Imaging of the Bursae

Hirji, Zameer; Hunjun, Jaspal S; Choudur, Hema

doi:10.4103/2156-7514.80374

Cited by 65 publications

(25 citation statements)

References 24 publications

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“…The bursae are fluid-filled sacs that cushion muscles and tendons. 29 The hip is similar to the shoulder since it is also a ball-and-socket joint. However, the hip has much more flexibility in movement as compared to the shoulder where it is attached to the trunk.…”

Section: Echanism Of a Ctionmentioning

confidence: 99%

Clinical utility of ozone therapy for musculoskeletal disorders

et al. 2018

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Oxygen-ozone (O3) therapy serves as an alternative medical technique that increases the oxygen in the body along with the introduction of O3. O3 therapy has finally reached a level where the biological mechanisms of action have been understood, showing that they are in the domain of physiology, biochemistry, and pharmacology. Few clinical applications have been reviewed here as well as exemplifying that O3 therapy is particularly useful in musculoskeletal disorders. In the therapeutic range, O3 can be used as a more effective and safe substitute of standard medications. O3 therapy has been used for many years for its ability to inactivate various viruses, cancer, and acquired immune deficiency syndrome but is now making strides in the treatment of musculoskeletal disorders such as rheumatoid arthritis, lumbar facet joint syndrome, subacromial bursitis, carpal tunnel syndrome, osteoarthritis, hip bursitis, shoulder adhesive capsulitis, herniated disc, and temporomandibular joint disorder.

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Section: Echanism Of a Ctionmentioning

confidence: 99%

Clinical utility of ozone therapy for musculoskeletal disorders

et al. 2018

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“…The SASD bursa-an extra-articular synovial space-lies between the rotator cuff tendons and the undersurface of the acromion, the acromioclavicular joint and the deltoid muscle, overlying the bicipital groove [3]. It is a potential space, that appears as a hypoechoic tissue between highly reflective peribursal fat; in pathological conditions, the bursa is seen as a fluid-filled anechoic structure lined by an hyperechoic wall [4,5].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of subacromial-subdeltoid bursitis in shoulder pain: an ultrasonographic study

et al. 2015

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Purpose The presence of the subacromial-subdeltoid (SASD) bursa inflammation has recently been proposed as a primary radiologic factor predicting persistent limitation and pain in operated patients. The aim of the study was to verify the hypothesis that pain, or increased shoulder pain, could be associated with SASD bursitis not only in operated patients but also in general population. Methods A consecutive series of 1940 shoulder ultrasound examinations were performed by our Department over a 5-year period using linear multi-frequency probes. All reports of examination executed for shoulder pain were reviewed. The video clips were independently reviewed by two radiologists: effusion in the SASD bursa and the presence of other pathological conditions were evaluated and confirmed. Results A total of 1147 shoulder video clips were reevaluated, and 1587 pathologies were detected; 65.5 % of patients had only one pathology, 30.4 % had two and 4.1 % presented three pathologies. The difference between the group with and without effusion is statistically significant for acromioclavicular joint arthritis, supraspinatus tendon calcific tendinopathy, full-thickness and superficial tear of the supraspinatus, traumas and rheumatoid arthritis with a p value \0.01. Conclusions Our study shows that the effusion in the SASD bursa is frequently associated with shoulder pain often independently from the underlying pathology; further studies are needed to confirm the statistical significance of this relationship by clarifying possible confounding factors.Keywords Ultrasound Á Subacromion-subdeltoid bursa Á Bursal inflammation Á Shoulder pain Riassunto Scopo del lavoro La presenza di alterazioni flogistiche a livello della borsa subacromiondeltoidea (BSAD) è stata recentemente proposta come fattore principale per predire la comparsa di dolore e limitazione funzionale nei Pazienti operati a livello della spalla. Lo scopo del nostro studio è di verificare l'ipotesi che il dolore, o l'incremento dello stesso, sia associato con la flogosi della BSAD non solo nei Pazienti operati ma anche nella popolazione generale. Materiali e Metodi In 5 anni nel nostro dipartimento sono state eseguite, utilizzando esclusivamente sonde lineari multifrequenza, 1940 ecografie della spalla. Tutti gli esami aventi come indicazione il dolore sono stati selezionati. I videoclip degli esami selezionati sono stati rivalutati da due radiologi indipendentemente: è stata in tal modo confermata la presenza di versamento nella BSAD e di altri reperti patologici. Risultati Sono stati rivalutati i videoclip di 1147 ecografie di spalla. Sono state individuate 1587 alterazioni patologiche; il 65.5 % dei Pazienti presentava unicamente un riscontro patologico, il 30.4 % ne presentava due e il 4.1 % ne presentava 3. La differenza tra gruppo con e senza versamento è statisticamente significativa (p value \0.01) in caso di artrosi acromionclaveare, tendinopatia calcifica del sovraspinato, lesioni a tutto spessore e del versante bursale del tendine del sovraspinato, ...

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“…Enlargement in the bursa, fluid deposition, wall thickening and accompanying edema in close proximity were interpreted in favor of bursitis. 9 Hypointense signal changes on T1W images and hyperintense signal changes on TW2 images reflecting increased concentration of compounds containing H + ions in the bone medulla were interpreted in favor of bone marrow edema. 10 …”

Section: Methodsmentioning

confidence: 99%

The relationship between chondromalacia patella, medial meniscal tear and medial periarticular bursitis in patients with osteoarthritis

Reşorlu

Döner

Karatağ

et al. 2017

Radiology and Oncology

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BackgroundThis study investigated the presence of bursitis in the medial compartment of the knee (pes anserine, semimembranosus-tibial collateral ligament, and medial collateral ligament bursa) in osteoarthritis, chondromalacia patella and medial meniscal tears.Patients and methodsRadiological findings of 100 patients undergoing magnetic resonance imaging with a preliminary diagnosis of knee pain were retrospectively evaluated by two radiologists. The first radiologist assessed all patients in terms of osteoarthritis, chondromalacia patella and medial meniscal tear. The second radiologist was blinded to these results and assessed the presence of bursitis in all patients.ResultsMild osteoarthritis (grade I and II) was determined in 55 patients and severe osteoarthritis (grade III and IV) in 45 cases. At retropatellar cartilage evaluation, 25 patients were assessed as normal, while 29 patients were diagnosed with mild chondromalacia patella (grade I and II) and 46 with severe chondromalacia patella (grade III and IV). Medial meniscus tear was determined in 51 patients. Severe osteoarthritis and chondromalacia patella were positively correlated with meniscal tear (p < 0.001 and p = 0.018, respectively). Significant correlation was observed between medial meniscal tear and bursitis in the medial compartment (p = 0.038). Presence of medial periarticular bursitis was positively correlated with severity of osteoarthritis but exhibited no correlation with chondromalacia patella (p = 0.023 and p = 0.479, respectively). Evaluation of lateral compartment bursae revealed lateral collateral ligament bursitis in 2 patients and iliotibial bursitis in 5 patients.ConclusionsWe observed a greater prevalence of bursitis in the medial compartment of the knee in patients with severe osteoarthritis and medial meniscus tear.

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Imaging of the Bursae

Cited by 65 publications

References 24 publications

Clinical utility of ozone therapy for musculoskeletal disorders

Clinical utility of ozone therapy for musculoskeletal disorders

Prevalence of subacromial-subdeltoid bursitis in shoulder pain: an ultrasonographic study

The relationship between chondromalacia patella, medial meniscal tear and medial periarticular bursitis in patients with osteoarthritis

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