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Results for “PERIARTHRITIS”

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PubMed1999

[Humero-scapular periarthritis--a diagnosis which does not need to be used].

The periarthritis humeroscapularis (PHS) diagnosis has been used for over a century. In our country, the term PHS is customary and unavoidable in everyday practice. It has been used by everyone, from general practitioners to specialists--physiatrists, radiologists, and orthopaedists. The purpose of this study is to show the inappropriateness of the PHS diagnosis and to point to other clinical conditions with a clear anatomical structure and adequate treatment method.

Diagnosis, Differential↗
PubMed1992

[Calcific periarthritis in patients with endstage renal disease on chronic dialysis].

2 patients with end-stage renal disease undergoing dialysis developed calcific periarthritis. A 25-year-old man on hemodialysis developed arthritis of 2 right metacarpophalangeal joints and a 65-year-old man on chronic ambulatory peritoneal dialysis suffered from pain and tenderness in the left buttock. Treatment with nonsteroidal antiinflammatory drugs in the first case and periarticular injection of methylprednisolone (Depomedrol) in the second were successful.

Adult↗
PubMed2005

[Alflutop in local therapy of shoulder periarthritis].

AIM: To study efficacy of a compound biological preparation alflutop in local therapy of shoulder periarthritis (SP), to compare its efficacy with that of periarticular diprospan. MATERIAL AND METHODS: The trial included 54 patients with SP. Clinical SP forms consisted of subacromial and subdeltoid bursitis (SSB) (42.6%), tendinitis (57.4%). Acute disease was diagnosed in 35.2% patients, chronic one--in 64.8%. Alflutop and diprospan were injected periarticularly. The patients were divided into three groups. Patients of group 1 (n = 15) received alflutop monotherapy (2 ml, 5 injections). Group 2 (n = 24) received a single injection of diprospan (7 mg). Group 3 (n = 15) patients were given combined treatment: a single injection (7 mg) of diprospan followed by alflutop infiltrations (2 mg, 5 injections). The efficacy of the treatment was judged by some score clinical parameters, dynamometrical findings, SDQ score set, thermographic and ultrasonic signs of periarticular inflammation. RESULTS: A course of periarticular alflutop infiltrations in SP demonstrated the same efficacy as a single dose diprospan. However, in acute SP with bursitis diprospan produced a significantly better results while alflutop was better in chronic SP with tendinitis. Diprospan combination with alflutop produced the highest therapeutic effect irrespective of the disease course and clinical SP course. CONCLUSION: Local administration of alflutop in SP as monotherapy alternative to glucocorticosteroids or in combination with diprospan is effective. A differentiated approach allowing for a clinical form and course of SP raises therapeutic efficacy noticeably.

Adult↗
PubMed1991

[Analysis of the collective term "periarthritis humeroscapularis"].

The functional and anatomical consideration of the shoulder joint in relation to the clinical aspects can differentiate the general term of "scapulohumeral periarthritis". The most frequently pathological findings are seen in the rotary cuff and the long head of the biceps muscle. Significant causes are further arthrosis of the acromioclavicular joint, the instability of the shoulder joint and the frozen shoulder. The exact diagnosis of the disease makes on operative therapy possible.

Acromioclavicular Joint↗
PubMed2006

[Observation on therapeutic effects of different needling methods at tiaokou (ST 38) on periarthritis of shoulder].

OBJECTIVE: To compare therapeutic effects of different needling methods at Tiaokou (ST 38) on periarthritis of shoulder. METHODS: Eighty cases of periarphritis of shoulder were randomly assigned to four groups. Tiaokou (ST 38) was selected in all the 4 groups. The treatment group were treated with penetration needling, and the control group A, B, C were treated by needling into 40 mm deep, needling into the subcutaneous tissue, sham acupuncture, respectively. Therapeutic effect was evaluated by Constant-Murley shoulder joint scale. RESULTS: The clinical effective rate was 100.0% in the treatment group and 68.4% in the control group A, 52.6% in the control group B, 38.0% in the control group C with significant differences as the treatment group compared with the control groups A, B, C (P < 0.05 or P < 0.01). And with no significant difference as the control group A compared with the control group B, C, and the group B with the group C (P > 0.05). CONCLUSION: Different needling depths of Tiaokou (ST 38) have different therapeutic effects, the penetration needling being the best and the sham needling being worse which can be used as control method.

Acupuncture Therapy↗
PubMed1990

Rapidly progressive calcific periarthritis occurring in a patient with lupus nephritis receiving chronic ambulatory peritoneal dialysis.

We present a patient who developed rapidly progressive calcific periarthritis while receiving chronic ambulatory peritoneal dialysis. She developed chronic renal failure on the basis of lupus nephritis. Hydroxyapatite crystals were isolated from periarticular deposits and identified using phase contrast light microscopy and electron microscopy. Conservative management using phosphate binding agents and nonsteroidal antiinflammatory drugs was unsuccessful and lesions were excised surgically.

Adult↗
PubMed1985

[The question of radiation exposure of the cervical spine in analgesic roentgen irradiation of therapy-resistant humero-scapular periarthritis associated with local cervical syndrome and/or cervicobrachial syndrome].

An improvement is achieved by palliative X-ray irradiation in about 70% out of 47 patients with scapulohumeral periarthritis and local cervical syndrome and/or cervicobrachial syndrome which was hitherto resistant to medicomechanical treatment. Higher rates of success (84%) can be achieved if the patients present an identical symptomatology, but less severe alterations of the vertebral column, even if the vertebral column is not irradiated. In case of severe alterations of the vertebral column, the success of palliative irradiation is diminished, even if the cervical vertebral column is additionally irradiated.

Brachial Plexus Neuritis↗
PubMed1989

Calcific periarthritis.

Although the radiological detection of soft tissue calcification is common and of little clinical significance a number of distinctive rheumatological syndromes are associated with release of certain calcium salts from tendons into the surrounding soft tissues and joints (calcific periarthritis). Research has shown that calcium crystals, too, may be of importance in chronic degenerative joint disease.

Calcinosis↗
PubMed1988

Experience with thymopentin in the treatment of periarthritis humeroscapularis, tendinitis, and gonarthrosis by local infiltration.

A total of 122 patients with periarthritis humeroscapularis, tendinitis, and gonarthrosis were accepted into a controlled, randomized double-blind study; of these patients, 61 subjects were administered local infiltrations of thymopentin (Timunox) 1 ml (50 mg) plus lidocaine 1 ml (2%), once a week for a period of 5 weeks. 61 subjects were during the same time treated with methylprednisolone depot 1 ml (40 mg) plus lidocaine 1 ml (2%). Demographic and clinical parameters were comparable in both groups. Intergroup comparison on completion of the therapy with regard to the criteria "pain at rest", "pain on pressure", "disability of articulation", and "pain relief" revealed statistically significant superiority of thymopentin. No unexpected drug experiences were observed in this double-blind study.

Adolescent↗
PubMed1988

[Success and long-term results of radiotherapy of periarthritis humeroscapularis].

The results in 164 patients receiving radiotherapy for humeroscapular periarthritis were evaluated on the basis of questionnaires. In all, 76% of the patients reported an improvement. A long-term study over an average of 5 years showed 61 patients (49%) to have experienced long-lasting freedom from pain. However, 38 patients (24%) noticed no improvement. Criteria affecting the success of therapy seem to include the length of the history of the disease as well as inadequate differential diagnosis. No influence is attributed to age, sex or previous types of treatment.

Adult↗
PubMed1986

[Calcified periarthritis. Disappearance of periarticular calcification after laser therapy].

The authors report their results in the laser therapy of 30 calcific shoulder joint periarthritis. In two out of the ten radiographed cases, at the end of therapy, the complete disappearance of calcifications has been shown and in one case a decrease in calcification volume has been demonstrated. In the follow up after 6 months, 80% of clinically checked patients had no painful relapse.

Adult↗
PubMed1979

[Radiation therapy of humeroscapular periarthritis (author's transl)].

The effectiveness of radiation therapy in 233 cases with periarthritis humeroscapularis is reviewed in a prospective study from the Basel canton hospital. The patients are studied with regard to different parameters, such as duration of the anamnesis, importance of the dose, moment of evaluation of the results and influence of a 2-series technique. The total result, comprising 43.3% cases without complaints, 30.9% being better, and 25.8% whose troubles had not changed, is compared with the compiled statistical data of 4957 cases found in literature. The gonadal load is discussed on the basis of our own investigations.

Gonads↗
PubMed1983

Double-blind comparison of piroxicam and indomethacin in the treatment of cervicobrachial syndrome and periarthritis scapulohumeralis (stiff shoulder).

In a 14-day double-blind multicenter trial the efficacy and safety of piroxicam was compared with that of indomethacin among patients with extra-articular rheumatic conditions marked by cervicobrachial pain. The drugs were found to have comparable overall efficacy, with over 75% of the patients in both drug groups experiencing some improvement. Piroxicam appeared to provide somewhat better results in the subpopulation with cervicobrachial syndrome, while indomethacin was marginally better among patients with periarthritis scapulohumeralis. There was a trend toward better relief of nighttime pain with piroxicam in the cervicobrachial syndrome group at week 2. Fewer adverse reactions were observed with piroxicam, and the number of patients discontinued for side effects was also lower for piroxicam (4.1%) than for indomethacin (9.5%).

Adolescent↗
PubMedDate not supplied

[Radioguided puncture-infiltration in the treatment of refractory calcifying periarthritis of shoulders].

Trituration-aspiration-infiltration of calcifications of the shoulder region is a method applied for treatment of intractable calcifying periarthritis. A television screen is used to guide the needle until it is in contact with the calcifications provoking the symptoms. Trituration and aspiration of the calcified lesions is followed by saturation with prolonged released corticoids of 41 shoulders treated, recovery or improvement was noted in 70% after one month, results being rated as excellent in 19 patients followed up for 3 months.

Adrenal Cortex Hormones↗
PubMed1978

[Contribution to the study of scapulo-humeral periarthritis: anatomical lesions of simple chronic painful shoulder].

The authors restate that simple pain of the shoulder, which is a form of scapulo-humeral periarthritis characterized by the existence of pain without limitation of movement, is almost always associated with lesions of the tendons of the short muscle teres of the shoulder. They term chronic simple pain of the shoulder the rare cases where, despite therapy that is reputed to be efficient, there is a gradual development lasting more than one year, either continuously or with relaps periods of less than three weeks. They show that these chronic shoulders are practically always associated with a rupture of the coat of the muscle teres or a calcification of the tendons of the teres coat. Ruptures are as much frequent in men as in women and calcifications definitely more frequent in women (60%). Before 30 years of age, the most frequent lesion is almost always a calcification, and after 65 rupture is more common. Between 30 to 65, the probability of a calcification in a chronic simple painful shoulder, goes from 100% to 0, while the probability of a rupture increases from 0 to 100%.

Adult↗