scholarly journals Ultrasound Diagnosed Disorders of Subacromial Shoulder Pain Patients: A Retrospective Study at a Tertiary Care Rural Hospital, Mewat, Haryana

2021 ◽  
Author(s):  
Depinder Kaur ◽  
Harnam Madan ◽  
Surendra Kumar ◽  
Saurabh Anand ◽  
Manjeet Dhanda
Keyword(s):  
Shoulder Pain ◽  
Soft Tissues ◽  
Low Cost ◽  
Tertiary Care ◽  
Diagnostic Ultrasound ◽  
Joint Involvement ◽  
Diagnostic Modality ◽  
Joint Pathology ◽  
Pain Patients ◽  
Underlying Pathology

Introduction: Shoulder pain is leading cause of disability and pain among musculoskeletal pain patients. Ultrasound is coming in a bigger way for diagnosis and management of subacromial pain due to its low cost, easy availability and accuracy in detecting soft tissues pathologies and for planning further treatment. Aim: To assess the role of diagnostic Ultrasound (US) in subacromial shoulder pathologies evaluation in shoulder pain patients. Materials and Methods: This was a retrospective observational study conducted on 98 patients who presented with subacromial shoulder pain. Diagnostic ultrasound examination was done and patients were categorised based upon underlying pathology and analysed in terms of frequency. Results: Most common ultrasound findings in subacromial shoulder pain patients were subacromial bursopathy 46 (46.93%) followed by Rotator cuff pathology including tear 38 (38.77%), mixed pathology 9 (9.18%) and Acromioclavicular (AC) joint pathology 5 (5.10%). Isolated biceps pathology was not seen in our study rather biceps pathology along with other tendon and joint involvement was observed. Conclusion: The findings in the present study imply that diagnostic ultrasound of shoulder pain patients helps to stratify them into different categories for better understanding of underlying pathology and targeted treatment approach. Ultrasound shall be used as an outpatient primary diagnostic modality for evaluation of subacromial shoulder pain patients.

scholarly journals Normal Ultrasonographic Parameters of the Posterior Tibial, Peroneal, and Achilles Tendons

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0001
Author(s):  
Christopher Chu ◽  
J. Benjamin Jackson ◽  
Kevin Williams
Keyword(s):  
Ionizing Radiation ◽  
Soft Tissues ◽  
Low Cost ◽  
Achilles Tendinopathy ◽  
Posterior Tibial Tendon ◽  
Foot And Ankle ◽  
Diagnostic Modality ◽  
Color Flow ◽  
Posterior Tibial ◽  
Peroneus Brevis

Category: Ankle, Hindfoot, Imaging- Ultrasound Introduction/Purpose: Tendinopathy of the foot and ankle is common and can progress to become incapacitating. The most frequently affected tendons in the foot and ankle are the posterior tibial, peroneal, and Achilles. Studies have found a lifetime incidence of 5.9% in sedentary people and as high as 52% in athletes for Achilles tendinopathy. Previous studies demonstrated that ultrasound (US) of the soft tissues of the foot and ankle is a highly effective tool that can evaluate nearly every anatomical structure. Its lack of ionizing radiation, low cost, and painless nature make it a viable tool for foot and ankle evaluation. We sought to utilize US to determine normal values for the Achilles, peroneal, and posterior tibial tendons in patients presenting to the foot and ankle clinic. Methods: Patients were evaluated prospectively via a standardized US examination protocol from 2015-2016. Subjects who agreed to participate received a bilateral lower extremity ultrasound performed by a musculoskeletal ultrasonographer of the posterior tibial, peroneus longus, peroneus brevis, and Achilles tendons. Images were obtained in both the transverse and longitudinal axes above and below the malleoli and saved for analysis and measurement calculations. When indicated, color flow Doppler was utilized to assess for hyperemia and recorded. The imaging for each tendon was acquired with the patients in standardized positions on the examining table. Results: A total of 200 patients with 400 extremities were identified, consented, and participated in the study. Measurements for each patient were recorded above and below the malleoli for each tendon. Most tendons demonstrated a normal distribution as illustrated in the representative Figure 1 of the peroneus brevis above the lateral malleolus. Values and distributions curves were similarly calculated for each tendon at each point of measurement. Patients with suspected tendinopathy frequently had an increase of two standard deviations above the mean. Conclusion: This is the largest studies to characterize the measurements of the posterior tibial tendon, Achilles, and peroneal tendons in patients that present to a foot and ankle clinic. This baseline data can assist clinicians in their diagnostic ability with US. Given its low cost, lack of ionizing radiation and dynamic ability along with an improved understanding of normative data it will likely become an increasingly utilized diagnostic modality.

EVALUATION OF THE EFFECTIVENESS OF NECK SHOULDER PAIN TREAMENT BY ACUPUNCTURE, MASSAGE AND TRADITIONAL MEDICINE REMEDY

2013 ◽  
pp. 110-117
Author(s):  
Thi Tan Nguyen
Keyword(s):  
Traditional Medicine ◽  
Shoulder Pain ◽  
Research Methodology ◽  
Pain Treatment ◽  
Central Hospital ◽  
Treatment Results ◽  
Good Account ◽  
Before And After ◽  
The City ◽  
Pain Patients

Objectives: To assess the effectiveness neck shoulder pain treatment by acupuncture, massage and traditional medicine remedy. Materials and Methods: 42 patients included in the inpatient and outpatient at the Department of Traditional Medicine, Hue Central Hospital and Traditional Medicine Hospital of Thua Thien Hue, was diagnosed as neck shoulder pain. Patients were treated with acupuncture, massage and medicine, according to the research methodology, assessing the results before and after treatment. Results: The age accounted for the highest proportion of 31-45 (42.49%), the second is between the ages of 46-60 (26.18%) and> 60 (26.18%). Incidence in the city (66.67%) than rural (33.33%) (p <0:05). Patients presented with neck shoulder pain (100%), together with the head pain, pain in the shoulder, arm numbness, movement restrictions tilted head bowed. Conclusion: good variety and accounted for 71.42% of which are quite good account of 14.28%, only 2.38% is poor. Results of good, high aged 31-45 (35.72%) and in patients with a course of treatment (66.66%). Key words: neck shoulder pain, acupuncture, massage, traditional medicine remedy.

scholarly journals Imaging of Joint and Soft Tissue Involvement in Systemic Lupus Erythematosus

2021 ◽  
Vol 23 (9) ◽  
Author(s):  
Andrea Di Matteo ◽  
Gianluca Smerilli ◽  
Edoardo Cipolletta ◽  
Fausto Salaffi ◽  
Rossella De Angelis ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Soft Tissue ◽  
Lupus Erythematosus ◽  
Structural Damage ◽  
Structural Changes ◽  
Soft Tissues ◽  
Imaging Techniques ◽  
Joint Involvement ◽  
Systemic Lupus ◽  
Muscle Involvement

Abstract Purpose of Review To highlight the potential uses and applications of imaging in the assessment of the most common and relevant musculoskeletal (MSK) manifestations in systemic lupus erythematosus (SLE). Recent Findings Ultrasound (US) and magnetic resonance imaging (MRI) are accurate and sensitive in the assessment of inflammation and structural damage at the joint and soft tissue structures in patients with SLE. The US is particularly helpful for the detection of joint and/or tendon inflammation in patients with arthralgia but without clinical synovitis, and for the early identification of bone erosions. MRI plays a key role in the early diagnosis of osteonecrosis and in the assessment of muscle involvement (i.e., myositis and myopathy). Conventional radiography (CR) remains the traditional gold standard for the evaluation of structural damage in patients with joint involvement, and for the study of bone pathology. The diagnostic value of CR is affected by the poor sensitivity in demonstrating early structural changes at joint and soft tissue level. Computed tomography allows a detailed evaluation of bone damage. However, the inability to distinguish different soft tissues and the need for ionizing radiation limit its use to selected clinical circumstances. Nuclear imaging techniques are valuable resources in patients with suspected bone infection (i.e., osteomyelitis), especially when MRI is contraindicated. Finally, dual energy X-ray absorptiometry represents the imaging mainstay for the assessment and monitoring of bone status in patients with or at-risk of osteoporosis. Summary Imaging provides relevant and valuable information in the assessment of MSK involvement in SLE.

The Role of Dynamic Ultrasound in the Assessment of the Pathological Changes of Acromioclavicular and Sternoclavicular Joints

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Zeinab Yousif Ishag Abdelhafiz ◽  
Khalid Ahmed Mohammed Ali ◽  
Safaa Kamal Mohammed Badraldeen
Keyword(s):  
Shoulder Pain ◽  
Dynamic Assessment ◽  
Cost Comparison ◽  
University Hospital ◽  
Patient Comfort ◽  
Radiology Department ◽  
Control Group ◽  
Diagnostic Modality ◽  
Presenting Symptoms ◽  
Dynamic Ultrasound

Abstract Background Sonography is a useful imaging tool for the examination of musculoskeletal pathology. There are many advantages to this technique, including easy accessibility, low cost, comparison with the asymptomatic limb, and patient comfort. Unlike other available modalities, dynamic assessment is readily performed using sonography. Furthermore, the use of Doppler technique allows assessment of vascularity, inflammation, and anatomical relationships of the structure in question to adjacent vessels. Aim of Study This study investigates the value of dynamic ultrasound in the evaluation of AC and SC joints abnormality in comparison with the asymptomatic limb. Patients & Methods This prospective study included fifty cases, thirty patients were clinically positive for shoulder pain. Twenty healthy persons examined as control group. The patients were referred from Rheumatology and Immunology Department of Ain Shams University.US evaluation was performed at the Radiology Department of Ain –Shams University Hospital in period from January to June2018, to characterizing the AC and SC joints, their pathogenesis and sequelae. Dynamic US examination was also performed in all the cases. Results This study included 30 patients. The most common presenting symptoms in the primary care were shoulder pain which present in all 30 patients. Appropriate history and physical examination coupled with correct radiographs usually lead to an accurate diagnosis, we add that dynamic US which served a role in directing the management plan in 18 patients, this further confirmed with a positive clinical examination, in contrast to the other 12 patients for whom there was negative clinical findings. Conclusion High-resolution US technology, coupled with good anatomical knowledge and proper technique, has become valuable in the assessment of ACJ pathology as can be a useful initial diagnostic modality in SCJ osteoarthritis. Using US as a first line investigative tool can eliminate the need for further more expensive investigation like CT/ MRI and serve as a guide for further imaging and management.

Shoulder Pain in an Elderly Smoker May be an Alarm: a Rare Case of Pancoast Tumor

2021 ◽  
Vol 11 (Number 2) ◽  
pp. 72-77
Author(s):  
Mashuq Ahmad Jumma ◽  
Mahjuba Umme Salam ◽  
Imran Hussain ◽  
Abu Saleh Shimon ◽  
Farzana Ahmed Bristy ◽  
...  
Keyword(s):  
General Practitioner ◽  
Pain Management ◽  
Shoulder Pain ◽  
Rare Case ◽  
Poor Response ◽  
Chest Imaging ◽  
Imaging Findings ◽  
Pancoast Tumor ◽  
Shoulder Region ◽  
Underlying Pathology

Patients with shoulder pain commonly present to a general practitioner and/or in the orthopedic department. In some instances, pain in the shoulder region can indicate serious underlying pathology. This article describes an elderly smoker presenting with progressively worsening shoulder pain not conforming to musculoskeletal, neuropathic or mechanical type pain and with poor response to conventional pain management protocols. Evaluation with meticulous history, physical signs, chest imaging findings, and histopathology confirmed the diagnosis of a rare clinical condition the Pancoast tumor.

scholarly journals Knowledge attitude practice and acceptance of postpartum intrauterine devices among postpartal women in a tertiary care center

2017 ◽  
Vol 6 (4) ◽  
pp. 1507 ◽  
Author(s):  
Sumitra Yadav ◽  
Ruchi Joshi ◽  
Monica Solanki
Keyword(s):  
Family Planning ◽  
Retention Rate ◽  
Low Cost ◽  
Care Center ◽  
Tertiary Care ◽  
School Level ◽  
World Health ◽  
Common Reason ◽  
Eligibility Criteria ◽  
Expulsion Rate

Background: PPIUCDs are the only method for couples requesting a highly effective and reversible, yet long acting, family planning method that can be initiated during the immediate postpartum phase. World Health Organization (WHO) medical eligibility criteria state that it is generally safe for postpartum lactating women to use a PPIUCD, with the advantages outweighing the disadvantages. PPIUCDs are cost-effective and they are low-cost intervention that reduces maternal, infant, and under-five Child mortality.Methods: After approval from the ethical committee and consent from the patients, the study was performed on 1000 postpartum women within 10 min. of delivery and up to 6 weeks of delivery at Labour Room of, M.Y. Hospital, Indore.Results: Majority of acceptor (72.5%) belong to age group of 18-25 years and 53% belonged to urban area. Acceptance was more in those who completed their secondary school level education (33%). Working women (55.5%) accepted PPIUCD more than the non-working. Out of 1000 women counselled only 10% agreed for PPIUVD insertion. During the study of 1 year duration (3.5%) of non-acceptors become pregnant and none of the acceptors conceived. Most common reason stated for accepting PPIUCD among acceptors, was that it is a reversible method (66%). Most common reason for not accepting PPIUCD among non-acceptors, because they are interested in Other Method of Family Planning (60%).Conclusions: Verbal acceptance is more than actual insertion of PPIUCD because of adoption of other method of family planning, family pressure, nonacceptance by partner, lack of awareness, fear of complication. Proper counselling can help to generate awareness and compliance for PPIUCD use in postpartum mother who have institutional delivery. Inserting CuT 380A within 10 min after placental delivery is safe and effective, has high retention rate. The expulsion rate was not high, and further can be reduced with practice could not be predicted.

Initial Results On Medium Frequency Electromagnetic Field Penetration In Biological Soft Tissue

2012 ◽  
Author(s):  
Zulkarnay Zakaria ◽  
Mohd Fahajumi Jumaah ◽  
Mohd Saiful Badri Mansor ◽  
Khairi Mat Daud ◽  
Mohd Hafiz Fazalul Rahiman ◽  
...  
Keyword(s):  
Magnetic Field ◽  
Soft Tissue ◽  
Soft Tissues ◽  
Low Cost ◽  
The Body ◽  
Small Scale ◽  
Medium Frequency ◽  
Magnetic Field Penetration ◽  
Magnetic Induction Tomography ◽  
Field Penetration

Terapi merupakan antara teknik perubatan tertua dalam mengekalkan kesihatan badan terutama daripada aliran darah yang tidak baik, strok dan beberapa penyakit yang lain. Teknik ini termasuklah akupuntur, guasa dan juga urutan. Terdapat juga teknik terapi moden seperti terapi warna, terapi ozon, terapi dadah dan banyak lagi. Kertas kajian ini akan mengetengahkan penjana terapi elektromagnet, satu alat yang mempunyai potensi aplikasi terapi dalam bidang perubatan. Alat ini menghasilkan medan magnet berfrekuensi sederhana sebagai sumber terapi. Perkakasan yang berskala kecil berfrekuensi sederhana dan berkos rendah ini telah dibangunkan dan telah diuji pada tisu biologi bagi mengukur tahap ketembusan medan magnet. Ujian ini telah membuktikan bahawa medan magnet yang telah dihasilkan mampu menembusi tisu lembut bersaiz sehingga 2 cm dengan jarak 7 cm daripada sumber. Kebolehan penembusan sistem ini terhadap tisu lembut memberikan peluang yang cerah kepada kajian ini memandangkan medan magnet telah menunjukkan potensi sebagai sebahagian daripada terapi untuk memulihkan migraine, strok, kekejangan dan beberapa yang lain selain boleh diaplikasikan dalam pengimejan tomografi induksi magnet. Kata kunci: Terapi elektromagnet, medan magnet, penembusan, tisu lembut, aplikasi perubatan Therapy is among the oldest medication technique in maintaining the health of the body especially from bad blood circulation, stroke and several others. This technique includes acupuncture, guasa and also massage. There are also modern therapy techniques like colour therapy, water therapy, ozone therapy, drug therapy and others. This paper will highlight electromagnetic therapy generator, a device which has the potential of therapy application in medical field. This device produce medium frequency magnetic field as a therapy source. This small scale medium frequency and low cost hardware that has been developed was tested on the biological tissue for the purpose of measuring the magnetic field penetration. The testing has proven that the generated magnetic field is able to penetrate the soft tissue up to 2 cm with distance from the source up to 7 cm. The capability of the system penetrations through the soft tissues provide the bright future of this research since magnetic field have shown the potential as being part of the therapy for curing migraine, stroke, cramp and several others besides the application in the magnetic induction tomography imaging. Key words: Electromagnetic therapy, magnetic field, penetration, soft tissue; medical applications

Normal Ultrasonographic Parameters of the Posterior Tibial, Peroneal, and Achilles Tendons

2018 ◽  
Vol 12 (5) ◽  
pp. 480-485
Author(s):  
J. Benjamin Jackson ◽  
Christopher H. Chu ◽  
Kevin A. Williams ◽  
Paul H. Bornemann
Keyword(s):  
Low Cost ◽  
Functional Limitations ◽  
Posterior Tibial Tendon ◽  
Foot And Ankle ◽  
Diagnostic Ability ◽  
Diagnostic Modality ◽  
Posterior Tibial ◽  
Examination Protocol ◽  
Level Ii ◽  
Average Size

Tendinopathy of the foot and ankle is common and can lead to pain or functional limitations. The most frequently affected tendons in the foot and ankle are the posterior tibial, peroneal, and Achilles. We used ultrasound to determine normal values for these tendons. From 2015 to 2016, a prospective, standardized bilateral lower extremity ultrasound examination protocol was performed by a musculoskeletal ultrasonographer of the 4 tendons and above and below the malleoli as appropriate. A total of 199 patients with 398 extremities were identified, consented, and participated in the study. Most tendons were normally distributed. The average size of the tendons was as follows: Achilles 5.0 mm (range 2.8-11.2 mm); peroneus long above the malleolus 2.1 mm (range 0.7-3.6 mm), below the malleolus 2.9 mm (range 0.8-6.3 mm); peroneus brevis above the malleolus 1.2 cm (range 0.3-4.0 mm), below the malleolus 1.3 mm (range 0.5-4.8 mm); posterior tibial tendon above the malleoli 3.7 mm (range 1.9-8.1 mm), below the malleolus 4.6 cm (range 1.8-11.8 mm). Standard deviations and distribution curves were similarly calculated for each tendon. This baseline data can assist clinicians in their diagnostic ability with ultrasound. Given its low cost, lack of ionizing radiation and dynamic ability along with an improved understanding of normative data it may become an increasingly used diagnostic modality. Levels of Evidence: Level II: Diagnostic

scholarly journals Cone-Beam Three-Dimensional Dental Volumetric Tomography in Dental Practice

2017 ◽  
Vol 7 (3) ◽  
pp. 62 ◽  
Author(s):  
Suzan Cangul ◽  
Ozkan Adiguzel
Keyword(s):  
Soft Tissues ◽  
Low Cost ◽  
Three Dimensional ◽  
Cone Beam ◽  
Imaging Method ◽  
Dental Practice ◽  
3 Dimensional ◽  
Scanning Time ◽  
Technological Advances ◽  
Native Speakers Of English

Imaging methods are of great importance for diagnosis and treatment in dentistry. With technological advances, great progress has been made in these methods. Over time, 3-dimensional (3-D) imaging has replaced 2-dimensional, thereby providing examination of objects in all directions. Of these methods, which play an important role in the clinical evaluation of patients, cone-beam computed tomography (CBCT) is the newest and most advanced imaging method. This method will revolutionize dental in comparison with conventional CT, it has several advantages, including a shorter scanning time, low radiation dose, low cost and the acquisition of high-resolution images. With 3-D imaging technology, this method has introduced the possibility of applying several procedures from diagnosis in the maxillofacial region to operative and surgical procedures. Although very clear results are not obtained from the imaging of soft tissues, the most important advantage of this technology is the capability of imaging hard and soft tissues together.   How to cite this article: Cangul S, Adiguzel O. Cone-Beam Three-Dimensional Dental Volumetric Tomography in Dental Practice. Int Dent Res 2017;7:62-70.  Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

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