Bicipitoradial bursitis: A diagnosis challenge!

Slouma, M.; Rahmouni, S.; Dhahri, R.; Litaiem, Noureddine; Gharsallah, I.; Métoui, L.; Louzir, B.

doi:10.1002/ccr3.3125

Cited by 5 publications

(1 citation statement)

References 14 publications

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“…The specific manifestations are a nodular slightly high signal on T2WI and fat suppression weighted, low signal on T1WI, and no enhancement after enhancement. However, compared to MRI, ultrasound examination is convenient, fast, cheap, and can obtain blood flow information, which is simpler and applicable in the follow-up of the disease, postoperative recurrence, and guiding puncture biopsy [9] . Therefore, in this case, we found that the patient did not undergo MRI, which is conducive to reducing the hospitalization cost of the patient, however we were still able to establish the presence of rice bodies in the tendon sheath by ultrasound.…”

Section: Discussionmentioning

confidence: 99%

Stenosing tenosynovitis with rice bodies formation diagnosed by ultrasound

2022

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Rationale:Rice bodies are usually found in several nonspecific chronic inflammatory diseases that are symptomatically dominated by primary disease and local compression symptoms. Rice bodies are usually detected by magnetic resonance imaging; however, some remote areas and areas with poor economic conditions do not have access to magnetic resonance imaging examination, which leads to delayed diagnosis of the disease.Patient concerns:We report the case of a 62-year-old man with pain in the metacarpophalangeal joint of his right middle finger and limited flexion activity of his middle finger.Diagnoses:The mass was 1 cm, well-circumscribed, soft, and painless. Ultrasound showed stenosing tenosynovitis with rice body formation.Interventions:The patient underwent tenosynovectomy with synovectomy of the right middle finger tendon sheath under plexus block anesthesia.Outcomes:No postoperative complications were noted. A 6-month follow-up showed no recurrence. The activity of the patient's middle finger improved significantly.Lessons:Stenosing tenosynovitis with rice body formation is a very rare condition, and we use ultrasound for diagnosis. Ultrasound is convenient, rapid, inexpensive, and can obtain blood flow information, facilitate disease follow-up, and even allow ultrasound localization in advance for guided needle biopsy.

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Section: Discussionmentioning

confidence: 99%

Stenosing tenosynovitis with rice bodies formation diagnosed by ultrasound

2022

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Rice body synovitis in systemic lupus erythematosus

Tian,

Hu,

Xia

et al. 2023

Rheumatol Int

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Acroparesthesias: An Overview

Slouma,

Ben Dhia,

Cheour

et al. 2024

CRR

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Acroparesthesia is a symptom characterized by a subjective sensation, such as numbness, tingling, prickling, and reduced sensation, affecting the extremities (fingers and toes). Despite its frequency, data regarding its diagnostic approach and management are scarce. The etiological diagnosis of acroparesthesia is sometimes challenging since it can be due to abnormality anywhere along the sensory pathway from the peripheral nervous system to the cerebral cortex. Acroparesthesia can reveal several diseases. It can be associated with rheumatic complaints such as arthritis or myalgia. Further cautions are required when paresthesia is acute (within days) in onset, rapidly progressive, severe, asymmetric, proximal, multifocal, or associated with predominant motor signs (limb weakness) or severe dysautonomia. Acroparesthesia may reveal Guillain-Barré syndrome or vasculitis, requiring rapid management. Acroparesthesia is a predominant symptom of polyneuropathy, typically distal and symmetric, often due to diabetes. However, it can occur in other diseases such as vitamin B12 deficiency, monoclonal gammopathy of undetermined signiﬁcance, or Fabry’s disease. Mononeuropathy, mainly carpal tunnel syndrome, remains the most common cause of acroparesthesia. Ultrasonography contributes to the diagnosis of nerve entrapment neuropathy by showing nerve enlargement, hypoechogenic nerve, and intraneural vascularity. Besides, it can reveal its cause, such as space-occupying lesions, anatomical nerve variations, or anomalous muscle. Ultrasonography is also helpful for entrapment neuropathy treatment, such as ultrasound-guided steroid injection or carpal tunnel release. The management of acroparesthesia depends on its causes. This article aimed to review and summarize current knowledge on acroparesthesia and its causes. We also propose an algorithm for the management of acroparesthesia.

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Bicipitoradial bursitis: A diagnosis challenge!

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 5 publications

References 14 publications

Stenosing tenosynovitis with rice bodies formation diagnosed by ultrasound

Stenosing tenosynovitis with rice bodies formation diagnosed by ultrasound

Rice body synovitis in systemic lupus erythematosus

Acroparesthesias: An Overview

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