• Title/Summary/Keyword: 점액낭염

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Effects of Prolotherapy on Medial Collateral Ligament Bursitis of the Knee Joint Identified with High Resolution Ultrasound (고해상도 초음파로 추시된 슬관절 내측측부인대 점액낭염에 대한 증식치료의 효과)

  • Kim, Eung-Rok
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.5
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    • pp.469-473
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    • 2019
  • Medial knee joint pain is a common problem in the field of orthopedics. In these patients, a high resolution ultrasound examination can reveal medial collateral ligament (MCL) bursitis, meniscal cyst, degeneration changes to the MCL and meniscal protrusion etc. Prolotherapy is effective in these patients. The author performed prolotherapy for MCL bursitis of the knee joint, and confirmed the disappearance of the bursitis using high resolution ultrasound.

Surgical Treatment of Multiple Rice Bodies in Chronic Subacromial and Subdeltoid Bursitis: A Case Report (만성 견봉하 및 삼각근하 점액낭염에 발생한 다발성 쌀소체의 수술적 치료: 증례 보고)

  • Kim, Do-Young;Hwang, Jung-Taek;Lee, Sang-Soo;Seo, Eun-Min;Jo, Yoon-Geol
    • The Journal of the Korean bone and joint tumor society
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    • v.19 no.2
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    • pp.69-73
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    • 2013
  • Multiple rice body formation is a complication of chronic bursitis frequently associated with seronegative rheumatoid arthritis or tuberculosis. It resembles synovial chondromatosis on imaging and clinically. We report on a pathologically diagnosed multiple rice body formation in subacromial and subdeltoid bursitis in a 44-year-old man who was treated by surgical removal and bursectomy. At 16 months after the removal, range of motion of affected shoulder was normal. No evidence of recurrence of rice body in plain X-ray and ultrasonography. Multiple rice body formed in chronic subacromial and subdeltoid bursitis could be treated with surgical removal and bursectomy successfully.

Tuberculous Subdeltoid Bursitis - A Case Report - (결핵성 삼각근하 점액낭염 - 증례 보고 -)

  • Lee, Woo-Seung;Yoon, Jung-Ro;Kang, Kyu-Bok;Yang, Jae-Hyuk;Lim, Hyung-Tae
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.1
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    • pp.45-48
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    • 2010
  • We report a case of an 85-year-old woman with tuberculous subdeltoid bursitis. Tubeculous bursitis without adjacent joint tuberculosis may occur any site but it is rare. It is common in bursae subjected to trauma like trochanteric, prepatellar, olecranon and so on. Because the clinical findings or physical examination of tuberculous subdeltoid bursitis are similar to rotator cuff disorder and the MRI or arthroscopic findings are similar to synovial diseases, careful differential diagnosis is necessary.

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Ultrasonographic Finding of Acetabular Labral Tear Accompanied with Iliopsoas Bursitis: 2 Cases Report (장요 점액낭염과 동반된 비구순 파열의 초음파 소견: 2예 보고)

  • Lee, Kyung-Jae;Min, Byung-Woo;Cho, Chul-Hyun;Park, Jin-Hyun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.4 no.2
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    • pp.97-100
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    • 2011
  • The iliopsoas bursa lies between the iliopsoas tendon and the anterior hip joint capsule and is difficult to detect by ultrasonography in normal setting. However, some of them communicated with the hip joint and the iliopsoas bursitis can be detected as a reflection of intra-articular pathology. We report two cases of acetabular labral tear accompanied with the iliopsoas bursitis detected by ultrasonography.

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Arthroscopic Resection of Prepatellar Bursitis (슬개골전 점액낭염의 관절경적 절제술)

  • Chae In-Jung;Han Seung-Beom;Lee Byung-Taek
    • Journal of the Korean Arthroscopy Society
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    • v.4 no.1
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    • pp.38-41
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    • 2000
  • Purpose : We report a result of arthroscopic resection after inner-wall staining for treatment of prepatellar bursitis which was not treated conservatively. Materials and Methods : Between January 1996 and October 1998, We treated arthroscopically 11 patients with prepatellar bursitis. Arthroscopic resection was performed with shaver after inner-wall staining using Methylene Blue and then placed continuous suction drainage and compressive dressing. Results : All patients had no tender scars and were able to walk immediately after procedure. We found one case of late infection during follow-up. Conclusion : Arthroscopic bursectomy minimizes the complication of open bursectomy such as pain or large scar. Skin perforation would be prevented by inner-wall staining.

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Bursoscopic Finding in Primary Adhesive Capsulitis of the Shoulder (견관절 일차성 유착성 관절낭염 환자의 견봉하 관절경 소견)

  • Nam, Ki-Young;Moon, Young-Lae;Kim, Dong-Hui
    • Clinics in Shoulder and Elbow
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    • v.11 no.1
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    • pp.19-23
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    • 2008
  • Purpose: To evaluate the bursoscopic findings of refractory primary adhesive capsulitis of the shoulder and to determine the clinical correlation. Materials and Methods: Arthroscopic capsular release was performed in 21 refractory adhesive capsulitis patients who had not responded to conservative treatment. The VAS for pain, range of motion, UCLA score was checked before and after surgery, and at the last follow up. Results: Bursitis, mild friction and impingement on coracoacromial ligament, as well as adhesion were observed. The function and pain improved earlier than after simple acromiohumeral joint capsular release. Conclusion: Subacromial bursoscopy helps rule out a hidden secondary frozen shoulder or secondary changes with primary adhesion. In addition, it has the advantage of being both a treatment and procedure for making a prognosis.

Arthroscopic Treatment of Recurrent Prepatellar Bursitis (관절경을 이용한 재발성 슬개골전 점액낭염의 치료)

  • Kyung Hee-Soo;Kim Hee-Soo;Hwang Jun-Kyung;Ihn Joo-Chul
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.183-187
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    • 2002
  • Purpose : We report a result of arthroscopic treatment of the recurrent prepatellar bursitis. Materials and Methods : Between March 2001 and May 2002, we treated 4 patients with prepatellar bursitis, the average follow-up period was 14.5 months. The causes were acute trauma 3 cases and repeated minor trauma 1 case. All cases were recurred after previous history of the conservative therapy at other hospital but one was a recurred case after operative excision. Operative technique was as follows. Before inserting the arthroscope, the bursa was inflated with saline. The portals fur 4 mm diameter arthroscope were placed 1cm away from the bursal sac through small skin incision. Superficial layer of the bursa was resected first and then deep portion was the next. Several percutaneous mattress sutures were applied to the overlying skin with deep tissue, and compressive dressing was applied and maintained for 2 weeks. Results : All 4 cases were no recurrence, no pain, no tenderness. The results were considered satisfactory, Two cases of mild skin dimpling at suture site were observed. Conclusion : Arthroscopic treatment of the prepatellar bursitis is an another method of operation technique fur recurrent prepatellar bursitis, however long term follow-up will be needed about recurrence.

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Multiple Rice Bodies in Subacromial Space - A Case Report - (견봉하 공간의 다발성 미립체 - 증례 보고 -)

  • Min, Kyoung-Dae;Ryu, Ki-Hoon;Lee, Jae-Sang;Lee, Byung-Ill
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.232-235
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    • 2007
  • Multiple rice bodies are a rare disorder that is most commonly observed in chronic rheumatoid arthritis patients and as a complication of chronic inflammation in the bursa. However, it can occur in the absence of an underlying systemic disorder. Although it resembles synovial chondromatosis clinically and on imaging, the condition can be discriminated by an analysis of the radiographic and MR appearances. We encountered a case of multiple rice body formation with subacromial bursitis on the shoulder of a 37-year old man suffering from pain and motion limitation. The patient was treated by arthroscopic removal of the multiple rice bodies and a subacromial bursectomy. We present this case with a review of the relevant literature.

Ultrasound-Guided Proliferative and Local Steroid Injection for Subacromial Bursitis (견봉하 점액낭염에서 초음파 하 증식과 국소 스테로이드 병합 주사 요법)

  • Nam, Ki Young;Moon, Young Lae
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.6-9
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    • 2008
  • Purpose: To investigate the effectiveness of injection therapy in the treatment of subacromial bursitis. Materials and Methods: A total of 38 patients with sonographic confirmation of subacromial bursitis were recruited into this study. The shoulder abduction range of motion and visual analog scale (VAS) were compared before injections and 3 wks after the completion of injections. Results: The shoulder range of abduction before injection was $77.89{\pm}14.17$ degrees and improved to $148.68{\pm}13.39$ degrees 3 wks after the injection treatments (P<0.05). VAS before injection was $6.8{\pm}1.4$ and improved to $1.4{\pm}0.8$ 3 wks after the injection treatments (P<0.05). Conclusions: Ultrasound may be used as an adjuvant tool in guiding the needle accurately into the inflamed subacromial bursa. The ultrasound-guided injection technique can result in significant improvement in shoulder abduction range of motion in treating patients with subacromial bursitis.

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The Effect of Indwelling Silk Suture Material Following Aspiration in the Treatment of Chronic Prepatellar Bursitis (흡인 후 견 봉합사 거치를 통한 만성 슬개골전 점액낭염의 치료)

  • Lee, Bong-Jin;Lee, Sung-Rak;Kim, Chung-Hyun;Kim, Seong-Tae
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.4 no.1
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    • pp.55-59
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    • 2005
  • Purpose: To evaluate the drainage effect of silk suture material following aspiration of the bursa as an early treatment of chronic prepatellar bursitis. Materials and Methods: Twelve cases, which have over two weeks of history and over one year of follow-up, were investigated. The average duration of follow-up was 18.3 months. The average symptom duration before introduction into this study was 2.2 months. With an aseptic technique, the aspiration of the bursa was done with spinal needle or injection needle and syringe and then the insertion of silk suture material through the aspiration needle was performed. Over one year follow-up, recurrence, infection, pain, and limitation of range of motion were investigated by telephone interview. Results: Redness around the insertion site of silk suture material was found in all cases, but there was no development of active infection in eleven cases. At five days after procedure, a supprative infection was developed in one case. The results were considered satisfactory in 92% of cases and the average duration of treatment is 14.5 days. Conclusion: The drainage with silk suture material following aspiration of the bursa is effective and less invasive method in the early treatment of chronic prepatellar bursitis.

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