Clinical efficacy of ultrasound-guided injection in the treatment of olecranon subcutaneous bursitis.

Clinical efficacy of ultrasound-guided injection in the treatment of olecranon subcutaneous bursitis. J Xray Sci Technol. 2019 Oct 08;: Authors: Wu Y, Chen Q, Chen K, He F, Quan J, Chen S, Guo X Abstract BACKGROUND: Recent studies have shown that ultrasound-guided injection of glucocorticoids is superior to blind puncture methods. OBJECTIVE: To evaluate clinical efficacy of ultrasound-guided drug injection in the treatment of olecranon subcutaneous bursitis. METHODS: From June 2016 to September 2018, 45 patients diagnosed with obvious synovial effusion and treated with ultrasound-guided injection therapy for olecranon bursitis were included in this study. Under the guidance of ultrasound, the synovial effusion aspiration was performed and 2 ml of the compound betamethasone mixture was injected into the bursae and dressed under pressure. Ultrasound examination was performed 2 weeks after operation and the secondary fluid aspiration and drug injection treatment were performed. The depth of synovial effusion, the thickness of synovial hyperplasia and the blood flow signal were measured 4 weeks after operation to evaluate the therapeutic effect. RESULTS: After first treatment, the recurrence rate of the olecranon mass were 40%. After secondary treatment, recurrence of olecranon mass occurred in 6 of the 45 patients with a recurrence rate of 13.3%. After 4 weeks of follow-up, the depth of olecranon synovial effusion, the average thickness of syno...
Source: Journal of X-Ray Science and Technology - Category: Radiology Tags: J Xray Sci Technol Source Type: research

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A healthy 40-year-old woman presented to the hospital with severe right hip pain. She reported a three-year history of dull pain in her right lateral hip that worsened with movement. A radiograph of the hip taken three months ago showed a well-defined calcific density adjacent to the acetabulum (Figure 1). Approximately 10 days ago, the hip pain suddenly worsened without any preceding trauma or injury. She was seen in an emergency department and diagnosed with trochanteric bursitis. Celecoxib was prescribed but she was unable to obtain this medication due to the need for a prior authorization.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Images in Radiology Source Type: research
ConclusionsGlenohumeral corticosteroid injections for pain relief have a high success rate with 74% of patients reporting clinically relevant improvement after 1  month. Signs of adhesive capsulitis and an intact labrum on MR arthrography are independent predictors of a better outcome.Key Points• Seventy-four percent of patients report clinically relevant improvement 1 month after glenohumeral corticosteroid injection.• Signs of adhesive capsulitis and an intact labrum on MR arthrography are independent predictors of a high pain level decrease.
Source: European Radiology - Category: Radiology Source Type: research
There is an ongoing debate about whether to resect or preserve the subacromial bursa during surgical treatment of rotator cuff tears. Neer was the first to systematically describe bursitis as a component of subacromial impingement syndrome that may extend to rotator cuff disease, often discussed as a point of controversy with Uhthoff who first identified the bursa as a contributor to rotator cuff healing, both experimentally and clinically. Because the subacromial bursa provides the gliding mechanism of the shoulder and regenerates itself after surgical removal, interest evolved on the role of the bursa in the healing of r...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Editorial Commentary Source Type: research
Conditions:   Rotator Cuff Injuries;   Shoulder Pain;   Shoulder Impingement;   Shoulder Injuries;   Shoulder Bursitis;   Shoulder Tendinitis;   Shoulder Lesions Intervention:   Procedure: Rotator cuff repair surgery Sponsors:   Hospital Israelita Albert Einstein;   Hospital Alvorada;   Fundação de Amparo à Pesquisa do Estado de São Paulo Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
AbstractBackgroundRheumatoid arthritis (RA) is a systemic autoimmune disease that has a great impact on different joints, may result in their destruction and loss of function. Although the shoulder is affected in a large portion of patients with RA, it does not receive much attention during the follow up of RA. The precise diagnosis of shoulder pain in RA is a clinical challenge and benefits from a reliable imaging modality to detect its exact origin.AimTo determine the diagnostic accuracy of ultrasound (US) in detecting shoulder joint pathologies in RA, considering magnetic resonance imaging (MRI) as the gold standard.Mat...
Source: International Journal of Rheumatic Diseases - Category: Rheumatology Authors: Tags: ORIGINAL ARTICLE Source Type: research
Authors: Çatal B Abstract Brucellosis is a zoonosis seen all over the world and is still endemic in certain parts of the world. Brucellosis is a systemic infection which involves multiple organs and tissues. Although musculoskeletal system involvement is frequent in brucellosis, bursal involvement is seen rarely. In this article, we present a case of subacromial and subdeltoid brucellar bursitis with positive serology and aspiration culture. Patient achieved complete recovery with rifampicin and doxycycline treatment, without any evidence of relapse. A high clinical suspicion is required for the diagnosis of...
Source: Eklem Hastaliklari ve Cerrahisi - Category: Orthopaedics Tags: Eklem Hastalik Cerrahisi Source Type: research
Shoulder pseudodislocation, or “drooping shoulder,” presents with acute pain and deformity of the joint, with radiographs demonstrating inferior subluxation of the humeral head relative to the glenoid fossa. The diagnosis must be made promptly and distinguished from true glenohumeral dislocation, both to avoid unnecessary att empts at closed reduction and to facilitate investigation of the underlying cause, which may include septic arthritis, hemarthrosis, or other emergent etiologies. Point-of-care ultrasound (POCUS) may be useful in the evaluation of emergency department (ED) patients with suspected pseudodislocation.
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Ultrasound in Emergency Medicine Source Type: research
Publication date: Available online 25 October 2019Source: Arthroscopy TechniquesAuthor(s): Cecilia Pascual-Garrido, Maria T. Schwabe, Jorge Chahla, Masahiko HanedaAbstractGreater trochanteric pain syndrome can be caused by gluteus medius and minimus tendinopathy/tears and chronic trochanteric bursitis. Specifically, moderate-to-severe abductor tendon tears can cause severe lateral hip pain, limp, and abnormal gait. A variety of open and endoscopic techniques to treat glut abductors hip tears have been described. The use of scaffolds, such as acellular human dermal allograft, to augment tendon repair, already has been succe...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Snapping Hip Snapping hip is an audible clicking or snapping sensation caused by hip movement that can be painful. There are a variety of reasons patients present with a clicking or snapping sensation in the hip. A click in the hip can be the result of the following: a labral tear, iliotibial band syndrome, psoas bursitis, psoas tendon snap, and arthritis of the hip. It is essential for physicians to understand each cause to provide an effective course of treatment. Labral Tear A labral tear is a common cause for clicking sensations in the hip joint. The labrum refers to the ring of cartilage surrounding the socket of ...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
Abstract The aim of this prospective study was to determine the prevalence of pes anserine bursitis (PAB) in patients with osteoarthritis. A total of 85 patients with primary knee osteoarthritis diagnosed according to the American College of Rheumatology (ACR) criteria were included in the study. The patients were divided into four groups using the Kellgren-Lawrence staging system. The knee X-rays evaluated according to this system indicated that 15.6 % of patients were grade 1, 34.1 % grade 2, 37.1 % grade 3, and 13.5 % grade 4. Ultrasonography (USG) was performed on both knees by a radiologi...
Source: Clinical Rheumatology - Category: Rheumatology Source Type: research
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