Biceps brachii tenosynovitis - Case report (CROSBI ID 623404)
Prilog sa skupa u zborniku | sažetak izlaganja sa skupa | međunarodna recenzija
Podaci o odgovornosti
Crnogorac, Maja ; Čavka, Mislav ; Ivanac, Gordana ; Radović, Niko ; Brkljačić, Boris
engleski
Biceps brachii tenosynovitis - Case report
The biceps brachii muscle is located on the anterior part of the upper arm, and has several important functions – to rotate the forearm (supination) and to flex the elbow. Injury to the long head of the biceps brachiii tendon (LHBBT) is common and can be a significant source of refractory shoulder pain. Symptoms are often nonspecific and associated lesions elswhere in the shoulder are common. Biceps tendinitis is the acute inflammation of the tendon, which may occur because of sudden overuse, especially among older patients. Tenosynovitis is used to describe normal tendons surrounded by increased fluid or proliferating synovium and thickend tendons surrounded by normal fluid. Patients with acute biceps tendinitis can present in the emergency room, where differential diagnosis such as shoulder fractures, dislocation, arthritis, vascular abnormalities must be ruled out. Patient described in our case complained of sudden pain and swelling of the left upper-arm. In the first ER examination only shoulder x-ray was performed and no bone abnormalities were described. A few days later patient returns with even greater pain and swelling and is sent on US examination under suspition of deep vein thrombosis. US examination reveals biceps tendon sheath distension by anechoic fluid 5x2 cm wide. A simple US guided punction and evacuation led to clinical improvement. Radiography is available and inexpensive but rules out only bone structure abnormalities. US is reliable to demonstrate the wide spectrum of tendon pathology including tenosynovitis, partial or complete tears, ganglia, tendon instability, bone spurs. Doppler US is used for detection of hypervascularisation of inflammed tissues. Suspected accompanying anatomic lesions may require MRI.
MSK ultrasound; Tendinitis; Radiology
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Podaci o prilogu
72-72.
2015.
nije evidentirano
objavljeno
Podaci o matičnoj publikaciji
4. Zajednički kongres Hrvatskog društva za ultrazvuk u medicini i biologiji HLZ-a i Združenja za rabo ultrazvoka v medicini SZD-a Knjiga sažetaka
Podaci o skupu
4. Zajednički kongres Hrvatskog društva za ultrazvuk u medicini i biologiji HLZ-a i Združenja za rabo ultrazvoka v medicini SZD-a
poster
16.04.2015-18.04.2015
Split, Hrvatska