Objective. To evaluate the value (sensitivity and specificity) of 2 modified physical tests for the diagnosis of gluteal tendinopathy in patients with refractory greater trochanter pain syndrome (GTPS).
We advocate for the consideration of recommending IAHA injection as a treatment option in the management of knee OA, tailored by disease stage and patient phenotype. Future research efforts should focus on identification of OA patient subgroups that demonstrate a more robust response to IAHA, determination of long-term effects of repeat IAHA injections on patient-reported outcomes and total knee replacement-sparing effect, further elucidation of disease-modifying effects, and the potential for combination therapy with other pharmacologic and non-pharmacologic therapies to optimize the management of knee OA.
Tenosynovitis refers to an inflammatory condition involving the synovial sheath of a tendon. Stenosing tenosynovitis is a peculiar entity caused by multiple factors, including local anatomy, mechanical factors, and hormonal factors. The main forms include de Quervain tendinopathy; trigger finger (stenosing tenosynovitis involving the flexor digitorum tendons); stenosing tenosynovitis of the extensor carpi ulnaris, extensor carpi radialis, or extensor comunis tendons; stenosing tenosynovitis of the flexor hallucis tendon; and stenosing tenosynovitis of the peroneal tendons. The cardinal finding on ultrasonography is the presence of a thickened retinaculum or pulley that constricts the osseofibrous tunnel through which the tendon runs.Sommario Le tenosinoviti sono infiammazioni delle guaine sinoviali dei tendini. Le tenosinoviti stenosanti sono delle entità particolari, condizionate da molteplici fattori. Si tratta di patologie favorite dall'anatomia locale, da fattori meccanici ed ormonali. Le principali tenosinoviti stenosanti sono: la tendinopatia di de Quervain, la tenosinovite stenosante dei tendini flessori delle dita o dito a scatto, la tenosinovite stenosante del tendine estensore ulnare del carpo, dei tendini estensori radiali del carpo e degli estensori comuni, la tenosinovite stenosante del tendine flessore dell'alluce, la tenosinovite stenosante dei tendini peronei. La loro diagnosi si basa sull'ecografia, che mostra un segno cardine: l'ispessimento del retinacolo o della puleggia rispetto al tendine ed il suo carattere stenosante. ª
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