scholarly journals A study of Radiological changes in Janu Sandhi in Amavata

2020 ◽  
Vol 5 (01) ◽  
Author(s):  
Wasu Isha Pradeep ◽  
Choudhari Vinod Mahadevrao
Keyword(s):  
Soft Tissue ◽  
Knee Joint ◽  
Bone Erosion ◽  
Joint Space ◽  
New Bone Formation ◽  
American College Of Rheumatology ◽  
Space Reduction ◽  
Soft Tissue Swelling ◽  
Progression Of Disease ◽  
Radiological Changes

Aim - To study radiological changes in Janu Sandhi due to Amavata. Objectives - 1) To study about Janu Sandhi and Knee Joint, 2) To study about Amavata and Rheumatoid Arthritis. Observation - The 7 diagnostic criteria according to American College of Rheumatology, epidemiology and genetics, radiological evaluation is one of them, for knee joint - soft tissue swelling, periarticular osteoporosis, joint space reduction, osteophytes, dislocation of joints, secondary eburnation, pseudocytes, periosteal new bone formation, bone erosion is seen. In radiological changes, soft tissue swelling, joint space reduction and osteophytes is found in 80% patients, periarticular osteoporosis is found in almost 90% patient. Conclusion - Female are more prone to radiological changes in knee joint affected by Amavata than male. Also age group of 41-50 yrs are more affected and Vata-Kapha Dehaj Prakruti people has more radiological changes. This is helpful to find out the extent of progression of disease in stages of disease and treatment of disease.

Film-Screen Vs. Digital Radiography in Rheumatoid Arthritis of the Hand

1994 ◽  
Vol 35 (4) ◽  
pp. 311-318 ◽  
Author(s):  
Á. Jónsson ◽  
A. Borg ◽  
P. Hannesson ◽  
K. Herrlin ◽  
K. Jonsson ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Soft Tissue ◽  
Digital Radiography ◽  
Joint Space Narrowing ◽  
Digital Images ◽  
Roc Curves ◽  
Joint Space ◽  
Hard Copy ◽  
Significant Difference ◽  
Soft Tissue Swelling

In a prospective investigation the diagnostic accuracy of film-screen and digital radiography in rheumatoid arthritis of hands was compared. Seventy hands of 36 patients with established rheumatoid arthritis were included in the study. Each of 11 joints in every hand was evaluated regarding the following radiologic parameters: soft tissue swelling, joint space narrowing, erosions and periarticular osteopenia. The digital images were obtained with storage phosphor image plates and evaluated in 2 forms; as digital hard-copy on film and on a monitor of an interactive workstation. The digital images had a resolution of either 3.33 or 5.0 lp/mm. ROC curves were constructed and comparing the area under the curves no significant difference was found between the 3 different imaging forms in either resolution group for soft tissue swelling, joint space narrowing and erosions. The film-screen image evaluation of periarticular osteopenia was significantly better than the digital hard-copy one in the 3.33 lp/mm resolution group, but no significant difference was found in the 5.0 lp/mm group. These results support the view that currently available digital systems are capable of adequate diagnostic performance.

Stress Fractures in Royal Marine Recruits

1970 ◽  
Vol 56 (1) ◽  
pp. 78-91
Author(s):  
J. Bertram
Keyword(s):  
Soft Tissue ◽  
Weight Bearing ◽  
Fracture Site ◽  
Stress Fractures ◽  
Vigorous Activity ◽  
Main Symptom ◽  
Soft Tissue Swelling ◽  
History Of ◽  
Radiological Changes

AbstractThe main features of stress fractures in Royal Marine recruits are that they occur in normal bones, most often those that are weight bearing. There is no history of injury, but there is usually a history of unaccustomed or more vigorous activity for some weeks before onset. The main symptom is pain on use of the affected part and this pain is relieved by rest. Localised tenderness and soft tissue swelling are present at the fracture site when the affected bone is readily palpable. Radiological changes are absent in the first seven to ten days, but become visible within two months, unless treatment starts or stress ceases early.

scholarly journals Usefulness of Ultrasound Imaging in Detecting Psoriatic Arthritis of Fingers and Toes in Patients with Psoriasis

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Clara De simone ◽  
Giacomo Caldarola ◽  
Magda D'Agostino ◽  
Angelo Carbone ◽  
Cristina Guerriero ◽  
...  
Keyword(s):  
Psoriatic Arthritis ◽  
Joint Space Narrowing ◽  
Joint Damage ◽  
Joint Space ◽  
New Bone Formation ◽  
Chronic Plaque Psoriasis ◽  
X Ray ◽  
Dermatology Clinic ◽  
Soft Tissue Swelling ◽  
Psa Progression

Background. Given that clinical evaluation may underestimate the joint damage and that early treatment can slow down psoriatic arthritis (PsA) progression, screening psoriasis patients with imaging tools that can depict early PsA changes would entail clear benefits.Objective. To compare the ability of X-ray and ultrasound (US) examination in detecting morphological abnormalities consistent with early PsA in patients with psoriasis, using rheumatological evaluation as the gold standard for diagnosis.Methods. Patients with chronic plaque psoriasis and no previous PsA diagnosis attending our outpatient dermatology clinic and reporting finger/toe joint and/or tendon pain underwent X-ray and US evaluation; they were subsequently referred to a rheumatologist for clinical examination and review of imaging findings.Results. Abnormal US and/or X-ray findings involving at least one finger and/or toe (joints and/or tendons) were seen in 36/52 patients: 11 had one or more X-ray abnormalities, including erosion, joint space narrowing, new bone formation, periarticular soft tissue swelling, and periarticular osteoporosis; 36 had suspicious changes on US.Conclusion. US proved valuable in detecting joint and/or tendon abnormalities in the fingers and toes of patients with suspicious changes. The dermatologist should consider US to obtain an accurate assessment of suspicious findings.

scholarly journals POS0126 EARLY STAGE HAND OSTEOARTHRITIS IN PATIENTS WITH THE EHLERS-DANLOS SYNDROME: AN EXPLORATIVE STUDY

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 275.1-275
Author(s):  
L. Rombaut ◽  
K. De Baere ◽  
E. Debacker ◽  
L. Decavele ◽  
F. Malfait ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Clinical Features ◽  
Joint Space Narrowing ◽  
Early Stage ◽  
Hand Function ◽  
Joint Space ◽  
Joint Hypermobility ◽  
Finger Joints ◽  
Explorative Study ◽  
Soft Tissue Swelling

Background:The Ehlers-Danlos Syndromes (EDS) are a group of rare heritable connective tissue disorders caused by various defects in the biosynthesis or secretion of fibrillar collagens. The three main clinical features of EDS are joint hypermobility, skin fragility and general soft tissue fragility. 13 clinical subtypes of EDS are recognized, of which the hypermobile type (hEDS) and classical type (cEDS) are the most prevalent. It has been hypothesized that the (micro-)trauma in the joint due to typical subluxations and dislocations, make EDS patients prone to developing osteoarthritis (OA) in early stage. Conversely, it has been mentioned that joint hypermobility provides a larger joint surface area and prevents OA. Abnormal biomechanical loading has been identified as a risk factor for the development of OA in the wrist and hand. However, no studies have yet been performed in EDS patients.Objectives:The primary aim was to investigate the presence of any degenerative features for hand OA, and if this differs between cEDS and hEDS patients. The second aim was to evaluate hand function and pain related to OA signs in EDS patients.Methods:cEDS and hEDS patients between 35 and 50 years old were invited to participate. cEDS diagnosis was genetically confirmed and hEDS diagnosis was performed according the clinical 2017 hEDS criteria. Exclusion criteria were a body mass index ≥35, not being able to stand straight up for five minutes, suffering from an auto-immune disease or rheumatological condition, or pregnancy. Conventional X-rays of both hands were performed and scored independently by three assessors according to Kallman1. Presence of osteophytes (0-3), joint space narrowing (0-3), malalignment (>15°)(0/1), erosions (0/1), subchondral sclerosis (0/1), and subchondral cysts (0/1) were scored in all interphalangeal (distal and proximal), metacarpophalangeal and thumb base joints of both hands1. We defined early hand OA as minimally three features (≥1) were present. Several clinical assessments were made, e.g. tenderness, bony swelling and soft tissue swelling. The Michigan Hand Outcomes Questionnaire (MHOQ) and Australian/Canadian Osteoarthritis Hand Index (AUSCAN) questionnaires were completed.Results:In total, 31 patients (mean age 41 ± 5.6 years, 13 men and 18 women) diagnosed with EDS participated, of whom 19 with cEDS and with 12 hEDS. In total, 927 joints were assessed. Level of agreement of radiographic assessments was very high (>98%). Early hand OA was found in more than 40% of the EDS patients, with a significant higher frequency in cEDS patients compared to hEDS patients (58% vs. 17%) (p=0.032). Joint space narrowing was most frequently present and significantly more in the cEDS patients compared to hEDS patients (79% vs. 21%) (p=0.003). However, radiographic changes were found in only 10% of all finger joints. Of all fingers, thumb joints were most affected. Regarding the clinical features of hand OA, all patients showed deformity in one or more finger joints, most frequently at the thumb, especially the IP joint (both hyperflexion and hyperextension). Tenderness and bony swelling was present in 36% and 45% of all patients, respectively, whereas soft tissue swelling was less frequently observed (10% of all patients). Here, no significant differences were found between cEDS and hEDS patients. Moderate disability was present (mean (SD) AUSCAN= 45.47 (27.10) and MHQ = 65.97 (14.21). cEDS showed significant less hand pain (p=0.03), a better hand function (p=0.03) and less disability (p=0.026) than hEDS.Conclusion:This explorative study demonstrates that a high number of EDS patients present with minimal degenerative features of hand OA, but in a minority of joints. Patients with cEDS were significantly more affected, but showed a better function compared to hEDS. Possibly, cEDS patients are more susceptible to develop hand OA.References:[1]Altman R, Gold G. Atlas of individual radiographic features in osteoarthritis, revised. OARSI. 2007;15:A1-A56.Disclosure of Interests:None declared

Lipoma arborescens – Uncommon Diagnosis for Joint Swelling: Case Report and Review of the Literature

2019 ◽  
Vol 158 (06) ◽  
pp. 618-624
Author(s):  
Ralf Theermann ◽  
Malte Ohlmeier ◽  
Carl Heinz Hartwig ◽  
Matthias Wolff ◽  
Veit Krenn ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Knee Joint ◽  
Spindle Cell ◽  
Differential Diagnoses ◽  
Tumour Resection ◽  
Fish Analysis ◽  
Lipoma Arborescens ◽  
Spindle Cell Lipoma ◽  
Soft Tissue Swelling

Abstract Introduction Soft tissue swelling of the knee joint can be caused by many diseases. Lipomas are one of the most reasonable differential diagnoses we have to consider. Therefore, we now present the uncommon case of a Lipoma arborescens (LA) and differentiate it from a quite similar manifesting spindle cell lipoma as follows. Case Report A 49-years old patient reports about progressive knee pain for four years and observes an increasing joint swelling. This swelling is a soft tissue, shiftable tumour, not painful. The magnetic resonance imaging (MRI) with contrast agent brings the diagnosis of an advanced osteoarthritis of the knee joint and classifies the tumour as LA. Subsequently, we treat the osteoarthritis by implanting a total knee arthroplasty with simultaneous intraoperative tumour resection performed as total synovectomy. The histopathological processing confirms the clinically and radiologically made diagnosis of LA. Summary Lipoma arborescens presents an uncommon subgroup of Lipomas, which is characterized by a slowly progressive increasing soft tissue swelling, especially around bigger human joints. Due to its intraarticular location, the LA might become clinically relevant when it reaches a certain tumour size. Looking at the diagnostics, sonography, MRI and especially the histopathological processing give the crucial results. Final proof can only be made by histopathological examination. Additionally, we have some differential diagnoses to exclude. Under these we predominantly find the spindle cell lipoma, synovial haemagioma, vascular synovial malformations and tenosynovial giant-cell tumour. Furthermore, an atypical lipomatous tumour should be excluded by FISH-analysis via determining the MDM2-Genamplification.

scholarly journals Study on the pattern of radiological changes in osteoarthritis of knee joint

2014 ◽  
Vol 42 (1) ◽  
pp. 14-17
Author(s):  
SM Ahmed ◽  
MA Rahman ◽  
MT Islam ◽  
MR Khasru ◽  
MA Islam
Keyword(s):  
Articular Cartilage ◽  
Knee Joint ◽  
Joint Space Narrowing ◽  
Joint Space ◽  
Radiographic Examination ◽  
Age Group ◽  
Physical Medicine ◽  
Medial Condyle ◽  
Radiological Changes ◽  
Male Patients

Knee osteoarthritis (OA) is one of the frequent and functionally impairing disorders of the musculoskeletal system and characterized by an imbalance between the synthesis and degradation of the articular cartilage. The present study was conducted on the pattern of radiological changes in OA of knee joint patients attending in the department of Physical Medicine & Rehabilitation of Bangabandhu Sheikh Mujib Medical University. Structural changes of articular cartilage were assessed by the sequence of changes in the knee joint manifested as sclerosis, osteophytes formation, and joint space narrowing and joint space erosion by a radiographic examination. Osteophytes were more common in medial condyle in 46-61 age group (73.68%) and male patients of some age group showed higher rate of development of osteophytes in intercondylar area. Narrowing of joint space were more in medial tibiofemoral compartment (59.82%) in the 46-61 age group (70.98%), where as erosion was found higher in medial tibiofemoral compartment (70%) and more in male patients (36%). The findings of this study as revealed by the standard radiographic imaging of formation of osteophytes, joint space narrowing and joint space erosion lead to the recommendation that the problem is increasing with age. However, more studies are required for the purpose specifying medical treatment using appropriate appliances under close supervision of a physical medicine specialist. DOI: http://dx.doi.org/10.3329/bmj.v42i1.18972 Bangladesh Med J. 2013 Jan; 42 (1): 14-17

scholarly journals Method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing

Open Medicine ◽  
2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Si Yulou ◽  
Xue Yanqin ◽  
Xing Yongjun
Keyword(s):  
Total Knee Arthroplasty ◽  
Soft Tissue ◽  
Knee Joint ◽  
Knee Arthroplasty ◽  
Joint Space ◽  
Flexion Contracture ◽  
Soft Tissue Release ◽  
Joint Motion ◽  
Total Knee ◽  
Better Than

AbstractTo discuss the method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing. Clinical data of 80 patients from October 2013 to December 2014 was selected with a retrospective method. All patients have undergone total knee arthroplasty. Then the X-rays plain film in weight loading was measured before and after operation and osteotomy was performed accurately according to the knee joint scores and the conditions of lower limb alignments. The average angle of tibial plateau osteotomy of postoperative patients was 4.3°, and the corrective angle of soft tissue balancing was 10.7°; the postoperative patients’ indicies including range of joint motion, knee joint HSS score, angle between articular surfaces, tibial angle, femoral-tibial angle and flexion contracture were distinctly better than the preoperative indicies (p<0.05) and the differences were statistically significant; the postoperative patients’ flexion contracture and range of joint motion were distinctly better than the preoperative indicies (p<0.05) and the differences were statistically significant. The effective release of the soft tissue of the posterior joint capsule under direct vision can avoid excess osteotomy and get satisfactory knee replacement space without influencing the patients’ joint recovery.

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