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Results for “TENOSYNOVITIS”

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PubMed1981

Hand symptoms associated with diabetes mellitus. An investigation of 765 patients based on a questionnaire.

A number of 738 patients with diabetes mellitus (DM) and 371 matched controls answered a questionnaire constructed to detect rheumatic hand symptoms. The SM patients showed significantly more palmar thickening, indicating Dupuytren's contracture and flexor tenosynovitis, and a significantly lower frequency of neurological sensations. There was no statistically significant difference in the estimated frequency of rheumatoid arthritis between the total population and our DM population.

Diabetes Complications↗

PubMedDate not supplied

Giant-cell tumour of the tendon sheath.

An unusual case of giant-cell tumours of the tendon sheath (syn. Pigmented villonodular tenosynovitis or fibrous xanthoma) of a long thumb flexor is presented. The unusual features are: two distinctly different tumours of almost similar size and shape arising from the tendon sheath at its either ends but with a segment of normal tendon sheath in between and presence of early malignant changes in the distal tumour with a benign proximal one, confirmed microscopically. Lastly, radiograph showed definite bony involvement in the proximal phalanx of the thumb. On extensive review of the literature, I found reports of rare presentation of malignant changes and bony erosion, but none had these various features.

Adult↗

PubMed1981

The effect of the Futuro wrist brace in pain conditions of the wrist.

In a study to assess the effects of the Futuro wrist brace (Adcock-Ingram) in 22 patients with osteoarthritis, rheumatoid arthritis, tenosynovitis and gout of the wrist, grip and pinch dynamometers were used to measure improvement in function. The study confirmed the efficacy of the wrist brace by demonstrating an average of 23.7% improvement in grip strength over the 10-day study, as well as a significant average improvement in pinch strength of 14.8% (P less than 0.05). In the subgroup of 8 rheumatoid arthritis patients a significant average increase in grip strength of 48.9% (P less than 0.025) was obtained. Both day and night pain was reduced and there was improvement in patients' ability to carry out their daily activities. The brace was found to be comfortable and easy to use.

Arthritis, Rheumatoid↗

PubMed1978

Musculoskeletal infections due to Mycobacterium kansasii.

Mycobacterium kansasii musculoskeletal infections are unusual. The infection presents as either a tenosynovitis, monoarticular arthritis or generalized systemic spread. In 2 patients, vigorous surgical and antimycobacterial medical regimens controlled the infection and produced full return of function.

Aged↗

PubMed1995

Extensor tendon ruptures in rheumatoid arthritis.

The best treatment for extensor tendon rupture is prevention, either by medical management or surgical tenosynovectomy before tendon ruptures occur. Once a rupture has occurred, tendon transfer or free tendon grafting can provide acceptable restoration of extensor function. Communication with the rheumatologist is necessary to provide timely treatment for chronic dorsal tenosynovitis (and impending tendon rupture) or for single finger extension loss before the disease progresses to multiple finger extension loss. Consideration always must be given to associated joint involvement when planning surgical treatment.

Arthritis, Rheumatoid↗

PubMed1994

Achilles tendon and miscellaneous tendon lesions.

Abnormalities of the tendons of the foot and ankle are quite common and their number seems to be increasing. Commonly involved tendons include the Achilles and peroneal tendons; the tibialis anterior and flexor hallucis longus tendons are involved less commonly. Magnetic resonance imaging is well suited to imaging these abnormalities. It is a noninvasive modality that uses no ionizing radiation. It has the capability of imaging in any plane, which is well suited to imaging the tendons of the ankle because their course is not in standard orthogonal planes. MR imaging provides excellent soft tissue contrast and is well able to differentiate the tendons from surrounding fat as well as to detect the presence of hemorrhage and edema. Abnormalities of these tendons include complete and partial tears as well as tendinitis and tenosynovitis. These abnormalities are usually secondary to trauma or to mechanical irritation or synovial inflammation. They can be diagnosed routinely and confidently by MR imaging. Complete tears may be seen as a discontinuity within the substance of a tendon with interposed edema or hemorrhage. Partial tears may be seen as increased signal within a tendon that extends to a surface. Tendinitis is manifested by thickening of the tendon with intratendinous signal that does not extend to its surface.

Ankle Injuries↗

PubMedDate not supplied

[Chronic polyarthritis and carpal tunnel syndrome. Results of follow-up].

Between July 1974 and December 1989, carpal tunnel-syndromes (CTS) were operated on in 903 hands of 746 patients. 147 of these patients (191 hands) were suffering from chronic inflammatory joint diseases. In 11 patients CTS was the first sign of rheumatoid arthritis (R.A.). The hands showed intraoperatively in 44.8% (n = 86/191) an extensive tenosynovitis with an aggressive infiltration. In 19% (n = 36/191), we had to extend the obligate tenosynovectomy on the flexor tendon parts of the fingers and ligaments (28 hands). 21 articulosynovectomies on the wrist or finger joints were performed. In 6 hands (8.0%) tendon ruptures were repaired. A questionnaire was completed for 107 of 147 patients (72.8%) (with 145 operated hands). Clinical (77 hands) and electromyographical examinations (49 hands) were performed an average of 5.1 (0.7-15) years postoperatively. 20 patients (13.6%) died, 20 could not be traced. In 86% (n = 125/145) of the patients we achieved relief of pain and a marked reduction of neurological deficits. 96.3% of the patients were content. The improvement of function of the hand after surgical intervention is of a great benefit for the patient with R. A. The overall risks of the procedure are low (complications 14%; no recidivism). Therefore, we recommend surgery in early stages after a confirmed diagnosis or a reasonable suspicion.

Adult↗

PubMedDate not supplied

[Pigmented villonodular synovitis of the hip. Case report].

A 35-year woman suffering from the tumor of the right groin for 5 years was diagnosed as a diffuse pigmented villonodular synovitis and tenosynovitis following a 7-month follow-up and examinations. Patient was treated with irradiation which produced a subjective improvement but no significant objective response to the treatment was noted.

Adult↗

PubMedDate not supplied

De Quervain's disease: diagnostic imaging.

De Quervain's disease constitutes the most frequently occurring stenotic tenosynovitis. The authors have studied which imaging technique allows for the best representation of anatomopathologic modifications. Ultrasound examination appeared to be the most appropriate and advantageous method as it reveals involvement of the sheaths and tendons in the simplest, most complete, and least expensive manner.

Female↗

PubMed1994

Carpal tunnel syndrome induced by tophaceous deposits on the median nerve: case report.

The symptoms of a 62-year-old man with carpal tunnel syndrome resulting from poorly controlled gout subsided after the transverse carpal ligament was released surgically. At the time of the operation, the tophi were found to deposit on the median nerve rather than the transverse ligament, a situation reported only once before. The absence of gouty tenosynovitis in this patient was supported by the wound healing well without the chalky discharge that patients have had in previous reports.

Allopurinol↗

PubMedDate not supplied

[Epidemics of musculotendinous pathologies of the upper limbs (cumulative trauma disorders) in a group of assembly line workers].

The study was prompted by a report concerning a group of assembly line workers in a factory producing prams who had developed various muscular and tendinous disorders of the upper limbs that can be classified under the larger category of Cumulative Trauma Disorders (CTD). The study first concentrated on the working conditions with analysis of the main factors responsible for overloading of the upper limbs during work. This analysis revealed high frequency and repetitiveness of upper limb movements together with a marked inadequacy of the length and distribution of pauses. In a significant part of the operations the workers also performed movements in positions that over loaded the wrist and hand. A parallel clinical and instrumental study carried out in collaboration with specialists in orthopedics, brain surgery and neurophysiology on all 40 workers in the shop showed that 90% of the subjects suffered from a form of CTD of the upper limbs: in particular, 40% were affected with carpal tunnel syndrome (12.5% bilateral), and there were high prevalence of tenosynovitis (32% Trigger Finger, 17% De Quervain's syndrome) and epicondylitis (20% medial or lateral). The results of the study once again emphasize the need for greater attention of occupational health practitioners in Italy for muscular and tendinous disorders of the upper limbs due to repeated strain, which Italian law defines, albeit controversially, as occupational.

Adult↗

PubMedDate not supplied

Heterophil chemotaxis in chickens with natural Staphylococcal infections.

Heterophil chemotaxis using heterophils isolated from the peripheral blood of five commercial broiler chickens naturally infected with staphylococcal bacteria was compared by the modified Boyden-chamber technique with chemotaxis of heterophils from two chickens from the same flock not infected with Staphylococcus (field controls) and from four healthy laboratory control broiler chickens. The infected chickens had gross and histologic lesions of staphylococcal tenosynovitis and osteomyelitis. Staphylococci were isolated from the lesions. Hematologic parameters and histologic lesions of infected chickens also were examined. Compared with field and laboratory controls, Staphylococcus-infected chickens had heterophilic leukocytosis. The heterophils of Staphylococcus-infected chickens had significantly lower chemotactic activity than both control groups in terms of random movement and directed chemotactic movement in response to stimulus. Toxic changes were observed in heterophils of some of the Staphylococcus-infected broilers.

Animals↗

PubMed1993

Patterns of carpal tunnel syndrome.

Patterns of carpal tunnel syndrome have been presented, each with characteristic history and physical examination findings. Overlap is common; however, a prominent pattern can usually be identified to recommend primary treatment. The cumulative trauma patterns of tenosynovitis and position can be controlled in about two thirds of cases by nonsurgical management. The other major cumulative trauma pattern, vibration, usually requires avoidance, which commonly involves a job change. The lumbrical pattern responds to surgery with special attention to complete distal release of the transverse carpal ligament. External pressure from tool use requires design modification. Anatomic variations due to arthritis, tumors, or trauma are contraindications for the endoscopic techniques.

Carpal Tunnel Syndrome↗

PubMed1995

MR imaging of soft-tissue infection.

MR imaging is the ideal technique to display the soft-tissue abnormalities produced by infectious processes. In general these soft-tissue alterations consist of signal intensity changes that reflect the increased water content of the soft tissues induced by the inflammatory reactions. In some cases these changes are nonspecific, but in others, MR imaging can be quite specific and helpful in detecting the presence and extent of the infection, which generally is suspected clinically on the basis of physical and laboratory findings. The MR manifestations of soft-tissue infection, including septic arthritis, tenosynovitis, bursitis, cellulitis, necrotizing fascitis, soft-tissue abscess, infectious myositis, HIV-related infection, lymphadenitis and lymphangitis, and a few unusual parasitic and fungal infections, are reviewed.

AIDS-Related Opportunistic Infections↗

PubMed1995

[The use of ultrasonic examination for the diagnosis of diseases of the locomotor system in cattle].

Besides the classical orthopedic examination, radiography and centesis of diseased synovial cavities ultrasonography was applied, for the first time, in 18 cattle for the investigation of proximal bovine limb disorders. The clinical and radiographic findings as well as the results of centesis were compared with the sonographic findings. Arthritis, tenosynovitis, bursitis, abscess formation and haematomas especially in proximal limb regions were observed. A 7,5 MHz linear-scan or a 5 MHz sector-scan were used for ultrasonic examination. By means of radiography, 8 out of 14 cattle showed a soft tissue swelling, whereas specific radiographic findings could only be determined in those cases with affection of joints and bones. The sonographic examination produced more information than radiography when only soft tissues and joints were affected. As a complimentary tool to the classical examination of locomotory system disorders in cattle, sonography provided accurate preoperative details of the extent and character of fluid accumulations and soft tissue swellings. It helped to differentiate rapidly and on a non-invasive basis between affected structures and any subtle defects in neighbouring tissues, it enabled a more accurate centesis of evident fluid filled areas of synovial cavities or other swellings, and revealed much more information than often insufficiently depicted on radiographs. Sonography was, therefore, the imaging method of choice to differentiate pathologic involvement of soft tissue structures in bovine limbs.

Abscess↗

PubMed1995

Deep infection of the hand with Mycobacterium avium-intracellulare: two case reports.

Two case reports of deep hand infections with Mycobacterium avium-intracellulare are presented. Both occurred in elderly men. Aggressive surgical débridement combined with antitubercular chemotherapy resulted in an excellent outcome in both cases. Atypical mycobacterial infections should be considered in the differential diagnosis of any patient with prolonged and progressive tenosynovitis. A complete history, including temporally remote inoculation injuries or immunocompromised host status, should be elicited. Acid-fast staining and mycobacterial cultures, including reduced-temperature cultures, must be included in the diagnostic evaluation. Therapy should include immediate and aggressive surgical débridement, as well as appropriate chemotherapy.

Aged↗

PubMed1996

Extensor tendon problems in rheumatoid arthritis.

Extensor tenosynovitis is a common presenting upper extremity problem and, unless it resolves with medical management, preventative tenosynovectomy is indicated to prevent tendon rupture. When a rupture has occurred, tendon reconstruction with either a transfer or a graft has a reasonable chance of restoring function as long as the number of tendons involved is limited. Rupture of a single extensor tendon requires surgical treatment to eliminate the cause and prevent further damage, as well as repairing the injured tendon. It is important to give consideration to associated wrist and MP joint problems before, during, or after treating tendon abnormalities.

Arthritis, Rheumatoid↗

PubMed1996

The role of imaging in the diagnosis of giant cell tumor of the skull base.

An expansile temporal bone lesion above the temporomandibular joint (TMJ) in a 55-year-old woman was initially diagnosed as pigmented villonodular tenosynovitis. Preoperative embolization of the tumor had resulted in excessive tumoral hemorrhagic pigment. The surgical and CT findings suggested that the TMJ was not involved, and a final diagnosis of giant cell tumor was made.

Diagnosis, Differential↗