4,172 results match your criteria Tenosynovitis


Mycobacterial Tenosynovitis After Sea Urchin Spine Injury in an Immunocompromised Patient.

Open Forum Infect Dis 2018 Nov 2;5(11):ofy285. Epub 2018 Nov 2.

Department of Surgery, Plastic Surgery Section, Louis Stokes Cleveland Veterans Affairs Medical Center, Ohio.

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November 2018
2 Reads

Une prise en charge adaptée et précoce est essentielle pour permettre la cicatrisation.

Authors:
Roxane Ducloux

Rev Prat 2016 Jan;66(1):104-108

Centre de Cicatrisation du Pied du diabétique (CCPdia), service de diabétologieendocrinologienutrition, Hôpital européen Georges-Pompidou, hôpitaux universitaires Paris-Ouest, Paris, France.

Emergencies in diabetic foot ulcers management. Treatment of diabetic foot ulcers must be organized in specialized care centers to improve healing rates and reduce amputation rates. Some frequent and especially urgent situations will be described: infection, ischemia, Charcot joint. Read More

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January 2016

Imaging Features of Symptomatic Hypertrophic Tuberculum Peroneum.

J Belg Soc Radiol 2017 Dec 16;101(Suppl 2). Epub 2017 Dec 16.

AZ Sint-Maarten and University (Hospital) Antwerp/Ghent, BE.

Objective: The aim of this article is to review the clinical and imaging features of symptomatic hypertrophic (TP) in a cohort of symptomatic patients.

Materials And Methods: Twenty-three patients with chronic lateral ankle pain were retrospectively included in our study group. Patients underwent ultrasound (US), (cone beam) computed tomography (CB)CT or magnetic resonance (MR) examination or a combination of these examinations with a standardized protocol. Read More

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December 2017

Tuberculous Tenosynovitis.

Dtsch Arztebl Int 2018 Oct;115(42):714

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October 2018
1 Read

Comments on "Nonsurgical Treatment of De Quervain Tenosynovitis: A Prospective Randomized Trial".

Hand (N Y) 2018 Nov 27:1558944718813734. Epub 2018 Nov 27.

2 McGill University Health Center, Montreal, Quebec, Canada.

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November 2018
1 Read

Results of Peroneal Tendoscopy With a Technical Modification.

Foot Ankle Int 2018 Nov 22:1071100718809350. Epub 2018 Nov 22.

6 School of Medicine, Department of Hand Surgery, Uludag University, Bursa, Turkey.

Background:: The aim of this study was to evaluate the role of tendoscopy in the diagnosis and treatment of peroneal tendon (PT) pathologies, and to evaluate the results of our technical modification.

Methods:: Twenty ankles of 18 patients with retrofibular pain, operated on between 2006 and 2012, were included in this study. Peroneal tendoscopy was performed diagnostically for the patients who were diagnosed as having "peroneal tendinopathy" with physical examination, x-ray, or magnetic resonance imaging (MRI). Read More

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November 2018
1 Read

Tocilizumab treatment in refractory polyarteritis nodosa: a case report and review of the literature.

Rheumatol Int 2018 Nov 21. Epub 2018 Nov 21.

Asklepios Klinik Altona, Rheumatologie, Klinische Immunologie, Nephrologie, Paul-Ehrlich-Straße 1, 22763, Hamburg, Germany.

Polyarteritis nodosa (PAN) is a rare systemic vasculitis affecting multiple organs. Current standard treatment includes the use of glucocorticoids and cyclophosphamide. Unfortunately, some patients do not respond to this treatment and other therapeutic options are needed. Read More

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November 2018
6 Reads

Sequence of joint tissue inflammation during rheumatoid arthritis development.

Arthritis Res Ther 2018 Nov 21;20(1):260. Epub 2018 Nov 21.

Department of Rheumatology C1-R, Leiden University Medical Centre, PO Box 9600, Leiden, 2300RC, the Netherlands.

Objective: Subclinical joint inflammation in patients with arthralgia is predictive for progression to rheumatoid arthritis (RA). However, the time course of progression for bone marrow edema (osteitis), synovitis, and/or tenosynovitis is unsettled. This longitudinal study assessed the course of magnetic resonance imaging (MRI)-detected subclinical joint inflammation during progression to RA. Read More

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November 2018
6 Reads

Mycobacterial Musculoskeletal Infections.

Thorac Surg Clin 2019 Feb;29(1):85-94

Program in Musculoskeletal Infections, Division of Infectious Diseases, Massachusetts General Hospital, Harvard Medical School, Cox Building, 5th Floor, 55 Fruit Street, Boston, MA 02114, USA. Electronic address:

Although less common as causes of musculoskeletal infection than pyogenic bacteria, both Mycobacterium tuberculosis and nontuberculous mycobacteria can infect bones and joints. Although tuberculous arthritis and osteomyelitis have been recognized for millennia, infections caused by nontuberculous mycobacteria are being identified more often, likely because of a more susceptible host population and improvements in diagnostic capabilities. Despite advances in modern medicine, mycobacterial infections of the musculoskeletal system remain particularly challenging to diagnose and manage. Read More

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February 2019
4 Reads

Prevalence of a Septated First Dorsal Compartment Among Patients With and Without De Quervain Tenosynovitis: An In Vivo Anatomical Study.

Hand (N Y) 2018 Nov 15:1558944718810864. Epub 2018 Nov 15.

1 Mount Sinai Beth Israel, New York, NY, USA.

Background: The reported prevalence of a subcompartment housing the extensor pollicis brevis (EPB) tendon within the first dorsal compartment varies widely in the literature, especially regarding the rates of occurrence between genders and among those with and without De Quervain. Based on direct intraoperative observation, we hypothesized that the prevalence of a septated compartment is far greater than previously reported, particularly in those with De Quervain disease.

Methods: A prospective analysis of consecutive patients who underwent first dorsal compartment release was carried out. Read More

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November 2018
1 Read

Automatic quantification of tenosynovitis on MRI of the wrist in patients with early arthritis: a feasibility study.

Eur Radiol 2018 Nov 12. Epub 2018 Nov 12.

Department of Radiology, Division of Image Processing, Leiden University Medical Center, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.

Objectives: Tenosynovitis (inflammation of the synovial lining of the sheath surrounding tendons) is frequently observed on MRI of early arthritis patients. Since visual assessment of tenosynovitis is a laborious task, we investigated the feasibility of automatic quantification of tenosynovitis on MRI of the wrist in a large cohort of early arthritis patients.

Methods: For 563 consecutive early arthritis patients (clinically confirmed arthritis ≥ 1 joint, symptoms < 2 years), MR scans of the wrist were processed in three automatic stages. Read More

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November 2018
3 Reads

One portal endoscopic release of the first extensor compartment in de Quervain's disease.

Acta Orthop Traumatol Turc 2018 Nov 5. Epub 2018 Nov 5.

Department of Statistics, Turgut Özal Medical Center, İnönü University Medical School, Malatya, Turkey.

Objectives: We aimed to present preliminary result of one portal endoscopic assisted release of first dorsal compartment at wrist in a case series with de Quervain disease as a minimal invasive surgical method.

Materials And Methods: The patients, who underwent an endoscopic-assisted release of the first extensor compartment for de Quervain's disease by same hand surgeon between 2015 and 2017, were retrospectively analyzed. Operative treatment was considered if the patients did not respond to non-operative treatment including oral anti-inflammatory medications, splinting, and steroid injection. Read More

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November 2018
5 Reads

Comparative Assessment of Hand Joint Ultrasound Findings in Symptomatic Patients with Systemic Lupus Erythematosus and Sjögren's Syndrome: A Pilot Study.

Ultrasound Med Biol 2018 Nov 3. Epub 2018 Nov 3.

Department of Rheumatology, University College London Hospitals NHS Foundation Trust, London, United Kingdom; Division of Medicine, University College London, London, United Kingdom. Electronic address:

Systemic lupus erythematosus (SLE) and primary Sjögren's syndrome (SS) can be associated with inflammatory arthritis, which is underdiagnosed by clinical examination. The aim of this cross-sectional, observational study was to compare, for the first time, the ultrasound (US)-detected joint abnormalities in these two diseases and to define the role of US in patient management. Participants had SLE (n = 18) and SS (n = 23), symptoms of hand joint pain and no previous diagnosis of arthritis. Read More

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November 2018
3 Reads

Current opinions regarding the management of pyogenic flexor tenosynovitis: a survey of Pulvertaft Hand Trauma Symposium attendees.

Infection 2018 Nov 1. Epub 2018 Nov 1.

The Pulvertaft Hand Surgery Unit, Royal Derby Hospital, Derby, DE22 3NE, UK.

Purpose: Pyogenic flexor tenosynovitis (PFT) is recognized as a severe infection of the hand with potentially disastrous outcomes. The mainstay of treatment has been emergent surgical washout. Recent evidence suggests potential for conservative management with a combination of intravenous antibiotics, elevation and splinting. Read More

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November 2018
3 Reads

Recurrent branch of anterior interosseous artery perforator-based propeller flap for distal forearm injuries: Report of 2 cases.

Microsurgery 2018 Nov 31;38(8):917-923. Epub 2018 Oct 31.

Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Science, Okayama, Japan.

Despite various options for the reconstruction of soft tissue defects in the distal forearm, perforator-based propeller flap is rarely used. Here, we presented 2 cases of distal forearm injuries that were repaired using the recurrent branch of anterior interosseous artery perforator-based propeller flap. Patients in these cases were 57 and 67 years of age. Read More

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November 2018
2 Reads

Surgical Treatment for Stenosing Peroneal Tenosynovitis.

Foot Ankle Int 2018 Oct 31:1071100718809077. Epub 2018 Oct 31.

3 Department of Orthopedic Surgery, Foot and Ankle, Hospital for Special Surgery, New York, NY, USA.

Background:: Stenosing peroneal tenosynovitis (SPT) is an uncommon entity that is equally difficult to diagnose. We evaluated our outcomes with a local anesthetic diagnostic injection followed by surgical release of the sheath and calcaneal exostectomy.

Methods:: Eleven patients diagnosed with SPT underwent surgery between 2006 and 2014. Read More

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October 2018
4 Reads

Tenosynovitis With Psammomatous Calcifications: A Distinctive Trauma-associated Subtype of Idiopathic Calcifying Tenosynovitis With a Predilection for the Distal extremities of Middle-aged Women-A Report of 23 Cases.

Am J Surg Pathol 2018 Oct 26. Epub 2018 Oct 26.

Department of Pathology.

The term "idiopathic calcifying tenosynovitis" (ICT) refers to a clinically and radiologically defined syndrome of pain and tendinous calcifications, most often involving the shoulder joint. A distinctive subset of ICT cases, termed "tenosynovitis with psammomatous calcifications" (TPC), occurs in the distal extremities and shows characteristic morphology, in particular psammomatous calcifications. As only 14 cases have been reported to date, TPC remains poorly recognized by both pathologists and clinicians. Read More

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October 2018
5 Reads

Braces and Splints for Common Musculoskeletal Conditions.

Am Fam Physician 2018 Nov;98(10):570-576

West Virginia University School of Medicine-Eastern Campus, Harpers Ferry, WV, USA.

Braces and splints can immobilize and protect joints, reduce pain, decrease swelling, and facilitate healing of acute injuries. They are also used for injury prevention and chronic pain reduction, and to alter the function of a joint. The medial unloading (valgus) knee brace is an option for patients with medial knee osteoarthritis, but evidence of long-term benefit is limited. Read More

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November 2018
7 Reads

Back to the basics: Understanding joint swelling and tenderness at the wrist in rheumatoid arthritis through the use of ultrasonography.

Int J Rheum Dis 2018 Oct 21. Epub 2018 Oct 21.

Department of Rheumatology and Immunology, Singapore General Hospital, Singapore.

Aim: To compare ultrasound-detected inflammation with clinical manifestations at the wrist in rheumatoid arthritis (RA).

Method: Wrists assessed serially by assessors blinded to ultrasound findings were categorized into 4 groups: 1 = S0T0 (not swollen; not tender); 2 = S0T1 (not swollen; tender); 3 = S1T0 (swollen; not tender); 4 = S1T1 (swollen; tender). Ultrasound synovitis and tenosynovitis were graded semi-quantitatively (0-3) and dichotomously (0 or 1), respectively. Read More

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October 2018
5 Reads
1.770 Impact Factor

Constrained Implant Arthroplasty for Distal Radioulnar Joint Arthrosis: Evaluation and Management of Soft Tissue Complications.

J Hand Surg Am 2018 Oct 18. Epub 2018 Oct 18.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN. Electronic address:

Purpose: Distal radioulnar joint (DRUJ) prostheses designed as semiconstrained devices aiming to replace the function of the ulnar head, sigmoid notch of the radius, and triangular fibrocartilage complex have demonstrated the capacity to restore the functional status of the DRUJ. However, soft tissue complications including tendons, nerves, and wounds, although documented, have not been the primary focus of prior reports. This study investigated short- to medium-term soft tissue complications after DRUJ semiconstrained implant arthroplasty. Read More

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October 2018
7 Reads

The thickening of flexor tendons pulleys: a useful ultrasonographical sign in the diagnosis of psoriatic arthritis.

J Ultrasound 2018 Dec 15;21(4):309-314. Epub 2018 Oct 15.

Institute of Radiology, Department of Medicine, University of Padua, Via Giustiniani, 2, 35128, Padua, Italy.

Purpose: To investigate the frequency of thickening of pulleys for flexor tendons in patients with early arthritis in their hands, and to evaluate it as a predictive sign of PsA.

Methods: A prospective observational study involving 228 consecutive patients presenting with recent onset of arthritis in their hands was conducted at rheumatology outpatient clinics in the Veneto region of Italy between October 2014 and September 2017. Diabetic patients were excluded because of the high frequency of trigger finger. Read More

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December 2018
2 Reads

Conservative management of a chronic recurrent flexor hallucis longus stenosing tenosynovitis in a pre-professional ballet dancer: a case report.

Authors:
Matt Wentzell

J Can Chiropr Assoc 2018 Aug;62(2):111-116

Private practice.

Objective: To describe the successful conservative management of a chronic recurrent flexor hallucis longus (FHL) stenosing tenosynovitis.

Clinical Features: A 20-year-old female pre-professional ballet dancer presented with medial ankle and mid-foot pain of 7.5 months duration. Read More

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August 2018
1 Read

Comparison of articular manifestations of mixed connective tissue disease and systemic lupus erythematosus on clinical examination and musculoskeletal ultrasound.

Lupus 2018 Nov 10;27(13):2086-2092. Epub 2018 Oct 10.

1 Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Background: Polyarthritis is common to both mixed connective tissue disease (MCTD) and systemic lupus erythematosus (SLE). Apart from being erosive and deforming in the former, we speculated that it was more common and the extent of joints involved would be higher in MCTD.

Methods: This was a cross-sectional study that included patients with MCTD aged 18-75 years fulfilling the Kasukawa criteria. Read More

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November 2018
1 Read
2.200 Impact Factor

Identification of a distinct imaging phenotype may improve the management of palindromic rheumatism.

Ann Rheum Dis 2018 Oct 8. Epub 2018 Oct 8.

Department of Rheumatology, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK

Objectives: To use high-resolution imaging to characterise palindromic rheumatism (PR) and to compare the imaging pattern observed to that seen in new-onset rheumatoid arthritis (NORA).

Methods: Ultrasound (US) assessment of synovitis, tenosynovitis and non-synovial extracapsular inflammation (ECI) was performed during and between flares in a prospective treatment-naive PR cohort. MRI of the flaring region was performed where possible. Read More

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October 2018
4 Reads

Imaging detected tenosynovitis of metacarpophalangeal and wrist joints: an increasingly recognised characteristic of rheumatoid arthritis.

Clin Exp Rheumatol 2018 Sep-Oct;36 Suppl 114(5):131-138. Epub 2018 Oct 1.

Department of Rheumatology, Leiden University Medical Center; and Department of Rheumatology, Erasmus University Medical Center, Rotterdam, The Netherlands.

Tenosynovitis is traditionally recognised at physical examination in patients with inflammatory rheumatic diseases, such as, e.g. psoriatic arthritis and (longstanding) rheumatoid arthritis (RA). Read More

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October 2018
3 Reads

[Short-Term Results of the Carpometacarpal Joint Arthroplasty Using the Ivory® Prosthesis].

Acta Chir Orthop Traumatol Cech 2018 ;85(2):130-136

Ortopedické oddělení, Karvinská Hornická Nemocnice, a.s., Karviná - Nové Město.

PURPOSE OF THE STUDY Trapeziometacarpal osteoarthritis affects primarily postmenopausal middle-aged and older women. Total joint replacement is one of the surgical treatment options for symptomatic advanced degenerative changes of the carpometacarpal joint. This study aims to evaluate the short-term functional and radiological results of the Ivory ® prosthesis with the minimum followup period of three years after the surgery. Read More

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January 2018
2 Reads

Myelitis and tenosynovitis attributed to toxocariasis.

Joint Bone Spine 2018 Sep 28. Epub 2018 Sep 28.

Department of Microbiology, Dijon University Hospital, University of Burgundy, 14, rue Paul Gaffarel, 21000 Dijon, France.

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September 2018
1 Read

Ultra-low-dose CT detects synovitis in patients with suspected rheumatoid arthritis.

Ann Rheum Dis 2018 Sep 29. Epub 2018 Sep 29.

Department of Radiology, Charité - Universitätsmedizin Berlin, Campus Mitte, Humboldt-Universität zu Berlin, Freie Universität Berlin, Berlin, Germany.

Purpose: To prove the feasibility and measure the diagnostic accuracy of contrast-enhanced ultra-low-dose CT (ULD-CT) for the depiction of inflammatory soft-tissue changes (synovitis, tenosynovitis and peritendonitis) in patients with arthritis of the hand.

Materials And Methods: In this institutional review board-approved study, 36 consecutive patients over the age of 50 with suspected rheumatoid arthritis underwent ULD-CT (estimated radiation exposure <0.01  mSv) and MRI of the hand with weight-adapted intravenous contrast administration. Read More

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September 2018
1 Read

Defining inflammatory musculoskeletal manifestations in systemic lupus erythematosus.

Rheumatology (Oxford) 2018 Sep 27. Epub 2018 Sep 27.

Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds.

Objective: To define the prevalence and clinical associations of clinical and imaging definitions of synovitis in unselected SLE patients with musculoskeletal (MSK) symptoms.

Methods: 112 patients with SLE (excluding RF and CCP positive patients); 88 consecutive with inflammatory MSK symptoms and 24 asymptomatic SLE controls were recruited. Patients had clinical assessment (BILAG, SLEDAI, joint counts, patient and physician visual analogue score), routine laboratory tests and US of two hands and wrists (synovitis and tenosynovitis, OMERACT definitions). Read More

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September 2018
12 Reads

Asymetric red-blue hypertrophic hand and tenosynovitis due to acrodermatitis chronica atrophicans.

Rheumatology (Oxford) 2018 Sep 19. Epub 2018 Sep 19.

Dermatology Department, and Université Paris Diderot-Paris VII, Sorbonne Paris Cité APHP, Saint-Louis Hospital, Paris, France.

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September 2018
3 Reads

Steroid Injection and Open Trigger Finger Release Outcomes: A Retrospective Review of 999 Digits.

Hand (N Y) 2018 Sep 21:1558944718796559. Epub 2018 Sep 21.

1 The CORE Institute, Phoenix, AZ, USA.

Background: Open surgical release of the A1 pulley is the definitive treatment for the common hand condition of trigger finger, or inflammatory stenosing tenosynovitis. Anecdotal evidence among hand surgeons has questioned whether or not recent steroid injection may be related to complications following open trigger finger release, particularly wound infection, but no studies have primarily studied this connection to date. We aimed to determine whether recent steroid injection was associated with postoperative surgical infections. Read More

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September 2018
7 Reads

Development of clinically apparent synovitis: a longitudinal study at the joint level during progression to inflammatory arthritis.

RMD Open 2018 7;4(2):e000748. Epub 2018 Sep 7.

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

Introduction: Subclinical inflammation, detected by MRI, in patients with arthralgia is predictive for development of inflammatory arthritis (IA). However, within patients that develop IA, the course of inflammation at the joint level during this transition is unknown. This longitudinal study assessed progression of inflammation at the joint level. Read More

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September 2018
2 Reads

Reliability of ultrasonography to detect inflammatory lesions and structural damage in juvenile idiopathic arthritis.

Pediatr Rheumatol Online J 2018 Sep 17;16(1):58. Epub 2018 Sep 17.

Laboratorio de ultrasonido musculoesquelético y articular, Instituto Nacional de Rehabilitación, Luis Guillermo Ibarra Ibarra, Calzada México-Xochimilco 289, Arenal de Guadalupe, Tlalpan, 14389, Mexico city, Mexico.

Background: Musculoskeletal Ultrasonography (MSUS) is an important tool for the clinical assessment in Juvenile Idiopathic Arthritis (JIA). The objective of this study was to evaluate the reliability of MSUS to detect elementary lesions: synovitis, tenosynovitis, cartilage damage and bone erosions in the wrist and metacarpal (MCP) joints of patients with JIA.

Methods: Thirty children in various subgroups of JIA according to ILAR criteria, were included in this cross-sectional study. Read More

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September 2018
1 Read

Treatments for de Quervain Tenosynovitis.

Am Fam Physician 2018 Jun;97(12):Online

University of Pittsburgh Medical Center St. Margaret Family Medicine Residency Program, Pittsburgh, PA, USA.

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June 2018
1 Read

Anomalous course and stenosing tenosynovitis of the extensor pollicis longus tendon at the radial styloid process: A case report.

Medicine (Baltimore) 2018 Sep;97(37):e12128

The Research Center for Advanced Image and Information Technology, School of Electronics & Information Engineering, Chonbuk National University, Jeonju, Chonbuk, Republic of Korea.

Rationale: Anomalous course and tenosynovitis of extensor pollicis longus (EPL) tendon is a rare condition that presents clinical symptoms very similar to de Quervain's disease. Herein we report a case of anomalous course and tenosynovitis of the extensor pollicis longus (EPL) tendon associated with symptoms of de Quervain's disease.

Patient Concerns: A 44-year-old right-handed man visited the clinic because of radial pain associated with the left wrist, which was aggravated during the previous 10 days. Read More

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September 2018
10 Reads

Flexor Tenosynovitis of the Hand Caused by .

J Am Acad Orthop Surg Glob Res Rev 2018 Apr 23;2(4):e083. Epub 2018 Apr 23.

Department of Orthopaedic Surgery, Columbia University Irving Medical Center, New York, NY.

Infectious tenosynovitis of the hand is a serious condition with a high risk of morbidity. is a rare cause of tenosynovitis, especially in regions where tuberculosis is no longer endemic, and presents significant diagnostic challenges. We present the case of a 42-year-old woman with no known history of or exposure to tuberculosis and a medical history of systemic lupus erythematosus on chronic immunosuppressive therapy who presented with swelling and erythema in the fifth finger of the left hand of 1-month duration. Read More

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April 2018
1 Read

Dissemination of localized Mycobacterium malmoense infection in an immunocompromised patient.

Int J Infect Dis 2018 Nov 7;76:35-37. Epub 2018 Sep 7.

Radboud University Medical Centre Dekkerswald, Department of Pulmonary Diseases, PO Box 9101, 6500HB Nijmegen, The Netherlands.

A 75-year-old woman with a history of immunosuppressive treatment for rheumatoid arthritis and non-Hodgkin lymphoma, was referred to our reference centre for treatment of tenosynovitis caused by Mycobacterium malmoense, which had disseminated due to immunosuppressive therapy. This rare diagnosis was made after years of treatment for supposed rheumatoid arthritis. The patient presented with relapsing tenosynovitis with wounds on her right middle finger and wounds on her left lower leg, despite 3 months of adequate therapy (rifampicin+ethambutol+clarithromycin). Read More

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November 2018
17 Reads
2.330 Impact Factor

What's new in musculoskeletal ultrasound in pediatric rheumatology?

Med Ultrason 2018 Aug;20(3):371-378

2nd Internal Medicine Department, University of Medicine and Pharmacy, "Iuliu Hatieganu", Cluj-Napoca, România.

Musculoskeletal ultrasound (MSUS) has become almost indispensable in the rheumatology settings nowadays, allowing early diagnosis, careful guidance during procedures such as joint injections and therapy monitoring. Nonetheless, the applicability of MSUS in pediatric population is still limited. Recently, a standardized MSUS examination procedure in pediatric patients with rheumatic diseases, definitions for synovitis and the sonographic features of joints in healthy children has been developed. Read More

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August 2018
2 Reads

Does patients' opinion of remission in rheumatoid arthritis overlap ultrasound "true" remission? - a pilot study.

Med Ultrason 2018 Aug;20(3):328-334

Carol Davila University of Medicine and Pharmacy.

Aim: Patients describe rheumatoid arthritis (RA) remission as the absence of any symptoms or return to normality. Residual ultrasound (US) synovitis was frequently described in remission cohorts in previous studies. US tenosynovitis evaluation and scoring seems to better follow clinical remission scores compared with synovitis in RA. Read More

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August 2018
8 Reads

Occupational Therapists' Role in Perinatal Care: A Health Promotion Approach.

Am J Occup Ther 2018 Sep/Oct;72(5):7205347010p1-7205347010p4

Julie Grobbelaar Fernandes, OTD, OT/L, CHT, is Senior Occupational Therapist, New York University Langone Orthopedic Center, New York, NY;

This article establishes and examines occupational therapists' role in perinatal care and proposes a health promotion approach for new and expectant mothers. The author demonstrates the importance of maintaining meaningful occupational engagement during this critical life stage by incorporating evidence from orthopedic, rehabilitation, and hand therapy research. New and expectant mothers are at high risk for upper extremity (UE) conditions such as carpal tunnel syndrome, De Quervain's tenosynovitis, and tendinosis of the UE. Read More

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August 2018
23 Reads

Finkelstein's Test Is Superior to Eichhoff's Test in the Investigation of de Quervain's Disease.

J Hand Microsurg 2018 Aug 20;10(2):116-118. Epub 2018 Mar 20.

Department of Orthopaedics and Trauma, Manchester Royal Infirmary, Central Manchester University Hospitals, Manchester, United Kingdom.

de Quervain's tenosynovitis is a common pathologic condition of the hand. Finkelstein's test has long been considered to be a pathognomonic sign of this diagnosis, yet most clinicians and instruction manuals erroneously describe what is in fact the Eichhoff's test, which is thought to produce similar pain by tendon stretching in a normal wrist. The purpose of this study was to compare Finkelstein's test with Eichhoff's test in asymptomatic individuals. Read More

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August 2018
28 Reads

Mycobacterial skin and soft tissue infections: TB or not TB?

Neth J Med 2018 Aug;76(6):269-274

Department of Infectious Diseases & Immunity, Jessa hospital, Hasselt, Belgium.

Non-tuberculous mycobacteria are a known cause of skin and soft tissue infections. However, only too often it takes inordinately long to arrive at the appropriate diagnosis and start treatment. Actively searching for predilection factors, exposure risks and specific clinical clues may speed up the diagnostic process. Read More

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August 2018
1 Read

Is joint pain in patients with arthralgia suspicious for progression to rheumatoid arthritis explained by subclinical inflammation? A cross-sectional MRI study.

Rheumatology (Oxford) 2018 Aug 21. Epub 2018 Aug 21.

Department of Rheumatology, Leiden University Medical Centre, Leiden.

Objectives: The development of RA includes a phase of arthralgia preceding clinical arthritis. The aetiology of symptoms of arthralgia is unclear. Since subclinical joint inflammation is expected to be causally related to pain, we aimed to study associations between subclinical MRI-detected inflammation and pain in patients with arthralgia suspicious for progression to RA. Read More

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August 2018
3 Reads

Dynamic flexion/extension and non-weight bearing ultrasonography is helpful for identifying manica flexoria tears in horses.

Vet Radiol Ultrasound 2018 Aug 19. Epub 2018 Aug 19.

Department of Clinical Sciences of Companion Animals and Equids, Diagnostic Imaging Section - Faculty of Veterinary Medicine - University of Liège, Liège, Belgium.

Lesions of the manica flexoria are a tenoscopic finding in horses with digital flexor tendon sheath tenosynovitis. This retrospective case series study describes the ultrasonographic findings in seven horses admitted for digital flexor tendon sheath swelling associated with lameness and tenoscopic confirmation of a manica flexoria tear. Six horses had a partial manica flexoria tear, one a complete rupture. Read More

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August 2018
2 Reads

Musculoskeletal manifestations of tuberculosis: An observational study.

J Family Med Prim Care 2018 May-Jun;7(3):538-541

Department of Clinical Immunology and Rheumatology, CMC, Vellore, Tamil Nadu, India.

Background: Data of musculoskeletal manifestations of tuberculosis (TB) are limited to case reports, series, or retrospective studies. Therefore, we conducted this study to create awareness among doctors about musculoskeletal manifestations of TB.

Materials And Methods: This was a prospective observational study conducted at a referral TB Hospital in North India in September and October 2016. Read More

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August 2018
9 Reads

Measuring lupus arthritis activity using contrasted high-field MRI. Associations with clinical measures of disease activity and novel patterns of disease.

Lupus Sci Med 2018 26;5(1):e000264. Epub 2018 Jul 26.

Division of Musculoskeletal Radiology, Medical University of South Carolina, Charleston, South Carolina, USA.

Objective: Arthritis in SLE is poorly described, and there is no objective measure for quantification of arthritis. In this pilot study, we aim to assess the utility of the Rheumatoid Arthritis MRI Scoring System (RAMRIS) for the quantification of lupus arthritis.

Methods: Patients were eligible for entry into the study if they were evaluated at the Medical University of South Carolina Lupus Center and determined by their treating rheumatologist to have active hand arthritis due to SLE. Read More

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July 2018
2 Reads

Pyogenic Flexor Tenosynovitis by Point-of-care Ultrasound in the Emergency Department.

Clin Pract Cases Emerg Med 2018 Aug 9;2(3):235-240. Epub 2018 Jul 9.

Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota.

Introduction: Pyogenic flexor tenosynovitis (PFT) is difficult to diagnose on clinical grounds alone as many patients requiring an operation do not have all four of Kanavel's signs. Previous studies have shown that hypoechoic fluid surrounding the flexor tendon on ultrasound is associated with this diagnosis. We sought to determine if emergency physicians (EPs) could recognize this finding in patients with suspected flexor tenosynovitis using point-of-care ultrasound (POCUS). Read More

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August 2018
10 Reads

Mass of the thenar eminence hiding idiopathic massive rice bodies formation with a compression of the median nerve: Case report and review of the literature.

Int J Surg Case Rep 2018 26;50:28-31. Epub 2018 Jul 26.

Department of Trauma and Orthopaedic Surgery, Ibn Sina University Hospital, Faculty of Medicine, Mohammed V University, Rabat, Morocco.

Introduction: Rice bodies are described as fibrin bodies usually found among patients with inflammatory joint diseases, tuberculous arthritis, and tuberculous tenosynovitis, but they are rarely found among non-tuberculosis patients.

Case Presentation: We report a case of a 69-year-old with a 2-year history of swelling and pain of the thenar eminence of the left hand with paresthesia in the territory of the median nerve. Surgical exploration revealed multiple rice bodies. Read More

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July 2018
9 Reads

MRI of Cuboid Pulley Lesion.

AJR Am J Roentgenol 2018 Oct 31;211(4):867-871. Epub 2018 Jul 31.

1 Department of Radiology, Seoul National University College of Medicine, 101 Daehak-ro Jongno-gu, Seoul 110-744, Korea.

Objective: The aim of this study was to describe cuboid pulley lesions and associated abnormalities on the basis of clinical findings and the results of MRI examinations of the ankle.

Materials And Methods: A retrospective search was performed to identify patients who had a cuboid pulley lesion during a 10-year period. A cuboid pulley lesion was defined as bone marrow edema in the lateroplantar ridge of the cuboid that was shown to be wrapped by the peroneus longus tendon on MRI of the ankle. Read More

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October 2018
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Nonsurgical Treatment of De Quervain Tenosynovitis: A Prospective Randomized Trial.

Hand (N Y) 2018 Jul 30:1558944718791187. Epub 2018 Jul 30.

1 Rutgers New Jersey Medical School, Newark, USA.

Background: De Quervain tenosynovitis is commonly seen in patients who perform repetitive wrist ulnar deviation with thumb abduction and extension. Previous studies comparing nonsurgical options have contributed to a lack of consensus about ideal management. This study's purpose was to analyze results in prospectively randomized patients treated with either corticosteroid injection (CSI) alone versus CSI with immobilization. Read More

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July 2018
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