomes after rotator cuff tear repair. The aims of this study were to measure the expression of key genes associated with adipogenesis, myogenesis, and fibrosis in human rotator cuff muscle after injury and to compare the expression among groups of patients with varied severities of rotator cuff pathology. Methods: Biopsies of the supraspinatus muscle were obtained arthroscopically from twenty-seven patients in the following operative groups: bursitis (n = 10), tendinopathy (n = 7), full-thickness rotator cuff tear (n = 8), and massive rotator cuff tear (n = 2). Quantitative polymerase chain reaction (qPCR) was performed to characterize gene expression pathways involved in myogenesis, adipogenesis, and fibrosis. Results: Patients with a massive tear demonstrated downregulation of the fibrogenic, adipogenic, and myogenic genes, indicating that the muscle was not in a state of active change and may have difficulty responding to stimuli. Patients with a full-thickness tear showed upregulation of fibrotic and adipogenic genes; at the tissue level, these correspond to the pathologies most detrimental to outcomes of surgical repair. Patients with bursitis or tendinopathy still expressed myogenic genes, indicating that the muscle may be attempting to accommodate the mechanical deficiencies induced by the tendon tear. Conclusions: Gene expression in human rotator cuff muscles varied according to tendon injury severity. Patients with bursitis and tendinopathy appeared to be expressing pro-myogenic genes, whereas patients with a full-thickness tear were expressing genes associated with fatty atrophy and fibrosis. In contrast, patients with a massive tear appeared to have downregulation of all gene programs except inhibition of

  17. Rattus norvegicus como indicador de la circulación de Capillaria hepatica y Taenia taeniaeformis en la Plaza Minorista de Medellín, Colombia

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    Biviana Andrea Duque

    2012-12-01

    Full Text Available Introducción. Rattus norvegicus cumple un papel epidemiológico en el mantenimiento y dispersión de agentes zoonóticos bacterianos, virales y parasitarios de interés en salud pública. La presencia de infección por helmintos en especies Rattus cercanas a poblaciones expuestas en condiciones ambientales propicias, puede convertirse en un factor de riesgo de transmisión. Objetivo. Reportar la frecuencia de infección con Capillaria hepatica y formas larvarias de Taenia taeniaeformis en ratas silvestres (R. norvegicus capturadas en una zona urbana de Medellín. Materiales y métodos. Se capturaron 254 ejemplares de R. norvegicus. Los hígados de 54 ejemplares que presentaron lesión hepática macroscópica durante la necropsia, fueron examinados por histopatología convencional. Resultados. La frecuencia de infección por C. hepatica fue de 20,1 % (51/254. Seis hígados fueron también positivos para larvas de T. taeniaeformis con una frecuencia de 2,4 % (6/254. Los hígados infestados con C. hepatica exhibían parásitos en el estadio adulto o juvenil y huevos ovalados conopérculos bipolares, asociados con hepatitis granulomatosa leve a moderada multifocal y acompañada por infiltrado leucocitario. Se observaron lesiones granulomatosas en resolución y fibrosis residual o calcificada que contenía huevos. Donde se encontraron cisticercos de T. taeniaeformis, el hallazgo más frecuente fueron quistes hepáticos que contenían larvas, y lesiones inflamatorias y fibróticas. Conclusión. Estos resultados indican que helmintos de potencial zoonótico circulan en R. norvegicus de ambientes urbanos. Debe investigarse la verdadera distribución de estos parásitos, para determinar el riesgo potencial que corren las poblaciones animales y humanas expuestas a adquirir este tipo de infecciones.   doi: http://dx.doi.org/10.7705/biomedica.v32i4.442

  18. Implantación transapical de la válvula aórtica

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    Axel Linke

    2009-01-01

    Full Text Available El reemplazo valvular aórtico por estenosis es notoriamente alto, hasta un 30% en poblaciones estudiadas, lo cual implica en determinados grupos un riesgo quirúrgico elevado. En este artículo se describe la implantación transapical de la válvula, un procedimiento miniinvasivo y en principio sin circulación extracorpórea. Se indica preferentemente en pacientes ancianos con alto riesgo operatorio, en aquellos con aortas gravemente calcificadas y en otros con revascularizaciones coronarias previas. El estudio de la geometría aórtica es esencial: la ecocardiografía transesofágica da la mejor medida del diámetro de la raíz aórtica y la tomografía computarizada determina exactamente el diámetro del anillo y tiene la posibilidad agregada de medir la distancia desde el anillo a los ostia coronarios. Se debe contar con la posibilidad de circulación extracorpórea en carácter de stand-by. Por una pequeña toracotomía anterolateral se accede a la punta del corazón donde se cateteriza el ventrículo hacia la posición aórtica con control radioscópico. La valvuloplastia, la inserción de la vaina transapical y el posicionamiento de la prótesis son las maniobras siguientes. El posicionamiento de la válvula constituye el paso más crítico, pero con esta técnica es más eficaz. En los últimos casos, mediante el software denominado DYNA CT, se han logrado mejores perspectivas en un punto crucial para el desarrollo definitivo. Desde febrero de 2006 hasta diciembre 2008 se implantaron 192 válvulas por vía transapical en pacientes con una edad media de 82,5 ± 5,7 años. La mortalidad a los 30 días fue del 8,9% y en el seguimiento alejado a 256 ± 213 días fue del 12,8%. Esta técnica debe ser realizada en un quirófano híbrido por un equipo especializado y debidamente entrenado de cirujanos, cardiólogos y anestesistas para obtener resultados óptimos.REV ARGENT CARDIOL 2009;77:96-100.

  19. Correlação radiológica e histológica utilizando o sistema BI-RADS: valor preditivo positivo das categorias 3, 4 e 5

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    Vinícius Gomes Lippi

    2014-04-01

    Full Text Available Objetivo: analisar estudos que comparam achados mamográficos de acordo com a classificação BI-RADS, com a histologia, avaliando os valores preditivos positivos das categorias 3,4 e 5. Materiais e Métodos: foi realizada revisão das bases de dados Medline - Pubmed e SciELO - Lilacs através dos termos “valor preditivo” e “BI-RADS ou BIRADS”e “mamografia”. Foram incluídos 15 artigos nesta revisão, cumprindo os seguintes critérios: artigos originais avaliando o valor preditivo positivo (VPP das categorias 3, 4 e 5, baseado no resultado histopatológico de, no mínimo, 100 lesões; trabalhos publicados no período entre 1998 e 2010; artigos em língua portuguesa, inglesa ou espanhola. Resultados: o valor preditivo positivo das categorias 3, 4 e 5 variou entre 0% e 8%, 4% e 67,8%, 54% e 100%, respectivamente. Foi possível determinar que as lesões de maior risco para malignidade são as massas de margem espiculada, alta densidade e forma irregular e as calcificações descritas como finas ramificadas, distribuição segmentar ou linear. Verificamos também que o carcinoma mais encontrado nas lesões calcificadas foi o ductal in situ e nas demais lesões o carcinoma ductal infiltrativo. Conclusão: a nomenclatura do Sistema BI-RADS é útil e de grande valor para predizer a presença de malignidade, permitindo discriminar, com certa segurança, pacientes com maior risco de apresentar câncer de mama. Para reduzir a realização desnecessária de procedimentos invasivos, sugerimos que as lesões sejam analisadas também de acordo com os critérios morfológicos.

  20. Frequency of depression among patients with neurocysticercosis Depressão em pacientes portadores de neurocisticercose

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    Sergio Monteiro de Almeida

    2010-02-01

    Full Text Available Neurocysticercosis (NCC is a common central nervous system infection caused by Taenia solium metacestodes. OBJECTIVE: To investigate the occurrence of depression in patients with calcified NCC form. The study group consisted of 114 patients subdivided in four groups: NCC with epilepsy, NCC without epilepsy, epilepsy without NCC and chronic headache. METHOD: Depression was evaluated and quantified by the Hamilton Rating Scale for Depression (HRSD-21. RESULTS: Percentage of patients with depression was as follows: group 1 (83%; group 2 (88%; group 3 (92%; group 4 (100%. The majority of patients had moderate depression. CONCLUSION: Incidence of depression in all groups was higher than in the general population. It is possible that, in a general way, patients with chronic diseases would have depression with similar intensity. NCC is associated with the presence of depression.Neurocysticercose (NCC é uma infecção do sistema nervoso central comum causada por metacestodes da Taenia solium. OBJETIVO: investigar a ocorrência de depressão nos pacientes com NCC forma calcificada. O grupo de estudo é formado por 114 pacientes subdivididos em quatro grupos: NCC com epilepsia, NCC sem epilepsia, epilepsia sem NCC e cefaléia crônica. MÉTODO: A presença de depressão foi determinada e quantificada pela Escala de Depressão de Hamilton (HRSD-21. RESULTADOS: A porcentagem de pacientes com depressão foi: grupo 1 (83%; grupo 2 (88%; grupo 3 (92%; grupo 4 (100%. A maioria dos pacientes apresentou depressão moderada. CONCLUSÃO: A incidência da depressão em todos os grupos foi mais elevada do que na população geral, contudo não houve diferença entre os grupos estudados. É possível que, de uma maneira geral, os pacientes portadores de doença crônica apresentarem a depressão em intensidade similar. NCC está associada com a presença de depressão.

  1. Manejo estético y endodóncico de dientes con formación radicular incompleta

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    L.A. Dávila Rodríguez

    2013-08-01

    Full Text Available La necrosis pulpar es una de las principales complicaciones de los traumatismos dentales lo que implica en un diente inmaduro la interrupción de la maduración de la raíz y el cierre apical. Una terapia llamada "apexificación" se requiere para inducir la formación de una barrera calcificada apical permitiendo un relleno permanente y hermético de la raíz. Numerosos materiales han sido recomendados para inducir apexificación y conservar la estética en dientes con ápices inmaduros como el mineral trióxido agregado (MTA, el hidróxido de calcio [Ca (OH2], los postes de fibra de vidrio y entre los diversos materiales utilizados en prótesis, la cerámica que reproduce la apariencia de la dentición natural y tiene un comportamiento óptico muy similar a la de los tejidos duros dentales. El presente caso reporta paciente masculino de 17 años de edad con fractura coronaria complicada, conducto radicular expuesto a cavidad oral con formación radicular incompleta. El objetivo del presente caso clínico es describir la apexificación como primera alternativa para mantener un diente útil, utilizando la formación de una barrera apical con mineral trióxido agregado (MTA y recuperar la estética del paciente. Conclusiones: La medicación intraconducto adecuada para la inducción a la formación de un cierre apical en un diente inmaduro o con formación radicular incompleta, es de trascendental importancia para el éxito del proceso de apexificación en donde juega un papel importante el MTA ya que en la actualidad es el material que brinda más ventajas en esta práctica como inductor de dicho proceso.

  2. A ecografia no diagnóstico das lesões músculo-tendinosas do ombro Ultrasonography findings of musculotendinous lesions of the shoulder

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    Arquimedes Artur Zorzetto

    2003-08-01

    Full Text Available Este estudo propôs-se a revisar os aspectos relevantes da anatomia, técnica de exame e achados de imagens, com o objetivo de auxiliar o radiologista no diagnóstico diferencial frente às afecções músculo-tendinosas do ombro. Foram realizadas 34 ultra-sonografias da região do ombro, no período de janeiro a dezembro de 2001. A avaliação foi realizada com transdutores de alta freqüência (7,5-10 MHz. O exame foi normal em 23% dos pacientes (oito casos. Dos 26 casos alterados, observaram-se oito com ruptura total (30%, cinco com ruptura parcial (19%, dez com tendinopatia (38%, um com tendinopatia calcificada (3%, um com tenossinovite bicipital (3% e um com tendinopatia associada a artrite gotosa (3%. A falta de experiência e de conhecimento das principais alterações que acometem o ombro é um dos principais pontos limitantes do diagnóstico ultra-sonográfico das lesões do ombro. Portanto, o estudo dessas alterações deve ser realizado amplamente.The purpose of this study is to review the anatomical structures, ultrasonography examination technique and imaging findings in patients with musculotendinous lesions of the shoulder with the aim of helping the radiologist in the differential diagnosis of these lesions. We performed ultrasonography examinations of the shoulder using high-resolution probes (7.5-10 MHz in 34 patients from January to December, 2001. The examination was normal in eight patients (23% whereas 26 patients presented abnormalities: eight patients had total rotator cuff tears (30%, five had partial rotator cuff (19%, ten had tendinopathy (38%, one had calcified tendinopathy (3%, one had biceps tendinitis, one had biceps tendon luxation (3% and one had tendinopathy associated to crystal arthropathy (3%. The lack of experience and the insufficient knowledge about the main diseases of the shoulder are limiting factors for the diagnosis of these lesions. Therefore, a comprehensive study of the abnormalities of the

  3. Gladius and statolith as tools for age and growth studies of the squid Loligo plei (Teuthida: Loliginidae off southern Brazil

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    José Angel Alvarez Perez

    2006-09-01

    Full Text Available Statolith and gladius were investigated for their suitability as tools for age and growth studies in the loliginid squid Loligo plei off southern Brazil. Statoliths when polished, revealed a series of concentric increments deposited around a nucleus. Consistent increment counts covered the squid's entire life-time and could be considered suitable for individual age estimation. Growth increments were observed on the dorsal surface as delimited by consecutive marks formed during low growth periods. Because early growth was masked during chitin deposition, total increment counts underestimated individual age. Gladius growth was highly correlated with somatic growth, and gladius increments could be used to reconstruct individual growth histories. Both statolith and gladius increments were deposited with the same, possibly daily, periodicity. It could be inferred that L. plei off southern Brazil might live up to around nine months of age.Foi avaliada a viabilidade do estatólito e do gladius como ferramentas para estudos de idade e crescimento da lula loliginídea Loligo plei no sul do Brasil. Estatólitos são estruturas calcificadas que, após polimento, revelaram uma serie de incrementos concêntricos depositados em torno de um núcleo. Contagens consistentes desses incrementos cobriram toda a vida do animal e puderam ser consideradas apropriadas para a estimativa de idade desse organismo. O gladius é a concha interna que cresce pela deposição longitudinal de camadas de quitina. Incrementos foram observados na superfície dorsal, delimitados por consecutivas marcas formadas durante períodos de crescimento lento. Ao longo da deposição de quitina o crescimento do início da vida é progressivamente mascarado fazendo com que as contagens de incrementos totais subestimem a idade da lula. Devido ao crescimento do gladius correlacionar-se fortemente com o crescimento somático, os incrementos puderam ser utilizados para a reconstrução do

  4. Aspectos eletrencefalográficos das malformações vasculares intracranianas

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    Paulo Pinto Pupo

    1953-09-01

    Full Text Available Analisando os casos publicados sôbre o assunto, e apresentando um material próprio constituído de 5 casos de aneurismas arteriovenosos, um de aneurisma da artéria silviana e 3 de malformação de Sturge-Weber-Dimitri, estudados clínica, eletrencefalográfica e radiològicamente (craniograma simples e arteriografia cerebral, o autor procura mostrar a importância dos resultados eletrencefalográficos para o diagnóstico exato e para orientação da terapêutica etiológica. Com os elementos assim coligidos conclui: 1 Nos casos de aneurismas arteriovenosos, o EEG deu sinais de diagnóstico focai decisivo em 4, sendo que em 2 levou à arteriografia pacientes que tinham tido uma e duas crises convulsivas, respectivamente, possibilitando, assim, diagnóstico etiológico e terapêutica cirúrgica; em um caso orientou o diagnóstico exato de um paciente de 55 anos, que há 25 anos era tido como epilético; em um caso sòmente não deu sinais de anormalidades, tratando-se de pequeno aneurisma arteriovenoso situado entre circunvoluções parietais. 2 No caso de aneurisma da artéria silviana, situado na base do cérebro, o EEG mostrou somente os distúrbios difusos e bilaterais conseqüentes à hemorragia meníngea. 3 Nos 3 casos de malformação de Sturge-Weber-Dimitri, o EEG demonstrou alterações de tipo depressão de atividade elétrica cerebral correspondente à malformação calcificada; em um dêstes casos mostrou ní- tido foco epileptógeno frontal, explicando perfeitamente sintomatologia de convulsões de tipo bravais-jacksoniano e hemiparesia, independentemente da calcificação tipo angiomatosa, de situação occipital.

  5. "Bursal reactions" in rotator cuff tearing, the impingement syndrome, and calcifying tendinitis.

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    Ishii, H; Brunet, J A; Welsh, R P; Uhthoff, H K

    1997-01-01

    Subacromial bursal specimens from 63 patients undergoing surgery for rotator cuff tearing (n = 43), the impingement syndrome (n = 14), and calcifying tendinitis n = 6) were studied to characterize the reactions that develop at the tendinopathy "lesional" sites. Intensity of the bursal reactions and production of type III collagen vary considerably, with the highest incidence of both seen in patients with rotator cuff tears. The intensity of bursal reactions correlated with the degree of formation of perivascular new collagen and type III collagen expression. In 22 of the 63 patients the bursal reaction distant to the tendon lesion was also studied. It was minimal and did not correlate to the lesional bursal findings. A strong correlation, however, existed between surgical appearance and histologic grading. The term "localized bursal reaction" as opposed to bursitis more correctly describes bursal involvement. Resection of bursal tissues should be limited to the lesional tissue that interferes with subacromial motion.

  6. Imaging of musculoskeletal soft tissue infections

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    Turecki, Marcin B.; Taljanovic, Mihra S.; Holden, Dean A.; Hunter, Tim B.; Rogers, Lee F. [University of Arizona HSC, Department of Radiology, Tucson, AZ (United States); Stubbs, Alana Y. [Southern Arizona VA Health Care System, Department of Radiology, Tucson, AZ (United States); Graham, Anna R. [University of Arizona HSC, Department of Pathology, Tucson, AZ (United States)

    2010-10-15

    Prompt and appropriate imaging work-up of the various musculoskeletal soft tissue infections aids early diagnosis and treatment and decreases the risk of complications resulting from misdiagnosis or delayed diagnosis. The signs and symptoms of musculoskeletal soft tissue infections can be nonspecific, making it clinically difficult to distinguish between disease processes and the extent of disease. Magnetic resonance imaging (MRI) is the imaging modality of choice in the evaluation of soft tissue infections. Computed tomography (CT), ultrasound, radiography and nuclear medicine studies are considered ancillary. This manuscript illustrates representative images of superficial and deep soft tissue infections such as infectious cellulitis, superficial and deep fasciitis, including the necrotizing fasciitis, pyomyositis/soft tissue abscess, septic bursitis and tenosynovitis on different imaging modalities, with emphasis on MRI. Typical histopathologic findings of soft tissue infections are also presented. The imaging approach described in the manuscript is based on relevant literature and authors' personal experience and everyday practice. (orig.)

  7. Corticosteroid Injections for Common Musculoskeletal Conditions.

    Science.gov (United States)

    Foster, Zoë J; Voss, Tyler T; Hatch, Jacquelynn; Frimodig, Adam

    2015-10-15

    Family physicians considering corticosteroid injections as part of a comprehensive treatment plan for musculoskeletal diagnoses will find few high-quality studies to assist with evidence-based decision making. Most studies of corticosteroid injections for the treatment of osteoarthritis, tendinopathy, bursitis, or neuropathy include only small numbers of patients and have inconsistent long-term follow-up. Corticosteroid injections for the treatment of adhesive capsulitis result in short-term improvements in pain and range of motion. For subacromial impingement syndrome, corticosteroid injections provide short-term pain relief and improvement in function. In medial and lateral epicondylitis, corticosteroid injections offer only short-term improvement of symptoms and have a high rate of symptom recurrence. Corticosteroid injections for carpal tunnel syndrome may help patients avoid or delay surgery. Trigger finger and de Quervain tenosynovitis may be treated effectively with corticosteroid injections. Patients with hip or knee osteoarthritis may have short-term symptom relief with corticosteroid injections.

  8. Joint involvement in patients with early polymyalgia rheumatica using high-resolution ultrasound and its contribution to the EULAR/ACR 2012 classification criteria for polymyalgia rheumatica.

    Science.gov (United States)

    Weigand, Sandra; Ehrenstein, Boris; Fleck, Martin; Hartung, Wolfgang

    2014-04-01

    To assess joint involvement and the contribution of musculoskeletal ultrasound (MSUS) to the novel European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) 2012 classification criteria in patients with polymyalgia rheumatic (PMR). MSUS was performed in 54 consecutive patients with recent-onset PMR. Biceps tenosynovitis of at least 1 shoulder has been observed in 70.4% of patients, and 64.8% had a bilateral biceps tenosynovitis. Subdeltoid bursitis (27.8% unilateral, 5.6% bilateral), glenohumeral synovitis (22.2% unilateral, 9.3% bilateral), and hip involvement (22.2% unilateral, 16.7% bilateral) were observed less frequently. The sensitivities of the classification criteria were 85.2% for EULAR/ACR without MSUS and 81.5% for EULAR/ACR with MSUS. The most common MSUS pathology was a biceps tenosynovitis. However, US findings had no effect on the sensitivity of the novel EULAR/ACR criteria for PMR.

  9. Rotator cuff tears: clinical, radiographic, and US findings.

    Science.gov (United States)

    Moosikasuwan, Josh B; Miller, Theodore T; Burke, Brian J

    2005-01-01

    Rotator cuff tears are a common cause of shoulder pain. Clinical and radiographic findings can suggest the presence of a rotator cuff tear. The most sensitive clinical findings are impingement and the "arc of pain" sign. Radiographic findings are usually normal in the acute setting, although the "active abduction" view may show decreased acromiohumeral distance. In more chronic cases, an outlet view may show decreased opacity and decreased size of the supraspinatus muscle due to atrophy. In late cases, the humeral head may become subluxated superiorly, and secondary degenerative arthritis of the glenohumeral joint may ensue. Ultrasonography (US), with over 90% sensitivity and specificity, can help confirm the diagnosis in clinically or radiographically equivocal cases. US can also reveal the presence of other abnormalities that may mimic rotator cuff tear at clinical examination, including tendinosis, calcific tendinitis, subacromial subdeltoid bursitis, greater tuberosity fracture, and adhesive capsulitis.

  10. A review of surgical repair methods and patient outcomes for gluteal tendon tears.

    Science.gov (United States)

    Ebert, Jay R; Bucher, Thomas A; Ball, Simon V; Janes, Gregory C

    2015-01-01

    Advanced hip imaging and surgical findings have demonstrated that a common cause of greater trochanteric pain syndrome (GTPS) is gluteal tendon tears. Conservative measures are initially employed to treat GTPS and manage gluteal tears, though patients frequently undergo multiple courses of non-operative treatment with only temporary pain relief. Therefore, a number of surgical treatment options for recalcitrant GTPS associated with gluteal tears have been reported. These have included open trans-osseous or bone anchored suture techniques, endoscopic methods and the use of tendon augmentation for repair reinforcement. This review describes the anatomy, pathophysiology and clinical presentation of gluteal tendon tears. Surgical techniques and patient reported outcomes are presented. This review demonstrates that surgical repair can result in improved patient outcomes, irrespective of tear aetiology, and suggests that the patient with "trochanteric bursitis" should be carefully assessed as newer surgical techniques show promise for a condition that historically has been managed conservatively.

  11. Gluteal Tendinopathy: Integrating Pathomechanics and Clinical Features in Its Management.

    Science.gov (United States)

    Grimaldi, Alison; Fearon, Angela

    2015-11-01

    Synopsis Gluteal tendinopathy is now believed to be the primary local source of lateral hip pain, or greater trochanteric pain syndrome, previously referred to as trochanteric bursitis. This condition is prevalent, particularly among postmenopausal women, and has a considerable negative influence on quality of life. Improved prognosis and outcomes in the future for those with gluteal tendinopathy will be underpinned by advances in diagnostic testing, a clearer understanding of risk factors and comorbidities, and evidence-based management programs. High-quality studies that meet these requirements are still lacking. This clinical commentary provides direction to assist the clinician with assessment and management of the patient with gluteal tendinopathy, based on currently limited available evidence on this condition and the wider tendon literature and on the combined clinical experience of the authors. J Orthop Sports Phys Ther 2015;45(11):910-922. Epub 17 Sep 2015. doi:10.2519/jospt.2015.5829.

  12. Endoscopic Resection of the Bicipitoradial Bursa.

    Science.gov (United States)

    Lui, Tun Hing; Sit, Yan Kit; Pan, Xiao Hua

    2016-03-01

    The bicipitoradial bursa lies at the insertion of the biceps tendon on the radial tuberosity. It is an unusual site for chronic bursitis. It can be treated conservatively with aspiration and steroid injection. Surgical excision of the bursa is indicated in case of infection cause, failed conservative treatment with recurrence of the enlarged bursa and pain after aspiration, the presence of nerve compression with neurological impairment, mechanical limitation to flexion and extension of the elbow or biceps tendon degeneration, and/or functional impairment. Open resection through the anterior approach requires extensive dissection to expose the radial tuberosity and the radial neck, which increases the risk of neurovascular injury. Endoscopic resection is possible through distal biceps tendoscopy and endoscopy around the radial neck. It is technically demanding and should be reserved to the experienced elbow arthroscopist.

  13. The Association of Health Risk Behaviors and Training-Related Injury Among U.S. Army Basic Trainees

    Science.gov (United States)

    2006-04-01

    spine 3.2 2.6 4.3 0.051 Arthritis / rheumatism /bursitis 2.4 2.3 2.5 0.745 I - 45 USACHPPM General Medical Service Study Report No. 12-HF-OC7G-06, 2006...0.2) 17 (0.4) Blood & blood organs 280-289 0(0.0) 9 (0.3) 9 (0.2) " Pregnancy 630-677 0(0.0) 3(0.1) 3 (0.1) Congenital anomalies 740-759 1 (0.0) 0(0.0) 1...subsequent pregnancy might also be evaluated, as has been done in a civilian population (Hockaday, Crase et al. 2000). In addition, in consonance with

  14. MR imaging of the pelvis: a guide to incidental musculoskeletal findings for abdominal radiologists.

    Science.gov (United States)

    Gaetke-Udager, Kara; Girish, Gandikota; Kaza, Ravi K; Jacobson, Jon; Fessell, David; Morag, Yoav; Jamadar, David

    2014-08-01

    Occasionally patients who undergo magnetic resonance imaging for presumed pelvic disease demonstrate unexpected musculoskeletal imaging findings in the imaged field. Such incidental findings can be challenging to the abdominal radiologist, who may not be familiar with their appearance or know the appropriate diagnostic considerations. Findings can include both normal and abnormal bone marrow, osseous abnormalities such as Paget's disease, avascular necrosis, osteomyelitis, stress and insufficiency fractures, and athletic pubalgia, benign neoplasms such as enchondroma and bone island, malignant processes such as metastasis and chondrosarcoma, soft tissue processes such as abscess, nerve-related tumors, and chordoma, joint- and bursal-related processes such as sacroiliitis, iliopsoas bursitis, greater trochanteric pain syndrome, and labral tears, and iatrogenic processes such as bone graft or bone biopsy. Though not all-encompassing, this essay will help abdominal radiologists to identify and describe this variety of pelvic musculoskeletal conditions, understand key radiologic findings, and synthesize a differential diagnosis when appropriate.

  15. Brucellar Arthritis Involving Left Sternoclavicular Joint

    Directory of Open Access Journals (Sweden)

    Senem Şaş

    2016-09-01

    Full Text Available Brucellosis is a widely spread zoonosis and an important global public health problem, especially in the Mediterranean region. Brucellosis is a systemic infectious disease, and it is transmitted to humans by consumption of raw milk or its by-products as well as by contact with products of infected animals. Clinical findings differ depending on the Brucella species, the host, and the duration of illness. The diagnosis of brucellosis is made by positive culture. Since the organism is cultured on blood, the examination is made primarily on the basis of suspicion as well as the high levels of humoral antibody titer. The disease may cause various complications. The most common complications of brucellosis are osteoarticular complications, including arthritis, bursitis, and tendinitis. In this report, brucellar arthritis involving the sternoclavicular joint (STCJ is presented. In this report we present a rare example of an osteoarticular complication caused by brucellosis

  16. [Greater trochanteric pain syndrome].

    Science.gov (United States)

    Gollwitzer, H; Opitz, G; Gerdesmeyer, L; Hauschild, M

    2014-01-01

    Greater trochanteric pain is one of the common complaints in orthopedics. Frequent diagnoses include myofascial pain, trochanteric bursitis, tendinosis and rupture of the gluteus medius and minimus tendon, and external snapping hip. Furthermore, nerve entrapment like the piriformis syndrome must be considered in the differential diagnosis. This article summarizes essential diagnostic and therapeutic steps in greater trochanteric pain syndrome. Careful clinical evaluation, complemented with specific imaging studies and diagnostic infiltrations allows determination of the underlying pathology in most cases. Thereafter, specific nonsurgical treatment is indicated, with success rates of more than 90 %. Resistant cases and tendon ruptures may require surgical intervention, which can provide significant pain relief and functional improvement in most cases.

  17. Disorders of the Peritrochanteric and Deep Gluteal Space: New Frontiers for Arthroscopy.

    Science.gov (United States)

    Byrd, John W Thomas

    2015-12-01

    Arthroscopic techniques for the hip joint have evolved into endoscopic methods for extra-articular disorders. These endoscopic strategies provide a less invasive alternative to open procedures for traditionally recognized forms of pathology. Endoscopy has defined new disorders amenable to surgical correction and has redefined some of these existing disorders. The peritrochanteric and deep gluteal regions represent 2 of the most currently active areas of exploration. Peritrochanteric problems include trochanteric bursitis, full-thickness and partial-thickness tears of the abductors including the gluteus medius and minimus, and external coxa saltans (snapping iliotibial band). Deep gluteal disorders include piriformis syndrome, and other variations of deep gluteal syndrome, and ischiofemoral impingement. Each of these evolving areas is highlighted in this chapter.

  18. An intraosseous lipoma of the calcaneus: a case report.

    Science.gov (United States)

    Pappas, Alexander J; Haffner, Kyle E; Mendicino, Samuel S

    2014-01-01

    Intraosseous lipomas are one of the rarest bone tumors found in the body. The incidence has been reported to be intraosseous lipoma in the calcaneus include plantar fasciitis, retrocalcaneal bursitis, gout, stress fracture, unicameral bone cyst, aneurysmal bone cyst, osteoblastoma, enchondroma, chondromyxoid fibroma, nonossifying fibroma, giant cell tumor, chondroblastoma, fibrous dysplasia, and chondrosarcoma. It has been reported that 60% to 70% of patients with an intraosseous lipoma present with symptoms. This article describes a case of a pathologic fracture secondary to a large intraosseous lipoma, the surgical treatments, and the subsequent resolution of symptoms. The purpose of our report was 3-fold: (1) to increase awareness of intraosseous lipomas and their potential to cause pathologic fractures in the calcaneus; (2) to suggest a possible treatment protocol for intraosseous lipomas in the calcaneus; and (3) to describe a rare case of an intraosseous lipoma of the calcaneus not located exclusively in the neutral triangle.

  19. Carpal boss in chronic wrist pain and its association with partial osseous coalition and osteoarthritis - A case report with focus on MRI findings

    Directory of Open Access Journals (Sweden)

    Feng Poh

    2015-01-01

    Full Text Available The carpal boss is a bony prominence at the dorsal aspect of the 2 nd and/or 3 rd carpometacarpal joint, which has been linked to various etiologies, including trauma, os styloideum, osteophyte formation, and partial osseous coalition. It may result in symptoms through secondary degeneration, ganglion formation, bursitis, or extensor tendon abnormalities by altered biomechanics of wrist motion. We present a case of symptomatic carpal boss with the finding of a partial osseous coalition at the 2 nd carpometacarpal (metacarpal-trapezoid joint and highlight the magnetic resonance imaging (MRI findings of carpal boss impingement and secondary osteoarthritis. To the best of our knowledge, there is no report in the literature describing the imaging findings of partial osseous coalition and degenerative osteoarthritis in relation to carpal boss.

  20. The Haglund syndrome: initial and differential diagnosis.

    Science.gov (United States)

    Pavlov, H; Heneghan, M A; Hersh, A; Goldman, A B; Vigorita, V

    1982-07-01

    Haglund syndrome is a common cause of posterior heel pain, characterized clinically by a painful soft-tissue swelling at the level of the achilles tendon insertion. On the lateral heel radiograph the syndrome is characterized by a prominent calcaneal bursal projection, retrocalcaneal bursitis, thickening of the Achilles tendon, and a convexity of the superficial soft tissues at the level of the Achilles tendon insertion, a "pump-bump." An objective method for evaluating prominence of the bursal projection is measurement using the parallel pitch lines. This measurement helps to identify patients with Haglund syndrome and patients predisposed to develop this condition, and also to differentiate local causes of posterior heel pain from systemic causes. The parallel pitch line measurement was determined in 10 symptomatic feet and 78 control feet and the results were analyzed statistically.