keyword
https://read.qxmd.com/read/38490930/musculoaponeurotic-architecture-of-the-human-masseter-muscle-an-in-vivo-ultrasonographic-study-of-architectural-changes-during-mandibular-protrusion-and-lateral-excursions
#1
JOURNAL ARTICLE
Vaishnavee Vassandacoumara, Teodora-Iunia Gheorghe, Roger Leekam, Ernest W N Lam, Susanne E Perschbacher, Bernard Liebgott, Anne Maria Reet Agur
OBJECTIVE: The present study evaluated the in vivo musculoaponeurotic architecture of the superficial head (SH) of the masseter muscle (MM) of asymptomatic participants in excursive mandibular movements compared to the relaxed state as examined with ultrasonography. It was hypothesized that the mean fiber bundle length (FBL) and mean height of the aponeurosis (HA) of the laminae of the SH would differ significantly between the relaxed state and protrusion, ipsilateral excursion, and contralateral excursion...
February 12, 2024: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://read.qxmd.com/read/38486871/case-report-portable-handheld-ultrasound-facilitates-intra-articular-injections-in-articular-foot-pathologies
#2
Samir Ghandour, Atta Taseh, Walter Sussman, Daniel Guss, Soheil Ashkani-Esfahani, Ashim Gupta, Gregory Waryasz
BACKGROUND: Intra-articular injections are commonly used to manage joint pathologies, including osteoarthritis. While conventional ultrasound (US) guidance has generally improved intra-articular injection accuracy, forefoot and midfoot joint interventions are still often performed without imaging guidance. This pilot study aims to evaluate the efficacy of office-based, portable ultrasound (P-US) guided intra-articular injections for forefoot and midfoot joint pain caused by various degenerative pathologies...
2024: Front Pain Res (Lausanne)
https://read.qxmd.com/read/38466152/aromatase-inhibitor-associated-distal-radioulnar-joint-instability-and-tear-of-the-extensor-digiti-minimi-a-case-report
#3
JOURNAL ARTICLE
Jonathan Holt, Michael Salas, Se Won Lee
The addition of aromatase inhibitors (AI) has improved cancer-related outcomes in post-menopausal patients with estrogen receptor-positive breast cancer. However, AI can be associated with a constellation of adverse musculoskeletal effects that comprises bone loss, arthralgia, myalgia, and tendinopathy. This medication complication, known as aromatase inhibitor-associated musculoskeletal syndrome (AIMSS), can limit treatment tolerability in many patients due to the high prevalence of AIMSS among those on AI...
March 1, 2024: American Journal of Physical Medicine & Rehabilitation
https://read.qxmd.com/read/38459670/comparison-of-dry-needling-and-cold-spray-stretching-treatments-by-ultrasonography-and-electrophysiology-prospective-randomized-controlled-trial
#4
JOURNAL ARTICLE
Busra Ustun, Elem Yorulmaz, Duygu Geler-Kulcu
OBJECTIVES: To compare the efficacy of dry needling (DN) and cold-spray-stretching treatments using surface electromyography (sEMG) and ultrasound (US) in the treatment of patients with myofascial pain syndrome (MPS) with active trigger point (ATrP) in the upper trapezius muscle. METHODS: This prospective randomized single-blind study included 60 MPS patients aged 18-65 years who have ATrP in the upper trapezius muscle. Patients were randomized into two treatment groups as DN and cold spray stretching...
March 8, 2024: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/38457539/uterine-rupture-in-patients-with-a-history-of-hysteroscopy-procedures-case-series-and-review-of-literature
#5
REVIEW
Liping Shao, Zhilong Yang, Huifang Yan, Rong Xu
RATIONALE: Uterine rupture during pregnancy poses significant risks to both the fetus and the mother, resulting in high mortality and morbidity rates. While awareness of uterine rupture prevention after a cesarean section has increased, insufficient attention has been given to cases caused by pregnancy following hysteroscopy surgery. PATIENT CONCERNS: We report 2 cases here, both of whom had a history of hysteroscopy surgery and presented with severe abdominal pain during pregnancy...
March 8, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38451882/successful-endoscopic-treatment-of-a-pancreatic-pseudocyst-in-a-patient-with-situs-inversus-totalis-and-upper-gi-duplication
#6
JOURNAL ARTICLE
Marko Kozyk, Olexandr Y Usenko, Steven A Kessler, Viktor P Shkarban, Ivan S Tereshkevych, Ivan V Babii, Oleksandr M Sanzharov, Kateryna Strubchevska
BACKGROUND Duplication of the gastrointestinal tract is a rare congenital malformation that can develop in any part of the digestive tract. These duplications may be asymptomatic into adult age. Situs inversus totalis is a rare congenital anomaly characterized by a mirror transposition of thoracic and abdominal organs. We present a case of a pancreatic pseudocyst in a patient with a combination of situs inversus totalis and doubling of the esophagus, stomach, and first part of the duodenum. CASE REPORT A 64-year-old woman presented with epigastric pain...
March 7, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38446824/ovarian-torsion-a-retrospective-case-series-at-a-tertiary-care-center-emergency-department
#7
JOURNAL ARTICLE
Faysal Tabbara, Moustafa Hariri, Eveline Hitti
Ovarian torsion (OT) is a gynecological emergency that can have diverse clinical presentations makings its diagnosis especially challenging. Few studies exist in the literature describing the clinical presentation as well as the management of OT in the emergency department (ED). This study aims to describe the clinical presentation, physical examination, emergency management, radiographic and intraoperative findings, histopathology reports and the time-to-intervention metrics of OT cases presenting to the emergency room of our tertiary care center...
2024: PloS One
https://read.qxmd.com/read/38446632/influence-of-anterior-talofibular-ligament-injury-and-mechanical-ankle-anterior-displacement-on-symptoms-in-individuals-with-chronic-ankle-instability
#8
JOURNAL ARTICLE
Takumi Kobayashi, Yuta Koshino, Kaiyou Takahashi, Yu Hanesaka, Shinnosuke Tanaka, Toshiki Tsuda, Kazuki Hasegawa, Atsushi Teramoto
CONTEXT: Repeated ankle sprains can lead to injuries, including those of the anterior talofibular ligament; however, the extent to which these ligament injuries are associated with symptoms of chronic ankle instability remains unclear. OBJECTIVE: To examine the influence of anterior talofibular ligament injury and ankle anterior displacement on symptoms of chronic ankle instability. DESIGN: Case-Control Study. SETTING: A university laboratory...
March 6, 2024: Journal of Athletic Training
https://read.qxmd.com/read/38445307/using-endobronchial-ultrasound-guided-transbronchial-needle-aspiration-for-the-diagnosis-and-treatment-of-a-mediastinal-mass-with-eccentric-calcifications-a-case-report
#9
JOURNAL ARTICLE
Ruba Ghalayni, Satish Gowda
Mediastinal masses present a diagnostic challenge due to their similar imaging characteristics, making distinguishing between noninfectious and infectious processes or malignancies difficult. A mediastinal abscess can result in severe life-threatening infections if left untreated. Traditional treatment approaches involve surgical debridement and drainage; however, emerging endobronchial techniques, such as endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), offer a less-invasive means of diagnosing and managing abscesses...
2024: Journal of Investigative Medicine High Impact Case Reports
https://read.qxmd.com/read/38436326/central-serous-chorioretinopathy-associated-with-nonspecific-orbital-inflammation-a-case-report
#10
JOURNAL ARTICLE
Mahdi Sharifzadeh Kermani, Maryam Farsi, Ali Sharifi, Mahsa Sardarinia, Amin Zand
We herein present a rare case of acute central serous chorioretinopathy (CSC) associated with nonspecific orbital inflammation (NSOI). A 38-year-old woman presented with a 3-day history of ocular pain, reduced vision, periorbital swelling, proptosis, conjunctival chemosis, and restricted eye movements. Optical coherence tomography of the affected eye confirmed signs of CSC. Additionally, a computed tomography scan revealed enlargement of intraconal soft tissues and the lacrimal gland. Ocular ultrasonography detected posterior sclera thickening, indicating posterior scleritis...
March 2024: Journal of International Medical Research
https://read.qxmd.com/read/38432071/adenomyosis-diagnosis-among-adolescents-and-young-women-with-dysmenorrhoea-and-heavy-menstrual-bleeding
#11
JOURNAL ARTICLE
Silvia Vannuccini, Chiara Meleca, Federico Toscano, Pina Mertino, Francesca Pampaloni, Massimiliano Fambrini, Vincenzina Bruni, Felice Petraglia
RESEARCH QUESTION: What is the prevalence of adenomyosis at ultrasonography among adolescents and young women reporting dysmenorrhoea and/or heavy menstrual bleeding (HMB)? DESIGN: This observational cohort study involved adolescents and young women referred for dysmenorrhoea and/or HMB to the Adolescent Medicine Unit at Careggi University Hospital, Italy. Patients with endometriosis and bleeding disorders were excluded. Transvaginal ultrasonography or transrectal sonography using a transvaginal probe was performed...
December 14, 2023: Reproductive Biomedicine Online
https://read.qxmd.com/read/38421056/association-of-intrauterine-device-malposition-with-previous-cesarean-delivery-and-related-uterine-anatomical-changes
#12
JOURNAL ARTICLE
Georgios Doulaveris, Jessica Jou, Wendy K Leung, Emnonila Bircaj, Theofano Orfanelli, Jessica Atrio, Pe'er Dar, Ohad Rotenberg
OBJECTIVES: We sought to determine the association between intrauterine device (IUD) malposition and previous cesarean delivery (CD) and related uterine anatomical changes. METHODS: A retrospective cohort of all persons with an IUD presenting for two- and three-dimensional pelvic ultrasonography over 2 years, for any gynecologic indication, was compiled. IUD malposition was defined as IUD partially or completely positioned outside the endometrial cavity. Uterine position, uterine flexion, and cesarean scar defect (CSD) size were assessed...
February 29, 2024: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/38418409/no-evidence-of-fascicular-injury-following-a-low-volume-intraneural-injection-of-the-median-nerve-a-cadaveric-study
#13
JOURNAL ARTICLE
Jorge Mejia, Pierre Goffin, Miguel A Reina, Xavier Sala-Blanch
BACKGROUND: The test dose or hydrolocation technique allows rapid detection of spread location. Though its primary aim is to enhance safety in peripheral nerve blocks, evidence on the potential risks of an intraneural test aliquot is lacking. We conducted a cadaveric study to evaluate the risk of fascicular injury following a low-volume (<1 mL) intraneural injection of the median nerve. METHODS: Ten upper limbs from fresh unembalmed human cadavers were studied...
February 28, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38409155/correlation-between-the-clinical-diagnosis-and-sonographic-diagnosis-in-women-with-first-trimester-vaginal-bleeding
#14
JOURNAL ARTICLE
O C Anajuba, C O Okafor, C S Nwosu, C I Okafor, M O Nwabunike, A C Emegoakor, C G Azubuike, I O Uzukwu, U A Aguwamba, K U Okoye, K C Eze
BACKGROUND: Vaginal bleeding is the most common cause of presentation at the emergency department in the first trimester. Clinical presentation helps determine the likely cause of first-trimester vaginal bleeding. However, ultrasound imaging is required to reach a definitive diagnosis. OBJECTIVE: To determine the relationship between clinical diagnosis and ultrasonographic findings in women with first-trimester vaginal bleeding. METHODS: A prospective longitudinal study was conducted on 94 pregnant patients with a history of bleeding per vagina (PV) in the first trimester by using transvaginal ultrasound...
February 1, 2024: Nigerian Journal of Clinical Practice
https://read.qxmd.com/read/38403624/elbow-calcific-tendinosis-initially-detected-by-ultrasonography-a-case-report
#15
JOURNAL ARTICLE
Masih Rikhtehgar, Yasaman Sharifi, Farid Najd Mazaher, Neda Azarpey
INTRODUCTION: Calcific tendinosis is a common condition caused by the deposition of hydroxyapatite crystals within the tendons that can impact any tendinous insertion. In this situation, ultrasound (US) may be a viable imaging modality in addition to radiography. CASE PRESENTATION: A 56-year-old Iranian male presented with left elbow pain. US evaluation at the lump site revealed a subcutaneous lipoma. Ultrasonography showed a thickened and diffusely heterogeneously hypoechoic pronator teres tendon...
February 26, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38395463/subcostal-tap-block-one-or-two-sequential-injections-a-cadaveric-study
#16
JOURNAL ARTICLE
Augustin Schaefer, Sébastien Grousson, Thomas Bessede, Dan Benhamou, Laura Ruscio
BACKGROUND AND OBJECTIVES: The subcostal transversus abdominis plane block (scTAPB) provides analgesia to the anterior abdominal wall but analgesic spread following a single injection remains modest and variable. The oblique scTAPB, which is performed with a continuous injection during needle progression into the TAP along the oblique subcostal line, may extend the block to the whole anterior abdominal wall but needle progression by hydrodissection may be difficult, explaining why this block is not widely used...
February 23, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38388009/real-time-ultrasound-guided-mid-thoracic-epidural-access-using-a-novel-paramedian-cross-px-view-and-drip-infusion-technique-a-brief-technical-report
#17
JOURNAL ARTICLE
T Sivashanmugam, Areti Archana, P Nandhini, P Rani
BACKGROUND: Real-time ultrasound guidance (USG) has been applied for lower thoracic epidural access, but the more challenging mid-thoracic epidural (MTE) access remains underexplored. This report presents a technique of real-time US guidance with a novel paramedian cross view, termed "the PX view," for securing MTE catheters, along with an outcome analysis from a retrospective case series. METHODS: Medical records of patients who underwent USG-MTE catheter placement with the PX view and drip infusion technique from January to December 2022 were reviewed...
February 21, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38383125/acute-liver-injury-in-pregnancy
#18
JOURNAL ARTICLE
Akshaya Murali, Riyamol Jose, Shobha Giliyar
A woman in her fifth month of pregnancy presented to the outpatient department with vomiting, generalised itching and yellowish discolouration of the skin for 1 week. No history of rashes, fever, pain abdomen or altered stools. In view of four pregnancy losses previously, she was evaluated to have antiphospholipid antibody syndrome and was advised low molecular weight heparin. She was a known type-II diabetic on insulin. Prophylactic oral dydrogesterone and natural micronised progesterone were started at a local hospital 2 months prior, in view of threatened abortion...
February 21, 2024: BMJ Case Reports
https://read.qxmd.com/read/38379576/optimal-limb-position-for-the-stress-ultrasound-evaluation-of-elbow-valgus-laxity-in-baseball-players
#19
JOURNAL ARTICLE
Ryuhei Michinobu, Takeshi Ogawa, Yuichi Yoshii, Akira Ikumi, Kazuhiro Ikeda, Hiromitsu Tsuge, Shotaro Teruya, Yuki Hara, Masashi Yamazaki
BACKGROUND: The optimal limb position during stress ultrasound (SUS) evaluation of elbow valgus laxity has not been standardized. PURPOSE: To compare 2 elbow positions (at 90° and 30° of flexion) and report which position method better represents the increased valgus laxity characteristics of baseball players. STUDY DESIGN: Controlled laboratory study. METHODS: Eighteen college baseball players with no history of elbow pain or elbow disorders who belonged to a college baseball club between April and November 2021 participated in this study...
February 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38364839/abatacept-in-individuals-at-high-risk-of-rheumatoid-arthritis-apippra-a-randomised-double-blind-multicentre-parallel-placebo-controlled-phase-2b-clinical-trial
#20
JOURNAL ARTICLE
Andrew P Cope, Marianna Jasenecova, Joana C Vasconcelos, Andrew Filer, Karim Raza, Sumera Qureshi, Maria Antonietta D'Agostino, Iain B McInnes, John D Isaacs, Arthur G Pratt, Benjamin A Fisher, Christopher D Buckley, Paul Emery, Pauline Ho, Maya H Buch, Coziana Ciurtin, Dirkjan van Schaardenburg, Thomas Huizinga, René Toes, Evangelos Georgiou, Joanna Kelly, Caroline Murphy, A Toby Prevost
BACKGROUND: Individuals with serum antibodies to citrullinated protein antigens (ACPA), rheumatoid factor, and symptoms, such as inflammatory joint pain, are at high risk of developing rheumatoid arthritis. In the arthritis prevention in the pre-clinical phase of rheumatoid arthritis with abatacept (APIPPRA) trial, we aimed to evaluate the feasibility, efficacy, and acceptability of treating high risk individuals with the T-cell co-stimulation modulator abatacept. METHODS: The APIPPRA study was a randomised, double-blind, multicentre, parallel, placebo-controlled, phase 2b clinical trial done in 28 hospital-based early arthritis clinics in the UK and three in the Netherlands...
February 13, 2024: Lancet
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