4,654 results match your criteria Tenosynovitis

Flexor Tenosynovitis: A Case Report.

J Wrist Surg 2021 Jun 31;10(3):241-244. Epub 2020 Aug 31.

Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia.

 Nontuberculous mycobacterial (NTM) flexor tenosynovitis represents a rare but potentially devastating manifestation of upper extremity infection. We present a novel case of NTM flexor tenosynovitis in which was found to be the causative agent.  The patient presented with pain and insidiously progressive swelling and required multiple operative interventions and a complex antimicrobial regimen based on susceptibility profiles. Read More

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Snapping thumb: a rare case of stenosing tenosynovitis of the extensor pollicis longus tendon.

BMJ Case Rep 2021 Jun 8;14(6). Epub 2021 Jun 8.

Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus, Denmark.

Tenosynovitis of the extensor pollicis longus (EPL) is rarely reported in patients without rheumatoid arthritis but may lead to thumb snapping as a consequence of EPL stenosing tenosynovitis.This case presents painful thumb snapping that developed after a wrist trauma and repetitive loading. Ultrasound and MRI were used as diagnostic tools, before surgical release of the EPL in the third extensor compartment was performed. Read More

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The Role of Ultrasound in Research and Clinical Practice in Psoriatic Arthritis: Highlights From the GRAPPA Ultrasound Workshop.

J Rheumatol Suppl 2021 Jun;97:55-57

G.S. Kaeley, MD, MBBS, MRCP, RhMSUS, Professor of Medicine, University of Florida College of Medicine, Jacksonville, Florida, USA.

Ultrasound (US) is a valuable imaging modality that can accurately identify relevant features of psoriatic arthritis (PsA), such as synovitis, tenosynovitis, and enthesitis. The Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) Ultrasound Committee ran a workshop during the annual GRAPPA meeting that was held in July 2020. The group presented the following 3 topics: (1) the transition from psoriasis to PsA and the role of US; (2) the effect of biomechanical forces on the entheses in health and disease, and insight for PsA pathogenesis; and (3) differentiation of enthesitis from pain sensitization: use and limitations of clinical and sonographic evaluation of enthesitis. Read More

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Comparison of Shoulder Ultrasonographic Assessments between Polymyalgia Rheumatica and Frozen Shoulder in Patients with Bilateral Shoulder Pain: A Comparative Retrospective Study.

J Pers Med 2021 May 3;11(5). Epub 2021 May 3.

Department of Physical Medicine and Rehabilitation, College of Medicine, Chung-Ang University, 102 Heukseok-ro, Dongjak-gu, Seoul 06973, Korea.

This study aimed to assess and compare the ultrasonographic (US) pathologic findings in patients with polymyalgia rheumatica (PMR) and bilateral frozen shoulder (FS). We included 19 patients with clinically diagnosed PMR and 19 patients with stage II bilateral FS. The US evaluation included the assessment of subacromial-subdeltoid (SASD) bursitis, long head of biceps (LHB) tenosynovitis, and posterior and inferior glenohumeral (GH) synovitis. Read More

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Association between joint effusions and concomitant structural injuries (tendinitis and structural injury) on MRI in ankle trauma without fracture.

Acta Radiol 2021 May 29:2841851211021038. Epub 2021 May 29.

Department of Nuclear medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Background: The evaluation of correlations among joint effusion, ligament injuries, tenosynovitis and osteochondral lesion of talus (OLT) in the ankle joint is important for developing a treatment plan and predicting prognosis.

Purpose: To evaluate correlations among tibiotalar (anterior) and talocalcaneal (posterior) joint effusion, tenosynovitis of major flexor tendons, ligaments, and OLT in a group of patients with ankle trauma.

Material And Methods: This retrospective study included 101 patients with ankle trauma who underwent magnetic resonance imaging. Read More

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Utility of Inflammatory Markers in Hospitalized Children With Skin Erythema.

Hosp Pediatr 2021 Jun;11(6):627-631

Department of Pediatrics and.

Background: There is overlap in the clinical presentations of superficial skin infections (eg, cellulitis) and deeper infections (eg, osteomyelitis). Inflammatory markers are frequently obtained in hospitalized patients with cellulitis. However, it is unknown whether inflammatory markers discriminate between superficial and deeper infections. Read More

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Flexor tendon rupture after volar plating of distal radius fracture: A systematic review of the literature.

Hand Surg Rehabil 2021 May 24. Epub 2021 May 24.

Service de Chirurgie Orthopédique et Traumatologique, CHU de Poitiers, 2 Rue de la Milétrie, 86021 Poitiers, France.

Flexor tendon rupture after volar plate fixation of distal radius fracture (DRF) is rare. There is no consensus as to how to prevent them. The aim of our study was to identify the pathological mechanisms, and to establish the clinical and epidemiological profile of patients suffering from this complication. Read More

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Management Outcome of de Quervain's Disease with Corticosteroid Injection Versus Surgical Decompression.

Muhammad Saaiq

Arch Bone Jt Surg 2021 Mar;9(2):167-173

Department of Plastic Surgery, National Institute of Rehabilitation Medicine (NIRM), Islamabad, Pakistan.

Background: This randomized clinical trial was undertaken to document the clinical presentation of de Quervain's disease and evaluate the outcome of management with triamcinolone acetonide (TAC) injection versus surgical decompression.

Methods: Half of the patients were assigned to the corticosteroid injection group (group A) and half to the surgery group (group B). In group A, 40 mg of TAC was injected into the affected first extensor compartment. Read More

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Conventional Radiography and Ultrasound Imaging of Rheumatic Diseases Affecting the Pediatric Population.

Semin Musculoskelet Radiol 2021 Feb 21;25(1):68-81. Epub 2021 May 21.

Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.

Juvenile idiopathic arthritis is the most frequent rheumatic disease in the pediatric population, followed by systemic lupus erythematosus, juvenile scleroderma syndromes, juvenile dermatomyositis, chronic recurrent multifocal osteomyelitis, and juvenile vasculopathies. The imaging approach to inflammatory connective tissue diseases in childhood has not changed dramatically over the last decade, with radiographs still the leading method for bony pathology assessment, disease monitoring, and evaluation of growth disturbances. Ultrasonography is commonly used for early detection of alterations within the intra- and periarticular soft tissues, assessing their advancement and also disease monitoring. Read More

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February 2021

Associations of ultrasound-based inflammation patterns with peripheral innate lymphoid cell populations, serum cytokines/chemokines, and treatment response to methotrexate in rheumatoid arthritis and spondyloarthritis.

PLoS One 2021 21;16(5):e0252116. Epub 2021 May 21.

Department of Allergy and Clinical Immunology, Graduate School of Medicine, Chiba University, Chiba, Chiba, Japan.

Objectives: We aimed to explore the associations of musculoskeletal inflammation patterns with peripheral blood innate lymphoid cell (ILC) populations, serum cytokines/chemokines, and treatment response to methotrexate in patients with rheumatoid arthritis (RA) and spondyloarthritis (SpA).

Methods: We enrolled 100 patients with either RA or SpA and performed ultrasound to evaluate power Doppler signals for synovitis (52 joint regions), tenosynovitis (20 tendons), and enthesitis (44 sites). We performed clustering analysis using unsupervised random forest based on the multi-axis ultrasound information and classified the patients into groups. Read More

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Arthritis-Dermatitis Syndrome: a Case of Disseminated Gonococcal Infection with Petechial Skin Rash.

J Gen Intern Med 2021 May 19. Epub 2021 May 19.

Department of Medicine, Oregon Health and Science University, Portland, OR, USA.

A previously healthy 36-year-old woman was admitted to the hospital with vaginal discharge, bilateral ankle pain, and a lower extremity skin rash, all of which developed after unprotected vaginal intercourse with a new male partner. On examination, there was a petechial and purpuric rash involving the lower extremities and bilateral tenosynovitis of the ankle dorsiflexor tendons. Urine NAAT was positive for Neisseria gonorrhea, confirming disseminated gonococcal infection (DGI). Read More

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Magnetic resonance imaging findings associated with posterior ankle impingement syndrome are prevalent in elite ballet dancers and athletes.

Skeletal Radiol 2021 May 19. Epub 2021 May 19.

La Trobe University Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, VIC, 3086, Australia.

Objective: To report the prevalence of MRI features commonly associated with posterior ankle impingement syndrome in elite ballet dancers and athletes and to compare findings between groups.

Materials And Methods: Thirty-eight professional ballet dancers (47.4% women) were age- and sex-matched to 38 elite soccer or cricket fast bowler athletes. Read More

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Infliximab prevents systemic bone loss and suppresses tendon inflammation in a collagen-induced arthritis rat model.

Inflammopharmacology 2021 May 12. Epub 2021 May 12.

Department of Clinical Pharmacology, School of Medicine, Aristotle University of Thessaloniki, University Campus, 54124, Thessaloniki, Greece.

Reduced Bone Mineral Density (BMD) and tendon abnormalities, such as tenosynovitis and enthesitis, are prevalent comorbidities in patients with rheumatoid arthritis (RA). The aim of the present study was to investigate the effect of chronic treatment with infliximab on BMD and tendon inflammation in an animal model of inflammatory arthritis. Collagen-Induced Arthritis (CIA) was induced in rats, followed by long-term intraperitoneal administration of infliximab. Read More

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Diagnosis and Treatment of Trigger Finger in Brazil - A Cross-Sectional Study.

Rev Bras Ortop (Sao Paulo) 2021 Apr 29;56(2):181-191. Epub 2020 Oct 29.

Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.

 The present paper aims to evaluate the therapeutic planning for trigger finger by Brazilian orthopedists.  This is a cross-sectional study with a population composed of participants from the 2018 Brazilian Congress on Orthopedics and Traumatology (CBOT-2018, in the Portuguese acronym), who answered a questionnaire about the conduct adopted for trigger finger diagnosis and treatment.  A total of 243 participants were analyzed, with an average age of 37. Read More

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Rare case of in a patient presenting with tenosynovitis.

BMJ Case Rep 2021 May 12;14(5). Epub 2021 May 12.

Department of Internal Medicine, Odense University Hospital - Svendborg, Denmark, Svendborg, Denmark.

A 72-year-old man presented with tenosynovitis of the left hand's extensor tendons that had been present for several months. He was initially treated with corticosteroids, first by local injection then systemically, but with no effect. When re-evaluated, the patient had developed a rash, and the symptoms had spread locally to surrounding structures. Read More

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Clinical manifestations of Whipple's disease mimicking rheumatic disorders.

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

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Patient with tuberculous flexor tenosynovitis of the hand.

BMJ Case Rep 2021 May 11;14(5). Epub 2021 May 11.

Orthopaedics, AIIMS Bhubaneswar, Bhubaneswar, Orissa, India.

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Intermetatarsal bursitis, a novel feature of juxta-articular inflammation in early rheumatoid arthritis that is related to clinical signs: results of a longitudinal MRI-study.

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

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Orthobiologics in Hand Surgery.

J Hand Surg Am 2021 May;46(5):409-415

Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD. Electronic address:

Orthobiologic agents are used as innovative adjuvant therapy to treat common upper-extremity pathology, including carpal tunnel syndrome, de Quervain tenosynovitis, and distal radius fractures. In this article, we perform a narrative review and evaluate current literature on orthobiologics in the upper extremity. Orthobiologics evaluated include bone morphogenetic proteins, platelet-rich plasma, bone marrow aspirate concentrate, mesenchymal stem cells, and amniotic membrane. Read More

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Evaluation of the first annular pulley stretch effect under isometric contraction of the flexor tendon in healthy volunteers and trigger finger patients using ultrasonography.

BMC Musculoskelet Disord 2021 May 6;22(1):421. Epub 2021 May 6.

Department of Orthopaedic Surgery, The University of Tokyo Hospital, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Background: Isometric exercises for a flexed finger have been reported to be effective for treating trigger finger as the flexor tendon widens the space under the first annular (A1) pulley towards the palmar destination during the exercise. This study aimed to evaluate the structural changes during the A1 pulley stretch in healthy volunteers and patients with trigger finger using ultrasonography.

Methods: We enrolled 25 male and 14 female patients (39 middle fingers). Read More

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Leprosy-Induced Hip Arthritis: A Rare Case Report.

J Orthop Case Rep 2020 May-Jun;10(3):71-75

Department of Orthopaedic Surgery, Dr. B.R Ambedkar Central Railway Hospital, Byculla, Mumbai, Maharashtra, India.

Introduction: Leprosy is a chronic granulomatous infection, classically presents with cutaneous and neurological manifestations. Joint involvement in leprosy can present as acute symmetrical or chronic polyarthritis with or without tenosynovitis resembling rheumatoidarthritis.

Case Report: We report a rare case of lepromatous hip arthritis in a 32-year-old male, known case of leprosytenosynovitis and symmetrical polyarthritis of hands and feet 3 weeks after appearance of typical cutaneous lesion. Read More

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Role of Ultrasound in Flexor Tendon Injuries of the Hand: A New Insight.

Ultrasound Med Biol 2021 Apr 29. Epub 2021 Apr 29.

Radiodiagnosis Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

This study was aimed at validating the diagnostic accuracy of ultrasound (US) scans in pre-operative evaluation of flexor tendon injuries in the hand and to determine its value in the management of such injuries and in the prediction of patient outcome. This descriptive cross-sectional prospective study included 35 patients with penetrating trauma to the volar aspect of the hand or wrist with questionable clinical findings. They had 50 injured tendons and were candidates for exploratory surgery versus physiotherapy. Read More

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Protothecosis algaemia in a patient presenting with septic arthritis: A rare case of isolated from Malaysia.

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

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Combined administration of rifampicin, ethambutol, and clarithromycin for the treatment of tenosynovitis of the hand caused by Mycobacterium avium complex: Case series and literature review.

Medicine (Baltimore) 2021 Apr;100(17):e25283

Department of Orthopaedic Surgery, Kagawa University Faculty of Medicine.

Abstract: We report the clinical results and problems of combined administration of rifampicin, ethambutol, and clarithromycin (REC) for the treatment of Mycobacterium avium complex (MAC) infection of the hand (hand MAC).Participants included 7 patients with hand MAC. After resection of the infected lesion, REC was prescribed for 12 months. Read More

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Do tender joints in active psoriatic arthritis reflect inflammation assessed by ultrasound and magnetic resonance imaging?

Rheumatology (Oxford) 2021 Apr 24. Epub 2021 Apr 24.

Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark.

Objective: To investigate the association between clinical joint tenderness and intra- and periarticular inflammation as assessed by ultrasound and magnetic resonance imaging (MRI) in patients with active psoriatic arthritis (PsA) and to explore if the associations differ according to patient-reported outcomes (PROs) and structural damage.

Methods: Forty-one patients with active PsA and hand involvement had 76/78 joints examined for swelling/tenderness and ultrasound and MRI of 24 and 12 finger joints, respectively. Synovitis, tenosynovitis, periarticular inflammation and erosions were assessed using OMERACT definitions and scoring systems. Read More

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Rheumatic manifestations of Chikungunya virus infection: Prevalence, patterns, and enthesitis.

PLoS One 2021 22;16(4):e0249867. Epub 2021 Apr 22.

Center of Excellence in Clinical Virology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Chikungunya virus (CHIKV) is an arthropod-borne virus transmitted by mosquitoes of the genus Aedes. CHIKV infection causes various rheumatic symptoms, including enthesitis; however, these effects are rarely investigated. The aim of this study was to describe the rheumatic manifestations in CHIKV infection, estimate the prevalence of enthesitis in CHIKV-infected patients, and determine the factors associated with CHIKV-induced enthesitis. Read More

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Plantar forefoot pain: ultrasound findings before and after treatment with custom-made foot orthoses.

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

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Limited Flexor Sheath Incision and Drainage in the Emergency Department in the Management of Early Pyogenic Flexor Tenosynovitis.

Hand (N Y) 2021 Apr 21:1558944721999729. Epub 2021 Apr 21.

The Warren Alpert Medical School of Brown University, Providence, RI, USA.

Background: Pyogenic flexor tenosynovitis (PFT) has been considered a surgical emergency. Varying operative approaches have been described, but there are limited data on the method, safety, and efficacy of nonoperative or bedside management. We present a case series where patients with early flexor tenosynovitis are managed using a limited flexor sheath incision and drainage (I&D) in the emergency department (ED) to both confirm purulence within the flexor sheath and as definitive treatment. Read More

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Bowling: Occupational Hazards of the Wrist and Hand in Elite Tenpin Bowlers.

Malays Orthop J 2021 Mar;15(1):113-118

Department of Orthopaedic Surgery, University of Malaya, Kuala Lumpur, Malaysia.

Introduction: Bowling is an immensely popular, but scarcely researched sport associated with overuse injuries in its participants. The purpose of this study was to investigate and report on the incidence of common upper extremity complaints in elite bowling athletes.

Materials And Methods: All Malaysian national level bowlers (n=39) were evaluated via questionnaire on their upper limb symptoms. Read More

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