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Elbow effusion

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https://www.readbyqxmd.com/read/27486060/efficacy-and-safety-of-point-of-care-ultrasound-guided-intra-articular-corticosteroid-joint-injections-in-patients-with-haemophilic-arthropathy
#1
E J Martin, E J Cooke, A Ceponis, R F W Barnes, C M Moran, S Holle, T H Hughes, R E Moore, A von Drygalski
INTRODUCTION AND OBJECTIVES: Intra-articular corticosteroid injections are standard of care for managing joint pain secondary to osteoarthritis or rheumatoid arthritis but are rarely used in haemophilic arthropathy. We have introduced and evaluated the efficacy and safety of ultrasound-guided corticosteroid injections for pain relief in patients with haemophilic arthropathy. PATIENTS AND METHODS: Ultrasound-guided intra-articular injections performed on haemophilia patients at UCSD between March 2012 and January 2016 were analysed...
August 3, 2016: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/27281079/diagnosis-and-rehabilitation-of-deep-wound-infection-and-internal-fixation-rejection-in-elbow-a-case-report
#2
Huiping Lu, Lin Song, Ying Lin
This study aims at diagnosis and rehabilitation of a rare case of deep wound infection and internal fixation rejection in elbow. The patient sustained a distal fracture in the humerus 1 year ago, which was internal fixed. The wound always effused and the elbow had pain and swelling; joint motion was limited. Blood sedimentation rate and C reactive protein level increased, bacterial culture suggested deep wound infection, and ultrasound indicated inflammation. The main diagnoses were deep wound infection and internal fixation rejection...
June 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26884917/application-of-contrast-enhanced-ultrasonography-and-ultrasonography-scores-in-rheumatoid-arthritis
#3
Xiao-Han Cai, Shu-Ping Yang, Hao-Lin Shen, Li-Qing Lin, Rong Zhong, Rui-Ming Wu, Guo-Rong Lv
OBJECTIVE: To investigate diagnostic value of ultrasonography scores (US) and contrast-enhanced ultrasonography (CEUS) in evaluating rheumatoid arthritis (RA) activity. METHODS: 39 patients with RA were included and the metacarpophalangeal, proximal interphalangeal, wrist, elbow and knee joints of them were examined by high frequency ultrasound. The severe joints and the related indexes (synovial thickness, synovial blood flow, joint effusion and bone erosion) were exposed...
2015: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/26597495/performance-of-the-4-way-range-of-motion-test-for-radiographic-injuries-after-blunt-elbow-trauma
#4
MULTICENTER STUDY
David R Vinson, Gregory S Kann, Samuel D Gaona, Edward A Panacek
OBJECTIVES: Acute elbow injuries are common in the acute care setting. A previous study observed that limited active range of motion (ROM) was highly sensitive for radiographic injuries after blunt trauma. Our aim was to validate these findings in patients ≥5 years old with an acute (<24 hours) nonpenetrating elbow injury. METHODS: This prospective study included a convenience sample of patients undergoing plain radiographs of an injured elbow in 3 emergency departments...
February 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26584731/diagnosis-of-occult-radial-head-and-neck-fracture-in-adults
#5
COMPARATIVE STUDY
Roman Pavić, Petra Margetić, Dijana Hnatešen
The purpose of this study was to compare imaging modalities in the diagnosis of occult radial head and neck fractures and to assess the diagnostic value of ultrasound in diagnosing occult fractures of the radial head and neck. The study included 193 patients (101 male, 92 female) who were referred by trauma surgeons from January 2011 to July 2014 and presented with history of acute elbow trauma. The mean age of the patients was 37 years (range 15-82 years); 95 right and 98 left elbows were included in the study...
November 2015: Injury
https://www.readbyqxmd.com/read/26502440/ulnar-collateral-ligament-and-elbow-adaptations-in-high-school-baseball-pitchers
#6
Nathan E Marshall, Robert A Keller, Marnix Van Holsbeeck, Vasilios Moutzouros
BACKGROUND: Baseball pitchers have adaptive changes in the soft tissues of the throwing elbow. HYPOTHESIS: High school baseball pitchers would show adaptive changes in the ulnar collateral ligament (UCL), such as calcifications and hypoechoic foci, thickening, and increased ulnohumeral joint laxity, on dynamic ultrasound (DUS). STUDY DESIGN: Cross-sectional study. LEVEL OF EVIDENCE: Level 3. METHODS: Twenty-two asymptomatic high school pitchers, designated as their primary position by their coach, underwent DUS and physical examination of the throwing and nonthrowing elbows prior to the start of the season...
November 2015: Sports Health
https://www.readbyqxmd.com/read/26372351/magnetic-resonance-imaging-findings-in-tubercular-arthritis-of-elbow
#7
Mahesh Prakash, Pankaj Gupta, Mandeep Singh Dhillon, Ramesh Kumar Sen, Niranjan Khandelwal
OBJECTIVE: To evaluate magnetic resonance imaging (MRI) features of tubercular involvement of elbow joint. METHODS: Fourteen patients with tubercular arthritis of elbow were evaluated. The following findings were recorded on MRI (n=12): bones involved; erosions, intraosseous abscesses, synovial thickening, and effusion; hypointensity within the thickened synovium on T2-weighted images; and periarticular soft tissue changes. RESULTS: The common abnormalities on MRI were synovial thickening and bone erosions (n=12), soft tissue (n=9)/intraosseous (n=5) abscesses, and T2 hypointensity within the thickened synovium (n=5)...
January 2016: Clinical Imaging
https://www.readbyqxmd.com/read/26153882/isolated-fat-pad-sign-in-acute-elbow-injury-is-it-clinically-relevant
#8
Kim E Jie, Lisette F van Dam, Eric R Hammacher
An isolated fat pad sign (i.e. joint effusion without a visible fracture), commonly seen in acute elbow injury, is associated with occult fracture and treated as such. However, the clinical relevance of an isolated fat pad is unclear, thereby questioning the need for specialized follow-up. In this study, 111 patients (median age 15 years, interquartile range 9-27 years) with an isolated fat pad sign after acute elbow injury were included. The clinical relevance of an isolated fat pad sign was derived from descriptives on pain, elbow function, treatment change, number of revisits and recovery time after 1 week follow-up and long-term follow-up...
June 2016: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/26019785/caseous-granuloma-tuberculosis-or-chronic-recurrent-multifocal-osteomyelitis
#9
Raheleh Assari, Vahid Ziaee, Zahra Ahmadinejad, Mohammad Vasei, Mohammad-Hassan Moradinejad
BACKGROUND: Chronic recurrent multifocal osteomyelitis (CREMO) is one of the autoinflammatory bone disorders due to disturbance in innate immune system. Up to now, there is no reported case of caseous granulomas in the CREMO. We report a boy with sterile granolumatous osteomyelitis. CASE PRESENTATION: A four-year-old boy presented with swelling and pain in the left wrist, malaise and bilateral erythematous pustulosis on the palmar region which had resolved spontaneously after about 7 days...
December 2014: Iranian Journal of Pediatrics
https://www.readbyqxmd.com/read/25920635/arthroscopic-resection-of-humeroradial-synovial-plica-for-persistent-lateral-elbow-pain
#10
Aysha Rajeev, Joesph Pooley
PURPOSE: To review the outcome of 121 patients who underwent arthroscopic resection of a humeroradial synovial plica for persistent lateral elbow pain. METHODS: 92 men and 29 women aged 24 to 56 (mean, 38) years with chronic lateral elbow pain underwent arthroscopic resection of a humeroradial synovial plica using a motorised soft tissue shaver, followed by intensive physiotherapy. The modified elbow score and range of motion were assessed, as were wound healing, infection, soft tissue swelling or effusion, tenderness, ligamentous instability, and motor strength...
April 2015: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/25709538/radiosynovectomy-in-the-therapeutic-management-of-arthritis
#11
REVIEW
Liepe Knut
Radiosynovectomy is a well-established therapy in arthritis and involves an intra-articular injection of small radioactive particles to treat a synovitis. In Europe, frequent indications are rheumatoid and poly-arthritis. Especially in Germany radiosynovectomy is the second common therapy in Nuclear Medicine with about 40,000-60,000 treated joints per year. In Spain, USA, Turkey, Argentines and Philippines the therapy is more use in hemophilic arthritis with excellent results. Especially in developing countries with low availability of clotting factors, the radiosynovectomy represent a cost effective therapeutic option for repeated bleedings in hemophilic arthropathy...
January 2015: World Journal of Nuclear Medicine
https://www.readbyqxmd.com/read/25615780/distal-humeral-epiphyseal-separation-in-young-children-an-often-missed-fracture-radiographic-signs-and-ultrasound-confirmatory-diagnosis
#12
Nucharin Supakul, Ralph A Hicks, Christine Beth Caltoum, Boaz Karmazyn
OBJECTIVE. Distal humeral epiphyseal separation is rare and often misdiagnosed. The purpose of this study was to summarize an experience with radiography and ultrasound of distal humeral epiphyseal separation. MATERIALS AND METHODS. The records of all children younger than 36 months with the diagnosis of distal humeral epiphyseal separation from 2006 to 2013 were identified. Medical and imaging records were reviewed for diagnosis with radiography and ultrasound, cause, treatment, and follow-up. The initial diagnosis, relation of the radius and ulna to the distal humerus, presence of other fractures, and signs of elbow effusion were evaluated...
February 2015: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/25534121/point-tenderness-at-1-of-5-locations-and-limited-elbow-extension-identify-significant-injury-in-children-with-acute-elbow-trauma-a-study-of-diagnostic-accuracy
#13
Alexander Sasha Dubrovsky, Elise Mok, Suk Yee Lau, Mohammad Al Humaidan
OBJECTIVE: Our goal was to determine whether the combination of tenderness at 1 of 5 commonly fractured sites and elbow extension accurately predicts the presence of acute elbow fractures or isolated effusions in children. METHODS: A prospective cohort study was performed using a convenience sample of patients. Children 0 to 18 years old with acute elbow injuries without elbow deformities or radial head subluxations were prospectively enrolled. The treating physicians assessed the injured elbow for the presence of tenderness at 5 locations and for abnormal active extension...
February 2015: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25415218/focal-defect-resembling-a-subchondral-bone-cyst-of-the-ulnar-trochlear-notch-in-a-dog
#14
Kelly Makielski, Peter Muir, Jason Bleedorn
A 13 mo old spayed female golden retriever/standard poodle mixed-breed dog was presented for intermittent right forelimb lameness. Physical examination revealed marked effusion and decreased flexion in the right elbow joint, radiography showed mild osteophytosis of the right elbow joint, and computed tomography showed a focal defect in the subchondral bone in the trochlear notch of the ulna resembling a subchondral bone cyst. Arthroscopy of the affected elbow revealed a focal defect in the articular cartilage on the trochlear notch with vascular ingrowth covering a defect in the subchondral bone plate...
January 2015: Journal of the American Animal Hospital Association
https://www.readbyqxmd.com/read/24981000/septic-arthritis-of-the-elbow-with-streptococcus-pneumoniae-in-a-9-month-old-girl
#15
Tabea Haas, Mark S Gaston, Erich Rutz, Carlo Camathias
A 9-month-old girl presented with a swollen, erythematous and hot left elbow, which was tender on palpation. Physical examination was unremarkable except temperature of 38.4°C and restriction of elbow movement. Blood tests showed an elevated C reactive protein of 116 mg/L. Plain radiograph and ultrasound of the elbow showed no pathological findings. MRI revealed an intra-articular effusion and associated myositis, but did not demonstrate intra-articular synovitis. Arthroscopic lavage of the joint yielded purulent fluid and gross synovitis involving the entire joint...
June 30, 2014: BMJ Case Reports
https://www.readbyqxmd.com/read/24839432/cubitus-valgus-and-tardy-ulnar-nerve-palsy-due-to-an-intracapsular-ulnar-nerve
#16
Manish S Sharma, John A Skinner, Robert J Spinner
BACKGROUND: We describe a patient with tardy ulnar neuropathy and cubitus valgus deformity found to have an intracapsular ulnar nerve. METHODS: An 89-year-old woman presented with severe neuropathic pain in the ulnar digits of the hand, advanced degenerative arthritis of the elbow, and tardy ulnar nerve palsy. Her pain was exacerbated with elbow movement, particularly flexion. She had paralysis of ulnar nerve innervated muscles, hypersensitivity with absence of two-point discrimination in her ulnar 1-1/2 digits, and a fixed ulnar claw deformity...
June 2014: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/24784124/evaluation-of-elbow-pain-in-adults
#17
Shawn F Kane, James H Lynch, Jonathan C Taylor
The elbow is a complex joint designed to withstand a wide range of dynamic exertional forces. The location and quality of elbow pain can generally localize the injury to one of the four anatomic regions: anterior, medial, lateral, or posterior. The history should include questions about the onset of pain, what the patient was doing when the pain started, and the type and frequency of athletic and occupational activities. Lateral and medial epicondylitis are two of the more common diagnoses and often occur as a result of occupational activities...
April 15, 2014: American Family Physician
https://www.readbyqxmd.com/read/24679214/indicators-for-detection-of-septic-arthritis-in-the-acutely-swollen-joint-cohort-of-those-without-joint-prostheses
#18
John Roberts, Eric Schaefer, Robert A Gallo
Differentiating septic arthritis from culture-negative, acute atraumatic joint effusion is difficult. Studies have attempted to elucidate factors that herald infection, but, due to overlap, most conclude that the diagnosis ultimately relies on clinical judgment. Furthermore, studies are limited by broad inclusion criteria. The current retrospective case study sought to examine (1) which markers differentiate a culture-positive septic joint from culture-negative effusion in patients suspicious for infection despite no growth on Gram stain and without previous surgery in the affected joint and (2) whether threshold values of these markers exist that predict septic arthritis...
February 2014: Orthopedics
https://www.readbyqxmd.com/read/24670135/weighting-with-the-lansbury-articular-index-improves-the-correlation-of-ultrasound-score-with-serum-matrix-metalloproteinase-3-level-in-rheumatoid-arthritis-patients
#19
Misa Gorai, Michihiro Ogasawara, Yuko Matsuki, Yusuke Yamada, Go Murayama, Nagachika Sugisaki, Takuya Nemoto, Seiichiro Ando, Kentaro Minowa, Takayuki Kon, Kurisu Tada, Masakazu Matsushita, Ken Yamaji, Naoto Tamura, Yoshinari Takasaki
OBJECTIVE: To determine whether weighting improves the correlation of ultrasound (US) score with serum matrix metalloproteinase-3 (MMP-3) level in rheumatoid arthritis (RA). METHODS: As ultrasound examination was performed on 100 RA patients, and the severity of synovial effusion and synovial hypertrophy and the blood flow were semi-quantitatively graded from 0 to 3 by using the gray-scale (GS) and power Doppler (PD) modes. We then calculated the sums of the scores of the 28 joints of each patient in the 2 modes, that is, the GS28 and PD28 scores, as well as the respective scores weighted using the Lansbury articular index (LAI, shoulder and elbow, × 12; wrist, × 8; and knee, × 24)-Lans GS28 and Lans PD28 scores...
November 2014: Modern Rheumatology
https://www.readbyqxmd.com/read/24419196/methotrexate-induced-pleuropericarditis-and-eosinophilic-pleural-effusion
#20
Corey Cudzilo, Alejandro Aragaki, Julian Guitron, Sadia Benzaquen
A 41-year-old man developed widespread skin rash involving his knees, elbows, and gluteal region. He received methotrexate for approximately 1 month and later developed dyspnea and a left-sided eosinophilic pleural effusion. He was transiently placed on oral steroids. Subsequent skin biopsy showed psoriatric arthritis. Methotrexate was restarted and 8 weeks into the treatment, he developed dyspnea, a hemorrhagic pericardial effusion, and a right-sided eosinophilic pleural effusion. Methotrexate was discontinued, but patient developed dyspnea with a recurrent right eosinophilic pleural effusion, 2 weeks later...
January 2014: Journal of Bronchology & Interventional Pulmonology
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