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Pain Ultrasonography

Kutsi Tuncer, Emine Izgi, Bahar Cankaya, Hayri Ogul, Mecit Kantarci
Osteochondroma is the most common benign bone tumor but it rarely arises from the scapula. Scapulothoracic bursitis is quite rare and osteochondroma is one of the unusual causes of this condition. Synovial chondromatosis may occur extremely uncommonly in this bursa. We reported an unusual case of scapulothoracic bursitis with synovial chondromatosis which is caused by osteochondroma. To the best of our knowledge, there is no defined chondromatosis in the scapulothoracic bursa secondary to scapular osteochondroma in the literature...
June 13, 2018: American Journal of Physical Medicine & Rehabilitation
Kentaro Matsuo, Masaya Inoue, Yasutsugu Shirai, Tatsuki Kataoka, Shuji Kagota, Kohei Taniguchi, Sang-Woong Lee, Kazuhisa Uchiyama
RATIONALE: Liposarcoma (LPS) is a relatively rare malignant soft tissue tumor. Management of LPS including diagnosis is difficult, because it has no characteristic symptoms and no established effective treatment. Herein we reported an extremely rare case of intussusception induced by primary small bowel LPS. PATIENT'S CONCERN: A-84-year-old male was a consult to our Emergency Department with symptoms of a terrible general fatigue, abdominal pain, and vomiting. DIAGNOSIS: Abdominal ultrasonography and computed tomography (CT) revealed probable intussusception...
June 2018: Medicine (Baltimore)
Ayşe Aydemir Ekim, Hatice Hamarat, Ahmet Musmul
Objectives: This study aims to examine the association between Q-angle and clinical, radiological, and ultrasonographic findings in patients with knee osteoarthritis (OA). Patients and methods: Sixty-eight female patients (mean age 59.8±6.8 years; range 39 to 78 years) diagnosed with knee OA were included in this study and classified into two groups according to Q-angle of symptomatic knees: low Q-angle group (LQ) (n=40) and high Q-angle group (HQ) (n=28) (LQ-angle <15° and HQ-angle ≥15°, respectively)...
December 2017: Archives of Rheumatology
Arzu Kaya, Gürkan Akgöl, Arif Gülkesen, Ahmet Kürşad Poyraz, Tülay Yildirim, Murad Atmaca
Objectives: This study aims to evaluate cerebral blood flow using color duplex Doppler ultrasonography in patients with fibromyalgia syndrome (FMS). Patients and methods: The study included 30 female patients with FMS (mean age 42.3 years; range 22 to 59 years) and 30 female healthy controls (mean age 39.6 years; range 22 to 56 years). Color duplex Doppler ultrasonography imaging was performed with an EPIQ 5 unit equipped with a multi-frequency linear probe (3-12 MHz) in the supine position...
March 2018: Archives of Rheumatology
F Fang, L Pan, L Y Bo, W P Li, E Q Fu, C C Li, F G Jin
Objective: To explore the diagnostic value and safety of endobronchial ultrasonography with guide-sheath (EBUS-GS) combined with virtual bronchoscopy navigation (VBN) in peripheral lung cancer. Methods: Between Dec. 2015 to Dec. 2016, patients with pulmonary solitary nodule suspected of early lung cancer on computed tomography (CT) in Department of Respiratory, Tangdu Hospital, Fourth Military Medical University were enrolled for this study. The patients underwent EBUS-GS transbronchoscopic lung biopsy (TBLB) with or without VBN...
June 12, 2018: Chinese Journal of Tuberculosis and Respiratory Diseases
Zufferey Pascal, Valcov Roxana, Thomas Marion, Alexandre Dumusc, Forien Marine, So Alexander, Ottaviani Sebastien
OBJECTIVE: Hydroxyapatite (HA) crystal calcifications in or around the joint can induce acute flares with severe pain. A previous pilot study suggested that the interleukin 1β (IL-1β) inhibitor anakinra was effective. The goal of this observational study was to confirm these results in a larger set of patients and to report on the long-term follow-up. METHODS: Flare was defined as acute pain for<10 days. Calcification in or around a joint (rotator cuff: 15/23 patients) was confirmed by conventional radiography and/or ultrasonography (US)...
June 5, 2018: Joint, Bone, Spine: Revue du Rhumatisme
Hamada S Ahmad, Sherief E Farrag, Amr E Okasha, Aisha O Kadry, Tamer B Ata, Amir A Monir, Ibrahim Shady
BACKGROUND: Hyaluronic acid (HA) and platelet-rich plasma (PRP) are two treatment options used for knee osteoarthritis (KOA) but studies comparing the efficacy of the two yield conflicting results. In addition, the association of clinical outcomes of PRP intra-articular injections with changes in the ultrasonography structural appearance of the knee has not been investigated. AIM: To compare the efficacy of PRP and HA intra-articular injections as mono-therapeutic options for primary KOA, and to determine whether the clinical outcomes are associated with changes in the ultrasonography structural appearance...
May 2018: International Journal of Rheumatic Diseases
Sarra Ben Rejeb, Dorra Ben Ghachem, Amen Dhaoui, Rami Boulma, Khadija Bellil
Mixed epithelial and stromal tumour (MEST) of the kidney, is a recently recognized and rare entity .We herein reported the case of a 56 years old post-menopausal woman who presented with right abdominal pain. Her physical examination was unremarkable. Ultrasonography revealed the presence of a right cystic renal mass in the interpolar region extending into the pelvis. The tumor was considered Bosniak 4 category and a right nephro-ureterectomy was performed. The histological examination of the tumor revealed a mixed tumor with both epithelial and stromal pattern...
December 2017: La Tunisie Médicale
E Cinotti, G Veronesi, B Labeille, F Cambazard, B M Piraccini, E Dika, J L Perrot, P Rubegni
Onychomatricoma is a rare tumour that derives from the nail matrix and grows within the nail plate. The clinical presentation can mimic many other tumors and conditions and surgical biopsy and histopathological examination are necessary to confirm the diagnosis. Since nail surgery is a painful experience for the patient and sometimes can leave permanent onychodistrophy, more precise preoperative diagnosis is needed to distinguish onychomatricoma from other nail diseases more accurately and to limit surgical interventions...
June 5, 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
Mustafa Sungur, Selahattin Caliskan
Perirenal urine extravasation, also known as urinoma, occurs usually after renal trauma. Spontaneous urinoma is a very rare pathology in daily urology practice. The patients with spontaneous urinoma usually present with flank pain, and radiologic imagings confirm the diagnosis. Ultrasonography, intravenous urography, and computed tomography are the radiologic modalites for the diagnosis. We report a case of spontaneous urinoma in a patient with renal pelvic tumor.
June 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Babak Vahdatpour, Arghavan Mokhtarian, Seyed Ahmad Raeissadat, Farnaz Dehghan, Nafiseh Nasr, Mahsa Mazaheri
Background: Chronic recalcitrant plantar fasciitis is a disabling condition. We presumed if shock wave could increase the permeability of skin and facilitate penetration of topical corticosteroid through the skin; the combinational therapeutic effect would be stronger than using shock wave alone. The study purpose was to utilize the synergistic effect of shock wave and topical corticosteroid in treatment of plantar fasciitis. Materials and Methods: Patients in both groups ( n = 40) received four sessions of shock wave with the same protocol at weekly intervals...
2018: Advanced Biomedical Research
Andreas D Ebert
A 27-year-old patient suffering from deeply infiltrating rectovaginal endometriosis was treated with 2 mg/day dienogest vaginally for 3 months. The therapy was tolerated very well. The patient reported less side effects compared to the oral use of dienogest. After 3 months of dienogest treatment, the rectovaginal gynecological examination identified the visible vaginal part of endometriosis in remission. The firm endometriosis node approximately 3 cm in size and approximately 10 cm ab ano was still palpable, but it was much less painful...
2018: Case Reports in Obstetrics and Gynecology
Liancheng Liu, Yuru Zhang, Hongyan Duan, Yue Su, Fang Xiong, Shan Jia
RATIONALE: Stapled hemorrhoidopexy is gaining popularity for prolapsing hemorrhoids. However, like any other operation, there is always the potential risk of complications. Rectal inclusion cysts are rare complications that results from the potential space in the staple line. PATIENT CONCERNS: A 49-year-old woman was admitted to our hospital with a complaint of anorectal pain and fever complaints after stapled hemorrhoidopexy. The endoanal ultrasonography showed unclear fluid containing a cystic lesion circuit to the rectum at the staple line...
June 2018: Medicine (Baltimore)
Yonghua Bi, Hongmei Chen, Pengxu Ding, Pengli Zhou, Jianzhuang Ren, Xinwei Han
PURPOSE: To evaluate the safety and efficacy of percutaneous transhepatic route creation for hepatic vein (HV) angioplasty in Budd-Chiari syndrome (BCS). PATIENTS AND METHODS: Between April 2012 and August 2016, a total of 19 BCS patients underwent percutaneous transhepatic route creation for HV angioplasty after transvenous catheterization failure in this study. Color Doppler ultrasonography was required in all patients after admission and during follow-up. Data were retrospectively collected, and follow-up observations were performed...
May 31, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Garry J Kennebrew, Benjamin Daggett, Reis B Ritz
Dorsal Vein thrombosis, also known as Mondor's disease of the penis, is a superficial thrombophlebitis first described in the literature by Falco in 1955. Mondor's disease refers to a superficial thrombophlebitis of any locale. Diagnosis can be made clinically with palpation of a mobile, cord-like thickening on dorsum of penis without associated evidence of inflammation, infection, or dermatologic changes. Bedside ultrasonography with color Doppler can aid in the diagnosis of penile thrombophlebitis by revealing a noncompressible superficial vessel with normal surrounding flow...
2018: Case Reports in Emergency Medicine
Bo Tian, Chunfeng Song, Hui Li, Wenqian Zhang, Qirui Chen, Shuo Chen, Yili Fu, Xiaoxing Hu, Bin You, Tong Li, Bin Hu, Shengcai Hou
Background: The high incidence of venous thromboembolism (VTE) has been perceived in post thoracic surgery patients. However, the significance of perioperative coagulation and fibrinolysis related parameters after lung surgery for VTE predicting is not clear. To investigate that, we conducted a prospective single center study. Methods: A total of 111 patients undergoing lung surgery were enrolled in this study, included 52 primary lung cancer patients and 59 benign lung disease patients from July 2016 to March 2017...
April 2018: Journal of Thoracic Disease
Usama Khalid, Mark Favot, Farah Ubaid
An 18-year-old female presented to the emergency department with a complaint of right-sided abdominal pain for one day. An abdominal computed tomography was significant for hepatic congestion and a large pericardial effusion. The patient was found to have early signs of cardiac tamponade on point-of-care ultrasonography. She was taken to the operating room for pericardial window and had immediate resolution of her symptoms. Patient was diagnosed with systemic lupus erythematosus based on laboratory and clinical findings...
November 2017: Clinical practice and cases in emergency medicine
Yusuke Tomoi, Shoichi Kuramitsu, Yoshimitsu Soga, Seiichi Hiramori, Kenji Ando
Unlike coronary arteries, little is known about peri-stent contrast staining (PSS) formation after drug-eluting stent (DES) implantation for infrapopliteal arteries. Herein, we report exacerbated PSS assessed by serial angiography and optical coherence tomography (OCT) after platinum-chromium everolimus-eluting stent (PtCr-EES) implantation for infrapopliteal artery lesions. A 68-year-old women with recurrent left critical limb ischemia was admitted to our hospital. Standard endovascular techniques were performed for the popliteal artery (POP) and tibioperoneal trunk (TPT), but residual stenosis occurred...
May 23, 2018: International Heart Journal
Daniel Herschkowitz, Jana Kubias
BACKGROUND: Complex regional pain syndrome (CRPS) is a debilitating painful disorder, cryptic in its pathophysiology and refractory condition with limited therapeutic options. Type I CRPS with its variable relationship to trauma has often no discernible fractures or nerve injuries and remains enigmatic in its response to conservative treatment as well as the other limited interventional therapies. Neuromodulation in the form of spinal cord and dorsal root ganglion stimulation (SCS, DRGS) has shown encouraging results, especially of causalgia or CRPS I of lower extremities...
April 13, 2018: Scandinavian Journal of Pain
Mantas Mickevičius, Hans Degens, Rolandas Kesminas, Saulius Rutkauskas, Danguolė Satkunskienė, Kazys Vadopalas, Kazimieras Pukėnas, Jaak Jürimäe, Albertas Skurvydas, Sigitas Kamandulis
OBJECTIVES: To compare knee torque, range of motion, quality of movement, and morphology in dominant and nondominant legs of male adolescent basketball players with and without anterior knee pain and untrained peers. DESIGN: Cross-sectional. SETTING: Sports performance laboratory. PARTICIPANTS: Male basketball players aged 14-15 years with and without anterior knee pain and healthy untrained subjects (n = 88). MAIN OUTCOME MEASURES: Basketball players were allocated to a symptomatic or asymptomatic group based on self-reported anterior knee pain...
April 5, 2018: Physical Therapy in Sport
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