4,202 results match your criteria Tenosynovitis


The peroneus longus muscle and tendon: a review of its anatomy and pathology.

Skeletal Radiol 2019 Feb 15. Epub 2019 Feb 15.

Department of Radiology, University of California, San Diego Medical Center, 408 Dickinson Street, San Diego, 92103, CA, USA.

This article will review the anatomy and common pathologies affecting the peroneus longus muscle and tendon. The anatomy of the peroneus longus is complex and its long course can result in symptomatology referable to the lower leg, ankle, hindfoot, and plantar foot. Proximally, the peroneus longus muscle lies within the lateral compartment of the lower leg with its distal myotendinous junction arising just above the level of the ankle. Read More

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http://dx.doi.org/10.1007/s00256-019-3168-9DOI Listing
February 2019

Validity and Responsiveness of Combined Inflammation and Combined Joint Damage Scores Based on the OMERACT Rheumatoid Arthritis MRI Scoring System (RAMRIS).

J Rheumatol 2019 Feb 15. Epub 2019 Feb 15.

From the Department of Rheumatology, Diakonhjemmet Hospital; Institute of Health and Society, University of Oslo, Oslo, Norway; Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup; Department of Clinical Medicine, University of Copenhagen, Copenhagen; King Christian 10th Hospital for Rheumatic Diseases; University of Southern Denmark, Institute of Regional Health Research, Graasten; Institute of Clinical Medicine, Aarhus University Hospital, Århus; Odense University Hospital; Institute of Clinical Research, University of Southern Denmark, Odense; Zealand University Hospital, Køge, Denmark; University of New South Wales, Sydney, Australia; Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds; National Institute for Health Research (NIHR) Leeds Biomedical Research Centre, Leeds, UK. U. Sundin, MD, Research Fellow, Department of Rheumatology, Diakonhjemmet Hospital, and Institute of Health and Society, University of Oslo; M. Østergaard, MD, PhD, DMSc, Professor, COPECARE, Center for Rheumatology and Spine Diseases, Rigshospitalet, and the Department of Clinical Medicine, University of Copenhagen; D. Glinatsi, MD, PhD, Postdoctoral Researcher, COPECARE, Center for Rheumatology and Spine Diseases, Rigshospitalet; A.B. Aga, MD, PhD, Senior Consultant and Postdoctoral Researcher, Department of Rheumatology, Diakonhjemmet Hospital Oslo; K. Hørslev-Petersen, MD, DMSc, Professor, Senior Consultant, King Christian 10th Hospital for Rheumatic Diseases, and the Institute of Regional Health Research, University of Southern Denmark; M.L. Hetland, MD, PhD, DMSc, Professor, COPECARE, Center for Rheumatology and Spine Diseases, Rigshospitalet, and the Department of Clinical Medicine, University of Copenhagen; K. Stengaard-Pedersen, MD, DMSc, Professor Emeritus, Institute of Clinical Medicine, Aarhus University Hospital; P. Junker, MD, DMSc, Professor, Department of Rheumatology, Odense University Hospital and Institute of Clinical Research, University of Southern Denmark; B.J. Ejbjerg, MD, PhD, Chief Consultant, Zealand University Hospital; P. Bird, BMed (Hons), FRACP, PhD, Grad Dip MRI, Associate Professor, University of New South Wales; P.G. Conaghan, MB, BS, PhD, FRACP, FRCP, Professor of Musculoskeletal Medicine, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, and NIHR Leeds Biomedical Research Centre; S. Lillegraven, MD, MPH, PhD, Postdoctoral Researcher, Department of Rheumatology, Diakonhjemmet Hospital; E.A. Haavardsholm, MD, PhD, Professor, Department of Rheumatology, Diakonhjemmet Hospital, and Institute of Health and Society, University of Oslo. Address correspondence to Dr. U. Sundin, Diakonhjemmet Sykehus, Diakonveien 12, 0370 Oslo, Norway. E-mail: Accepted for publication December 6, 2018.

Objective: The RAMRIS [Outcome Measures in Rheumatology rheumatoid arthritis (RA) magnetic resonance imaging (MRI) Scoring system] is used in clinical RA trials. We have investigated methods to combine the RAMRIS features into valid and responsive scores for inflammation and joint damage.

Methods: We used data from 3 large randomized early RA trials to assess 5 methods to develop a combined score for inflammation based on RAMRIS bone marrow edema, synovitis, and tenosynovitis scores, and a combined joint damage score based on erosions and joint space narrowing. Read More

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http://dx.doi.org/10.3899/jrheum.181064DOI Listing
February 2019

What is the additional value of MRI of the foot to the hand in undifferentiated arthritis to predict rheumatoid arthritis development?

Arthritis Res Ther 2019 Feb 14;21(1):56. Epub 2019 Feb 14.

Department of Rheumatology, Leiden University Medical Centre, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.

Background: MRI-detected subclinical joint inflammation in the hand joints of patients with undifferentiated arthritis (UA) predicts progression to rheumatoid arthritis (RA). It is unknown if adding MRI of the foot increases predictive accuracy compared to the hand alone.

Methods: 1. Read More

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http://dx.doi.org/10.1186/s13075-019-1845-7DOI Listing
February 2019

Do musculoskeletal ultrasound and magnetic resonance imaging identify synovitis and tenosynovitis at the same joints and tendons? A comparative study in early inflammatory arthritis and clinically suspect arthralgia.

Arthritis Res Ther 2019 Feb 14;21(1):59. Epub 2019 Feb 14.

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

Objective: Ultrasound (US) and magnetic resonance imaging (MRI) are recommended in the diagnostic process of rheumatoid arthritis. Research on its comparability in early disease phases is scarce. Therefore, we compared synovitis and tenosynovitis detected by US and MRI on joint/tendon level. Read More

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http://dx.doi.org/10.1186/s13075-019-1824-zDOI Listing
February 2019

Acute Hand Infections.

Am Fam Physician 2019 Feb;99(4):228-236

U.S. Marine Corps School of Infantry-East, Camp Geiger, NC, USA.

Acute hand infections are often caused by puncture wounds and are generally classified into superficial or deep infections. Superficial infections occur in the skin and subcutaneous tissues, whereas deep infections can involve the tendon sheaths, adjacent anatomic compartments, deep fascial planes, bursae, joint spaces, and bones. Superficial hand infections are more common than deep infections and are typically managed with elevation, warm soaks, splinting in the position of function, analgesics, and empiric antibiotics when indicated. Read More

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February 2019

Characteristics of late-onset spondyloarthritis in Japan: A retrospective cohort study.

Medicine (Baltimore) 2019 Feb;98(7):e14431

Department of Immunology and Rheumatology, Unit of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences.

Spondyloarthritis may be increasingly present in older patients as life expectancy increases. We investigated clinical differences between early-onset and late-onset spondyloarthritis in Japan.We retrospectively reviewed 114 patients consecutively diagnosed with spondyloarthritis. Read More

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http://dx.doi.org/10.1097/MD.0000000000014431DOI Listing
February 2019

Pigmented villonodular synovitis.

Folia Med Cracov 2018 ;58(4):93-104

Human Anatomy Department, Medical University of Lublin; Radiology Department, St Johns' Cancer Center; Lublin, Poland.

Pigmented villonodular synovitis (PVNS) is a benign disease that rarely undergoes malignant transformation. There are two types of disease: localized (nodular tenosynovitis) and di used (pigmented villonodular synovitis/tenosynovitis) with intra- or extra-articular locations. The second one is limited to synovium of the burse (PVNB) or tendon sheath (PVNTS). Read More

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January 2018
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Validity of the rheumatoid arthritis MRI score applied to the forefeet using the OMERACT filter: a systematic literature review.

RMD Open 2018 5;4(2):e000796. Epub 2018 Dec 5.

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

Objective: MRI depicts inflammation and structural damage in rheumatoid arthritis (RA). The validity of MRI-scoring of wrist-joints and metacarpophalangeal-joints according to the RA MRI score(RAMRIS) has been demonstrated. The Outcomes in Rheumatology Clinical Trials (OMERACT) RAMRIS Working Group recently called for validation of the RAMRIS of the metatarsophalangeal (MTP)-joints. Read More

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http://dx.doi.org/10.1136/rmdopen-2018-000796DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336094PMC
December 2018
1 Read

Investigating the optimal handle diameters and thumb orthoses for individuals with chronic de Quervain's tenosynovitis - a pilot study.

Disabil Rehabil 2019 Jan 28:1-7. Epub 2019 Jan 28.

a Department of Occupational Therapy , College of Medicine, Fu Jen Catholic University , New Taipei City , Taiwan.

Aims: The aims of this study were to compare the differences in forearm muscle activities between two types of thumb orthoses and the optimal handle diameter when the orthosis is worn during a power grasp for individuals with chronic de Quervain's Tenosynovitis.

Methods: A 2 × 3 (Group × orthosis) and a 2 × 2 × 3 (Group × orthosis × diameter) repeated factorial design were used. Grip strength and muscle load were measured. Read More

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http://dx.doi.org/10.1080/09638288.2018.1522548DOI Listing
January 2019
1 Read

Steroid injection for stenosing tenosynovitis of the extensor carpi ulnaris.

J Hand Surg Eur Vol 2019 Jan 16:1753193418821561. Epub 2019 Jan 16.

Department of Orthopaedic Surgery, Nishinomiya Municipal Central Hospital, Nishinomiya, Japan.

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http://dx.doi.org/10.1177/1753193418821561DOI Listing
January 2019
1 Read

MRI of a painful carpal boss: variations at the extensor carpi radialis brevis insertion and imaging findings in regional traumatic and overuse injuries.

Skeletal Radiol 2019 Jan 12. Epub 2019 Jan 12.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Thomas Jefferson University Hospitals, Sidney Kimmel Medical College at Thomas Jefferson University, 132 South 10th Street, Philadelphia, PA, 19107, USA.

Objective: To report patterns of MRI findings involving carpal boss and extensor carpi radialis brevis (ECRB) tendon insertion in individuals with overuse-related or post-traumatic wrist pain.

Materials And Methods: Eighty-four MRI cases with carpal bossing between December 2006 and June 2015 were analyzed by two fellowship-trained musculoskeletal radiologists. The following MRI findings were reviewed: type of carpal bossing (bony prominence, partial coalition, os styloideum), insertion of ECRB tendon (to the 3rd metacarpal, to carpal boss or to both), bone marrow edema (BME), insertion site, and tenosynovitis/tendinosis of ECRB tendon. Read More

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http://dx.doi.org/10.1007/s00256-018-3136-9DOI Listing
January 2019
2 Reads

Important differential diagnosis in acute tenosynovitis.

BMJ Case Rep 2019 Jan 10;12(1). Epub 2019 Jan 10.

Departement of Rheumatology, Immunology and Rehabilitation, Kantonsspital St. Gallen, St. Gallen, Switzerland.

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http://dx.doi.org/10.1136/bcr-2018-228373DOI Listing
January 2019
2 Reads

Magnetic Resonance Imaging Evaluation of Musculoskeletal Diseases of Ankle and Foot.

Kathmandu Univ Med J (KUMJ) 2018 Jan.-Mar;16(61):28-34

Department of Orthopedics, B and C Teaching Hospital, Birtamod, Jhapa.

Background Ankle and foot pain is a common clinical problem, that may be due to a variety of soft tissue and osseus abnormalities. Magnetic resonance imaging plays vital role for diagnosing internal derangement of the ankle joint, assessing soft tissue structures around the ankle such as tendons, ligaments, nerves and osseus structures. Method Retrospective magnetic resonance imaging evaluation of the ankle and foot was done in 100 patients using 0. Read More

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January 2019
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Stenosing tenosynovitis : Evaluation of percutaneous release with a specially designed needle vs. open surgery.

Orthopade 2019 Jan 8. Epub 2019 Jan 8.

Department of Orthopedics, The Third Affiliated Hospital (The Affiliated Luohu Hospital) of Shenzhen University, 518000, Shenzhen, Guangdong, China.

Purpose: The purpose of this study was to evaluate the effectiveness of conventional open surgery and percutaneous release with a specially designed needle for treating stenosing tenosynovitis in terms of cure, relapse and complication rates.

Methods: In this study 89 fingers from 76 patients were randomly assigned and allocated to one of the treatment groups. A total of 37 patients were treated with open surgery in group 1 and 39 patients with percutaneous release using a specially designed needle in group 2. Read More

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http://dx.doi.org/10.1007/s00132-018-03676-4DOI Listing
January 2019
1 Read

Unusual localization and presentation of osteoid osteoma mimicking juvenile spondyloarthritis: a case report.

BMC Musculoskelet Disord 2019 Jan 8;20(1):17. Epub 2019 Jan 8.

Division of Paediatric Orthopaedic Surgery, Children's Hospital Zagreb, Ulica Vjekoslava Klaica 16, 10000, Zagreb, Croatia.

Background: Osteoid osteoma is a painful benign skeletal tumour of unknown aetiology. Most often it occurs in the long bones of extremities and responds well to nonsteroidal anti-inflammatory medications. However, unusual localization and atypical presentation of this tumour might present a diagnostic challenge, especially if symptoms mimic that indicative of juvenile spondyloarthritis. Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12891-018-2383-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323825PMC
January 2019
8 Reads

Ultrasonographic detection of subclinical enthesitis and synovitis: a possible stratification of psoriatic patients without clinical musculoskeletal involvement.

Clin Exp Rheumatol 2018 Dec 19. Epub 2018 Dec 19.

Department of Medical and Biological Sciences, Rheumatology Clinic, University of Udine, Italy.

Objectives: To evaluate the prevalence of articular/extra-articular inflammatory lesions and structural damage on ultrasonography in patients suffering from psoriasis as well as to assess possible correlations between ultrasonographic elementary lesions and clinical features.

Methods: Psoriatic patients without musculoskeletal symptoms and healthy controls (HCs) were recruited. All patients received a blinded extended ultrasonographic examination of 42 joints, 12 entheses and 32 tendons. Read More

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December 2018
3 Reads

Incidence of Flexor Pollicis Longus Complications Following Volar Locking Plate Fixation of Distal Radius Fractures.

Hand (N Y) 2019 Jan 8:1558944718820956. Epub 2019 Jan 8.

1 University of Pittsburgh Medical Center, PA, USA.

Background: Distal radius fractures are among the most common orthopedic injuries presenting to emergency departments. The complications of distal radius open reduction and internal fixation (ORIF) range from paresthesia to tendon ruptures. The Soong grading system was designed to evaluate volar plate position to predict postoperative flexor pollicis longus (FPL) ruptures. Read More

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http://journals.sagepub.com/doi/10.1177/1558944718820956
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http://dx.doi.org/10.1177/1558944718820956DOI Listing
January 2019
4 Reads

Ultrasound-guided first dorsal compartment release for refractory de Quervain's tenosynovitis: a case report.

PM R 2019 Jan 4. Epub 2019 Jan 4.

Andrews Sports Medicine and Orthopedic Center, Andrews Sports Medicine Institute.

De Quervain's tenosynovitis is an overuse syndrome associated with inflammation of the tendons in the first dorsal compartment of the wrist. Management includes activity modification, splinting and corticosteroid injections. In refractory cases, surgical release may be performed, which may be complicated by incomplete release, tendon subluxation, or radial nerve injury. Read More

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http://dx.doi.org/10.1002/pmrj.12063DOI Listing
January 2019
1 Read

Functional outcome of De Quervain's tenosynovitis with longitudinal incision in surgically treated patients.

Musculoskelet Surg 2019 Jan 1. Epub 2019 Jan 1.

Grant Govt Medical College and Sir J.J Group of Hospital, Mumbai, India.

Introduction: De Quervain described tenosynovitis of first dorsal compartment more than 120 years ago. Women, particularly of 4th-5th decades, are at more risk of developing disease. Steroid injection has been described as first line of management over many decades, but it is associated with some significant complications like depigmentation of skin, atrophy of subcutaneous tissue, suppurative tenosynovitis and even tendon rupture. Read More

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http://dx.doi.org/10.1007/s12306-018-0585-1DOI Listing
January 2019
3 Reads

Endoscopic Synovectomy of the Ulnar Bursa of the Palm of the Hand.

Arthrosc Tech 2018 Dec 5;7(12):e1257-e1261. Epub 2018 Nov 5.

Department of Orthopaedics and Traumatology, Tuen Mun Hospital, Tuen Mun, China.

Synovitis of the ulnar bursa is associated with tenosynovitis of the flexor tendons. Reported causes include suppurative or tuberculous infection, rheumatoid arthritis, and pigmented villonodular synovitis. Open synovectomy requires extensive soft-tissue dissection and may result in extensive scarring. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305889PMC
December 2018
2 Reads

Tendoscopic Synovectomy of Tibialis Anterior Tendon of the Ankle.

Arthrosc Tech 2018 Dec 5;7(12):e1243-e1248. Epub 2018 Nov 5.

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, China.

Tenosynovitis of the tibialis anterior tendon may occur as an overuse injury due to repetitive foot dorsiflexion. Most cases respond to conservative treatment with rest, shoe modification, anti-inflammatory agents, and physical therapy. Surgery may be required for chronic cases recalcitrant to conservative treatment. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305870PMC
December 2018
1 Read

Trigger finger: An overview of the treatment options.

JAAPA 2019 Jan;32(1):17-21

At the time this article was written, Amber Matthews and Kristen Smith were students in the PA program at the University of Lynchburg in Lynchburg, Va. Ms. Matthews now practices pediatrics at Blue Ridge Medical Center in Arrington, Va. Ms. Smith now practices critical care at Central Lynchburg General Hospital. Laura Read is director of didactic education in the PA program at the University of Lynchburg. Joyce Nicholas is director of evaluation, assessment, and compliance in the PA program at the University of Lynchburg. Eric Schmidt is an assistant professor at the University of Lynchburg. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Stenosing flexor tenosynovitis, more commonly known as trigger finger, is one of the most common causes of hand pain and dysfunction. Clinicians must be able to identify the disorder, know the broad range of treatment options, and counsel patients on the treatment best suited for their condition. Awareness of the economic burden each option entails is central to optimizing treatment outcomes and patient satisfaction. Read More

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http://dx.doi.org/10.1097/01.JAA.0000550281.42592.97DOI Listing
January 2019
1 Read

Periarticular calcification mimicking inflammatory polyarthritis in chronic kidney disease.

Saudi J Kidney Dis Transpl 2018 Nov-Dec;29(6):1506-1510

Department of Rheumatology, School of Clinical Medicine, University of KwaZulu-Natal and Inkosi Albert Luthuli Central Hospital, Durban, South Africa.

Periarticular calcification is a frequent radiographic manifestation in chronic kidney disease (CKD). However, clinical presentation as inflammatory periarthritis, tenosynovitis, and bursitis is unusual. A 34-year-old man with CKD on dialysis for three years presented with painful swollen joints. Read More

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http://dx.doi.org/10.4103/1319-2442.248309DOI Listing
December 2018
1 Read

Symptomatic psoriatic dactylitis is associated with ultrasound determined extra-synovial inflammatory features and shorter disease duration.

Clin Rheumatol 2018 Dec 19. Epub 2018 Dec 19.

Department of Clinical and Experimental Medicine, Rheumatology Research Unit, University Federico II, Via S. Pansini 5, 80131, Naples, Italy.

Objectives: To explore the link between ultrasonographic features of dactylitis in psoriatic arthritis (PsA) and symptoms, digital tenderness and duration of dactylitis.

Methods: Forty-eight cases of PsA dactylitis were investigated using high frequency ultrasound (US) both in grey scale (GS) and Power Doppler (PD), evaluating the presence and the degree of flexor tenosynovitis, peri-tendinous oedema, subcutaneous PD, extensor tendon involvement, GS synovitis and intra-articular PD signal (PDS) of the involved digits. Patients were compared according to the presence of local pain and digital tenderness, the duration of dactylitis and the concomitant treatment. Read More

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http://link.springer.com/10.1007/s10067-018-4400-z
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http://dx.doi.org/10.1007/s10067-018-4400-zDOI Listing
December 2018
3 Reads

Correlation Between IL-20 and De Quervain's Disease Severity.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S6-S12

Department of Orthopedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

De Quervain's disease is a stenosing tenosynovitis of the first dorsal compartment of the wrist. Histopathological studies have reported that the thickening of the first dorsal retinaculum is characterized by degeneration rather than inflammation. However, significant infiltration of mast cells and macrophages was noted in a torn tendon study, which suggested that innate immune pathways are part of the mechanism that mediates early tendinopathy. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001701DOI Listing
January 2019
8 Reads
1.458 Impact Factor

The Tuck sign-proliferative extensor tenosynovitis of the wrist.

Joint Bone Spine 2018 Dec 6. Epub 2018 Dec 6.

Rheumatology Department, Norfolk and Norwich University Hospital, Colney lane, Norwich, NR4 7UY, UK.

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http://dx.doi.org/10.1016/j.jbspin.2018.11.007DOI Listing
December 2018
3 Reads
2.901 Impact Factor

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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https://academic.oup.com/ofid/advance-article/doi/10.1093/of
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http://dx.doi.org/10.1093/ofid/ofy285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262115PMC
November 2018
12 Reads

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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http://dx.doi.org/10.5334/jbr-btr.1376DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251080PMC
December 2017
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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http://dx.doi.org/10.1177/1558944718813734DOI Listing
November 2018
2 Reads

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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http://dx.doi.org/10.1177/1071100718809350DOI Listing
November 2018
3 Reads

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

Rheumatol Int 2019 Feb 21;39(2):337-344. 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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http://dx.doi.org/10.1007/s00296-018-4210-2DOI Listing
February 2019
15 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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https://arthritis-research.biomedcentral.com/articles/10.118
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http://dx.doi.org/10.1186/s13075-018-1756-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249752PMC
November 2018
11 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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https://linkinghub.elsevier.com/retrieve/pii/S15474127183013
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http://dx.doi.org/10.1016/j.thorsurg.2018.09.007DOI Listing
February 2019
9 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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http://dx.doi.org/10.1177/1558944718810864DOI Listing
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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http://link.springer.com/10.1007/s00330-018-5807-2
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http://dx.doi.org/10.1007/s00330-018-5807-2DOI Listing
November 2018
13 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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http://dx.doi.org/10.1016/j.aott.2018.10.004DOI Listing
November 2018
9 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 2019 Feb 3;45(2):452-460. 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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http://dx.doi.org/10.1016/j.ultrasmedbio.2018.09.024DOI Listing
February 2019
6 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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http://link.springer.com/10.1007/s15010-018-1236-z
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http://dx.doi.org/10.1007/s15010-018-1236-zDOI Listing
November 2018
8 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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http://dx.doi.org/10.1002/micr.30388DOI Listing
November 2018
4 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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http://dx.doi.org/10.1177/1071100718809077DOI Listing
October 2018
12 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 2019 Feb;43(2):261-267

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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http://dx.doi.org/10.1097/PAS.0000000000001182DOI Listing
February 2019
13 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
20 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 2019 Jan 21;22(1):68-72. 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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http://doi.wiley.com/10.1111/1756-185X.13389
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http://dx.doi.org/10.1111/1756-185X.13389DOI Listing
January 2019
10 Reads
1.771 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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https://linkinghub.elsevier.com/retrieve/pii/S03635023173174
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http://dx.doi.org/10.1016/j.jhsa.2018.09.003DOI Listing
October 2018
13 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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http://link.springer.com/10.1007/s40477-018-0325-2
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http://dx.doi.org/10.1007/s40477-018-0325-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237712PMC
December 2018
3 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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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173219PMC
August 2018
2 Reads

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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http://dx.doi.org/10.1177/0961203318804891DOI Listing
November 2018
2 Reads
2.200 Impact Factor

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

Ann Rheum Dis 2019 Jan 8;78(1):43-50. 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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http://dx.doi.org/10.1136/annrheumdis-2018-214175DOI Listing
January 2019
9 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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January 2019
8 Reads