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Musculoskeletal ultrasound

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https://www.readbyqxmd.com/read/29785238/intralesional-injection-of-triamcinolone-acetonide-for-subcutaneous-lipoma-causing-musculoskeletal-and-neurologic-symptoms
#1
William A Hayward, Wilmer L Sibbitt, Randy R Sibbitt, Maheswari Muruganandam, Noelle A Rolle, Monthida Fangtham, N Suzanne Emil, Scarlett K Kettwich
Objective: Benign subcutaneous lipomas can cause musculoskeletal pain and nerve impingement. We hypothesized that the potent lipolytic and atrophic effect of 40mg/mL triamcinolone acetonide would atrophy symptomatic lipomas so surgical excision could be avoided. Design: This was a cohort study. Setting: This study took place in an ultrasound injection clinic. Participants: Eight subjects with painful symptomatic lipoma were included. Measurements: Preprocedurally, the margins of the lipomas were palpated and marked with ink, then measured in centimeters (cm)...
May 2018: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/29766250/juvenile-idiopathic-arthritis-the-role-of-imaging-from-a-rheumatologist-s-perspective
#2
REVIEW
Clara Malattia, Nikolay Tzaribachev, J Merlijn van den Berg, Silvia Magni-Manzoni
Alongside recent advances in treatment strategies for juvenile idiopathic arthritis (JIA), paediatric rheumatologists have taken increasing interest in the use of imaging. Magnetic resonance imaging (MRI) and musculoskeletal ultrasound, by providing more detailed information on disease activity than clinical examination and conventional radiography (CR), have become helpful diagnostic and managerial tools. The growing skeleton, however, with changing appearances over time, is still challenging in the establishment of valid scoring systems for pathological changes...
June 2018: Pediatric Radiology
https://www.readbyqxmd.com/read/29750152/automatic-myotendinous-junction-tracking-in-ultrasound-images-with-phase-based-segmentation
#3
Guang-Quan Zhou, Yi Zhang, Ruo-Li Wang, Ping Zhou, Yong-Ping Zheng, Olga Tarassova, Anton Arndt, Qiang Chen
Displacement of the myotendinous junction (MTJ) obtained by ultrasound imaging is crucial to quantify the interactive length changes of muscles and tendons for understanding the mechanics and pathological conditions of the muscle-tendon unit during motion. However, the lack of a reliable automatic measurement method restricts its application in human motion analysis. This paper presents an automated measurement of MTJ displacement using prior knowledge on tendinous tissues and MTJ, precluding the influence of nontendinous components on the estimation of MTJ displacement...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29735248/comparison-of-mri-findings-after-musculoskeletal-ultrasound-an-opportunity-to-reduce-redundant-imaging
#4
Lulu He, Patricia Delzell, Jean Schils
No abstract text is available yet for this article.
May 5, 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29724426/acr-appropriateness-criteria-%C3%A2-chronic-wrist-pain
#5
David A Rubin, Catherine C Roberts, Jenny T Bencardino, Angela M Bell, R Carter Cassidy, Eric Y Chang, Soterios Gyftopoulos, Darlene F Metter, William B Morrison, Naveen Subhas, Siddharth Tambar, Jeffrey D Towers, Joseph S Yu, Mark J Kransdorf
Radiographs are indicated as the first imaging test in all patients with chronic wrist pain, regardless of the suspected diagnosis. When radiographs are normal or equivocal, advanced imaging with MRI (without or without intravenous contrast or following arthrography), CT (usually without contrast), and ultrasound each has a role in establishing a diagnosis. Furthermore, these examinations may contribute to staging disease, treatment planning, and prognostication, even when radiographs are diagnostic of a specific condition...
May 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29724420/acr-appropriateness-criteria-%C3%A2-shoulder-pain-traumatic
#6
Behrang Amini, Nicholas M Beckmann, Francesca D Beaman, Daniel E Wessell, Stephanie A Bernard, R Carter Cassidy, Gregory J Czuczman, Jennifer L Demertzis, Bennett S Greenspan, Bharti Khurana, Kenneth S Lee, Leon Lenchik, Kambiz Motamedi, Akash Sharma, Eric A Walker, Mark J Kransdorf
Traumatic shoulder pain is pain directly attributed to a traumatic event, either acute or chronic. This pain may be the result of either fracture (the clavicle, scapula, or proximal humerus) or soft-tissue injury (most commonly of the rotator cuff, acromioclavicular ligaments, or labroligamentous complex). Imaging assessment of traumatic shoulder pain begins with conventional radiography and, depending on physical examination findings, will require MRI or MR arthrography for assessment of soft-tissue injuries and CT for delineation of fracture planes...
May 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29722248/standardized-musculoskeletal-ultrasonographic-reference-values-for-healthy-korean-adults
#7
Hyun-Sook Kim, Hae-Rim Kim, Bo Young Kim, Yun Sung Kim, Young Ok Jung, Sung Jae Choi, Hyun-Ok Kim, Jiwon Hwang, Sunggun Lee, Hyoun-Ah Kim, So Young Bang, Ji-Young Chai, Sung-Hoon Park, Chong-Hyeon Yoon
Background/Aims: To define standard reference values for musculoskeletal ultrasonography (MSUS) in Korea. Methods: A total of 251 healthy adults were recruited for this study. Ultrasonography was performed by experienced rheumatologists who had undergone four appropriate training programs in Korea. A General Electric LOGIQ electronic ultrasound device fitted with a 12 MHz linear transducer was employed. Mean values ± standard deviations (SDs) were defined as standard reference values...
May 4, 2018: Korean Journal of Internal Medicine
https://www.readbyqxmd.com/read/29706002/-subclinical-enthesopathy-of-at-least-one-extensor-digitorum-tendon-is-highly-prevalent-and-associated-with-clinical-and-ultrasound-alterations-of-the-adjacent-finger-nails-in-patients-with-psoriatic-disease
#8
P Moya Alvarado, E Roé Crespo, F Z Muñoz-Garza, A López-Ferrer, A Laiz Alonso, E Vilarrassa Rull, J Casademont, L Puig Sanz
BACKGROUND: Nail psoriasis disease is associated with an increased probability of psoriatic arthritis and its clinical signs may have different correlates with the pathogenesis of adjacent bone destruction and have different prognostic value. Recent publications about psoriasis and nail psoriatic disease describe different ultrasonographic findings but the relationship between these ungueal alterations measured by ultrasonography and the presence of enthesopathy of the extensor digitorum has yet to be discovered...
April 28, 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/29705944/incorporation-of-musculoskeletal-ultrasound-training-into-the-radiology-core-curriculum
#9
EDITORIAL
Netanel S Berko, Jenna N Le, Beverly A Thornhill, Dan Wang, Abdissa Negassa, E Stephen Amis, Mordecai Koenigsberg
No abstract text is available yet for this article.
April 28, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29703511/validation-of-musculoskeletal-ultrasound-in-the-assessment-of-experimental-gout-synovitis
#10
Esperanza Naredo, Juan Pablo Medina, Sandra Pérez-Baos, Aranzazu Mediero, Gabriel Herrero-Beaumont, Raquel Largo
The objective of this study was to validate musculoskeletal ultrasound (US) in a rabbit model of acute gout. Acute gout was induced by intra-articular injection of monosodium urate (MSU) crystals in 10 rabbits; the 3 controls received vehicle. Rabbit knees were assessed by B-mode and power Doppler (PD) US 24 and 72 h after injections. After 72 h, all rabbits were euthanized. US discriminated between the MSU-injected and control groups with respect to the different inflammatory findings at both at 24 and 72 h and for MSU crystal-related findings after 24 h of injection...
April 24, 2018: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/29690705/-comparison-of-bone-destruction-markers-in-patients-with-gouty-arthritis-under-different-musculoskeletal-ultrasonic-manifestations
#11
Y N Fei, S M Tang, G Zhang, Y H Li, M Shao, L F Xie, Y C Zhong, X W Zhang
Objectives: To observe the correlation between the different ultrasonic manifestations of gouty arthritis and the indexes of bone destruction (Dickkopf-1, RANKL), in order to further explore the role of musculoskeletal ultrasonography in the diagnosis and monitoring of gouty arthritis. Methods: 160 cases of gouty arthritis from clinic of the Department of Rheumatology of Peking University People's Hospital between July 2016 and June 2017 were recruited in this study. These patients were examined by musculoskeletal ultrasonography (bilateral first metatarsophalangeal joints, bilateral ankle joints and bilateral knee joints)...
April 3, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29689624/wrist-and-hand-ultrasound-reliability-of-side-to-side-comparisons-of-very-small-2-mm-clinically-relevant-anatomic-structures
#12
Federica Rossi, Nicola Romano, Alessandro Muda, Carlo Martinoli, Alberto Tagliafico
OBJECTIVES: In ultrasound (US) examinations of clinically relevant very small structures of the wrist and hand, the healthy contralateral side can be used as a reference to identify subtle abnormalities. Intraindividual side-to-side variability must be minimal. The aim of this study was to assess the reliability of side-to-side US evaluations of very small structures of the wrist and hand. METHODS: Forty-one healthy volunteers were prospectively studied. Small structures of the wrist and hand were evaluated bilaterally by 2 musculoskeletal radiologists in separate sessions...
April 24, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29689561/urate-lowering-agents-in-asymptomatic-hyperuricemia-role-of-urine-sediment-analysis-and-musculoskeletal-ultrasound
#13
Davide Viggiano, Giuseppe Gigliotti, Gianfranco Vallone, Anna Giammarino, Michelangelo Nigro, Giovambattista Capasso
Current urate-lowering therapy (ULT) includes three direct acting drugs (allopurinol, febuxostat, Rasburicase) and at least four 'indirect' drugs with other important targets (canagliflozin, losartan, fenofibrate and sevelamer). Moreover, the alcalinization of urines using bicarbonate can be used to dissolve urate crystals and the clinician may discontinue several drugs are known to increase serum levels of uric acid, such as diuretics, aspirin, cyclosporine, theophylline, mycophenolate and ACE inhibitors. While there is a consensus to start ULT in cases of symptomatic hyperuricemia (gout, urate-nephrolithiasis), the very frequent conditions of asymptomatic hyperuricemia remains a major conundrum...
April 19, 2018: Kidney & Blood Pressure Research
https://www.readbyqxmd.com/read/29673832/effects-of-physical-training-with-the-nintendo-wii-fit-plus-%C3%A2-and-protein-supplementation-on-musculoskeletal-function-and-the-risk-of-falls-in-pre-frail-older-women-protocol-for-a-randomized-controlled-clinical-trial-the-wiiprotein-study
#14
Audrin Said Vojciechowski, Simone Biesek, Jarbas Melo Filho, Estela Iraci Rabito, Maryelle Paula do Amaral, Anna Raquel Silveira Gomes
BACKGROUND: Frailty is one of the key geriatric syndromes and is related to the loss of functional independence. However, the practice of physical training (PT) combined with protein supplementation (PS) may improve musculoskeletal function (MF). OBJECTIVE: To verify the effect of PT using 'exergames' with or without PS on MF, nutritional status, and risk of falls in pre-frail older women. METHOD: The protocol is for a randomized controlled clinical trial with a sample of pre-frail older women, divided into 5 groups: control group; PT using exergames; PS; PT using exergames combined with PS; PT using exergames combined with isoenergetic supplementation...
May 2018: Maturitas
https://www.readbyqxmd.com/read/29672804/imaging-features-of-the-juvenile-inflammatory-arthropathies
#15
Iwona Sudoł-Szopińska, Lennart Jans, Anne Grethe Jurik, Robert Hemke, Iris Eshed, Nathalie Boutry
We discuss the imaging of several juvenile inflammatory arthropathies including juvenile idiopathic arthritis, juvenile systemic lupus erythematosus, juvenile scleroderma, juvenile dermatomyositis, and chronic recurrent multifocal osteomyelitis. Juvenile idiopathic arthritis is the most common autoimmune chronic systemic disease of connective tissue in children. The remaining systemic juvenile connective tissue diseases are rare. However, they require early diagnosis and initiation of treatment to prevent injury, not only to the musculoskeletal system but also to the internal organs, and even death...
April 2018: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/29615178/unusual-presentation-of-fibrosarcoma-in-a-child
#16
Afshan Fayyaz, Chaudhry Aqeel Safdar
Malignant soft tissue tumours are rare in infants. Specific radiologic features help differentiate benign from malignant musculoskeletal entities. We report a case of malignant soft tissue tumour with initial radiologic evaluation suggesting a benign entity, thus delaying diagnosis. The case was treated as a case of cystic hygroma, suggested by ultrasound and MRI with good initial response to bleomycin injection. Later, symptoms recurred with poor response to repeat therapy which led to review the diagnosis...
April 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29610066/2-5-d-extended-field-of-view-ultrasound
#17
Qinghua Huang, Zhaozheng Zeng, Xuelong Li
Recently, the growing emphasis on medical ultrasound (US) has led to a rapid development of US extended field-of-view (EFOV) techniques. US EFOV techniques can be classified into three categories: 2-D US EFOV, 3-D US, and 3-D US EFOV. In this paper, we propose a novel EFOV method called 2.5-D US EFOV that combines both the advantages of the 2-D US EFOV and the 3-D US by generating a panorama on a curved image plane guided by a curved scanning trajectory of the US probe. In 2.5-D US EFOV, the real-time position and orientation of the US image plane can be recorded via an electromagnetic spatial sensor attached to the probe...
April 2018: IEEE Transactions on Medical Imaging
https://www.readbyqxmd.com/read/29606669/flares-of-disease-in-children-with-clinically-inactive-juvenile-idiopathic-arthritis-were-not-correlated-with-ultrasound-findings
#18
Yongdong Zhao, Nanci E Rascoff, Ramesh S Iyer, Mahesh Thapa, Lucas Reichley, Assaf P Oron, Carol A Wallace
OBJECTIVE: The validity of our current definitions for clinically inactive disease (CID) in juvenile idiopathic arthritis (JIA) based on physical examination is challenged by the development of advanced musculoskeletal imaging tools. We aimed to prospectively determine the prevalence of abnormal ultrasound (US) findings in children with CID in JIA and their clinical significance. METHODS: Children aged ≥ 4 years with CID and a history of arthritis from a single tertiary center were approached over 1 year...
April 1, 2018: Journal of Rheumatology
https://www.readbyqxmd.com/read/29600948/intraarticular-infliximab-therapy-in-patients-with-juvenile-idiopathic-arthritis-the-role-of-musculoskeletal-ultrasound-and-disease-activity-scores-in-monitoring-therapy-response
#19
Mandica Vidovic, Lovro Lamot, Mirta Lamot, Miroslav Harjacek
OBJECTIVES: Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in children, with heterogeneous clinical features. Although therapeutic options are wide and in the majority of children symptoms improve with the combination of non-steroidal anti-inflammatory and disease-modifying drugs, there are a number of patients who do not respond to conventional therapy and who do not meet the criteria for systemic biologics, namely anti TNF-alpha. Those patients are potential candidates for intraarticular therapy with biologics and in this report we present the results of intra-articular infliximab treatment in a series of patients diagnosed with oligoarticular subtype of JIA...
March 21, 2018: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/29580047/the-feasibility-of-shear-wave-elastography-for-diagnosing-superficial-benign-soft-tissue-masses
#20
Hyun Jung Yeoh, Tae-Yoon Kim, Jeong Ah Ryu
Purpose: The purpose of this study was to investigate the feasibility of shear wave ultrasound elastography for differentiating superficial benign soft tissue masses through a comparison of their shear moduli. Methods: We retrospectively analyzed 48 masses from 46 patients from February 2014 to May 2016. Surgical excision, fine-needle aspiration, and clinical findings were used for the differential diagnosis. The ultrasonographic examinations were conducted by a single musculoskeletal radiologist, and the ultrasonographic findings were reviewed by two other radiologists who were blinded to the final diagnosis...
January 19, 2018: Ultrasonography
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