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JBJS Case Connect 2021 Apr 14;11(2). Epub 2021 Apr 14.

Department of Orthopaedic Surgery, NYU Langone Medical Center, New York, New York.

Case: A 71-year-old man presented with extreme anterior knee pain. His history, physical examination, and imaging were consistent with prepatellar bursitis, but his pain seemed out of proportion for these findings. The patient eventually underwent marginal excision of the inflamed prepatellar bursa which histopathology identified as a glomangioma. Read More

Reumatologia 2021 27;59(2):104-110. Epub 2021 Apr 27.

Department of Internal Medicine, Rheumatology and Clinical Immunology, Medical University of Silesia, Katowice, Poland.

Whipple's disease is a rare, chronic, systemic disorder caused by infection. The most common symptoms are weight loss, arthralgia, diarrhea and abdominal pain. Other organ involvement can also occur in the patients. Read More

Arthritis Care Res (Hoboken) 2021 May 10. Epub 2021 May 10.

Department of Rheumatology, Leiden University Medical Centre, Leiden, the Netherlands.

Objective: Intermetatarsal bursae in the forefeet possess a synovial lining, similarly to joints and tendon-sheaths. Inflammation of these bursae (intermetatarsal bursitis; IMB) was recently identified as specific for early RA. We hypothesised that if IMB is indeed an RA-feature, then it associates with 1) other local inflammatory measures (synovitis/tenosynovitis/osteitis), 2) clinical signs and 3) responds to DMARD-therapy similarly as other local inflammatory measures. Read More

Medicine (Baltimore) 2021 May;100(18):e25769

The First Clinical College, Shandong University of Traditional Chinese Medicine.

Background: Scapulohumeral periarthritis is a disease with high incidence and great pain. The current western treatments with many side effects, poor efficacy cannot fundamentally solve the problem. Complementary and alternative therapies have played an excellent role in the treatment of scapulohumeral periarthritis. Read More

Skeletal Radiol 2021 May 4. Epub 2021 May 4.

Medscanlagos Radiology, Rua Manoel Francisco Valentim, 57, Cabo Frio, RJ, 28906220, Brazil.

Vaccination injection site adverse reactions are usually mild and transient, and post-vaccination musculoskeletal symptoms, such as myalgia and arthralgia, are very common. Shoulder injury related to vaccine administration (SIRVA), defined as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm, is a well-established condition in the medical literature, yet underreported. In such cases, subacromial-subdeltoid bursitis may occur, leading to shoulder dysfunction and ongoing pain. Read More

Acta Biomed 2021 Apr 30;92(S1):e2021043. Epub 2021 Apr 30.

Rizzoli-Sicilia Department, IRCCS Istituto Ortopedico Rizzoli.

Background: The giant haemorrhagic bursitis of the hip joint is a rare clinical condition that requires evidence-based guidelines for adequate diagnosis and management. Usually, this pathology requires conservative treatment; however, when abnormal size or clinical symptoms of compression of the surrounding noble structures are reported, an accurate differential diagnosis is required, in order to exclude other malignant conditions that can be included into differential diagnosis, and a surgical approach should be considered. The purpose of this work is to provide an appropriate description of the diagnostic and therapeutic path, providing an accurate analysis of the possible differential diagnoses. Read More

Z Rheumatol 2021 Apr 30. Epub 2021 Apr 30.

Klinik für Orthopädie und Unfallchirurgie, AGAPLESION MARKUS KRANKENHAUS, Wilhelm-Epstein-Str. 4, 60431, Frankfurt am Main, Deutschland.

In soft tissue tumors of the extremities it is of utmost importance to differentiate between benign and malignant entities. The majority of the swellings vary from benign tissue changes through soft tissue sarcomas up to pseudotumors. Because of the low incidence of malignancy and the predominantly benign alterations together with a high heterogeneity, there is a need for a reproducible diagnostic and therapeutic concept for the treatment of all tumors of the extremities. Read More

Healthcare (Basel) 2021 Apr 28;9(5). Epub 2021 Apr 28.

Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DINOGMI), University of Genova-Campus of Savona, 17100 Savona, Italy.

Haglund's syndrome (HS) is a painful condition that is caused by an exostosis of the posterior superior part of the calcaneus coupled with Achilles tendinopathy and retrocalcaneal bursitis. Both for the proper musculoskeletal assessment and for the differential diagnosis process of possible concurrent diseases deriving from other anatomical areas, the diagnosis of HS is still a challenge. A 41-year-old male amateur runner was diagnosed and treated for low back pain and referred leg pain by his general practitioner. Read More

IDCases 2021 12;24:e01121. Epub 2021 Apr 12.

Mycology Section, Bacteriology Unit, Infectious Disease Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia.

Prototheca species have been reported to cause infections in human. Typically, clinical symptoms of protothecosis include cutaneous infection, olecranon bursitis, tenosynovitis and disseminated systemic disease. We report a case of septic arthritis in which was isolated from blood. Read More

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2021 Apr;39(4):309-310

Praxis (Bern 1994) 2021 Apr;110(6):301-302

CIM SA, Cabinet d'imagerie médicale, Genf.

CME Sonography 97/Answers: Ultrasound Pathologies of the Hip Abstract: Hip pain has a broad differential diagnosis. A clinical examination is not enough to determine the underlying cause. In most cases, sonography helps to narrow the differential diagnosis or to make a specific diagnosis. Read More

IDCases 2021 27;24:e01095. Epub 2021 Mar 27.

Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.

Fungal infections due to spp. are rarely reported in the medical literature. We report the first two cases of fungal bursitis of the knee by , which has not been previously reported. Read More

Asian J Surg 2021 Apr 19. Epub 2021 Apr 19.

Xing'an League People's Hospital, 66 Hanshan West Street, Ulanhot, Inner Mongolia, China. Electronic address:

Radiol Med 2021 Apr 21. Epub 2021 Apr 21.

IRCCS Istituto Ortopedico Galeazzi, Milano, Italy.

Purpose: No prior studies investigated the role of ultrasound in the assessment of response of patients undergoing treatment of metatarsalgia with custom-made orthoses. Our aim was to describe ultrasound findings of patients with plantar forefoot pain treated with custom-made foot orthoses.

Methods: Twenty patients (15 females; mean age: 62. Read More

Z Orthop Unfall 2021 Apr 19. Epub 2021 Apr 19.

Orthopaedic Clinic, Hannover Medical University (MHH), DIAKOVERE Annastift, Hannover, Germany.

Background: Tension band wiring is the standard procedure for patellar fractures, but is associated with a high rate of implant related complications and implant failure. Tension band wiring may fail, especially with multifragmentary and comminuted fractures. Plate fixation of complex patellar fractures seems to be superior to wiring, both clinically and biomechanically. Read More

PeerJ 2021 6;9:e11092. Epub 2021 Apr 6.

Athlete Support Research Center, Niigata University of Health and Welfare, Niigata, Japan, Niigata, Niigata, Japan.

Background: This study aimed to clarify the relationship between the triad risk assessment score and the sports injury rate in 116 female college athletes (average age, 19.8 ± 1.3 years) in seven sports at the national level of competition; 67 were teenagers, and 49 were in their 20s. Read More

Clin Rehabil 2021 Apr 15:2692155211007799. Epub 2021 Apr 15.

Department of Physical Medicine & Rehabilitation, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.

Objective: To analyse the effectiveness of corticosteroid (CS) and hyaluronic acid (HA) subacromial - subdeltoid (SASD) injection compared with normal saline (NS) in patients with chronic subacromial bursitis (CSB).

Design: A prospective three-arm double-blinded randomised controlled trial.

Setting: Rehabilitation department of two teaching hospitals. Read More

BMJ Case Rep 2021 Apr 13;14(4). Epub 2021 Apr 13.

Department of Emergency Medicine, Mount Sinai Medical Center, Miami Beach, Florida, USA.

Prompt recognition and treatment of septic arthritis are crucial to prevent significant morbidity and mortality in affected patients. During the current COVID-19 pandemic, anchoring bias may make an already challenging diagnosis like septic arthritis more difficult to diagnose quickly and efficiently. Musculoskeletal (MSK) point of care ultrasonography (POCUS) is an imaging modality that can be used to quickly and efficiently obtain objective findings that may help a clinician establish the diagnosis of septic arthritis. Read More

Praxis (Bern 1994) 2021 Apr;110(5):237-246

CIM SA, Cabinet d'imagerie médicale, Genf.

CME Sonography 97: Ultrasound Pathologies of the Hip Hip pain has a broad differential diagnosis. A clinical examination is not enough to determine the underlying cause. In most cases, sonography helps to narrow the differential diagnosis or to make a specific diagnosis. Read More

J Hand Surg Am 2021 Apr 8. Epub 2021 Apr 8.

Department of Orthopaedic Surgery, University of Chicago, Chicago, IL. Electronic address:

Olecranon bursitis is a disease characterized by inflammation of the olecranon bursa, most often due to microtrauma. Although it is a common condition, there is a lack of evidence-based recommendations for the management of nonseptic olecranon bursitis. The condition is often self-limited and resolves with conservative methods such as rest, ice, compression, orthosis wear, and nonsteroidal anti-inflammatory medications. Read More

J Med Case Rep 2021 Apr 10;15(1):155. Epub 2021 Apr 10.

Department of Anesthesia and Perioperative Medicine, Ehime University Graduate School of Medicine, Toon, Ehime, 791-0295, Japan.

Background: Malignant tumors, such as acute leukemia and solid cancers, frequently cause disseminated intravascular coagulation. However, cases of disseminated intravascular coagulation as a complication of bursitis were not reported previously.

Case Presentation: A 72-year-old Japanese woman was scheduled to undergo resection of a rapidly growing subcutaneous tumor-like lesion on her left back. Read More

Medicine (Baltimore) 2021 Apr;100(14):e25431

Department of Joint Surgery, Zhuzhou Central Hospital, Zhuzhou, Hunan, China.

Background: To our knowledge, there have been no published clinical trials to assess the synergistic effects of applying pulsed radiofrequency (PRF) stimulation of the suprascapular nerve (SSN) plus physical therapy on pain and function in patients with adhesive capsulitis. Therefore, we will conduct this present randomized, double-blind study to evaluate the synergistic effects of applying PRF stimulation of the SSN plus physical therapy on pain and function in patients with adhesive capsulitis.

Methods: The study protocol is a randomized, controlled, double-blind design. Read More

BMJ Open 2021 Apr 7;11(4):e048297. Epub 2021 Apr 7.

Monash Department of Clinical Epidemiology, Cabrini Institute, Malvern, Victoria, Australia.

Introduction: Shoulder conditions are a major cause of morbidity in the general population. Many clinical practice guidelines (CPGs) for shoulder conditions have been developed. Their purpose is to provide evidence-based recommendations to assist clinicians in providing optimal care to maximise patient outcomes. Read More

Curr Rev Musculoskelet Med 2021 Apr 5. Epub 2021 Apr 5.

Department of Physical Medicine and Rehabilitation, Stanford University, 655 Bradford Street #842, Redwood City, CA, 94063, USA.

Purpose Of Review: This review presents a framework for constructing a differential diagnosis for chronic anterior knee pain associated with overuse other than patellofemoral pain. Traumatic, systemic, and pediatric injuries will not be covered.

Recent Findings: From superficial to deep, the anterior knee can be conceptually organized into four layers: (1) soft tissue, (2) extensor mechanism, (3) intracapsular/extrasynovial, and (4) intra-articular. Read More

Clin Rheumatol 2021 Apr 4. Epub 2021 Apr 4.

Department of Rheumatology, Boston University/Boston Medical Center, 725 Albany Street, Boston, MA, 02118, USA.

Rheumatoid arthritis (RA) is a chronic autoimmune inflammatory disease affecting not only the synovial joints but also multiple extra-articular sites, including ankle and foot soft tissue. Hindfoot abnormalities usually follow those in the forefoot, with up to 4 out of 10 patients experiencing talalgia during their disease course. Enthesophytosis, retrocalcaneal bursitis, and plantar fasciitis are among the most common etiologies, while heel fat pad abnormalities like subcalcaneal bursitis are rare. Read More

Int J Environ Res Public Health 2021 03 11;18(6). Epub 2021 Mar 11.

Faculty of Applied Mathematics, AGH University of Science and Technology, 30-059 Krakow, Poland.

Purpose: The aim of the study was to establish the relationship between the shape of the calcaneal tuberosity (flat, stepped, rounded, normal) and the probability that retrocalcaneal bursitis among people who train running regularly.

Methods: The study included a group of 30 runners who suffered from retrocalcaneal bursitis in the past, and 30 people who never had symptoms of this disease. The study was based on a diagnostic survey, as well as on clinical examination. Read More

J Orthop Sports Phys Ther 2021 Mar 31:1-45. Epub 2021 Mar 31.

Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, New South Wales, Australia.

Objective: To investigate whether different labels for rotator cuff disease influence people's perceived need for surgery.

Design: Randomized controlled experiment.

Methods: Participants with and without shoulder pain read a vignette describing a patient with rotator cuff disease, and were randomized to one of six labels: and . Read More

Medicine (Baltimore) 2021 Apr;100(13):e23893

Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Abstract: Manipulation under anesthesia (MUA) combined with intra-articular steroid injection (ISI) is preferred in management of the refractory frozen shoulder (FS). This study aimed to evaluate the effect of MUA with ISI or not on pain severity and function of the shoulder.Data on 141 patients receiving MUA with primary FS refractory to conservative treatments for at least 1 month were retrospectively obtained from medical records. Read More

Vet Med (Auckl) 2021 19;12:53-65. Epub 2021 Mar 19.

Indian Creek Veterinary Hospital, Fort Wayne, IN, USA.

The use of autologous orthobiologics is an emerging area of interest in veterinary medicine. In this retrospective study, we reviewed the clinical results achieved using two orthobiologics devices to address orthopedic injuries and tissue repair. Leukocyte (White blood cell)-rich platelet-rich plasma (L-PRP) devices produce outputs containing high concentrations of growth factors from venous blood. Read More

Intern Med 2021 Mar 29. Epub 2021 Mar 29.

Department of Infectious Diseases, Nagoya University Hospital, Japan.

We herein report a 59-year-old woman with a 2-year history of chronic bursitis of the hand who took 50 mg/day prednisolone for several autoimmune diseases. Mycobacteroides abscessus subsp. massiliense was isolated from the abscess and blood culture. Read More