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tenosynovitis

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https://www.readbyqxmd.com/read/27903576/first-reported-case-of-peroneal-tenosynovitis-caused-by-coccidioides-immitis-successfully-treated-with-fluconazole
#1
Aneela Majeed, Waqas Ullah, Auon Abbas Hamadani, Anca Georgescu
Coccidioidomycosis is an insidious infection caused by Coccidioides spp (C. immitis and C. posadasii). Disseminated disease occasionally involves tendon sheaths and synovium of the joints leading to tenosynovitis. Here, we describe the case of a 72-year-old woman from southern Arizona, who presented with right ankle pain, redness and swelling for 2 months. Her serum IgG was positive for C. immitis on complement fixation, and her MRI of the right ankle joint showed extensive tenosynovitis of the right peroneal tendons, and subtalar joint effusions with associated synovitis...
November 30, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27900302/tuberculous-tenosynovitis-presenting-as-finger-drop-a-case-report-and-a-systematic-review-of-the-literature
#2
Jayadev Chandrasekharan, Senthil Nathan Sambandam, Sreehari Cheriyakara, Varatharaj Mounasamy
BACKGROUND: Isolated tuberculous tenosynovitis and bursitis are rare among musculoske let al tuberculosis, but it is one of the major causes for chronic tendon sheath infection in developing countries. In hand, it is usually presented as a compound palmer ganglion (radio ulnar bursa), tenosynovitis of the flexer tendon sheaths and very few cases of tubercular tenosynovitis affecting the extensor tendons also are reported. CASE PRESENTATION: We are reporting a rare case of tuberculous extensor tenosynovitis with rupture of the extensor digitorum tendon in an elderly Indian man...
April 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/27896420/level-of-agreement-between-three-dimensional-volumetric-ultrasound-and-real-time-conventional-ultrasound-in-the-assessment-of-synovitis-tenosynovitis-and-erosions-in-rheumatoid-arthritis-patients
#3
Carlos Acebes, Neil McKay, Anna Ciechomska, Nicola Alcorn, John P Harvie, Barbara Robson, Nico Groenendijk, Moira McDonald, Alison Wilson, Jesus Garrido
The aim of the study was to assess agreement between three-dimensional volumetric ultrasound (3D US) performed by inexperienced staff and real-time conventional ultrasound (2D US) performed by experienced rheumatologists in detecting and scoring rheumatoid arthritis (RA) lesions. Thirty-one RA patients underwent examination of seven joints by 2D and 3D US for synovitis and tenosynovitis in B and PD modes and erosions in B mode. A global score for synovitis and global counts for synovitis, tenosynovitis and erosions were also calculated for every patient...
November 28, 2016: Rheumatology International
https://www.readbyqxmd.com/read/27851825/severity-and-diurnal-improvement-of-morning-stiffness-independently-associate-with-tenosynovitis-in-patients-with-rheumatoid-arthritis
#4
Yoshihisa Kobayashi, Kei Ikeda, Takayuki Nakamura, Mieko Yamagata, Takuya Nakazawa, Shigeru Tanaka, Shunsuke Furuta, Takeshi Umibe, Hiroshi Nakajima
BACKGROUND AND OBJECTIVES: Although morning stiffness has long been recognized as a characteristic feature of rheumatoid arthritis (RA), it is no more included in the 2010 ACR/EULAR Classification Criteria or in the current major instruments for evaluating disease activity of RA. In this cross-sectional study, we aimed to determine the independent value and the optimal measurement of morning stiffness by clarifying the associations between morning stiffness and synovial inflammation. PATIENTS AND METHODS: We enrolled 76 consecutive RA patients who underwent musculoskeletal ultrasound examination and agreed to participate in the study...
2016: PloS One
https://www.readbyqxmd.com/read/27847009/chronic-tenosynovitis-of-the-hand-caused-by-mycobacterium-heraklionense
#5
Nana Aburjania, Warren C Hammert, Meenakshi Bansal, Brendan F Boyce, Sonal S Munsiff
Non-tuberculous mycobacteria are increasingly recognized as a cause of infection in both immunocompromised and immunocompetent hosts. Mycobacterium heraklionense is a recently described member of the Mycobacterium terrae complex. Herein we report a case of M. heraklionense chronic flexor tenosynovitis in the hand, managed with surgery and antibiotics.
September 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/27843364/radial-extracorporeal-shockwave-therapy-for-the-treatment-of-finger-tenosynovitis-trigger-digit
#6
Nikos Malliaropoulos, Rosanna Jury, Debasish Pyne, Nat Padhiar, Jennifer Turner, Vasileios Korakakis, Maria Meke, Heinz Lohrer
INTRODUCTION: Stenosing tenosynovitis that is characterized by the inability to flex the digit smoothly, usually leads to prolonged rehabilitation or surgery. STUDY DESIGN: This case series is a retrospective cohort study. PURPOSE: The aim of this case series was to evaluate the effectiveness of radial extracorporeal shockwave therapy (rESWT) for the treatment of stenosing tenosynovitis of the digital flexor tendon (trigger digit). METHODS: A retrospective analysis of 44 patients (49 fingers) treated with an individually adapted rESWT protocol was conducted...
2016: Open Access Journal of Sports Medicine
https://www.readbyqxmd.com/read/27837198/comparison-of-ultrasonographic-joint-and-tendon-findings-in-hands-between-early-treatment-na%C3%A3-ve-patients-with-systemic-lupus-erythematosus-and-rheumatoid-arthritis
#7
T Ogura, A Hirata, N Hayashi, S Takenaka, H Ito, K Mizushina, Y Fujisawa, M Imamura, N Yamashita, S Nakahashi, R Kujime, H Kameda
Although both systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) may lead to joint deformity, SLE arthritis is typically non-erosive and often accompanied by Jaccoud's deformity. Therefore, we examined characteristics of joint and tendon lesions in patients with SLE and RA by ultrasonography. Fifteen treatment-naïve SLE patients and 40 treatment-naïve RA patients with joint symptoms were included in this study. The hand joints and related tendons were ultrasonographically examined using grey-scale (GS) and power Doppler (PD)...
November 10, 2016: Lupus
https://www.readbyqxmd.com/read/27836497/flexor-tendon-complications-in-comminuted-distal-radius-fractures-treated-with-anatomic-volar-rim-locking-plates
#8
Adnan Kara, Haluk Celik, Yunus Oc, Metin Uzun, Mehmet Erdil, Cihangir Tetik
OBJECTIVE: Anatomic volar rim locking plates are designed with the aim of treating intraarticular distal radius fractures. When used to treat comminuted distal radius fractures, these plates can damage the flexor tendons. In this study, we sought to determine the radiological and functional results and rate of complications of these plates. METHODS: We retrospectively reviewed the records of 36 patients (28 males, 8 females; mean age: 46.4 years) with AO/OTA Type C2-C3 distal radius fractures treated with anatomic volar rim distal radius plates between January 2011 and December 2014...
November 8, 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27830970/assessment-of-both-articular-synovitis-and-tenosynovitis-by-ultrasound-is-useful-for-evaluations-of-hand-dysfunction-in-early-rheumatoid-arthritis-patients
#9
Ayako Nishino, Shin-Ya Kawashiri, Toshimasa Shimizu, Masataka Umeda, Shoichi Fukui, Tomohiro Koga, Naoki Iwamoto, Kunihiro Ichinose, Mami Tamai, Hideki Nakamura, Tomoki Origuchi, Yasuhiro Nagata, Takahiro Maeda, Kiyoshi Aoyagi, Atsushi Kawakami
OBJECTIVES: We investigated the association between hand dysfunction and ultrasound (US)-detected articular synovitis and tenosynovitis in patients with rheumatoid arthritis (RA). METHODS: Thirty RA patients were examined. In both hands of all subjects, articular synovitis and tenosynovitis were assessed by US at 22 joints and 12 tendons. Each joint and tendon was scored by gray-scale (GS) and power Doppler (PD) on a scale from 0 to 3. The sums of the GS or PD scores were used as the articular synovitis score and the tenosynovitis score...
November 15, 2016: Modern Rheumatology
https://www.readbyqxmd.com/read/27818829/variant-superficial-branch-of-radial-artery-along-with-supplementary-tendons-on-the-dorsum-of-the-hand-and-their-surgical-implications
#10
Satheesha B Nayak, Naveen Kumar, Ashwini Aithal Padur, Surekha D Shetty
Variations of radial artery, in both its course and branching pattern in the anatomical snuffbox, are clinically significant for the plastic surgeons, cardiologists, and radiologists. Reports on its abnormal high origin and subsequent superficial course have been well documented. Herein, we report an unusual superficial branch of the radial artery given off before its entry into the palm by passing between the two heads of first dorsal interosseous. It eventually divided into princeps pollicis and radialis indicis arteries at the first web space of palm as a unique vascular variation...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/27815335/removal-of-osteoid-osteoma-of-the-calcaneus-using-subtalar-arthroscopy
#11
Andrija Jurina, Damjan Dimnjaković, Tomislav Smoljanović, Ivan Bojanić
: Intra-articular calcaneal osteoid osteoma is a very rare condition and the diagnosis as well as the treatment is extremely challenging. We report a case of a 19-year-old male with intra-articular osteoid osteoma of the calcaneus, initially treated for peroneal tenosynovitis with unsatisfactory results. Thorough diagnostic procedure revealed the superolateral location of a calcaneal osteoid osteoma, near the sinus tarsi. A cherry-red elevated lesion typical of an osteoid osteoma nidus was completely removed arthroscopically using the anterolateral portal and the middle portal for subtalar arthroscopy...
November 4, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27805330/diagnostic-accuracy-of-ultrasonography-in-detection-of-destructive-changes-in-small-joints-of-hands-in-patients-of-rheumatoid-arthritis-a-comparison-with-magnetic-resonance-imaging
#12
Sonal Saran, Meenu Bagarhatta, Renu Saigal
BACKGROUND: Ultrasonography can be used in early Rheumatoid Arthritis to determine and to follow parameters of joint inflammation, such as effusion, synovitis, and marginal erosion that can be radiologically occult. We therefore planned a study to investigate whether Ultrasonography could provide information on signs of inflammation and destruction in Rheumatoid Arthritis affected finger joints that was not available with Radiography and compared it to the information provided by Magnetic resonance imaging...
November 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27798003/medical-claims-based-case-control-study-of-temporal-relationship-between-clinical-visits-for-hand-syndromes-and-subsequent-diabetes-diagnosis-implications-for-identifying-patients-with-undiagnosed-type-2-diabetes-mellitus
#13
Wen-Hsuan Hou, Chung-Yi Li, Lu-Hsuan Chen, Liang-Yi Wang, Li-Chieh Kuo, Ken N Kuo, Hsiu-Nien Shen, Chang-Ta Chiu
OBJECTIVES: To investigate whether a temporal relationship is present between clinical visits for diabetes-related hand syndromes (DHSs) and subsequent type 2 diabetes mellitus (T2DM) diagnosis and, accordingly, whether DHSs can be used for identifying patients with undiagnosed T2DM. DESIGN: This study had a case-control design nested within a cohort of 1 million people from the general population, which was followed from 2005 to 2010. The odds of prior clinical visits for DHSs, namely carpal tunnel syndrome (CTS), flexor tenosynovitis, limited joint mobility and Dupuytren's disease, were estimated for cases and controls...
October 20, 2016: BMJ Open
https://www.readbyqxmd.com/read/27787635/treatment-of-digital-pyogenic-flexor-tenosynovitis-single-open-debridement-irrigation-and-primary-wound-closure-followed-by-antibiotic-therapy
#14
Bernd Hohendorff, H Sauer, F Biber, J Franke, C K Spies, L P Müller, C Ries
INTRODUCTION: Digital pyogenic flexor tenosynovitis requires fast, aggressive treatment. Although this infection occurs frequently, treatment consensus is lacking. MATERIALS AND METHODS: Between 2011 and 2015, 22 patients with acute pyogenic flexor tenosynovitis were treated with a single open debridement followed by irrigation; the incision was closed and a 10-day antibiotic course was administered. The average incision-to-suture time was 25 min, and the average hospital stay was 4 days...
October 27, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27775461/effect-of-a-treat-to-target-cyclosporin-on-mri-assessed-synovitis-osteitis-tenosynovitis-bone-erosion-and-joint-space-narrowing-in-early-rheumatoid-arthritis-results-from-a-2-year-randomized-double-blind
#15
S Møller-Bisgaard, B J Ejbjerg, I Eshed, K Hørslev-Petersen, M L Hetland, A G Jurik, H Thomsen, T Torfing, K Stengaard-Pedersen, P Junker, N S Krogh, T Lottenburger, T Ellingsen, L S Andersen, H Skjødt, A J Svendsen, U Tarp, I T Hansen, J Pødenphant, J K Pedersen, H Lindegaard, L G Hanson, A Vestergaard, D Glinatsi, M Østergaard
OBJECTIVES: To investigate whether a treat-to-target strategy based on methotrexate (MTX) and intra-articular (IA) betamethasone suppresses magnetic resonance imaging (MRI)-determined measures of disease activity and reduces joint destruction in early rheumatoid arthritis (eRA) patients, and to investigate whether concomitant cyclosporin A (CyA) provides an additional effect. METHOD: In the 2-year randomized, double-blind, treat-to-target trial CIMESTRA, 160 patients with eRA (< 6 months) were randomized to MTX, intra-articular betamethasone and CyA, or placebo CyA...
October 24, 2016: Scandinavian Journal of Rheumatology
https://www.readbyqxmd.com/read/27770823/body-mass-index-and-extent-of-mri-detected-inflammation-opposite-effects-in-rheumatoid-arthritis-versus-other-arthritides-and-asymptomatic-persons
#16
Lukas Mangnus, Wouter P Nieuwenhuis, Hanna W van Steenbergen, Tom W J Huizinga, Monique Reijnierse, Annette H M van der Helm-van Mil
BACKGROUND: In the population a high body mass index (BMI) has been associated with slightly increased inflammatory markers. Within rheumatoid arthritis (RA), however, a high BMI has been associated with less radiographic progression; this phenomenon is unexplained. We hypothesized that the phenomenon is caused by an inverse relationship between BMI and inflammation in hand and foot joints with RA. To explore this hypothesis, local inflammation was measured using magnetic resonance imaging (MRI) in early arthritis patients presenting with RA or other arthritides and in asymptomatic volunteers...
October 22, 2016: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/27766696/clinical-ultrasonographic-and-arthroscopic-characteristics-of-hair-shafts-within-synovial-structures-of-seven-horses
#17
Jessica L Partlow, Meghann Lustgarten, W Rich Redding
To the authors' knowledge, the ultrasonographic appearance of hair shafts within a synovial structure of the horse has not been described previously. The purpose of this descriptive study was to illustrate the clinical, ultrasonographic, and arthroscopic characteristics of confirmed hair shafts within synovial structures of seven horses. A review of medical records of the Farm and Equine Veterinary Medical Center at North Carolina State University College of Veterinary Medicine identified seven horses with clinical signs suspicious for inflammatory or septic synovitis/tenosynovitis that had hair shafts identified within those structures ultrasonographically...
October 20, 2016: Veterinary Radiology & Ultrasound
https://www.readbyqxmd.com/read/27752067/genetic-and-pathogenic-characterisation-of-11-avian-reovirus-isolates-from-northern-china-suggests-continued-evolution-of-virulence
#18
Li Zhong, Li Gao, Yongzhen Liu, Kai Li, Miao Wang, Xiaole Qi, Yulong Gao, Xiaomei Wang
Avian reovirus (ARV) infections characterised by severe arthritis, tenosynovitis, pericarditis, and depressed growth have become increasingly frequent in recent years. In this study, we isolated and identified 11 ARV field strains from chickens with viral arthritis and reduced growth in northern China. Comparative analysis of the σC nucleotide and amino acid sequences demonstrated that all isolates, except LN05 and JS01, were closely related to ARV S1133 and clustered in the first genetic lineage. LN05 and JS01 strains were clustered in the third lineage with the ARV 138 strain...
October 18, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27742023/current-perspectives-on-imaging-for-systemic-lupus-erythematosus-systemic-sclerosis-and-dermatomyositis-polymyositis
#19
Sharon L Kolasinski, Andrew S Chi, Angel J Lopez-Garib
Systemic rheumatic diseases frequently pose diagnostic challenges to the clinician. The precise nature of the disorder can be obscure and different disorders can present with similar symptoms, such as joint pain. Plain radiographs provide an appropriate starting point for detection of joint abnormalities. Musculoskeletal ultrasound and MRI offer greater sensitivity in detecting synovitis, tenosynovitis and bony erosions, among other features. However, due to the rarity of these diseases and lack of prospective longitudinal trials, a broader picture of the epidemiology of these findings and their implications for treatment and outcomes remains to be determined...
November 2016: Rheumatic Diseases Clinics of North America
https://www.readbyqxmd.com/read/27740459/modified-percutaneous-trigger-finger-release
#20
J-D Werthel, M Cortez, B T Elhassan
: Stenosing tenosynovitis or trigger finger is one of the most common disorders that affect the flexor tendon apparatus of the hand. Percutaneous release has been previously reported to be easier, quicker, less invasive and less costly than open surgery. The purpose of this study was to report the outcome of an alternative percutaneous trigger finger release technique. From March 2008 to January 2014, 92 patients (128 fingers) who underwent the alternative percutaneous trigger finger release, with a minimum of 6 months follow-up were included...
June 2016: Hand Surgery and Rehabilitation
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