• Title/Summary/Keyword: tendinitis

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Short-term Follow up Study of Calcific Tendinitis Using Ultrasonography Guided Injection (석회화 건염에 대한 외래 초음파 유도 주사 치료요법의 단기추시결과)

  • Sim, Jung-Hyun;Kwon, Jae-Bum;Park, Chang-Min;Choi, Chang-Hyuk
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.4 no.2
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    • pp.77-83
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    • 2011
  • Purpose: We compared with USG-guided steroid injection group and blind steroid injection group for the treatment of calcific tendinitis to evaluate the effectiveness of the treatment modalities. Materials and Methods: We reviewed two groups of calcific tendinitis treated with steroid injection and follow up upto 6 month after injection. Group I was blind injection for 88 patient with average age of 53years old and female gender in 77%. Group II was USG- guided injection for 102 patients with average age of 54years old and female gender in 85%. We compared follow up results according to age, gender, size of tendon involvement, initial VAS score, and phase of the calcific tendinitis between two groups. Results: At 6 month's follow up period, USG-guided injected group was more prevalent compared to blind injection group with 92%(94/102) and 72%(64/88) (P<0.05). In Group I, 77%(49/64) patients have improved symptom. And in Group II, 92%(86/94) patients have improved symptom in formative or resorptive phase. Despite of symptom improvement, calcium deposit is remained 47%(30/64) in Group I, and 20%(19/94) in Group II. Conclusion: Conservative treatment of Shoulder calcific tendinitis patients through USG-guided injection is more effective than Blind injection in pain relief & calcium decrease. The patients USG-guided injected group was more prevalent in follow up at outpatient clinic, throughout more accurate injection with improved confidence.

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Blind and Ultrasonography-guided Injection Therapy for Calcific Tendinitis of Supraspinatus (극상건 석회화 건염에 대한 맹검 주사요법과 초음파하 주사요법)

  • Moon, Young-Lae;Nam, Gi-Young;Noh, Kyung-Hwan
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.2
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    • pp.86-90
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    • 2008
  • Purpose: To evaluate the differences between blindly and ultrasonography (US)-guided during multiple needling and dextrose injection technique for calcific tendinitis of shoulder. Materials and Methods: We chose 36 symptomatic calcific tendinitis patients, whose age ranged from 27 to 69. Our procedures were multiple needling and injection of dextrose over the lesion of calcific deposits. The bind injection group were 19 patients whose age ranged from 27 to 64-year-old (mean 52.2), and the US-guided injection group were 17 patients ranged from 31 to 69-year-old (mean 49.0). We compare these groups by VAS (visual analogue scale) and range of motion before and after procedures. Results: There is no difference between two groups in VAS and ROM before procedure (p>0.05). Two groups revealed significant improvement without limitation of shoulder function, however, the group under US-guided revealed better results than under blind (VAS:p=0.001, Flexion:p=0.000, Abduction:p=0.000, External rotation: p=0.016). Conclusion: Ultrasonography-guided procedure showed better results than blind, so the use of ultrasonography is more promising procedure.

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Conservative and Arthroscopic Treatment of Calcific Tendinitis (석회화 건염의 보존적 및 수술적 치료 결과)

  • Choi, Chang-Hyuk;Kim, Shin-Kun;Lee, Ho-Hyoung
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.167-174
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    • 2007
  • Purpose: We evaluated calcium resolution and clinical improvement of calcific tendinitis after conservative and arthroscopic treatment. Materials and Methods: We reviewed 126 patients of calcific tendinitis treated from January, 2002 to April, 2005. Average age was 53 and female dominant in 77% of the cases. Calcium deposits were involved in supraspinatus tendon in 84% of the cases. We compared clinical changes for 64 cases treated with injection, and 12 cases treated by arthroscopic decompression with 6 month follow-up. Results: 77%(49/64) of the cases with steroid injection showed symptom improvement. Even though complete resolution of calcific deposit occurred in 36%(23/64), incomplete resolution in 17%(11/64) and no change in 47%(30/64), Pain was relieved in 87%(20/23), 82%(9/11) and 67%(20/30), respectively. With arthroscopic treatment, calcium deposit completely resolved in 83%(10/12), and all cases showed pain free motion after 6 months. Conclusion: Conservative treatment with steroid injection was effective for acute pain in resorptive phase. In cases of arthroscopic treatment, there was no need for complete removal of calcium deposit during the procedure, but clinical symptoms improved with resolution of the deposit.

Ultrasound-guided Extracorporeal Shock Wave Therapy Combined with Multiple Needling for Calcific Tendinitis in Shoulder (견관절의 석회화 건염에 대한 초음파 유도하 다발성 천공술 및 고에너지 체외 충격파 병합치료)

  • Jung, Tae Wan;Song, Dong Ik;Lee, Soon Hyuck;Jeoung, Woong Kyo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.7 no.1
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    • pp.13-19
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    • 2014
  • Purpose: To evaluate the effectiveness of ultrasonography-guided combined multiple needling and high-energy extracorporeal shock wave therapy (ESWT) for calcific tendinitis of the shoulder. Materials and Methods: We included 42 calcific tendinitis patients who underwent ultrasonograpy-guided multiple needling followed by high-energy ESWT who visited the clinic from January 2010 to June 2013. The average follow up period was 45 weeks. Clinical evaluation was done before and after 12 weeks from treatment, in clinical terms using pain visual analogue scale (P-VAS), ASES, UCLA scores reflecting performance and symptom improvement, and in sonographic terms by studying the changes in size of the calcific nodules. Results: A statistically significant improvement was seen in P-VAS, ASES, UCLA scores and decreased calcification size on sonographic evaluation. Conclusion: Ultrasonography-guided combined multiple needling and high-energy ESWT is considered as a useful method which could provide clinical function improvement and reduction of calcification deposit.

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Arthroscopy for Treating Osteochondroma of Distal Radius in 68 Thoroughbred Horses

  • Song, Mingeun;Tagami, Masaaki;Kato, Fumiki;Suzuki, Tsukasa;Yamaga, Takashi;Kang, Tae-Young;Seo, Jong-pil
    • Journal of Veterinary Clinics
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    • v.35 no.3
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    • pp.88-92
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    • 2018
  • Osteochondroma (OC) is a cartilage-capped exostosis. In horses, OC commonly develops on the caudal distal metaphysis of the radius (CDMR). The purpose of study was to describe the outcomes of arthroscopy for the treatment of OC on CDMR. Diagnosis was based on clinical signs (lameness and distention of carpal sheath), radiography (location and size of OC), and ultrasonography (location of OC, torn deep digital flexor tendon, fibrin, and effusion of carpal sheath). Arthroscopy was performed on 68 Thoroughbred horses with OC on CDMR. Sixty of the 68 cases showed deep digital flexor tendinitis as a result of sharp protuberances of the OC. All horses survived, and 62 of the 68 cases returned to athletic function (racing) after arthroscopy. The present study demonstrated that arthroscopy is useful for treating OC of CDMR in horses.

A Review of Randomized Controlled Trials of Pes Anserinus Tendinitis/Bursitis Syndrome in the China National Knowledge Infrastructure Database

  • Choi, Hyo Jung;Back, Hye Kyung;Kim, Young-Jun;Oh, Da Yoon;Park, Cheol Woo;Namgoong, Jin
    • Journal of Acupuncture Research
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    • v.38 no.4
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    • pp.284-292
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    • 2021
  • The purpose of this study was to review randomized controlled trials (RCTs) of pes anserinus tendinitis or bursitis (PATB) syndrome in the China National Knowledge Infrastructure database to investigate the efficacy of traditional Chinese medicine treatment for PATB syndrome. There were 20 RCTs published from 2001 to 2021 which were selected for analysis by publication year, number of samples, evaluation criteria, treatment duration, and treatment method. Out of the 142 retrieved RCTs, 20 were relevant to this review, and had performed Chinese medicine treatments including acupuncture (the most common treatment typically using acupoints SP10, ST35, SP9, and LR8), manipulation (typically using acupoints ST35, SP10, and SP9), and external application therapy (typically herbal medicine) in the treatment of PATB syndrome. Chinese medicine treatments were used widely in the treatment of PATB syndrome. We hope in the future, this review may initiate the development of treatments for PATB syndrome using Korean medicine.

Research trend of Korean Medicine for Musculoskeletal Disorders of the Hand and Wrist (국내 의료기관에서 시행된 손/손목 근골격계 질환의 한방치료 연구동향)

  • Oh, Eunsu;Kim, Anna;Oh, Yongtaek
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.1
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    • pp.21-36
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    • 2022
  • Objectives The purpose of this study is to investigate the research trend of Korean traditional medicine for musculoskeletal disorders related to wrist and hand under Korean healthcare facilities. Methods We collected data from search engines for research including foreign and domestic online database using the keywords ligament tendon, wrist sprain, tendinitis, trigger finger, carpal tunnel, ganglion cyst, de Quervain's and Raynaud. Results A total of 45 articles were about ligament tendon, wrist sprain, tendinitis, tenosynovitis, trigger finger, carpal tunnel syndrome, ganglion cyst, de Quervain's tenosynovitis and Raynaud disease. Out of 45 articles, 20 articles were about carpal tunnel syndrome and the most commonly used measurement was visual analog scale. Conclusions This study shows the research trend of musculoskeletal disorders related with the wrist and hand. Through the collected data, the treatment methods and specific information of treatments were organized. This study can be used in clinical environments and will contribute for further study in musculoskeletal disorders related with the wrist and hand.