Frozen shoulder ; Shoulder ; Joints

No abstract available.
Bursitis*

No abstract available.
Bursitis*

No abstract available.
Bursitis* ; Shoulder*

Adhesive capsulitis was described initially as periarthritis, and then frozen shoulder. Adhesive capsulitis of the shoulder is an insidious, painful condition that results in a gradual restriction of movements. Adhesive capsulitis can be classified into primary or secondary. Primary adhesive capsulitis is an insidious condition, whereas secondary adhesive capsulitis is associated with a known pathology. The pathogenesis remains unclear. Gross pathological changes include thickening and constriction of the capsule, especially anterioinferiorly with a very little amount of synovial fluid in the joint space. Many patients continue to have a significant long-term restriction in their range of motion, although few are functionally restricted. Classically adhesive capsulitis is divided into three phases : the painful phase, the stiff phase, and the resolution phase. The diagnosis of adhesive capsulitis is based on a thorough history taking and physical examination. Radiographs of the shoulder are usually negative. An arthrogram may show a decrease in the intraarticular volume and an absence of the axillary recess. The final confirmation of the diagnosis is made by an experience of relief of pain following an intra-articular anesthetic. Prevention is the ideal treatment. The goals of treatment are to relieve pain, to restore motion, and to restore function. Treatment modalities include anti-inflammatory medications, physical therapy including therapeutic exercise, corticosteroid injection, suprascapular nerve block, capsular distension, manipulation under anesthesia, and arthroscopic capsular release. It is necessary to refine the selection of treatment for individual patients according to the phase of the disease.
Anesthesia ; Bursitis* ; Constriction ; Diagnosis* ; Humans ; Joint Capsule Release ; Joints ; Nerve Block ; Pathology ; Periarthritis ; Physical Examination ; Range of Motion, Articular ; Rehabilitation* ; Shoulder* ; Synovial Fluid

Prepatellar bursitis usually arise from repetitive stimulation, trauma, inflammatory disease, infection and so on. Although prepatellar bursitis is common, there has been no reported case that caused by Aspergillosis. A chronic prepatellar bursitis case was referred to us after management with conventional methods for a long time. We managed this case with surgical excision and biopsy revealed that the bursitis was caused by Aspergillosis. It is thought that when a prepatellar bursitis does not respond to treatments, fungal infection such as Aspergillosis should be suspected.
Aspergillosis* ; Biopsy ; Bursitis*

PURPOSE: This study was to identify the effectiveness of high-intensity laser therapy on pain and function of a frozen shoulder. METHODS: Thirty patients were assigned to two groups: the experimental group (n=15) and the control group (n=15). Both groups received traditional therapy for 4 weeks, 3 days a week. The experimental group, however, received an additional high intensity laser therapy. Pain was measured using the visual analogue scale (VAS). The functional ability was measured using the patient specific functional scale (PSFS). A paired t-test was used to determine any differences before and after the treatment, and an independent t-test was used to determine any differences between treatment groups. RESULTS: Both groups showed a statistically significant difference for VAS and PSFS score (p<0.05). In comparison between two groups, more experimental group than control group statistically significant difference (p<0.05). CONCLUSION: There seems to be a positive effect on pain and function of frozen shoulder from using high intensity laser therapy.
Bursitis* ; Humans ; Laser Therapy*

PURPOSE: To evaluate, if possible, the radiographic features of tuberculous osteitis in the greater trochanter and ischium, and to determine the cause of the lesions. MATERIALS AND METHODS: We retrospectively reviewed the plain radiographic findings of 14 ptients with histologically proven tuberculous osteitis involvingthe greater trochanter and ischium. In each case, the following were analyzed : morphology of bone destruction, including cortical erosion; periosteal reaction ; presence or abscence of calcific shadows in adjacent softtissue. On the basis of an analysis of radiographic features and correlation of the anatomy with adjacent structures we attempted to determine causes. RESULTS: Of the 14 cases evaluated, 12 showed varrious degrees of extrinsic erosion on the outer cortical bone of the greater trochanter and ischium ; in two cases, bone destruction was so severe that the radiographic features of advanced perforated osteomyelitis were simulated. Inaddition to findings of bone destruction, in these twelve cases, the presence of sequestrum or calcific shadows was seen in adjacent soft tissue. CONCLUSION: Tuberculous osteitis in the greater trochanter and ischium showed the characteristic findings of chronic extrinsic erosion. On the basis of these findings we can suggest that the selesions result from an extrinsic pathophysiologic cause such as adjacent bursitis.
Bursitis ; Femur* ; Ischium* ; Osteitis* ; Osteomyelitis

PURPOSE: The objective of this study was to evaluate the findings of ultrasonography (US) in patients withis-chial bursitis. MATERIALS AND METHODS: Our study included 27 patients (mean age 62 years) who underwent US fora painful mass or tenderness in the buttock area. In six of these 27, serous fluid was obtained by needleaspiration, and in five cases, bursal excision permitted histologic confirmation. The other sixteen patients werefollowed up for one or two months with only NSAID medication; all showed some improvement or remission of symptoms. Using a 5-10 MHz linear array probe, US examination was performed while the patient was lying facedown. US images were analyzed with regard to location and size of the lesions, thickness of cyst wall, thepres-ence of internal septa or mural nodules, echogenicity of the cyst wall, fluid content, internal septa,compressibility by a probe, and Doppler signals within the cyst wall. RESULTS: In all 27 patients, ischialbursitis was located superficially to ischial tuberosity. Lesion size(maximum diameter) was 1.5-7(mean 3.8)cm, andthe cyst wall was 0.2-0.8cm thick. Internal septa and mural nodules were seen in 12 cases (44%) and 13 cases(48%), respectively. The cyst wall was identifiable in 21 cases (78%), appearing as a single layer with lowechogenicity (n=10) or with high echogenicity (n=1); it also appeared as two (n=6) or three (n=4) layers ofdifferent echogenicities. When internal septa were present, fluid within the cyst was low echoic in 59% of cases,high echoic in 30%, and of mixed echogenicity (so-called compartmentalization) in 15%. In all cases, the cystbecame deformed, when compressed by a probe. In all patients who underwent doppler examination, some vascularitywas found within the cyst wall. CONCLUSION: US helped to detect ischial bursitis; US findings were thin-walled cystic lesion located superficially to ischial tuberosity, with or without internal septa and mural nodules, andeasy compressibility.
Bursitis* ; Buttocks ; Deception ; Humans ; Ultrasonography

OBJECTIVE: In treating patients with frozen shoulder, posterior and anterior approach glenohumeral injections are well known methods. But the accuracy of the above injection methods is low. In this study, we introduce the superior approach glenohumeral injection method and evaluate its success rate. METHOD: Twenty six patients who were clinically diagnosed with frozen shoulder were enrolled. Patients received a superior approach glenohumeral injection of 1 cc radiographic contrast (Urografin(R), Schering, Germany). The success of superior approach was determined by radiography study of the shoulder joint taken after the injection. RESULTS: 24 of the 26 procedures (92.3%) were judged to be accurately placed by the radiography study and there was no significant complication after the superior approach intrarticular injection. CONCLUSION: Superior approach glenohumeral injection in frozen shoulder showed the high success rate. We consider this superior approach as a very effective method. If the study for the interrater reliability is added, the superior approach will be considered to be a useful approach.
Bursitis* ; Humans ; Radiography ; Shoulder Joint