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Int J Surg Case Rep 2022 May 16;95:107200. Epub 2022 May 16.

Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia.

Introduction And Importance: The shoulder is one of the most unstable joints of the body. Shoulder dislocation accounts for up to 60% of all major joint dislocations. This study reports two cases of primary traumatic shoulder dislocation and shows that in the elderly, primary traumatic shoulder dislocation is associated with a rotator cuff tear (RCT). Read More

Phys Sportsmed 2022 May 18. Epub 2022 May 18.

Center for Shoulder, Elbow and Sports Medicine, Columbia University Medical Center, NY, NY, USA.

Ice hockey is a fast-paced contact sport with a high rate of injury. While many of the injuries are acute and related to high skating speeds, frequent collisions, and sharp skates, the clinician must also be aware of the chronic injuries that commonly arise from playing this sport. The "Bauer bump" is one such chronic injury, which is the onset of Haglund syndrome in ice hockey players occurring in the context of wearing ice hockey skates. Read More

Arthritis Res Ther 2022 May 16;24(1):111. Epub 2022 May 16.

CIRI/Rheumatology and Fraunhofer TMP, Goethe-University, Frankfurt, Germany.

Objective: To investigate the imaging characteristics and clinically assess heel enthesitis in spondyloarthritis (SpA) by applying in a post hoc analysis the Heel Enthesitis Magnetic Resonance Imaging Scoring system (HEMRIS) in blinded and centrally-read MRI data from the ACHILLES trial (NCT02771210).

Methods: ACHILLES included patients (≥18 years) with active psoriatic arthritis or axial SpA with clinical and MRI-positive heel enthesitis refractory to standard treatment. Patients were randomized to receive subcutaneous secukinumab 150/300 mg or placebo. Read More

J Clin Med 2022 Apr 21;11(9). Epub 2022 Apr 21.

Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Centre of Head and Orthopaedics, Rigshospitalet, 2600 Glostrup, Denmark.

Enthesitis is a key pathology in spondyloarthritis (SpA), but diagnosis may be clinically challenging. The objective of this study was to investigate the prevalence of ultrasound enthesitis lesions in tender entheses in the heel region in patients with peripheral SpA. In 27 patients with tenderness upon palpation at the Achilles tendon or the plantar fascia insertion, ultrasound assessment of the affected enthesis was performed using greyscale and color Doppler mode. Read More

Ir J Med Sci 2022 May 10. Epub 2022 May 10.

Department of Radiology, National Orthopaedic Hospital, CappaghDublin 11, Finglas, Ireland.

Background: The rotator cuff is a group of muscles and tendons which support the shoulder joint. Rotator cuff disease is a frequent cause of morbidity in adulthood.

Aims: The aims of his study are to determine the prevalence and patterns of rotator cuff derangement in symptomatic patients using MRI and to attempt to correlate identified patterns of disease with age and gender METHODS: Five hundred ninety-seven patients attending for MRI of the shoulder with atraumatic shoulder pain were included for study. Read More

J Int Med Res 2022 May;50(5):3000605221097376

Department of Orthopaedics, Taizhou People's Hospital, Taizhou, Jiangsu Province, China.

This current report presents a rare case of carpal tunnel syndrome with chronic bursitis that was treated successfully by open surgery. A 53-year-old female patient that had begun to experience swelling, pain and limited flexion activity of the left wrist 1 year previously presented because of a deterioration in her condition and numbness of the thumb, index finger and middle finger in the previous 2 months without any treatment. The diagnosis of bursitis should be based on clinical symptoms and signs, combined with colour ultrasonography, magnetic resonance imaging, arthroscopy and arthrography. Read More

Phys Med Rehabil Clin N Am 2022 05;33(2):267-306

Department of Physical Medicine and Rehabilitation, Ventura County Medical Center, 300 Hillmont Avenue, Ventura, CA 93003, USA.

Peripheral joint injections are a common interventional treatment of peripheral joint-mediated pain, including arthritis, tendinopathy, and bursitis that are not responsive to conservative management. Degenerative changes of articular joints are often related to these symptoms through chronic inflammatory changes, which typically arise due to repetitive trauma, autoimmune disease, or metabolic abnormalities. The primary diagnosis for degenerative disease in the peripheral joints is osteoarthritis but can also include rheumatoid arthritis, gout, and other less common etiologies. Read More

Magn Reson Imaging Clin N Am 2022 May 13;30(2):241-260. Epub 2022 Apr 13.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, Yawkey 6E, Boston, MA 02114, USA. Electronic address:

The main function of the knee bursae is to provide cushioning for the many periarticular ligaments, tendons, and osseous structures. Bursae can only be visualized when distended by fluid, therefore bursal anatomy is best evaluated by MR imaging using fluid-sensitive sequences. Knowledge of the normal bursal distribution is important to avoid incorrectly interpreting a distended bursa as a periarticular fluid collection or cyst. Read More

Am J Sports Med 2022 May;50(6):1603-1608

Steadman Hawkins Clinic of the Carolinas, Prisma Health-Upstate, Greenville, South Carolina, USA.

Background: Patients with gluteus medius tendinopathy present with laterally based hip pain that can be diagnosed under the greater trochanteric pain syndrome diagnosis. Magnetic resonance imaging (MRI) can assist in diagnosing pathology of the symptomatic hip, and when a pelvic MRI that includes both hips, the clinician may identify asymptomatic tears in the nonsurgical hip. In patients who undergo unilateral gluteus medius repairs, little is known about the prevalence or subsequent onset of clinical symptoms in the nonsurgical hip. Read More

Pol J Radiol 2022 5;87:e141-e162. Epub 2022 Mar 5.

Department of Radiology, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.

Magnetic resonance imaging (MRI) is a powerful imaging modality in the evaluation of musculoskeletal (MSK) soft tissue, joint, and bone infections. It allows prompt diagnosis and assessment of the extent of disease, which permits timely treatment to optimize long-term clinical outcomes. MRI is highly sensitive and specific in detecting the common findings of MSK infections, such as superficial and deep soft tissue oedema, joint, bursal and tendon sheath effusions, lymphadenopathy, bone marrow oedema, erosive bone changes and periostitis, and bone and cartilage destruction and sequestration. Read More

Arthroscopy 2022 May;38(5):1506-1508

Akron, Ohio.

The hip can have a multitude of different pathologies leading to different symptoms. Greater trochanteric pain syndrome, historically attributed to bursitis, has been largely found to be associated with lesions of the gluteus medius and minimus tendons, and the prevalence of gluteus medius pathology in patients with femoroacetabular impingement (FAI) is as high as one-third of the FAI population. If a patient is found to have significant clinical symptoms of both FAI and a gluteus medius tear, it is imperative to fix both pathologies. Read More

Ned Tijdschr Geneeskd 2022 04 12;166. Epub 2022 Apr 12.

LUMC, afd. Orthopedie, Leiden.

Frozen shoulder (FS), also known as adhesive capsulitis, is a painful inflammatory fibrotic disease of the glenohumeral joint capsule. While it's frequently self-limiting, patients can be symptomatic for years. The clinical course is often divided into three phases: the freezing phase with predominantly pain, the frozen phase with mainly stiffness, and the thawing phase during which the complaints slowly resolve. Read More

Cureus 2022 Mar 26;14(3):e23515. Epub 2022 Mar 26.

Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, JPN.

Iliopectineal bursitis usually develops subsequent to other hip pathologies and can often be treated conservatively. However, when conservative treatment fails or the enlarged bursa causes pain or compression of the surrounding neurovascular structures, surgery may be required. Most previous studies have described open surgeries, and reports on endoscopy are very limited. Read More

Arthrosc Sports Med Rehabil 2022 Apr 7;4(2):e325-e333. Epub 2021 Dec 7.

American Hip Institute Research Foundation, Chicago.

Purpose: To investigate the prevalence of hip pain from labral tears and femoroacetabular impingement (FAI) in karate athletes using a statewide online survey.

Methods: An anonymous electronic survey was distributed via Qualtrics to all registered members of a statewide karate organization who were a purple belt or higher. Basic demographic information was collected as well as belt level, competitive level, and information regarding hip pain and treatment for hip pain. Read More

Mod Rheumatol Case Rep 2022 Apr 25. Epub 2022 Apr 25.

Department of Rheumatology and Infectious Diseases, Kitasato University School of Medicine, Kanagawa, Japan.

We experienced a case of bilateral shoulder bursitis with gas images in a rheumatoid arthritis (RA) patient. A 60-year-old man with RA had been treated with weekly methotrexate (MTX) 10 mg and daily prednisolone (PSL) 10 mg for 7 months. Generalized pain, especially in the bilateral shoulder joints developed and exacerbated daily with increased CRP level. Read More

BMJ 2022 04 21;377:e068547. Epub 2022 Apr 21.

Kingston Hospital NHS Foundation Trust, Kingston upon Thames, UK.

Medicine (Baltimore) 2022 Apr 8;101(14):e29123. Epub 2022 Apr 8.

Department of Tuina, The Affiliated Hospital to Changchun University of Chinese Medicine, China.

Background: The purpose of this study was to evaluate the effectiveness and safety of Joint mobilization in the treatment of frozen shoulder.

Methods: To collect relevant literature, we will research following databases: Medicine, PubMed, Embase, Web of Science, Cochrane Library, China National Knowledge Infrastructure, Wan-Fang Database, Chongqing VIP Chinese Science and Technology Periodicaols Database, and China Biomedical Database; the time is from its creation to May 2021, and the language is limited to Chinese and English. In addition, we will retrieve other literature resources, including the Chinese Clinical Trial Register and conference articles. Read More

BMC Musculoskelet Disord 2022 Apr 20;23(1):367. Epub 2022 Apr 20.

Department of Rehabilitation Medicine, The Fushun People's Hospital, 47 Xiangyun Street West section, Zigong, China.

Background And Objectives: Frozen shoulder is a common painful disease of the shoulder joint characterized by structural changes in the shoulder joint, restricting both active and passive shoulder joint activities. Proprioceptive neuromuscular facilitation (PNF) effectively improved and maintained the range of motion; however, it is not clear whether it can improve the shoulder joint structure in patients with frozen shoulder. This pilot study used magnetic resonance imaging (MRI) observation to assess the improvement of the local structure of the shoulder joint upon PNF treatment to elucidate a target based on structure for the treatment of frozen shoulder. Read More

Orthop J Sports Med 2022 Apr 12;10(4):23259671221084979. Epub 2022 Apr 12.

Department of Orthopaedics and Physical Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.

Background: Femoroacetabular impingement (FAI) is an increasingly recognized cause of hip pain in young athletes. Although there are multiple studies that describe the radiographic prevalence of FAI in athletes, its true incidence within this population is unknown.

Purpose: To report on the overall and sport-specific incidence of symptomatic FAI in National Collegiate Athletic Association (NCAA) Division I athletes. Read More

BMC Musculoskelet Disord 2022 Apr 12;23(1):352. Epub 2022 Apr 12.

UOC Recupero E Riabilitazione Funzionale, Ambito Territoriale Pisano, ASL Toscana Nordovest, Pisa, Italy.

Background: The advancement of physiopathological knowledge of tendon structures has shown that, in conditions of overload, there is the onset of both degenerative phenomena, such as the production of metalloproteases, apoptosis of tendon cells and neoangiogenesis, and regenerative and protective phenomena, such as the production of IGF-1 and nitric oxide. Tendinopathy results from the imbalance between these two groups of factors, leading to degeneration, weakening, and fissuring of the tendons, with the presence of local pain. The aim of the study was to evaluate the efficacy and tolerability of cetylated fatty acids (CFA) patch formulation in the control of acute localized shoulder pain and recovery of function in patients with tendinopathies. Read More

Int J Environ Res Public Health 2022 04 3;19(7). Epub 2022 Apr 3.

Nursing Department, University of Extremadura, 10600 Plasencia, Spain.

Background: Climbing is a multidisciplinary sport, where the main objective is to reach the highest point of a rock wall or to reach the end of an established route. There are different types of modalities: sport climbing and traditional climbing. The risks and precautions taken with respect to this sport will directly affect the epidemiology of injuries related to its practice. Read More

Int J Sports Phys Ther 2022 1;17(3):508-518. Epub 2022 Apr 1.

Department of Physical Therapy, Duquesne University.

Greater trochanteric pain syndrome (GTPS) refers to pain in the lateral hip and thigh and can encompass multiple diagnoses including external snapping hip (coxa saltans), also known as proximal iliotibial band syndrome, trochanteric bursitis, and gluteus medius (GMed) or gluteus minimus (GMin) tendinopathy or tearing. GTPS presents clinicians with a similar diagnostic challenge as non-specific low back pain with special tests being unable to identify the specific pathoanatomical structure involved and do little to guide the clinician in prescription of treatment interventions. Like the low back, the development of GTPS has been linked to faulty mechanics during functional activities, mainly the loss of pelvic control in the frontal place secondary to hip abductor weakness or pain with hip abductor activation. Read More

Acad Emerg Med 2022 Apr 5. Epub 2022 Apr 5.

Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA.

BMC Musculoskelet Disord 2022 Apr 4;23(1):318. Epub 2022 Apr 4.

Rheumatology Department, Level 2, Flinders Medical Centre, Flinders Drive, 5042, Adelaide, South Australia.

Background: Frozen shoulder (adhesive capsulitis) is an inflammatory condition affecting the capsule of the glenohumeral joint. It is characterised by a painful restricted range of passive and active movement in all planes of motion. The impact of frozen shoulder on affected individuals remains poorly characterised. Read More

Arthroscopy 2022 04;38(4):1033-1034

Department of Orthopaedics and Traumatology, Istanbul Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey.

Arthroscopy 2022 04;38(4):1032-1033

Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, South Korea.

Clin Rheumatol 2022 Apr 1. Epub 2022 Apr 1.

Rheumatology Department, OPTIMA Superspeciality Hospital, No.9, 1st Main Road, Mahalaxmi Layout, Bengaluru, 560086, India.

Korean J Pain 2022 Apr;35(2):152-159

Department of Orthopedic Physiotherapy, KAHER Institute of Physiotherapy, Belagavi, India.

Background: Subjects with frozen shoulder (FS) might not be comfortable with vigorous physical therapy. Clinical trials assessing the effect of graded motor imagery (GMI) in FS are lacking. The aim of this study was to determine the effect of GMI as an adjunct to conventional physiotherapy in individuals with painful FS. Read More

J Hand Surg Am 2022 May 25;47(5):454-459. Epub 2022 Mar 25.

Department of Orthopaedic Surgery and Traumatology, Ziekenhuis Oost-Limburg, Belgium. Electronic address:

Purpose: Magnetic resonance imaging (MRI) is used widely for complete ruptures of the distal biceps tendon. The validity of this investigation for bicipital bursitis and tendinosis is unknown. The purpose of present study was to assess the prevalence of incidental (asymptomatic) signal changes in the distal biceps tendon in patients who underwent MRI including the elbow. Read More

Cureus 2022 Feb 9;14(2):e22057. Epub 2022 Feb 9.

Anaesthesiology, Srirama Chandra Bhanja Medical College and Hospital, Cuttack, IND.

Knee pain is a very common complaint in routine physiatry and orthopedic practice. While bursitis is a well-known and common cause of knee pain, deep infrapatellar bursa (DIPB) involvement is relatively less common. Inflammation of DIPB occurs commonly due to either direct trauma or overuse, but other rare causes have also been reported in the literature including infection, juvenile idiopathic arthritis, gout, and juvenile ankylosing spondylitis. Read More