- [OPPORTUNITIES OF ULTRASOUND IMAGING FOR VISUALIZATION OF THE SHOULDER JOINT PATHOLOGICAL CHANGES]. [Journal Article]
- GMGeorgian Med News 2019; (288):15-20
- Aim of investigation - the assessment of opportunities of ultrasound (US) imaging for visualization of the shoulder joint pathological changes. 100 patients with the pathologies of shoulder joint hav…
Aim of investigation - the assessment of opportunities of ultrasound (US) imaging for visualization of the shoulder joint pathological changes. 100 patients with the pathologies of shoulder joint have been investigated, they included traumatic, degenerative -dystrophic and inflammatory pathologies (tendinitis, tendinosis, tendinopathy, subacromial-subdelatoid bursitis).Ultrasound study performed on ultrasound TOSHIBA xario XG by high linear probe (7,5-12.0 MHz) with dopplerography(color, energetic), transverse and sagittal planes. It has been evaluated the thickness(diffuse, local), echostructure, continuity of contours of main shoulder joint tendons in above mentioned pathologies, in order to study their diagnostic values. 23 patients have been investigated by MRI which was used as "gold standard". The thickness, structure and continuity of contours of tendons have been evaluated by MRI in following regimes: T1, T2 and PDFs. In the study group the comparative results of ultrasound and MRI research were compared to determine the high diagnostic reliability of US, which is important for timely and effective treatment. The evaluation of US diagnostic accuracy for tendon thickness showed that the sensitivity was 95.00%, specificity - 66.67%, and diagnostic accuracy - 91.30%. It should be noted that negative likelihood ratio (NLR) is significant and equals to 0.08 (95% CI - 0.01÷0.60). The assessment of US diagnostic accuracy for tendon echostructure showed that the sensitivity was 94.74%, specificity - 50.00%, and diagnostic accuracy - 86.96%. It should be noted that negative likelihood ratio (NLR) is significant and equals to 0.11 (95% CI - 0.01÷0.60). The sensitivity of the evaluation of continuity of contours by US was 95.00%, specificity - 66.67%, diagnostic accuracy - 91.30%. It should be noted that negative likelihood ratio (NLR) is significant and equals to 0.08 (95% CI - 0.01÷0.60). On the basis of obtained results we can conclude that US may be characterized by high sensitivity, moderate specificity and high diagnostic accuracy for diagnostics of shoulder joint pathologies. It should be noted that mainly NLR is significant features for this imaging technique. US can be used in primary outpatient diagnostics, MRI and MR-arthrography should be performed in the hospital, to reveal the accompanying anomalies when planning surgical and/or other interventions.
- Olecranon bursitis secondary to Mycobacterium europaeum infection in a patient receiving immunosuppressive drugs for rheumatoid arthritis. [Letter]
- MMMed Mal Infect 2019 May 14
- Bony changes of the tibia secondary to pes anserine bursitis mimicking neoplasm. [Journal Article]
- SRSkeletal Radiol 2019 May 15
- CONCLUSIONS: Pes anserine bursitis with intramedullary extension is an unusual presentation of bursitis that may simulate a neoplasm clinically and radiologically. To avoid misdiagnosis, radiologists should be aware of the occurrence of osseous changes in the tibia confluent with pes anserine bursitis.
- StatPearls: Subacromial Bursitis [BOOK]
- BOOKStatPearls Publishing: Treasure Island (FL)
- A bursa is a fluid-filled sac found at several locations in the human body. It serves to lubricate joints and body surfaces exposed to higher degrees of wear and friction. The subacromial space in th…
A bursa is a fluid-filled sac found at several locations in the human body. It serves to lubricate joints and body surfaces exposed to higher degrees of wear and friction. The subacromial space in the shoulder is such a location. The subacromial bursa is bordered superiorly by the acromion, coracoid, coracoacromial (CA) ligament and the proximal deltoid muscle fibers and inferiorly by the fibers of the supraspinatus muscle. The height of the subacromial space ranges from approximately 1.0 to 1.5 cm. Inflammation of the bursa can occur due to a variety of reasons leading to the development of subacromial bursitis.
- Injury Incidence in Youth, High School, and NCAA Men's Lacrosse. [Journal Article]
- PedPediatrics 2019 May 10
- CONCLUSIONS: Although the time loss injury rate was lowest in youth boys' lacrosse, the concussion rate was the highest. Injury prevention approaches should be specific to the mechanisms associated with each level of play (eg, equipment skill development in youth).
- Health, behaviour and growth performance of Charolais and Limousin bulls fattened on different types of flooring. [Journal Article]
- AAnimal 2019 May 07; :1-9
- Intensive fattening of late-maturing breeds on concrete or rubberized slatted floors is the prevalent beef production system in mainland Europe. The rationale behind this study is that specific beef …
Intensive fattening of late-maturing breeds on concrete or rubberized slatted floors is the prevalent beef production system in mainland Europe. The rationale behind this study is that specific beef breeds with different slaughter weights might have a diverse response to different flooring systems. The study aimed at assessing whether growth performance, health, behaviour and claw condition of two beef breeds, Charolais (CH) and Limousine (LIM), would be affected by their housing on concrete (CS) or rubber-covered (RCS) fully slatted floor. A total of 228 CH (116 on CS; 112 on RCS) and 115 LIM (57 on CS; 58 on RCS) were housed in four and two commercial farms, respectively, in groups of 9.0 ± 2.1 animals/pen with an average space allowance of 3.1 ± 0.2 m2. Draining gaps of CS and RCS pens were 16.9 ± 1.7% and 11.6 ± 1.2% of the total surface, respectively. Bulls of both breeds had similar initial body weight (429.4 ± 31.5 kg for CH; 369.6 ± 31.7 kg for LIM), and they were slaughtered when they reached suitable finishing. Charolais had a higher final body weight (BW) than LIM (750.8 ± 8.6 v. 613.7 ± 10.9 kg; P < 0.01), and bulls of both breeds on RCS had higher average daily gain than on CS (1.47 ± 0.02 v. 1.39 ± 0.02 kg/day; P < 0.05). The percentage of bulls early culled or treated for locomotor disorders were reduced by RCS only for LIM, while RCS tended to prevent the occurrence of bursitis for both breeds. During two 8-h behavioural observations, bulls on RCS performed more head butt/displacements and chases than on CS, and they reduced the frequency of abnormal lying down events. The use of RCS increased mounts' frequency only in LIM, while its reduced drainage capacity impaired only the cleanliness of CH. Postmortem hoof inspection showed longer claw dorsal wall and diagonal lengths, and sharper toe angles for CH on RCS than LIM on both floors. Results of this study point out that fully slatted floors, regardless of being rubberized or not, are not suitable for bulls finished at a final BW above 700 kg due to their detrimental effects on health and welfare. The use of RCS could be recommended as an alternative to CS only if bulls are slaughtered at a lower final BW (around 600 kg), like in the case of LIM breed.
- Rheumatoid subacromial-subdeltoid bursitis with rice bodies: A case report. [Case Reports]
- JCJ Clin Orthop Trauma 2019 May-Jun; 10(3):514-517
- Subacromial-subdeltoid bursitis of a shoulder with rice bodies is relatively uncommon. The understanding of the pathogenesis of rice body formation is yet approximate only but some clinical condition…
Subacromial-subdeltoid bursitis of a shoulder with rice bodies is relatively uncommon. The understanding of the pathogenesis of rice body formation is yet approximate only but some clinical conditions like rheumatoid arthritis, tuberculous arthritis, seronegative inflammatory arthritis, juvenile rheumatoid arthritis and osteoarthritis are related to it. We describe a case of a 44 years old female with subacromial-subdeltoid bursitis of her right shoulder with numerous rice bodies' formation as a presenting feature of rheumatoid arthritis. She underwent subacromial and subdeltoid bursectomy with the removal of rice bodies and had immediate improvement of symptoms.
- Painful Hip Arthroplasty: What Should We Find? Diagnostic Approach and Results. [Journal Article]
- JAJ Arthroplasty 2019 Apr 13
- CONCLUSIONS: To our knowledge, this is the first study on the causes of painful hip arthroplasty in clinical practice, whether leading to revision or not. A systematic approach, including physical examination, radiographic assessment and laboratory studies, is needed to find the cause of the pain. It is important to understand the pain so that it can be treated appropriately. Revision surgery can sometimes help-but the worst thing is to make the patient worse.
- Radiotherapy treatment of human inflammatory diseases and conditions: Optimal dose. [Journal Article]
- HEHum Exp Toxicol 2019 May 06; :960327119846925
- During the early part of the past century, hundreds of clinical studies involving more than 37,000 patients were conducted that showed radiotherapy (RT) to be a successful and safe alternative to dru…
During the early part of the past century, hundreds of clinical studies involving more than 37,000 patients were conducted that showed radiotherapy (RT) to be a successful and safe alternative to drug therapy for the treatment of many diverse inflammatory conditions and diseases (e.g. tendonitis, bursitis, arthritis, and serious inflammatory lung conditions). Data from these studies were collected and analyzed with the intent of estimating an optimal dosing range for RT that would induce an efficacious treatment response. RT was reported to be frequently effective after only a single treatment, with a rapid (within 24 h) and often long-lasting (from months to years) relief from symptoms. Over a two-decade span from the 1920s to the 1940s, the therapeutic responses to a single RT treatment consistently improved as the dosing for multiple ailments decreased over time to between 30 roentgen (r) and 100 r. These findings are significant and in agreement with a number of contemporary reports from Germany where RT has been commonly and successfully employed in treating ailments with an inflammatory origin. A proposed mechanism by which RT mitigates inflammation and facilitates healing is via the polarization of macrophages to an anti-inflammatory or M2 phenotype.
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- [Clinical trial of treatment of frozen shoulder by intensive moxibustion plus acupuncture]. [Randomized Controlled Trial]
- ZCZhen Ci Yan Jiu 2019 Apr 25; 44(4):297-301
- CONCLUSIONS: The therapeutic effect of intensive moxibustion plus acupuncture is superior to that of simple acupuncture in improving symptoms of frozen shoulder in patients.