Multiple rice body formation in chronic subacromial/subdeltoid bursitis: MR appearances

Griffith, J. F.; Peh, Wilfred C.G.; Evans, N.; Smallman, Lesley A.; Wong, Rebecca; Thomas, A.

doi:10.1016/s0009-9260(96)80193-0

Cited by 73 publications

(40 citation statements)

References 10 publications

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“…They are difficult to distinguish from bursal and synovial fluid on T1-weighted images, and a honeycomb-like pattern could be seen from the border of each body that is distinguished from the surrounding fluid on T2-weighted images, as shown in our report [9]. These appearances are not specific findings of rice bodies, and they have to be differentiated from various benign synovial proliferative disorders, including chronic synovial proliferation, pigmented villonodular synovitis, and synovial osteochondromatosis [9,10]. The etiology of rice bodies is not fully understood, but they might originate from microinfarction of the synovium due to chronic inflammation [10].…”

Section: Discussionmentioning

confidence: 46%

A Case of Idiopathic Massive Rice Bodies in the Knee Joint without Rheumatoid Arthritis or Tuberculosis and a Literature Review

Chung

Song

et al. 2016

J Rheum Dis

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Rice bodies are materials with an amorphous nucleus and a fibrin layer found floating in the synovial space and bursa. These bodies have often been detected in patients with rheumatoid arthritis, tuberculous arthritis, and bursitis. Although the etiology and pathogenesis of rice bodies are not yet fully understood, it has been hypothesized that they might be caused by chronic inflammation originating from the synovium. However, we report on a case of idiopathic massive rice bodies in the knee joint without evidence of inflammatory articular disease or infection including rheumatoid arthritis, seronegative spondyloarthritides, tuberculosis, or bacterial or fungal infection. (J Rheum Dis 2016;23:316-320)

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Section: Discussionmentioning

confidence: 46%

A Case of Idiopathic Massive Rice Bodies in the Knee Joint without Rheumatoid Arthritis or Tuberculosis and a Literature Review

Chung

Song

et al. 2016

J Rheum Dis

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“…Some have suggested synovial inflammation and ischaemia,with subsequent synovial shedding and encasement by fibrin derived from synovial fluid as possible cause [4].Rice bodies usually seen in rheumatic diseases such as Rheumatoid Arthritis, Systemic lupus erythematosus and seronegative arthritides,as well as osteoarthritic joints [5,6].Rice bodies have also been reported in a 61yr.old female on volar aspect of wrist [7].The sheath of the tendons of the wrist has been reported as a site of rice body formation [8,9].Atypical mycobacterial tenosynovitis of the hand and wrist and subsequent rice body formation have been reported [10].Pigmented villonodular synovitis and synovial chondromatosis were two close differentials in this case [11,12].Thorough excision of the affected tendon sheath was done to prevent recurrence.…”

Section: Discussionmentioning

confidence: 73%

A Case Report of Rice Body Formation in Tenosynovitis of Extensor Tendons of the Wrist.

Asadi¹,

Bhivsan²,

Kodare³

et al. 2016

IOSR

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“…Rice bodies will be diagnosed on plain radiographs when mineralization occurs. 4 MRI-Thickening of the synovial membrane with increased vascularization, fl uid within the tendon sheath, reactive infl ammation around the tendon, or swelling of the tendon. 5 Tendon is replaced by vascular granulation tissue.…”

Section: Discussionmentioning

confidence: 99%

Tuberculous Tenosynovitis Presenting As Ganglion Of Wrist

Chavan

Sable

Tekade

et al. 2014

SAARC J. Tuber. Lung Dis. HIV/AIDS

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Tuberculosis (TB) is still endemic in many developed countries. Involvement of the hand and wrist at presentation is extremely rare, and the diagnosis is often missed. 57 years old male presented with swelling over the left wrist since 3 years. Three swellings over dorsal aspect of the left wrist, soft in consistency, non tender, non compressible mobile at right angles to the plane of the wrist joint. ESR: 45 mm in 1 hr and rest blood investigation were normal. Ultrasonography showed Giant-cell tumor of Extensor Digitorum sheath. Xray: soft tissue swelling MRI suggestive of Extensor Tendon sheath Extraskeletal Synovial Koch's or Giant cell tumor of tendon sheath. Then planed for excision of swelling and intra-operative fi nding were rice bodies. Histopathological examination showed caseous necrosis with granuloma formation. Patient put on DOT1 therapy. Tuberculous tenosynovitis was fi rst described by Acrel in 1777. Rice bodies occurring in joints affected by tuberculosis were fi rst described in 1895 by Reise Rice bodies will be diagnosed on plain radiographs when mineralization occurs. More than 50% of cases recur within 1 year of treatment. The currently recommended 6-month course is often adequate with Extensive curettage, lavage and synovectomy should be performed. Surgery is essential, but the extent of surgical debridement is still debatable. The surgeon has to be aware of the signifi cance of loose bodies when performing routine excision of innocuous looking wrist ganglia.

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Multiple rice body formation in chronic subacromial/subdeltoid bursitis: MR appearances

Cited by 73 publications

References 10 publications

A Case of Idiopathic Massive Rice Bodies in the Knee Joint without Rheumatoid Arthritis or Tuberculosis and a Literature Review

A Case of Idiopathic Massive Rice Bodies in the Knee Joint without Rheumatoid Arthritis or Tuberculosis and a Literature Review

A Case Report of Rice Body Formation in Tenosynovitis of Extensor Tendons of the Wrist.

Tuberculous Tenosynovitis Presenting As Ganglion Of Wrist

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