11/44. Septic subdeltoid bursitis.Four cases of septic subdeltoid bursitis are described. Clinical presentations, microbiology, and therapies are reviewed for these cases as well as for the six previously reported cases in the literature. The etiology of septic subdeltoid bursitis was related to bacteremia, trauma, or immune incompetence. Compared with septic oelcranon and prepatellar bursitis, septic subdeltoid bursitis was associated with a more profound inflammatory reaction in the bursa, required more sophisticated diagnostic imaging, and necessitated more aggressive therapy. Appropriate therapy generally resulted in favorable outcomes.- - - - - - - - - - ranking = 1keywords = therapy (Clic here for more details about this article) |
12/44. exophiala oligosperma causing olecranon bursitis.A 62-year-old male with a history of Wegener's granulomatosis and immunosuppressive therapy presented with chronic olecranon bursitis. A black velvety mould with brown septate hyphae and tapered annellides was isolated from a left elbow bursa aspirate and was identified as an exophiala species. Internal transcribed sequence rRNA sequencing showed the isolate to be identical to exophiala oligosperma. The patient was successfully treated with aspiration and intrabursal amphotericin b.- - - - - - - - - - ranking = 0.5keywords = therapy (Clic here for more details about this article) |
13/44. Tuberculous trochanteric bursitis.A case of tuberculous trochanteric bursitis in a 40-year old man is reported. The findings of x-rays, echo, bone scanning, CT scan and MRI are shown. After one month of anti-TB therapy the bursa was excised en bloc as well as the lateral part of the trochanter. Then a continuous suction irrigation system was applied for 3 weeks using streptomycin solution. The anti-TB therapy was continued for one year. The patient was asymptomatic with no signs of recurrence 5 years postoperatively.- - - - - - - - - - ranking = 1keywords = therapy (Clic here for more details about this article) |
14/44. Medial collateral ligament bursitis in a 12-year-old girl.A 12-year-old female athlete, training for an international career in pentathlon, was referred to our clinic because of 2 years of recurrent localized swelling and activity-related pain in the medial aspect of her right knee, since falling from a horse and hitting her knees on the ground. She had been examined by a number of doctors over this period and treated with physiotherapy without a proper diagnosis and with no improvement. She could run only very limited distances before excruciating pain and swelling, and she had to abandon participation in competitions. During rest, the swelling decreased but never disappeared entirely. Clinical examination revealed minor effusion and localized tenderness on palpation around the medial joint line. magnetic resonance imaging showed fluid between the medial capsule and medial collateral ligament, but could not identify any connection to the joint. arthroscopy revealed a cleavage in the posterior medial joint capsule, superior and close to the medial meniscus, that was connected to the medial collateral ligament bursa. The cleavage was simply expanded, which emptied the bursa, followed by compression bandage and ice for 2 weeks. An immediate positive effect was observed and she could run pain free without swelling within 3 weeks of surgery. Six months after surgery, there has been no recurrence. To our knowledge, this is the first time this injury has been described in a child.- - - - - - - - - - ranking = 0.5keywords = therapy (Clic here for more details about this article) |
15/44. osteomyelitis resulting from chronic filamentous fungus olecranon bursitis.We describe a case of Phaeoacremonium olecranon osteomyelitis. The patient, initially felt to have traumatic olecranon bursitis, was found to have an indolent filamentous fungus cultured from the olecranon bursa. In retrospect, x-rays revealed bony erosion, which heightened the index of suspicion for infection in this particular case. Surgical bursal excision was performed and antifungal therapy was administered with clinical resolution. This case emphasizes that aspiration, synovial fluid analysis, and culture of bursal fluid is essential in excluding typical and atypical causes of chronic bursitis.- - - - - - - - - - ranking = 0.5keywords = therapy (Clic here for more details about this article) |
16/44. arthritis and bursitis in multiple sclerosis patients treated with interferon-beta.interferon-beta (IFN-beta) is a type I interferon used in the management of multiple sclerosis. Therapy with IFN-beta has rarely been associated with the development of autoimmune disorders. We present the cases of two female patients diagnosed with relapsing-remitting multiple sclerosis (RRMS) who developed inflammatory musculoskeletal manifestations, following IFN-beta therapy. The first patient developed a monoarthritis 2 weeks after initiation of IFN-beta, which persisted during the 14 months of therapy and resolved with discontinuation of the medication. The second patient developed both autoimmune thyroid disease and a refractory pre-patellar bursitis after 50 months of IFN-beta therapy. Our literature review revealed an additional six cases of onset of inflammatory arthritis in MS patients receiving IFN-beta. We review these reports with comparison to our two cases. The role of IFN-beta in inflammatory musculoskeletal disease is unclear. The potential autoimmune complications of this therapeutic agent should be comprehended when monitoring patients receiving such treatment.- - - - - - - - - - ranking = 1.5keywords = therapy (Clic here for more details about this article) |
17/44. The use of occupation-based treatment with a person who has shoulder adhesive capsulitis: a case report.This article describes a case report of the occupational therapy management of a 53-year-old woman diagnosed with primary shoulder adhesive capsulitis. The occupation-based interventions are described through the framework of occupation-as-means. Compensatory occupation, preparatory methods, and purposeful activities are demonstrated as being critical to minimizing connective tissue deformation associated with this condition. This case report indicates that occupation-based intervention should be initiated as soon as a diagnosis is identified to prevent the downward spiral of forced disuse associated with the affected upper extremity. As illustrated by the case report, occupation-based treatment that was provided in a timely manner immediately decreased pain, improved range and quality of motion, and enhanced occupational performance.- - - - - - - - - - ranking = 0.5keywords = therapy (Clic here for more details about this article) |
18/44. mycobacterium kansasii olecranon bursitis.A case is reported of a post-traumatic olecranon bursitis caused by mycobacterium kansasii following an injury sustained in a public swimming pool. It responded to surgical debridement and combined rifampicin, isoniazid, pyrazinamide and ethambutol antimicrobial therapy. A literature search was performed and a treatment regimen for this uncommon condition is suggested.- - - - - - - - - - ranking = 0.5keywords = therapy (Clic here for more details about this article) |
19/44. Iliopectineal bursitis: an unusual cause of iliofemoral vein compression.The iliopectineal bursa is the largest bursa in the region of the hip joint. Enlargement of the bursa occurs in several conditions and may be manifested by groin pain, a pelvic or inguinal mass, or lower extremity edema due to compression of the external iliac or common femoral vein. A case of lower extremity edema secondary to external iliac/common femoral vein compression caused by an enlarged iliopectineal bursa is presented. The pathophysiology, methods of diagnosis, and forms of therapy are discussed.- - - - - - - - - - ranking = 0.5keywords = therapy (Clic here for more details about this article) |
20/44. bursitis: a factor in the differential diagnosis of orofacial neuralgias and myofascial pain dysfunction syndrome.A woman had pain on swallowing and talking when initially seen. Previous diagnoses of glossopharyngeal, neuralgia and myofascial pain dysfunction syndrome had been made. Appropriate treatment for these conditions failed to produce any improvement. palpation revealed two tender areas bilaterally, overlying the hamulus. Treatment with an injection of 1 ml of dexamethasone (Decadron) 4 mg/ml into each area of tenderness resulted in a dramatic improvement. An anatomic review disclosed the presence of a bursa on the hamulus to protect the tendon of tensor veli palatini. A diagnosis of bursitis was made because of the dramatic improvement in the patient's condition as the result of corticosteroid therapy. bursitis should therefore be considered in the differential diagnoses of orofacial neuralgias, temporomandibular joint dysfunction, and myofascial pain dysfunction syndrome.- - - - - - - - - - ranking = 0.5keywords = therapy (Clic here for more details about this article) |
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