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Enthesopathy

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https://www.readbyqxmd.com/read/27860304/nail-involvement-can-predict-enthesopathy-in-patients-with-psoriasis
#1
Maria Castellanos-González, Beatriz Esther Joven, Julio Sánchez, Eva María Andrés-Esteban, Francisco Vanaclocha-Sebastián, Pablo Ortiz Romero, Raquel Rivera Díaz
BACKGROUND: Although subclinical enthesopathy is a well-established diagnostic criterion for psoriatic arthritis (PsA), it is frequently overlooked, as many patients are asymptomatic. The possibility of finding a clinical clue predicting enthesopathy would help clinicians establish an early diagnosis of PsA. MATERIAL AND METHODS: A prospective single-center study of a total of 90 patients with psoriasis was conducted to assess the presence of entheseal abnormalities as detected by ultrasound, and to determine any correlation with nail involvement...
November 2016: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/27811513/patellofemoral-pain-and-instability-in-adolescent-athletes
#2
Matthew Bessette, Paul Saluan
Injuries and disorders of the patellofemoral joint in the adolescent athlete can encompass a wide spectrum of symptomatology and pathology. Anterior knee pain is a common presenting symptom in sports medicine clinics, and can have numerous underlying etiologies. This activity-related pain may be the manifestation of enthesopathy, tendinopathy, fat pad impingement, or numerous other conditions, but is more commonly related to more subtle skeletal and muscular imbalances. Treatment is typically nonoperative in nature, and excellent results are reported with physical therapy...
December 2016: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/27757279/ultrasonography-an-effective-tool-in-diagnosing-plantar-fasciitis-a-systematic-review-of-diagnostic-trials
#3
Ahmed Radwan, Matthew Wyland, Lee Applequist, Erin Bolowsky, Heather Klingensmith, Isaac Virag
BACKGROUND: Plantar fasciitis (PF) is the most common cause of heel pain that affects 10% of the general population, whether living an athletic or sedentary lifestyle. The most frequent mechanism of injury is an inflammatory response that is caused by repetitive micro trauma. Many techniques are available to diagnose PF, including the use of ultrasonography (US). PURPOSE: The purpose of this study is to systematically review and appraise previously published articles published between the years 2000 and 2015 that evaluated the effectiveness of using US in the process of diagnosing PF, as compared to alternative diagnostic methods...
October 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27752168/-magnetic-resonance-imaging-of-dystrophinopathy-that-mimics-adductor-enthesopathy
#4
Y M Zheng, W Z Li, Z X Wang, W Zhang, H Lv, J X Xiao, Y Yuan
OBJECTIVE: To report thigh muscle magnetic resonance imaging (MRI) tests of four Chinese patients with dystrophinopathy with edema changes in adductor longus muscles that mimics adductor enthesopathy. METHODS: Four boys, who were from four unrelated families and aged from 5 to 11 years, were investigated because of the clinical manifestations including myalgia or muscle weakness or the incidental findings of elevated serum creatine kinase levels, and were diagnosed with dystrophinopathy by gene test of Duchenne muscular dystrophy (DMD)...
October 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/27714733/enthesopathic-patterns-of-two-south-african-female-cadavers
#5
Nerissa Naidoo, Lelika Lazarus, Kapil Sewsaran Satyapal
Enthesopathy is considered to be an osseous phenomenon, either disease-specific or bone-site specific, which occurs at the enthesis of bone. Upon routine cadaveric dissection of the glenohumeral region in two Caucasian females, enthesopathy of the right proximal humerus was observed unilaterally in both cases. Case 1 exhibited an inconsistent pattern of bony protuberances and crests dispersed across the lesser and greater tuberosities of the right humeral head. Varying degrees of ossification of the distal subscapularis muscle was also observed...
October 7, 2016: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/27679727/imaging-of-juvenile-idiopathic-arthritis-part-ii-ultrasonography-and-mri
#6
REVIEW
Iwona Sudoł-Szopińska, Elżbieta Grochowska, Piotr Gietka, Mateusz Płaza, Grzegorz Pracoń, Fadhil Saied, Marta Walentowska-Janowicz
Juvenile idiopathic arthritis is the most common autoimmune systemic disease of the connective tissue affecting individuals in the developmental age. Radiography, which was described in the first part of this publication, is the standard modality in the assessment of this condition. Ultrasound and magnetic resonance imaging enable early detection of the disease which affects soft tissues, as well as bones. Ultrasound assessment involves: joint cavities, tendon sheaths and bursae for the presence of synovitis, intraand extraarticular fat tissue to visualize signs of inflammation, hyaline cartilage, cartilaginous epiphysis and subchondral bone to detect cysts and erosions, and ligaments, tendons and their entheses for signs of enthesopathies and tendinopathies...
September 2016: Journal of Ultrasonography
https://www.readbyqxmd.com/read/27622408/pain-in-bilateral-knee-osteoarthritis-correlations-between-clinical-examination-radiological-and-ultrasonographical-findings
#7
Oana Serban, Mihai Porojan, Maria Deac, Flavia Cozma, Carolina Solomon, Manuela Lenghel, Mihaela Micu, Daniela Fodor
AIMS: The aim of the study was to evaluate the correlations between clinical symptoms (pain), physical examination, ultrasound (US), and radiological findings in patients with bilateral knee osteoarthritis (OA). MATERIAL AND METHODS: Knee pain was appreciated during medial and lateral palpation of each knee joint and using visual analogue scale (VAS) and The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). US evaluation (osteophytes, meniscal protrusion, synovial fluid, femoral hyaline cartilage thickness) and radiological assessment (osteophytes, femoral-tibial space, Kellgren-Lawrence [K-L] score, enthesopathies) were performed by two examiners blinded to the clinical results and to each other...
September 2016: Medical Ultrasonography
https://www.readbyqxmd.com/read/27552978/prevalence-of-ct-features-of-axial-spondyloarthritis-in-patients-with-crohn-s-disease
#8
Isabelle De Kock, Pieter Hindryckx, Martine De Vos, Louke Delrue, Koenraad Verstraete, Lennart Jans
BACKGROUND: The sacroiliac joint and spine are seen on abdominal computed tomography (CT) and may show structural lesions as part of spondyloarthritis. PURPOSE: To determine the prevalence of CT features of spondyloarthritis in patients with Crohn's disease (CD). MATERIAL AND METHODS: A retrospective study of structural lesions of spondyloarthritis on abdominal CT was performed. The sacroiliac joints and spine of 120 patients were studied: study group I consisted of 40 patients with known CD and inflammatory back pain, group II involved 40 patients with CD without inflammatory back pain, and group III consisted of 40 patients without known joint or inflammatory bowel disease...
August 23, 2016: Acta Radiologica
https://www.readbyqxmd.com/read/27546443/a-meta-analysis-of-the-effect-of-corticosteroid-injection-for-enthesopathy-of-the-extensor-carpi-radialis-brevis-origin
#9
Femke M A P Claessen, Balthasar A Heesters, Jimmy J Chan, Amir Reza Kachooei, David Ring
PURPOSE: The null hypothesis that there is no effect of corticosteroid injection on visual analog scale for pain in patients with enthesopathy of the extensor carpi radialis brevis (eECRB) origin 6 months after treatment was tested. Our secondary hypotheses were that there is no effect of corticosteroid injection on pain intensity at 1 and 3 months after treatment; that there is no effect of corticosteroid injection on grip strength at 1, 3, and 6 months after treatment; and that there is no effect of corticosteroid injection on Disabilities of the Arm, Shoulder, and Hand scores at 1, 3 and 6 months after treatment...
October 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27496900/entheseal-involvement-in-systemic-lupus-erythematosus-are-we-missing-something
#10
A Di Matteo, I Satulu, M Di Carlo, V Lato, E Filippucci, W Grassi
BACKGROUND: Musculoskeletal involvement is extremely common in patients with systemic lupus erythematosus (SLE). Continuing the research initiated in patients with inflammatory arthritis, recent studies have shown the potential role of musculoskeletal ultrasound (MSUS) in the evaluation of clinical and subclinical lupus synovitis. The inflammatory process in SLE is traditionally considered to be localized at synovial tissue areas while enthesis is not included among the possible targets of the disease...
August 5, 2016: Lupus
https://www.readbyqxmd.com/read/27491631/controversies-in-surgical-management-of-recalcitrant-enthesopathy-of-the-extensor-carpi-radialis-brevis
#11
REVIEW
Bonnie P Gregory, Robert W Wysocki, Mark S Cohen
Enthesopathy of the extensor carpi radialis brevis, often referred to as "tennis elbow," is common and responds to nonsurgical treatment in 80% to 90% of patients within 1 year. For those who proceed with surgery, much remains unclear regarding the ideal treatment. This paper discusses controversies in surgical management of extensor carpi radialis brevis enthesopathy including clinical outcomes of open versus arthroscopic techniques, the relevance of concomitant pathology addressed arthroscopically, and avenues for assessing comparative cost data...
August 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27490356/groin-pain-and-muscular-imbalance-of-quadriceps-and-hamstrings-in-an-elite-soccer-player-a-case-study
#12
O Ludwig, J Kelm
Soccer and football players are exposed to a high risk of groin pain. In some cases, the pubic symphysis is the origin of the problems.This article presents a case report of a young elite soccer player who, over a period of two years, suffered from pain in the groin and symphysis area. The right leg was the kicking leg. Imaging techniques did not reveal pathological findings. Sports hernia, osteomyelitis, enthesopathy, adductor tendonitis, and muscle sprains, as well as rheumatic or urogenital disorders were excluded...
August 2016: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
https://www.readbyqxmd.com/read/27446601/diagnostic-imaging-of-psoriatic-arthritis-part-ii-magnetic-resonance-imaging-and-ultrasonography
#13
REVIEW
Iwona Sudoł-Szopińska, Grzegorz Pracoń
Plain radiography reveals specific, yet late changes of advanced psoriatic arthritis. Early inflammatory changes are seen both on magnetic resonance imaging and ultrasound within peripheral joints (arthritis, synovitis), tendons sheaths (tenosynovitis, tendovaginitis) and entheses (enthesitis, enthesopathy). In addition, magnetic resonance imaging enables the assessment of inflammatory features in the sacroiliac joints (sacroiliitis), and the spine (spondylitis). In this article, we review current opinions on the diagnostics of some selective, and distinctive features of psoriatic arthritis concerning magnetic resonance imaging and ultrasound and present some hypotheses on psoriatic arthritis etiopathogenesis, which have been studied with the use of magnetic resonance imaging...
June 2016: Journal of Ultrasonography
https://www.readbyqxmd.com/read/27402112/juvenile-spondyloarthropathies
#14
REVIEW
Amra Adrovic, Kenan Barut, Sezgin Sahin, Ozgur Kasapcopur
Juvenile spondyloarthropathies represent a clinical entity separate from the adult disease. Initial clinical signs of juvenile spondyloarthropathies often include lower extremity arthritis and enthesopathy, without axial involvement at the disease onset. Asymmetrical oligoarthritis of lower extremities is typically seen in this type of arthritis. Enthesopathy, which is the hallmark of the disease, is most commonly seen in the Achilles tendon, being manifested by heel pain. Anterior uveitis and HLA-B27 positivity are seen in a proportion of cases...
August 2016: Current Rheumatology Reports
https://www.readbyqxmd.com/read/27397866/radiographic-localisation-of-the-entheses-of-the-equine-stifle
#15
E D Aldrich, L R Goodrich, M K Monahan, J D Conway, A Valdés-Martínez
BACKGROUND: Injury to the tendons and ligaments of the equine stifle is a common cause of lameness in horses. Individual radiographic localisation of each tendon and ligament of the stifle has not been previously reported and demonstrated in multiple radiographic projections. OBJECTIVE: To create a series of radiographs identifying the origins and/or insertions of the tendons and ligaments of the equine stifle. STUDY DESIGN: Descriptive study of radiographic anatomy...
July 10, 2016: Equine Veterinary Journal
https://www.readbyqxmd.com/read/27385118/the-feet-in-systemic-lupus-erythematosus-are-we-underestimating-their-involvement-and-functional-impact
#16
Rosario Morales-Lozano, Julia Martínez-Barrio, María Luz González-Fernández, Francisco Javier López-Longo, Juan Gabriel Ovalles-Bonilla, Lara Valor, Iustina Janta, Juan Carlos Nieto, Diana Hernández-Flórez, Carlos M González, Indalecio Monteagudo, Jesús Garrido, Luis Carreño, Esperanza Naredo
OBJECTIVES: To evaluate biomechanical and ultrasound (US) abnormalities in SLE patients as compared with controls and to assess the relationship between these abnormalities and SLE activity. METHODS: Fifty-four consecutive female patients with SLE with and without foot pain and 60 female controls (30 with foot pain and 30 without foot pain) were recruited. SLE activity was assessed by the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI). SLE patients and controls blindly underwent a comprehensive podiatric, biomechanical and US evaluation of the feet...
July 2016: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/27185589/relevant-aspects-of-imaging-in-the-diagnosis-and-management-of-gout
#17
Eloy De Avila Fernandes, Samuel Brighenti Bergamaschi, Tatiane Cantarelli Rodrigues, Gustavo Coelho Dias, Ralff Malmann, Germano Martins Ramos, Soraya Silveira Monteiro
Gout is an inflammatory arthritis characterized by the deposition of monosodium urate crystals (MSU) in the synovial membrane, articular cartilage and periarticular tissues leading to inflammation. Men are more commonly affected, mainly after the 5th decade of life. Its incidence has been growing with the population ageing. In the majority of the cases, the diagnosis is made by clinical criteria and synovial fluid analysis, in search for MSU crystals. Nonetheless, gout may sometimes have atypical presentations, complicating the diagnosis...
April 30, 2016: Revista Brasileira de Reumatologia
https://www.readbyqxmd.com/read/27155167/the-relationship-between-vitamin-d-levels-vertebral-deformity-and-quality-of-life-in-patients-with-psoriatic-arthritis
#18
Bedriye Baskan, Erol Oten, Filiz Sivas, Filiz Eser, Fatma Gul Yurdakul, Semra Duran, Hatice Bodur
OBJECTIVE: The aim of this study is to investigate the relation between vitamin D levels, vertebral deformities, functional status, quality of life, acute phase reactants and enthesopathy in patients with psoriatic arthritis (PsA). PATIENTS AND METHODS: Fifty-two patients with PsA and 52 controls were enrolled to the study. Routine blood tests and serums 25-(OH)D3 were measured. The thoracic and lumbar vertebrae deformities identified in the radiographies were evaluated by a radiologist...
January 11, 2016: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/27107081/a-model-of-the-action-of-the-shockwave-generated-by-a-multichannel-discharge-on-the-union-of-bone-tissue-with-bone-cement
#19
Jan Zeman, Jan Hach, Wioletta Mikulaková, Ľubica Derňarová, Anna Eliášová, Petr Lukeš, Lenka Balážová, Jiří Beneš
BACKGROUND: In reoperation of femoral prostheses, there is a higher percentage of complications associated with the extraction of bone cement from the femoral channel, which is technically and time consumingly tedious. Shockwaves have been used in medicine for years, particularly in urology for the destruction of concretions and orthopaedics, as a method of treating pain in patients with calcifying enthesopathy. MATERIALS AND METHODS: We studied the use of shockwaves generated by a new source based on the multichannel discharge principle in facilitating extraction of bone cement...
May 2016: In Vivo
https://www.readbyqxmd.com/read/27104004/diagnostic-imaging-of-psoriatic-arthritis-part-i-etiopathogenesis-classifications-and-radiographic-features
#20
REVIEW
Iwona Sudoł-Szopińska, Genowefa Matuszewska, Brygida Kwiatkowska, Grzegorz Pracoń
Psoriatic arthritis is one of the spondyloarthritis. It is a disease of clinical heterogenicity, which may affect peripheral joints, as well as axial spine, with presence of inflammatory lesions in soft tissue, in a form of dactylitis and enthesopathy. Plain radiography remains the basic imaging modality for PsA diagnosis, although early inflammatory changes affecting soft tissue and bone marrow cannot be detected with its use, or the image is indistinctive. Typical radiographic features of PsA occur in an advanced disease, mainly within the synovial joints, but also in fibrocartilaginous joints, such as sacroiliac joints, and additionally in entheses of tendons and ligaments...
March 2016: Journal of Ultrasonography
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