scholarly journals Ultrasound-Guided Procedures in Common Tendinopathies at the Elbow: From Image to Needle

2021 ◽  
Vol 11 (8) ◽  
pp. 3431
Author(s):  
Kamal Mezian ◽  
Jakub Jačisko ◽  
Tomáš Novotný ◽  
Laura Hrehová ◽  
Yvona Angerová ◽  
...  
Keyword(s):  
Tennis Elbow ◽  
Correct Diagnosis ◽  
Ultrasound Guided ◽  
Loose Bodies ◽  
Distal Biceps ◽  
Elbow Anatomy ◽  
Clinical Conditions ◽  
Nerve Entrapment Syndrome ◽  
Golfer’S Elbow ◽  
Us Technology

Elbow pain is a prevalent condition in musculoskeletal physicians’ settings. The majority of cases present with periarticular pathologies (varying from tendinopathy to nerve entrapment syndrome). Nevertheless, in some cases, the underlying cause can be intra-articular, e.g., loose bodies or rheumatic disease. Progress in ultrasound (US) technology has yielded high-resolution assessment of the elbow and, importantly, allows real-time, radiation-free guidance for interventions. Particularly in ambiguous cases, US imaging is necessary to arrive at the correct diagnosis. The following four clinical conditions are covered: tennis elbow, golfer’s elbow, distal biceps, and distal triceps tendinopathy. The present review illustrates cadaveric elbow anatomy, corresponding US images, and exemplary pathologies. Additionally, the authors also discuss the existing evidence on ultrasound-guided procedures in the conditions mentioned above.

scholarly journals Recurrent leiomyomatosis peritonealis disseminate: a case report

2021 ◽  
Vol 55 (2) ◽  
pp. 160-164
Author(s):  
Yaw B. Mensah ◽  
Lawrence Buadi ◽  
Afua Abrahams ◽  
Andrea A. Y. Appau ◽  
Kwadwo Mensah
Keyword(s):  
Correct Diagnosis ◽  
Reproductive Age ◽  
Gnrh Analogue ◽  
Ultrasound Guided ◽  
Pelvic Ultrasound ◽  
Women Of Reproductive Age ◽  
Unusual Condition ◽  
Appropriate Treatment ◽  
Leiomyomatosis Peritonealis Disseminata ◽  
Histopathologic Analysis

Leiomyomatosis peritonealis disseminata (LPD), a rare and unusual condition affecting mainly women of reproductive age, causes peritoneal and subperitoneal nodules formed by smooth muscle. Very few cases have been diagnosed since the disease was first described. We present a 42year old female who was managed for infertility and uterine myomata at a Municipal hospital in Ghana. Following a pelvic ultrasound diagnosis of multiple uterine myomata the patient was booked for myomectomy. At surgery to remove her myomata, the patient was found to have several peritoneal nodules some of which were attached to peritoneum, omentum and the surface of bowel loops in addition to a uterine myoma. The disease has since recurred twice after two laparotomies. The diagnosis was made by histopathology of ultrasound-guided biopsy of the nodules, and she has since been on GnRH analogue treatment. LPD simulates peritoneal carcinomatosis; thus, a good history, clinical evaluation, radiological imaging, and histopathologic analysis must be accurately diagnosed. Surgeons’ and Radiologists’ knowledge of the condition is fundamental to ensuring correct diagnosis and appropriate treatment and to minimising the probability of malignant transformation.

The Impact of Tennis and Golfer’s Elbow on Shoulder External Rotators and Abductors’ Peak Torque

2020 ◽  
Vol 29 (4) ◽  
pp. 469-475
Author(s):  
Bassam A. Nabil ◽  
Mariam A. Ameer ◽  
Azza M. Abdelmohsen ◽  
Abeer F. Hanafy ◽  
Ahmed S. Yamani ◽  
...  
Keyword(s):  
Angular Velocity ◽  
Upper Limb ◽  
Tennis Elbow ◽  
Peak Torque ◽  
Healthy Control Group ◽  
Control Group ◽  
Kinetic Chain ◽  
Healthy Control ◽  
External Rotator ◽  
Golfer’S Elbow

Context: Upper limb activities require a repetitive movement of the shoulder external rotator and abductor muscles. The malfunction of the proximal part of the upper limb kinetic chain tends to change the mechanics of the distal part and increase the risk of injuries. Objectives: To compare the normalized eccentric peak torque (NEPT) of the shoulder external rotator and abductor muscles among healthy athletes and those with tennis elbow and golfer’s elbow. Design: An experimental cross-sectional study. Setting: Isokinetic laboratory, Faculty of Physical Therapy, Cairo University. Participants: A total of 30 male athletes participated voluntarily in this study. Intervention: Participants were distributed into 3 groups: healthy group, tennis elbow group, and golfer’s elbow group. Main Outcome Measures: NEPT of shoulder abductors and external rotators. The Biodex Isokinetic Dynamometer was used to measure the variables of interest. Results: There was a significant increase in the NEPT of shoulder abductors and external rotators in healthy control group compared with both tennis elbow and golfer’s elbow groups at an angular velocity of 60°/s (P < .05). Moreover, there was a significant increase in the NEPT of shoulder external rotators and abductors at an angular velocity of 120°/s in healthy control group compared with tennis elbow group and in golfer’s elbow group compared with tennis elbow group (P < .05). Conclusion: Tennis elbow and golfer’s elbow are associated with decreased NEPT of shoulder external rotators and abductors compared with those of healthy athletes. This tends to decrease the external stability of the shoulder joint and put high stress on the distal joints of the upper kinetic chain.

scholarly journals Ultrasound guided repair of the distal biceps tendon.

2021 ◽  
Author(s):  
Hilal S.A. Al Housni ◽  
Lisa M. Hackett ◽  
George A.C. Murrell
Keyword(s):  
Biceps Tendon ◽  
Ultrasound Guided ◽  
Distal Biceps Tendon ◽  
Distal Biceps

scholarly journals Pseudoaneurysm after an ultrasound-guided breast core needle biopsy in a lactating woman

2021 ◽  
Vol 15 (10) ◽  
pp. 10-19
Author(s):  
Juliana Pessoa de Souza Chamadoira ◽  
Camila De Carvalho Figueiredo ◽  
Giovana Ortiz D'Ãvila ◽  
Ana Paula De Carvalho Miranda Rosati Rocha ◽  
Érica Endo
Keyword(s):  
Case Report ◽  
Core Needle Biopsy ◽  
Needle Biopsy ◽  
Color Doppler ◽  
Treatment Options ◽  
Correct Diagnosis ◽  
Imaging Modalities ◽  
Ultrasound Guided ◽  
Core Needle ◽  
Best Management

This is a case report of a lactating woman in her twenties diagnosed with a breast pseudoaneurysm following a 14-gauge ultrasound-guided core needle biopsy detected by a Color Doppler exam, and treated with surgery. Further discussion concerning the patient's symptoms, useful imaging modalities, and treatment options are included. Knowledge on this complication is crucial for the correct diagnosis and best management and treatment.

scholarly journals METASTATIC RENAL CELL OF THE PANCREAS MIMICKING NEUROENDOCRINE TUMOR DIAGNOSED BY ENDOSCOPIC ULTRASOUND-GUIDED NEEDLE BIOPSY

2021 ◽  
Author(s):  
LUCA DE LUCA ◽  
SILVIA TOMMASONI ◽  
BENEDETTO MANGIAVILLANO ◽  
ALESSANDRO REPICI
Keyword(s):  
Neuroendocrine Tumor ◽  
Renal Cell ◽  
Needle Biopsy ◽  
Clear Cell ◽  
Correct Diagnosis ◽  
Ultrasound Guided ◽  
Cell Renal Cell Carcinoma ◽  
Radiological Features ◽  
Pancreatic Masses ◽  
Kidney Metastasis

Pancreas is an uncommon site for kidney metastasis and this represents a challenge for the different diagnosis of pancreatic masses. Radiological features of secondary pancreatic malignancies from clear cell renal cell carcinoma mimicked a classic neuroendocrine tumor and EUS-guided histology needle is pivotal in providing a correct diagnosis.

scholarly journals Diagnostic ultrasound-guided excisional testicular biopsy for small (< 1 cm) incidental nodules. A single institution experience

2014 ◽  
Vol 86 (4) ◽  
pp. 373
Author(s):  
Andrea Fabiani ◽  
Alessandra Filosa ◽  
Fabrizio Fioretti ◽  
Lucilla Servi ◽  
Mara Piergallina ◽  
...  
Keyword(s):  
Frozen Section ◽  
Correct Diagnosis ◽  
Malignant Lesion ◽  
Clinical Information ◽  
Complete Removal ◽  
Clinical History ◽  
Excisional Biopsy ◽  
Testicular Biopsy ◽  
Diagnostic Ultrasound ◽  
Ultrasound Guided

Introduction and objectives: The widespread use of scrotal ultrasound (SUS) has led to a marked increase in the number of incidentally detected testicular lesions. A small incidental nodule (STN) has defined as a non palpable (&lt; 10 mm), asymptomatic solid lesion with normal levels of oncological testicular markers. Nowadays the lack of agreement on the topic causes managing problems to andrologists. We present our experience consisting in 8 cases of STN discovered by SUS performed for different clinical indications. Matherial and methods: We retrieved from our ultrasonographic files the clinical information about 717 patients evaluated for andrological problems. Patients with STN underwent to a complete clinical history and physical examination as well as oncological testicular markers measurement and ormonal assessment and then received a diagnostic ultrasound guided excisional biopsy (DEB). Surgical approach was performed through an inguinal incision. Using the coordinates previously obtained from preoperative SUS, STN was localized by intraoperative SUS. The lesion was enucleated and sent to the Pathology department for frozen section examination (FSE). Biopsies of affected testis (TB) were also performed. Post-excision ultrasound has been used to confirm the complete removal of the nodule. Whether pathological findings were benign, testis sparing surgery (TSS) was performed. Immediate radical orchidectomy (IRO) was performed if FSE and TB findings suggested a malignant lesion. Results: STNs were discovered in 8 patients (1,1%). Very small lesions (&lt; 5 mm) were detected in 50% of cases. We performed four IRO and four DEB with consequent TSS. In one case we performed a delayed radical orchidectomy (DRO). At FSE pathologist reported 3 Leydig cell tumor and 3 seminoma and an inflammatory regressive lesion in one case. FSE on TB reported intratesticular neoplasia (TIN) in three cases. In one case nodule wasn’t sent to FSE. We observed a concordance between FSE and definitive pathologic report in six cases (75%). Conclusions: The management of STN is still a challenge for the surgical andrologist. A correct diagnosis has a crucial role in making the best treatment and patients outcome. Ultrasound guided excisional biopsy and the close collaboration with a dedicated pathologist are very useful in reducing errors.

Ultrasound-guided autologous blood injection for tennis elbow

2006 ◽  
Vol 35 (6) ◽  
pp. 371-377 ◽  
Author(s):  
David A. Connell ◽  
Kaline E. Ali ◽  
Muaaze Ahmad ◽  
Simon Lambert ◽  
Steven Corbett ◽  
...  
Keyword(s):  
Tennis Elbow ◽  
Autologous Blood ◽  
Ultrasound Guided ◽  
Autologous Blood Injection ◽  
Blood Injection
Sign in / Sign up

Export Citation Format

Share Document