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tenosynovitis

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https://www.readbyqxmd.com/read/28900524/distal-intersection-syndrome-progressing-to-extensor-pollicis-longus-tendon-rupture-a-case-report-with-sonographic-findings
#1
Ross Mattox, Patrick J Battaglia, Frank Scali, Kathy Ottolini, Norman W Kettner
The purpose of this case report is to describe the value of musculoskeletal ultrasound (US) in diagnosing both distal intersection syndrome (DIS) and rupture of the extensor pollicis longus (EPL) tendon in the same patient. A 38-year-old female presented for evaluation of a painful bump of unknown etiology on the dorsolateral aspect of her non-dominant wrist. US demonstrated tenosynovitis distal to Lister's tubercle of the EPL and extensor carpi radialis tendon sheaths, consistent with DIS. Immobilization therapy was employed, during which time the patient suffered rupture of the EPL tendon...
September 2017: Journal of Ultrasound
https://www.readbyqxmd.com/read/28900294/timing-for-surgical-stabilization-with-k-wires-after-open-fractures-of-proximal-and-middle-phalangeal-shaft
#2
Yanchun Gao, Qiyang Wang, Hongyi Zhu, Zhengyu Xu
The optimal timing for surgical stabilization after open fractures of proximal and middle phalangeal shaft remained unclear. Total 147 patients with single open fracture in proximal or middle phalangeal shaft (arrived within 8 hours) who received K-wire fixation from June 2012 to June 2015 were included for analysis. The timing for surgical stabilization of fractures (immediate or delayed) was decided according to the surgeons' preferences. The Michigan hand outcomes questionnaire (MHQ) scores, grip strength and total active motion (TAM) one year after the initial surgery were similar between the two groups...
September 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28892986/diagnostic-accuracy-and-surgical-utility-of-mri-in-complicated-diabetic-foot
#3
Mayank Mahendra, Rahul Singh
INTRODUCTION: Diabetic foot complications pose a significant public health hazard and have negative effect on life quality. These complications are associated with increased risk of amputations and premature death. So focus is increasing on early treatment of complicated diabetic foot. AIM: To assess the diagnostic accuracy and surgical utility of MRI in complicated diabetic foot. MATERIALS AND METHODS: Thirty four complicated diabetic patients were evaluated prospectively...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28879045/functional-limitations-in-the-phase-of-clinically-suspect-arthralgia-are-as-serious-as-in-early-clinical-arthritis-a-longitudinal-study
#4
Robin M Ten Brinck, Hanna W van Steenbergen, Lukas Mangnus, Leonie E Burgers, Monique Reijnierse, Tom Wj Huizinga, Annette Hm van der Helm-van Mil
INTRODUCTION: A phase of arthralgia may precede the emergence of rheumatoid arthritis (RA). Although several studies have focused on biomarkers, the relevance of this phase for patients is less studied. It is unknown if patients already have functional limitations and if this is correlated to the extent of subclinical inflammation. Therefore, we assessed functional disability in patients with clinically suspect arthralgia (CSA), its association with MRI-detected subclinical inflammation and its course during progression to clinical arthritis...
2017: RMD Open
https://www.readbyqxmd.com/read/28867250/extensor-retinaculum-reconstruction-using-the-wide-awake-approach
#5
REVIEW
Takehiko Takagi, Yuka Kobayashi, Masahiko Watanabe
De Quervain tenosynovitis is often treated by simple release of the first compartment. However, patients can suffer from persistent postoperative problems, including "clumsy" use of the thumb, as a result of redislocation or bowstringing of the extensor pollicis brevis/abductor pollicis longus tendons or irritation of the superficial branch of the radial nerve. Here we describe our method for first compartment reconstruction, in which the flaps are sutured after double-flap incision of the compartment. Because the tendons can become recompressed or redislocate if the sutures are too tight or loose, respectively, we achieve proper tension by suturing the flaps with the patient fully awake, under local anesthesia, and without a tourniquet...
August 31, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28858545/mri-of-the-extensor-tendons-of-the-wrist
#6
Seema Meraj, Soterios Gyftopoulos, Kate Nellans, Daniel Walz, Michael S Brown
OBJECTIVE: This article reviews the normal anatomy of the extensor tendons of the wrist as well as the clinical presentation and MRI appearances of common tendon abnormalities, such as tears, tenosynovitis, intersection syndromes, and associated or predisposing osseous findings. Treatment options are also discussed. CONCLUSION: We review the anatomy and normal MRI appearance of the clinically important dorsal extensor tendons of the wrist, in addition to the spectrum of abnormalities associated with these tendons...
August 31, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28856358/percutaneous-release-of-trigger-digits
#7
Noah D Weiss, Madeline B Richter
Stenosing flexor tenosynovitis, or trigger finger, has been treated with open, endoscopic, and percutaneous tendon sheath incisions. A comparison of techniques highlights increased cost, procedure time, and postoperative recovery associated with open surgical treatment. We conducted a study of the efficacy of percutaneous tendon sheath incision as a treatment for trigger digit. Using percutaneous tendon sheath incisions, a single surgeon treated 596 trigger digits (429 patients) over a 10-year period. Successful release was defined as symptom relief on follow-up, or patient request for no further treatment...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28852356/detection-of-retained-foreign-objects-in-upper-extremity-surgical-procedures-with-incisions-of-two-centimeters-or-smaller
#8
Josef N Tofte, Lindsey S Caldwell
BACKGROUND: While the true incidence of retained foreign bodies after surgery is unknown, it has been approximated at 1:5,500 operations overall, with substantially less frequency in hand and upper extremity procedures. Despite the rarity of foreign body retention in hand and upper extremity surgery, universal radiofrequency scanning for electronically-tagged sponges and automatic radiographic evaluation for incorrect sponge counts are employed for all surgical procedures at our institution...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28832214/painful-pseudotendon-of-the-flexor-carpi-radialis-tendon-a-literature-review-and-case-report
#9
Robert E Van Demark, Elizabeth Helsper, Meredith Hayes, Matthew Hayes, Vanessa J S Smith
BACKGROUND: Flexor tendon ruptures in the wrist are uncommon. Flexor carpi radialis (FCR) tendon rupture can occur in rheumatoid patients, following cortisone injection for tenosynovitis, and following trauma. Following tendon rupture, tethering of the ruptured FCR tendon, or pseudotendon, can form which may or may not be symptomatic. METHODS: A literature review was done reviewing treatment and outcomes of FCR tendon lesions. A case report of painful FCR pseudotendon following a fall is presented...
September 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28811353/the-omeract-rheumatoid-arthritis-magnetic-resonance-imaging-mri-scoring-system-updated-recommendations-by-the-omeract-mri-in-arthritis-working-group
#10
Mikkel Østergaard, Charles G Peterfy, Paul Bird, Frédérique Gandjbakhch, Daniel Glinatsi, Iris Eshed, Espen A Haavardsholm, Siri Lillegraven, Pernille Bøyesen, Bo Ejbjerg, Violaine Foltz, Paul Emery, Harry K Genant, Philip G Conaghan
OBJECTIVE: The Outcome Measures in Rheumatology (OMERACT) Rheumatoid Arthritis (RA) Magnetic Resonance Imaging (MRI) scoring system (RAMRIS), evaluating bone erosion, bone marrow edema/osteitis, and synovitis, was introduced in 2002, and is now the standard method of objectively quantifying inflammation and damage by MRI in RA trials. The objective of this paper was to identify subsequent advances and based on them, to provide updated recommendations for the RAMRIS. METHODS: MRI studies relevant for RAMRIS and technical and scientific advances were analyzed by the OMERACT MRI in Arthritis Working Group, which used these data to provide updated considerations on image acquisition, RAMRIS definitions, and scoring systems for the original and new RA pathologies...
August 15, 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/28811061/surgical-demographics-of-carpal-tunnel-syndrome-and-cubital-tunnel-syndrome-over-5-years-at-a-single-institution
#11
Dafang Zhang, Jamie E Collins, Brandon E Earp, Philip Blazar
PURPOSE: Carpal tunnel and cubital tunnel syndrome are the 2 most common upper-limb compressive neuropathies. However, whether the characteristics of patient populations undergoing surgery for these conditions are similar is unclear in terms of demographics and concomitant pathologies. Our null hypothesis was that there are no identifiable differences between these patient populations. METHODS: A retrospective cohort study was performed by billing system query using Common Procedural Terminology (CPT) codes for all patients who underwent open carpal tunnel release (CTR) (CPT code 64721) and/or open cubital tunnel surgery (CPT code 64718) by 1 of 4 hand surgeons from August 2008 to July 2013...
August 12, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28774249/non-tuberculous-mycobacterium-or-fungus-induced-chronic-tenosynovitis-with-rice-body-of-the-hand
#12
Daiki Yamamoto, Kaoru Tada, Seigo Suganuma, Kazuo Ikeda, Hiroyuki Tsuchiya
BACKGROUND: Chronic tenosynovitis of the wrist and hand is commonly seen by orthopedists, especially hand surgeons. However, cases with rice body formation are comparatively rare. Thus, we retrospectively reviewed the cases of chronic tenosynovitis in our department and evaluated the necessity of antibiotic therapy in the early post-surgical stage. METHODS: We analyzed the medical and surgical records of patients who had undergone surgery for chronic tenosynovitis with rice body formation in our department from 1997 to 2015...
September 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28767173/prevalence-presentation-and-treatment-of-lower-limb-pathologies-in-juvenile-idiopathic-arthritis-a-narrative-review
#13
REVIEW
Antoni Fellas, Fiona Hawke, Derek Santos, Andrea Coda
Juvenile idiopathic arthritis is a chronic, autoimmune, inflammatory joint disease. It is the most common arthritis in children and adolescents. This paper reviews the presentation and treatment of lower limb pathologies in juvenile idiopathic arthritis from an allied health perspective. Common lower limb pathologies include: synovitis causing swelling, tenderness and pain; persistent inflammation leading to flexion contractures; limb length discrepancies; muscle atrophy; enthesopathies such as plantar fasciitis and Achilles tendonitis; and tenosynovitis...
August 2, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28765477/triggering-of-the-abductor-pollicis-longus-in-association-with-dequervain-s-tenosynovitis
#14
Dustin Adam Greenhill, Joseph J Thoder, Hesham Abdelfattah
DeQuervain's tenosynovitis is a common cause of radial-sided wrist pain. Symptoms result from a narrow first dorsal compartment and associated tendinosis of the enclosed extensor pollicis brevis and/or abductor pollicis longus (APL). Surgical intervention, offered when conservative measures fail to adequately relieve symptoms, requires a detailed understanding of potentially aberrant anatomy in order to avoid persistence or recurrence of symptoms. We describe a case whereby the patient presented with complaints of thumb triggering in extension and associated disabling first dorsal compartment tendinosis...
July 31, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28764182/pigmented-villonodular-synovitis-of-thumb-a-cytological-diagnosis
#15
Kaneeka Bhatnagar, Akshdeep Singh Bawa, Vikram Narang, Pavneet Kaur
Pigmented Villonodular Synovitis (PVNS) is a unique benign proliferative process of unknown aetiology involving the synovial lined joints diffusely or focally. The entity remains a diagnostic challenge. This condition is attributed to an increased synovial proliferation causing villous or nodular changes of synovial lined joints leading to PVNS, Pigmented Villonodular Bursitis (PVNB) when arising from bursae or Pigmented Villonodular Tenosynovitis (PVNTS) originating from the tendon sheath. We present a case of a young female with nodular masses on right thumb with cytomorphological features on FNAC suggestive of PVNS which was finally confirmed by histopathology...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28759525/ultrasound-and-pet-ct-correlation-in-shoulder-pathology-a-5-year-retrospective-analysis
#16
Christopher J Burke, William R Walter, Ronald S Adler, James S Babb, Joseph Sanger, Fabio Ponzo
PURPOSE: To correlate shoulder ultrasound and radiography with F-FDG PET-CT to establish FDG uptake and therefore range of metabolic activity, as defined by SUV analysis, in various symptomatic shoulder pathologies. METHODS: Retrospective database query was performed for shoulder ultrasound and PET-CT scans between January 2012 and January 2017. Patients who had both studies within 1 year were included. Age- and sex-matched control patients with PET-CT scans only were also included...
October 2017: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/28757343/flexor-tenosynovitis-of-wrist-including-rice-bodies
#17
Fatih Celikyay, Ruken Z Yuksekkaya, Bora Bostan
No abstract text is available yet for this article.
July 27, 2017: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/28754292/freshwater-catfish-envenoming-in-a-tropical-country
#18
Sujeewa P B Thalgaspitiya, Buddhika T B Wijerathne, Nuwan P Siriwardhana
OBJECTIVE: Freshwater catfish are known to cause painful stings in humans. Stings usually cause mild envenomation and, in some instances, can lead to severe secondary bacterial infections. Sri Lanka is a tropical country where catfish stings are not rare. However, presenting signs and symptoms, complications, and management options are scarce in the literature. METHODS: A retrospective, descriptive, cross-sectional study was conducted by reviewing patient records in the university surgical units and surgical clinic in the teaching hospital in Anuradhapura, Sri Lanka, during 2015...
July 25, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28751110/chronic-arthritis-in-chikungunya-virus-infection
#19
Lourdes Mateo, Silvia Roure
INTRODUCTION: Chikungunya virus infection causes arthralgia and arthritis in the acute phase of the disease but, in more than half of the cases, musculoskeletal manifestations can be prolonged over time and, in some cases, become chronic. Although polyarthralgia is the most frequent chronic manifestation, forms with polyarthritis, tenosynovitis and enthesopathy are also common. OBJECTIVE: To analyze the clinical characteristics of patients with persistent articular manifestations after infection with the Chikungunya virus...
July 24, 2017: Reumatología Clinica
https://www.readbyqxmd.com/read/28736620/peroneal-tendon-disorders
#20
REVIEW
Kinner Davda, Karan Malhotra, Paul O'Donnell, Dishan Singh, Nicholas Cullen
Pathological abnormality of the peroneal tendons is an under-appreciated source of lateral hindfoot pain and dysfunction that can be difficult to distinguish from lateral ankle ligament injuries.Enclosed within the lateral compartment of the leg, the peroneal tendons are the primary evertors of the foot and function as lateral ankle stabilisers.Pathology of the tendons falls into three broad categories: tendinitis and tenosynovitis, tendon subluxation and dislocation, and tendon splits and tears. These can be associated with ankle instability, hindfoot deformity and anomalous anatomy such as a low lying peroneus brevis or peroneus quartus...
June 2017: EFORT open reviews
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