Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Multiple Rice Body Formation in Subacromial and Subdeltoid Bursal Spaces

  • Shin, John Junghun (Department of Orthopedic Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine) ;
  • Lee, Jun-Pyo (Department of Orthopedic Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine) ;
  • Kim, Doo-Sup (Department of Orthopedic Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine)
  • Received : 2015.06.29
  • Accepted : 2015.08.23
  • Published : 2016.06.30
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Abstract

We encountered a rare condition of rice body in subacromial and subdeltoid spaces in a patient with unremarkable medical history. Although it is uncommon, there have been continued reports on its formation in certain type of infective and inflammatory arthritis. However, except for a traumatic event, evaluation yielded no known and conceivable cause for his chronic inflammatory bursitis. Relatively typical findings for rice body on magnetic resonance imaging have been described, and in our case the imaging prompted us to schedule early removal, which is generally accepted as the management of choice to prevent further progression of symptoms. The symptoms of the shoulder showed significant improvement, and a close follow-up schedule has been recommended for observation of recurrence and development of any foreseeable underlying cause.

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References

  1. Mutlu H, Silit E, Pekkafali Z, et al. Multiple rice body formation in the subacromial-subdeltoid bursa and knee joint. Skeletal Radiol. 2004;33(9):531-3. https://doi.org/10.1007/s00256-004-0757-y
  2. Sugano I, Nagao T, Tajima Y, et al. Variation among giant rice bodies: report of four cases and their clinicopathological features. Skeletal Radiol. 2000;29(9):525-9. https://doi.org/10.1007/s002560000258
  3. Popert AJ, Scott DL, Wainwright AC, Walton KW, Williamson N, Chapman JH. Frequency of occurrence, mode of development, and significance or rice bodies in rheumatoid joints. Ann Rheum Dis. 1982;41(2):109-17. https://doi.org/10.1136/ard.41.2.109
  4. Subramaniam R, Tan JW, Chau CY, Lee KT. Subacromial bursitis with giant rice bodies as initial presentation of rheumatoid arthritis. J Clin Rheumatol. 2012;18(7):352-5. https://doi.org/10.1097/RHU.0b013e3182677023
  5. Stein AJ, Case JL, Berman J, Levy H. Case report 770. Chronic subacromial bursitis with massive formation of rice bodies. Skeletal Radiol. 1993;22(1):71-3. https://doi.org/10.1007/BF00191532
  6. Tan CH, Rai SB, Chandy J. MRI appearances of multiple rice body formation in chronic subacromial and subdeltoid bursitis, in association with synovial chondromatosis. Clin Radiol. 2004;59(8):753-7. https://doi.org/10.1016/j.crad.2004.03.012
  7. Jeong YM, Cho HY, Lee SW, Hwang YM, Kim YK. Candida septic arthritis with rice body formation: a case report and review of literature. Korean J Radiol. 2013;14(3):465-9. https://doi.org/10.3348/kjr.2013.14.3.465
  8. Chen A, Wong LY, Sheu CY, Chen BF. Distinguishing multiple rice body formation in chronic subacromial-subdeltoid bursitis from synovial chondromatosis. Skeletal Radiol. 2002;31(2): 119-21. https://doi.org/10.1007/s002560100412
  9. Muirhead DE, Johnson EH, Luis C. A light and ultrastructural study of rice bodies recovered from a case of date thorn-induced extra-articular synovitis. Ultrastruct Pathol. 1998;22(4): 341-7. https://doi.org/10.3109/01913129809103355
  10. Nagasawa H, Okada K, Senma S, Chida S, Shimada Y. Tenosynovitis with rice body formation in a non-tuberculosis patient: a case report. Ups J Med Sci. 2009;114(3):184-8. https://doi.org/10.1080/03009730902931408