4,472 results match your criteria Tenosynovitis


Infectious Flexor Tenosynovitis Following Trigger Finger Release: Incidence and Risk Factors.

Hand (N Y) 2020 Jul 9:1558944720930298. Epub 2020 Jul 9.

University of Minnesota, Saint Paul, USA.

Trigger finger release (TFR) is one of the most commonly performed hand procedures and typically results in restoration of normal finger function. However, uncommon postoperative complications such as deep infection can have devastating consequences. The goal of this study was to evaluate the incidence, risk factors, and characteristics of infectious flexor tenosynovitis occurring after TFR. Read More

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http://dx.doi.org/10.1177/1558944720930298DOI Listing

Gonococcal osteomyelitis in a pediatric patient with disseminated gonococcal infection: Implications for antimicrobial management.

IDCases 2020 18;21:e00875. Epub 2020 Jun 18.

Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, New York, 11549, United States.

We report a case of a female teenager with gonococcal septic arthritis of the right shoulder that also caused osteomyelitis of the humeral head. Infection with is a frequently diagnosed sexually transmitted infection in the sexually active teenage population and disseminated gonococcal infection (DGI) is the most common systemic manifestation of acute gonorrhea. DGI commonly involves acute arthritis, tenosynovitis and dermatitis with less common complications of endocarditis, hepatitis and meningitis. Read More

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http://dx.doi.org/10.1016/j.idcr.2020.e00875DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327928PMC

A Rare Case of Melorheostosis in the Hand of a Saudi Woman.

Cureus 2020 Jun 28;12(6):e8877. Epub 2020 Jun 28.

Orthopaedics, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.

Melorheostosis is a very rare bone dysplasia, especially in the hand. Most cases were diagnosed incidentally, with the lower limbs being the most affected. This is the first Saudi woman with hand melorheostosis. Read More

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http://dx.doi.org/10.7759/cureus.8877DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328702PMC

[Inflammatory Muscle Pain: Polymyalgia Rheumatica with or without Large Vessel Vasculitis].

Dtsch Med Wochenschr 2020 Jul 2;145(13):895-902. Epub 2020 Jul 2.

Polymyalgia rheumatica (PMR) is characterized by rapidly evolving shoulder and pelvic girdle pain with fatigue, weight loss, night sweats and elevated CRP and ESR. Giant cell arteritis (GCA) can occur in PMR and vice versa. Headache and scalp tenderness are typical for GCA. Read More

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http://dx.doi.org/10.1055/a-1074-7685DOI Listing

Clinical characteristics, histopathology, and tissue immunolocalization of chikungunya virus antigen in fatal cases.

Clin Infect Dis 2020 Jul 2. Epub 2020 Jul 2.

Centers for Disease Control and Prevention - Infectious Diseases Pathology Branch, Atlanta, Georgia, United States of America.

Background: Death in patients with chikungunya is rare, and has been associated with encephalitis, hemorrhage, and septic shock. We describe clinical, histologic and immunohistochemical findings in individuals who died following chikungunya virus (CHIKV) infection.

Methods: We identified individuals who died in Puerto Rico during 2014 following an acute illness, and had CHIKV RNA detected by RT-PCR in a pre- or post-mortem blood or tissue specimen. Read More

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http://dx.doi.org/10.1093/cid/ciaa837DOI Listing
July 2020
8.886 Impact Factor

Conservative Management of de Quervain Stenosing Tenosynovitis: Review and Presentation of Treatment Algorithm.

Plast Reconstr Surg 2020 Jul;146(1):105-126

Montreal, Quebec, Canada From the Faculty of Medicine, McGill University; and the Division of Plastic and Reconstructive Surgery, McGill University Health Center.

Background: Nonsurgical management of de Quervain disease relies mainly on the use of oral nonsteroidal antiinflammatory drug administration, splint therapy, and corticosteroid injections. Although the latter is most effective, with documented success rates of 61 to 83 percent, there exists no clear consensus pertaining to conservative treatment protocols conferring the best outcomes. This article reports on all present conservative treatment modalities in use for the management of de Quervain disease and highlights specific treatment- and patient-related factors associated with the best outcomes. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006901DOI Listing
July 2020
2.993 Impact Factor

De Quervain tenosynovitis.

JAAPA 2020 Jul;33(7):49-50

Lindsey Brown Caruthers is an assistant professor in the PA program at Philadelphia College of Osteopathic Medicine Georgia in Suwanee, Ga., and practices emergency medicine at Emory University Hospital in Decatur, Ga.

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http://dx.doi.org/10.1097/01.JAA.0000668844.44726.68DOI Listing

Pyogenic Flexor Tenosynovitis: Evaluation and Management.

Hand Clin 2020 Aug;36(3):323-329

Department of Orthopaedic Surgery, Hand & Upper Extremity Center, The Ohio State Wexner Medical Center, 915 Olentangy River Road, Suite 3200, Columbus, OH 43212, USA.

Pyogenic flexor tenosynovitis is a closed-space infection that can lead to a devastating loss of finger and hand function. It can spread rapidly into the palm, distal forearm, other digits, and nearby joints. Healthy individuals may present with no signs of systemic illness and often deny any penetrating trauma or inoculation. Read More

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http://dx.doi.org/10.1016/j.hcl.2020.03.005DOI Listing

Imaging and Laboratory Workup for Hand Infections.

Hand Clin 2020 Aug;36(3):285-299

Hand and Upper Extremity Division, Einstein Healthcare Network, Department of Orthopedic Surgery, 170 West Germantown Pike, Suite C-1, East Norriton, PA 19401, USA. Electronic address:

Hand infections can lead to significant morbidity if not treated promptly. Most of these infections, such as abscesses, tenosynovitis, cellulitis, and necrotizing fasciitis, can be diagnosed clinically. Laboratory values, such as white blood cell count, erythrocyte sedimentation rate, C-reactive protein, and recently, procalcitonin and interleukin-6, are helpful in supporting the diagnosis and trending disease progression. Read More

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http://dx.doi.org/10.1016/j.hcl.2020.03.002DOI Listing

Pyogenic Flexor Tenosynovitis Caused by Shewanella putrefaciens.

Cureus 2020 May 14;12(5):e8113. Epub 2020 May 14.

Plastic Surgery, University Hospitals Cleveland Medical Center, Cleveland, USA.

Flexor tenosynovitis is a surgical emergency due to the risk of tendon necrosis which can lead to subsequent amputation. We report a case of flexor tenosynovitis with Shewanella putrefaciens as the implicated organism, though the patient's mechanism of penetrating trauma did not involve a marine exposure. Shewanella are Gram negative bacilli associated with marine environments and have rarely been implicated in human disease. Read More

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http://dx.doi.org/10.7759/cureus.8113DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292706PMC

A Case of Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus.

Intern Med 2020 Jun 15. Epub 2020 Jun 15.

Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Japan.

Infectious disease with various presentations in systemic lupus erythematosus (SLE) often resembles lupus flare. A 37-year-old woman presented with a swollen left index finger that had not resolved, despite 7 years of immunosuppressive treatment. MRI showed rice-body formation in the flexor tendon sheath and tenosynovectomy demonstrated chronic synovitis with epithelioid granuloma. Read More

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http://dx.doi.org/10.2169/internalmedicine.4671-20DOI Listing

Isolated pyogenic tenosynovitis of tibialis anterior.

BMJ Case Rep 2020 Jun 11;13(6). Epub 2020 Jun 11.

Department of Trauma and Orthopaedics, Southport & Ormskirk University Hospital NHS Trust, Southport, Merseyside, UK.

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http://dx.doi.org/10.1136/bcr-2020-236368DOI Listing

Ultrasound Use and Outpatient Management for Pyogenic Flexor Tenosynovitis: A Case Report.

Curr Sports Med Rep 2020 Jun;19(6):199-201

Department of Emergency Medicine, Medical College of Georgia at Augusta University, Augusta, GA.

Pyogenic flexor tenosynovitis (PFT) is an orthopedic emergency that necessitates prompt diagnosis and treatment. Unfortunately, the diagnosis is largely clinically based on Kanavel's four cardinal signs with all four symptoms being present approximately 22% to 56% of the time. Evidence suggests that PFT diagnosed within 48 h of onset does not need surgical intervention. Read More

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http://dx.doi.org/10.1249/JSR.0000000000000717DOI Listing

Functional Outcome for Arthroscopic Treatment of Septic Arthritis of the Wrist.

J Wrist Surg 2020 Jun 30;9(3):190-196. Epub 2019 Dec 30.

Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Shatin, HKSAR, China.

 Septic arthritis is a potentially joint-destructing condition if not treated properly. Septic wrist accounts for ∼5% of all septic arthritis. Arthroscopic lavage is a well-documented treatment for septic arthritis of the knee, hip, or shoulder only. Read More

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http://dx.doi.org/10.1055/s-0039-3402423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263864PMC

Case Series and Review of the Literature of Mycobacterium chelonae Infections of the Lower Extremities.

J Foot Ankle Surg 2020 Jun 4. Epub 2020 Jun 4.

Attending Physician, Infectious Disease Division, Scripps Mercy Hospital, San Diego, CA.

Mycobacterium chelonae infections involving the lower extremities are rare clinical entities that present a diagnostic challenge given its diverse clinical presentations ranging from superficial (e.g., cellulitis, painful vesicular lesions) to deep (e. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.11.004DOI Listing

Infections of Deep Hand and Wrist Compartments.

Microorganisms 2020 Jun 3;8(6). Epub 2020 Jun 3.

Hand and Microsurgery Unit, Department of Orthopaedics and Musculoskeletal Trauma Medical School, University of Thessaly, PC41110 Biopolis-Larissa, Greece.

The human hand is the most exposed part of the body to highest risk for injuries, loss of the skin integrity, and to the inoculation of bacteria, most commonly Staphylococcus aureus, Streptococcus β-haemolytic, and gram-negative. In case of an infection, the mobile anatomical structures and the synovial membranes in close proximity to each other may spread the pus towards deep spaces and compartments. Mild early infections without an abscess formation may respond to antibiotics, but at more advanced stage, erythema, swelling, stiffness, and severe pain may ensue. Read More

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http://dx.doi.org/10.3390/microorganisms8060838DOI Listing

Isolated Histoplasma Tenosynovitis in a Patient on Adalimumab.

Mayo Clin Proc 2020 Jun;95(6):1212

Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA.

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http://dx.doi.org/10.1016/j.mayocp.2020.02.023DOI Listing

Operative Treatment for Ganglion Cyst of Flexor Hallucis Longus Sheath [Formula: see text].

Foot Ankle Int 2020 Jun 3:1071100720925426. Epub 2020 Jun 3.

Center of Foot and Ankle Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

Background: Intractable hallucal ganglion cysts (HGCs) are often a symptomatic and recurrent condition. Its connection with the ankle joint is not well understood. Our aim was to evaluate the relationship between tenosynovitis of the flexor hallucis longus (FHL) tendon at the level of the ankle with formation of an HGC. Read More

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http://dx.doi.org/10.1177/1071100720925426DOI Listing

A Cost-Effectiveness Analysis of Corticosteroid Injections and Open Surgical Release for Trigger Finger.

J Hand Surg Am 2020 Jul 26;45(7):597-609.e7. Epub 2020 May 26.

VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, Redwood City, CA. Electronic address:

Purpose: To evaluate the cost-effectiveness of corticosteroid injection(s) versus open surgical release for the treatment of trigger finger.

Methods: Using a US health care payer perspective, we created a decision tree model to estimate the costs and outcomes associated with 4 treatment strategies for trigger finger: offering up to 3 steroid injections before to surgery or immediate open surgical release. Costs were obtained from a large administrative claims database. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.04.008DOI Listing

Proteoglycan loss in the articular cartilage is associated with severity of joint inflammation in psoriatic arthritis-a compositional magnetic resonance imaging study.

Arthritis Res Ther 2020 05 29;22(1):124. Epub 2020 May 29.

Department and Hiller Research Unit for Rheumatology, UKD, Heinrich Heine University Düsseldorf, Moorenstrasse 5, 40225, Düsseldorf, Germany.

Background: Even though cartilage loss is a known feature of psoriatic arthritis (PsA), little is known about its role in the pathogenesis of PsA. Using delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC) as a non-invasive marker of the tissue's proteoglycan content, such early (i.e. Read More

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http://dx.doi.org/10.1186/s13075-020-02219-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7257142PMC
May 2020
3.753 Impact Factor

Differential Diagnosis of Inflammatory Arthropathies by Musculoskeletal Ultrasonography: A Systematic Literature Review.

Front Med (Lausanne) 2020 7;7:141. Epub 2020 May 7.

UOC e Sezione di Reumatologia - Dipartimento di Scienze Mediche, Università degli Studi di Ferrara, Ferrara, Italy.

Differential diagnosis in early arthritis is challenging, especially early after symptom onset. Several studies applied musculoskeletal ultrasound in this setting, however, its role in helping diagnosis has yet to be clearly defined. The purpose of this work is to systematically assess the diagnostic applications of ultrasonography in early arthritis in order to summarize the available evidence and highlight possible gaps in knowledge. Read More

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http://dx.doi.org/10.3389/fmed.2020.00141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221062PMC

Arthroscopic Tenovaginotomy and Ganglion Excision of the Flexor Carpi Radialis Fibro-Osseous Tendon Sheath.

Tech Hand Up Extrem Surg 2020 May 22. Epub 2020 May 22.

Pacific Hand Surgery Center, Tamuning, Guam.

The treatment of flexor carpi radialis (FCR) tendon stenosing tenosynovitis recalcitrant to nonsurgical intervention has been open or blind tenovaginotomy of the volar trapezial fibro-osseous sheath of the FCR tendon. The surgical literature has not reported arthroscopic tenovaginotomy of the FCR fibro-osseous tendon sheath with or without associated ganglia. This report describes a technique of arthroscopic tenovaginotomy for stenosing tenosynovitis of the FCR tendon at the trapezial fibro-osseous sheath with or without excision of any associated ganglion through a not previously described new volar radial trapezial arthroscopic portal. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000296DOI Listing

Ultrasonographic features of acute Charcot neuroarthropathy of the foot: a pilot study.

Clin Rheumatol 2020 May 24. Epub 2020 May 24.

Rheumatology & Rehabilitation Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Objectives: Our aim was to characterize the ultrasonographic features of patients with acute Charcot neuroarthropathy (CN) of the foot.

Methods: In this prospective study, 26 patients with CN of the foot proved by MRI were enrolled. All patients were in early stage of CN with normal radiography (grade 0 modified Eichenholtz classification system). Read More

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http://dx.doi.org/10.1007/s10067-020-05107-2DOI Listing
May 2020
1.774 Impact Factor

Novel and reliable DACTylitis glObal Sonographic (DACTOS) score in psoriatic arthritis.

Ann Rheum Dis 2020 May 19. Epub 2020 May 19.

Academic Rheumatology Centre, Dipartimento di Scienze Cliniche e Biologiche, Università degli Studi di Torino, MFRU, Turin, Italy

Objectives: Dactylitis is one of the most typical features of psoriatic arthritis (PsA), with a high lifetime prevalence and inclusion in PsA clinical indices. Musculoskeletal ultrasonography (Msk-US) can readily detect inflammatory involvement of finger anatomical structures particular to dactylitis and monitor therapeutic effects. In this study, we aim to identify the characteristic lesions in PsA dactylitis of the hands, assess the reliability of Msk-US in scoring those lesions and develop a DACTylitis glObal Sonographic (DACTOS) score. Read More

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http://dx.doi.org/10.1136/annrheumdis-2020-217191DOI Listing

Pyogenic Flexor Tenosynovitis as a Rare Complication of Dyshidrotic Eczema.

Clin Pract Cases Emerg Med 2020 May 27;4(2):174-177. Epub 2020 Mar 27.

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

Introduction: Pyogenic flexor tenosynovitis is an unusual complication of dyshidrotic eczema. The diagnosis has traditionally been made by Kanavel's signs. Point-of-care ultrasound can be a useful adjunct in the diagnosis of this surgical emergency. Read More

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http://dx.doi.org/10.5811/cpcem.2020.1.45414DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220023PMC

Effectiveness of steroid injection for hand psoriatic dactylitis: results from a multicentre prospective observational study.

Clin Rheumatol 2020 May 16. Epub 2020 May 16.

Rheumatology Unit, Department of Clinical Medicine and Surgery, University Federico II, via Sergio Pansini 5, 80131, Naples, Italy.

Objective: To assess the effectiveness of steroid injection (local treatment, LT) into the digital flexor tendon sheath of dactylitis in psoriatic arthritis (PsA) patients as compared with systemic treatment (ST).

Methods: Forty-six PsA patients with a total of 73 dactylitic fingers were assessed in an observational, multicentre, prospective study by the Leeds Dactylitis Index basic (LDI-b) score and evaluated for local pain (visual analogue scale-VAS pain) and functional impairment (VAS-FI). Steroid injection was proposed to all patients. Read More

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http://dx.doi.org/10.1007/s10067-020-05142-zDOI Listing

From Psoriasis to Psoriatic Arthritis: Insights from Imaging on the Transition to Psoriatic Arthritis and Implications for Arthritis Prevention.

Curr Rheumatol Rep 2020 May 16;22(6):24. Epub 2020 May 16.

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

Purpose Of Review: To describe the recent advances in the field towards the prevention and early recognition of Psoriatic Arthritis (PsA).

Recent Findings: Defining the preclinical phase of PsA remains challenging since up to 50% of subjects with psoriasis have subclinical imaging enthesopathy, but many of these do not progress to PsA. Nevertheless, there is evidence that subjects with subclinical imaging enthesopathy are at increased risk of developing PsA. Read More

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http://dx.doi.org/10.1007/s11926-020-00891-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230038PMC

The dynamics of molecular evolution of emerging avian reoviruses through accumulation of point mutations and genetic re-assortment.

Virus Evol 2020 Jan 10;6(1):veaa025. Epub 2020 May 10.

Department of Veterinary Pathology, Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan, S7N 5B4, Canada.

In the last decade, the emergence of variant strains of avian reovirus (ARV) has caused enormous economic impact in the poultry industry across Canada and USA. ARVs are non-enveloped viruses with ten segments of double-stranded RNA genome. So far, only six genotyping cluster groups are identified worldwide based on sequence analysis of the σC protein encoded by the S1 segment. Read More

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http://dx.doi.org/10.1093/ve/veaa025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211400PMC
January 2020

Ulnar-sided wrist pain due to radial bifurcation of the extensor digiti minimi tendon: A case report and literature review.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(2):2309499020922310

Department of Orthopaedic Surgery, Seikeikai Hospital, Sakai City, Osaka, Japan.

Stenosing tenosynovitis of the extensor digiti minimi (EDM) without trauma is very rare. We report a 21-year-old woman who presented with dorsoulnar wrist pain during palmar wrist flexion and soft tissue mass at the site of pain. Ultrasonography and magnetic resonance imaging showed a round mass radial to the EDM tendon. Read More

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http://dx.doi.org/10.1177/2309499020922310DOI Listing

Mycobacterium haemophilum skin and soft tissue infection in a kidney transplant recipient: A case report and summary of the literature.

Transpl Infect Dis 2020 May 9:e13315. Epub 2020 May 9.

Division of Infectious Diseases, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Non-tuberculous mycobacteria are ubiquitous pathogens causing infections in immunocompromised patients. Here, we describe a kidney transplant recipient who developed skin and soft tissue infection by Mycobacterium haemophilum, complicated by tenosynovitis and fluid collection, following an injury sustained to her right foot. Her immunosuppressant dose was reduced, and she underwent prolonged antimicrobial therapy followed by surgical debridement with a favorable outcome. Read More

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http://dx.doi.org/10.1111/tid.13315DOI Listing

Chronic Tenosynovitis of the Upper Extremities Caused by : A Clinical Case and Systematic Review of Literature.

Indian J Plast Surg 2020 Mar 6;53(1):25-35. Epub 2020 Apr 6.

Division of Plastic Surgery, Mayo Clinic, Jacksonville, Florida, United States.

 Chronic tenosynovitis of the upper extremities caused by ( ) is uncommon, but symptoms may overlap with other more common diseases. Late diagnosis and treatment can lead to disfiguration of structures and rupture of tendons, resulting in worse cosmetic outcomes after reconstruction.  We present a clinical case and literature review of in patients with chronic tenosynovitis of upper extremities. Read More

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http://dx.doi.org/10.1055/s-0040-1709377DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192657PMC

Sequencing and phylogenetic analysis of partial S1 genes of avian orthoreovirus isolates in Shandong province during 2015-2017.

Poult Sci 2020 May 28;99(5):2416-2423. Epub 2020 Feb 28.

College of Animal Science and Veterinary Medicine, Shandong Agricultural University, Tai'an 276018, People's Republic of China. Electronic address:

Outbreaks of avian orthoreovirus (ARV) infection with primary symptoms of arthritis/tenosynovitis syndrome have been occurring more frequently in broiler flocks in China in recent years. This study aimed to investigate the genetic characteristics of ARV field strains in broiler flocks exhibiting arthritis/tenosynovitis syndrome from 9 cities in Shandong province during 2015 to 2017. A total of 64 synovial and tendon samples were obtained from broilers with significant arthritis/tenosynovitis syndrome, and 21 ARV field strains were obtained. Read More

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http://dx.doi.org/10.1016/j.psj.2019.11.067DOI Listing

A Nationwide Epidemiological Analysis of Finger Infections Presenting to Emergency Departments in the United States From 2012 to 2016.

Hand (N Y) 2020 May 1:1558944720915614. Epub 2020 May 1.

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

There is a paucity of literature exploring the epidemiology of finger infections presenting to emergency departments (EDs) on a national scale. The purpose of this study was to determine the national incidence of and risk factors for finger infections. Finger infections presenting to EDs between 2012 and 2016 were identified in the National Electronic Injury Surveillance System database. Read More

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http://dx.doi.org/10.1177/1558944720915614DOI Listing

Gout Presenting as Acute Flexor Tenosynovitis Mimicking Infection.

J Clin Rheumatol 2020 Apr 25. Epub 2020 Apr 25.

From the Sheffield Hand Centre, Northern General Hospital.

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http://dx.doi.org/10.1097/RHU.0000000000001396DOI Listing
April 2020
1.245 Impact Factor

Comparison between clinical and ultrasound assessment of the ankle region in juvenile idiopathic arthritis.

Arthritis Care Res (Hoboken) 2020 Apr 27. Epub 2020 Apr 27.

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.

Objective: To compare frequency of joint and tendon disease on ultrasound (US) and clinical examination (CE), and to investigate agreement between US and CE in ankles with clinically active juvenile idiopathic arthritis (JIA).

Methods: US and CE were performed independently in the joint and tendon compartments of 105 ankles. Grey-scale (GS) US and power Doppler (PD) US joint abnormalities were scored on a 4-point semiquantitative scale. Read More

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http://dx.doi.org/10.1002/acr.24241DOI Listing

Impact of the T2-weighted axial oblique MRI sequence in the assessment of peroneal tendons.

Clin Radiol 2020 Aug 20;75(8):642.e15-642.e23. Epub 2020 Apr 20.

Department of Diagnostic Radiology, McGill University Health Center, 1001 Decarie Blvd, Montreal, QC H4A 3J1, Canada.

Aim: To define the role of the T2-weighted axial oblique sequence for the magnetic resonance imaging (MRI) assessment of peroneal tendon pathologies.

Materials And Methods: Two radiologists interpreted 180 ankle MRI examinations using standard sequences alone and then in combination with an axial oblique sequence. The readers indicated how likely a peroneal pathology was present using a five-level confidence scale. Read More

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http://dx.doi.org/10.1016/j.crad.2020.02.018DOI Listing

Ultrasound assessment of extensor pollicis longus tendon rupture following distal radius fracture: a sonographic and surgical correlation.

J Ultrason 2020 31;20(80):e1-e5. Epub 2020 Mar 31.

Department of Radiology , Nuffield Orthopaedic Centre , Oxford , UK.

To assess the features identified on ultrasound in patients presenting with suspected extensor pollicis longus tendon rupture, and correlate this with surgical findings. A retrospective case series review was performed in 11 patients (8 female, 3 male) with suspected extensor pollicis longus tendon rupture. All ultrasound examinations were performed by an experienced musculoskeletal radiologist using a high-resolution linear-array probe. Read More

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http://dx.doi.org/10.15557/JoU.2020.0001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7266066PMC

A Review of De Quervain's Stenosing Tenovaginitis in the Context of Smartphone Use.

J Hand Surg Asian Pac Vol 2020 Jun;25(2):133-136

Gold Coast University Hospital, Gold Coast, Australia.

De Quervain tenosynovitis (DQT) has been associated with repetitive movements of the radial first dorsal compartment. Since 2007, smartphones have become ingrained in society. Their functionality is primarily performed by dexterity of the user's thumb(s). Read More

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http://dx.doi.org/10.1142/S2424835520300029DOI Listing

"Conservative Management of De Quervain's Stenosing Tenosynovitis: Review & Presentation of Treatment Algorithm".

Plast Reconstr Surg 2020 Apr 13. Epub 2020 Apr 13.

Introduction: Non-surgical management of De Quervain's disease relies mainly on the use of oral Non-Steroidal Anti-Inflammatory Drug administration, splint therapy, and corticosteroid injections. While the latter is most effective, with documented success rates of 61%-83%, there exists no clear consensus pertaining to conservative treatment protocols conferring the best outcomes. This article reports on all present conservative treatment modalities in use for the management of De Quervain's disease and highlights specific treatment- and patient-related factors associated with the best outcomes. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006901DOI Listing
April 2020
2.993 Impact Factor

Ultrasound of local complications in hand surgery: a pictorial essay.

J Ultrasound 2020 Apr 16. Epub 2020 Apr 16.

Division of Radiology, Hopitaux Universitaires de Genève, 4 Rue Gabrielle-Perret-Gentil, 1211, Geneva, Switzerland.

Early detection of local complications (venipuncture complications, nerve lesions, infections, arthritis, and tenosynovitis, tendon adhesions and re-tears, complications related to orthopaedic hardware) after hand surgery is required for prompt treatment. Ultrasound has proven to be a valuable imaging modality for detecting and assessing a variety of disorders of the wrist and hand. The purpose of this pictorial essay is to present a wide range of complications after wrist and hand surgery assessed by ultrasound. Read More

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http://dx.doi.org/10.1007/s40477-020-00457-8DOI Listing

Posterior Arthroscopic Treatment of a Massive Effusion in the Flexor Hallucis Longus Tendon Sheath Associated with Stenosing Tenosynovitis and Os Trigonum.

Case Rep Orthop 2020 27;2020:6236302. Epub 2020 Mar 27.

Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima, Tokushima 770-8503, Japan.

We report a rare case of massive accumulation of fluid in the flexor hallucis longus tendon sheath with stenosing tenosynovitis and os trigonum. A 34-year-old woman presented to our hospital with pain and swelling in the posteromedial aspect of the left ankle joint after an ankle sprain approximately 8 months earlier. There was tenderness at the posteromedial aspect of the ankle, and the pain worsened on dorsiflexion of the left great toe. Read More

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http://dx.doi.org/10.1155/2020/6236302DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140132PMC

Update on the Pathomechanism, Diagnosis, and Treatment Options for Rheumatoid Arthritis.

Cells 2020 Apr 3;9(4). Epub 2020 Apr 3.

Paul-Ehrlich-Institut, Vice President's Research Group 1: Molecular Allergology, 63225 Langen (Hesse), Germany.

Rheumatoid arthritis (RA) is an autoimmune disease that involves multiple joints bilaterally. It is characterized by an inflammation of the tendon (tenosynovitis) resulting in both cartilage destruction and bone erosion. While until the 1990s RA frequently resulted in disability, inability to work, and increased mortality, newer treatment options have made RA a manageable disease. Read More

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http://dx.doi.org/10.3390/cells9040880DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7226834PMC

Posterior Tibial Tendinopathy and Osteopenia as Primary Symptoms of Celiac Disease: A Case Report.

J Foot Ankle Surg 2020 May - Jun;59(3):553-559. Epub 2020 Apr 3.

Director, Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD.

This case report describes posterior tibial tendon (PTT) tendinopathy, valgus deformity with tenosynovitis, and osteopenia at the medial malleolus as the primary symptoms of a young patient with celiac disease (CD) without gastrointestinal symptoms. CD is an autoimmune condition that is a chronic inflammatory disorder of the small intestine triggered by ingestion of gluten in individuals with a particular genetic background. Without typical gastrointestinal symptoms, CD patients are often misdiagnosed or undiagnosed. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.09.009DOI Listing

Defining Clinical Subgroups in Relapsing Polychondritis: A Prospective Observational Cohort Study.

Arthritis Rheumatol 2020 Apr 6. Epub 2020 Apr 6.

National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, Maryland.

Objective: Relapsing polychondritis (RP) is a systemic disease. Failure to recognize RP can lead to diagnostic delay and further complications, including death. This study was undertaken to identify clinical patterns in a prospective cohort of patients with RP. Read More

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http://dx.doi.org/10.1002/art.41270DOI Listing

The relation between physical joint examination and MRI-depicted inflammation of metatarsophalangeal joints in early arthritis.

Arthritis Res Ther 2020 04 3;22(1):67. Epub 2020 Apr 3.

Department of Rheumatology, Leiden University Medical Center, P.O. Box 9600, 2300 RC, Leiden, the Netherlands.

Background: The relationship between physical joint examination (PE) and MRI-detected inflammation in early inflammatory arthritis has mostly been studied in the hands. Physical examination of MTP joints is considered difficult, and for these joints, this relationship is unknown. Therefore, we studied the concordance of PE with MRI inflammation in MTP joints. Read More

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http://dx.doi.org/10.1186/s13075-020-02162-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118815PMC

Association between Leeds Dactylitis Index and ultrasonographic features: a multicentre study on psoriatic hand dactylitis.

Clin Exp Rheumatol 2020 Apr 3. Epub 2020 Apr 3.

Rheumatology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Italy.

Objectives: The aim of this study was to explore the link between specific sonographic findings and Leeds Dactylitis Index basic (LDI-b) score in psoriatic arthritis (PsA) patients with hand dactylitis.

Methods: Ninety-one hand dactylitis were evaluated in a multicentre study for the presence of pain, functional limitation and tenderness (2-point scale) and LDI-b score. Dactylitic fingers were investigated using high-frequency US in grey scale (GS) and power Doppler (PD). Read More

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Effects of environmental enrichment on health and bone characteristics of fast growing broiler chickens.

Poult Sci 2020 Apr 21;99(4):1946-1955. Epub 2020 Feb 21.

Department of Animal Science, Aarhus University, Tjele 8830, Denmark.

Providing environmental enrichment for broilers is a potential strategy to increase welfare, activity, and health. The aim of this study was to evaluate the effect of environmental enrichment on health and leg bone characteristics of broilers. One control and 8 types of enrichment were included: 2 distances between food and water (7 and 3. Read More

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http://dx.doi.org/10.1016/j.psj.2019.11.061DOI Listing

An unusual case of remitting seronegative symmetrical synovitis with pitting edema: Case report and literature review.

SAGE Open Med Case Rep 2020 18;8:2050313X20910920. Epub 2020 Mar 18.

University Medical Unit, Teaching Hospital, Jaffna, Sri Lanka.

Remitting seronegative symmetrical synovitis with pitting edema is a rare but well-recognized clinical entity that is easily overlooked due to lack of clinical vigilance. It is classically described as an acute onset of symmetrical tenosynovitis of both upper and lower extremities with pitting edema, mostly noted in elderly population. Young patients with other rheumatological diseases and unilateral involvement had also been reported, but symmetrical remitting seronegative symmetrical synovitis with pitting edema in a young patient is a rare observation. Read More

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http://dx.doi.org/10.1177/2050313X20910920DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081466PMC

Ultrasound Doppler and tenosynovial fluid analysis in tenosynovitis.

Ann Rheum Dis 2020 07 25;79(7):908-913. Epub 2020 Mar 25.

Rheumatology, Boston University Medical Center, Boston, Massachusetts, USA

Objective: To assess Doppler ultrasound (US) and tenosynovial fluid (TSF) characteristics in tenosynovitis within common rheumatic conditions, as well as their diagnostic utility.

Methods: Subjects with tenosynovitis underwent Doppler US and US-guided TSF aspiration for white cell count (WCC) and crystal analysis. Tenosynovial Doppler scores (DS) were semiquantitatively graded. Read More

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http://dx.doi.org/10.1136/annrheumdis-2020-216927DOI Listing

Histoplasmosis of the Upper Extremities: Clinical Case, Treatment Algorithm, and Systematic Review.

Hand (N Y) 2020 Mar 22:1558944720911212. Epub 2020 Mar 22.

Mayo Clinic, Jacksonville, FL, USA.

: Histoplasmosis of the upper extremities is extremely rare, and there is no consensus in its management. The aim of this study was to present a case report and literature review of histoplasmosis in the upper extremities to provide the best treatment recommendation and to increase awareness of this disease. : A systematic review of the literature was performed in PubMed, MEDLINE, and EMBASE databases with the search terms "(Tenosynovitis AND histoplasmosis)" OR "(Upper limbs AND histoplasmosis)" OR "(Upper extremities AND histoplasmosis)" OR "((finger OR arm OR hand OR forearm OR wrist) AND histoplasmosis). Read More

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http://dx.doi.org/10.1177/1558944720911212DOI Listing