Rheumatoid Shoulder

Alasaarela M, Alasaarela ELI (1994) Ultrasound evaluation of painfiil rheumatoid shoulders. J Rheumatol 21 1642-1648... 

Chhem RK (1994) Advantages and limitations of ultrasound in the evaluation of the rheumatoid shoulder. J Rheumatol 21 1591-1592... 

The corticosteroids may be used to treat rheumatic disorders such as ankylosing spondylitis, rheumatoid arthritis, gout, bursitis (inflammation of the bursa, usually the bursa of the shoulder), and osteoarthritis. 

In ML-III patients, stiffness of the hands and shoulders due to rheumatoid arthritis leads to claw-hand deformities in addition to short stature and scoliosis. 

Arthritis Arthritis is the general term for chronic pain in the joints the fingers, wrists, elbows, shoulders, knees, ankles, and feet. There are two types of arthritis— rheumatoid arthritis, which results from an inflammation of the thin membranes that line the joints, and the more common osteoarthritis, which results from a... 

A 55-year-old man with chronic lymphocytic leukemia and rheumatoid arthritis took methotrexate for 4 years and developed a B cell non-Hodgkin s lymphoma in the shoulder and axillary lymph nodes he had Epstein-Barr viral antigens in the serum. After radiation and chemotherapy had failed, complete remission was achieved with a combination of rituximab and EPOCH (etoposide -I- prednisone -I- vincristine -I-cyclophosphamide + doxorubicin). 

In an evaluation of the frequency and clinical characteristics of the underlying connective tissue disorders associated with silicone breast implants, 300 women with silicone breast implants were studied (45). In addition to a history and physical examination, C reactive protein, rheumatoid factor, and autoantibodies were determined. Criteria for fibromyalgia and/or chronic fatigue syndrome were met by 54% connective tissue diseases were detected in 11% and undifferentiated connective tissue disease or human adjuvant disease in 10.6%. A variety of disorders, such as angioedema, frozen shoulder, and a multiple sclerosis-like syndrome, were also found. Several other miscellaneous conditions, including recurrent and unexplained low grade fever, hair loss, skin rash, symptoms of the sicca sjmdrome, Rajmaud s phenomenon, carpal tunnel syndrome, memory loss, headaches, chest pain, and shortness of breath were also seen. Of 93 patients who underwent explantation, 70% reported improvement in their systemic symptoms. 

The joints affected most frequently by rheumatoid arthritis are the small joints of the hands, wrists, and feet (Fig. 89-3). In addition, elbows, shoulders, hips, knees, and ankles may be involved. Patients usually experience joint stiffness that typically is worse in the morning. The duration of stiffness tends to be correlated directly with disease activity, usually exceeds 30 minutes, and may persist all day. Chronic inflammation with lack of an adequate exercise program results in loss of range of motion, atrophy of muscles, weakness, and deformity. 

Phenylbutazone is indicated in relieving the symptoms of acute gouty arthritis, active rheumatoid arthritis, and active ankylosing spondylitis, acnte attacks of degenerative joint disease of the hips and knees, and painfnl shoulder (peritendinitis, capsnlitis, bnrsitis, and acnte arthritis of that joint). However, becanse of the risk of agranulocytosis and aplastic anemia, it shonld be nsed only when other nonsteroidal antiinflammatory snbstances have proven unsatisfactory. 

See footnotes in Table 6.5 for the definition of clinical result classifications for acute rheumatic fever, rheumatoid arthritis, and cervical spine-shoulder and lumbar spine syndromes. 

It is a pyrazole derivative which has antipyretic, analgesic and anti-inflammatory actions, because of its toxicity it is not used as a general antipyretic or analgesic. It is, an usual practice, reserved for use in the treatment rheumatic disorders, such as osteoarthrosis, rheumatoid arthritis, ankylosing spondylitis, arthritis, acute superficial thrombophlebitis, painful shoulder and Reiter s disease, where less toxic drugs have failed. 

Rittmeister M., and F. Kerschbaumer. 2001. Grammont reverse total shoulder arthroplasty in patients with rheumatoid arthritis and nonreconstructible rotator cuff lesions. J Shoulder Elbow Surg 10 17-22. 

Sojbjerg J.O., L.H. Frich, H.V. Johaimsen, and O. Sneppen. 1999. Late results of total shoulder replacement in patients with rheumatoid arthritis. Clin Orthop 366 39-45. 

Trail LA., and D. Nuttall. 2002. The results of shoulder arthroplasty in patients with rheumatoid arthritis. J Bone Joint Surg 84 1121-1125. 

Parsonage Turner syndrome) MR imaging appearance-report of three cases. Radiology 207 255-259 Hermann KA, Backhaus M, Schneider U et al (2003) Rheumatoid arthritis of the shoulder joint comparison of conventional radiography, ultrasound and dynamic contrast-enhanced magnetic resonance imaging. Arthritis Rheum 48 3338-3349... 

Strunk J, Lange U, Kiirten B et al (2003) Doppler sonographic findings in the long bicipital tendon sheath in patients with rheumatoid arthritis as compared with patients with degenerative diseases of the shoulder. Arthritis Rheum 48 1828-1832... 

Wallny T, Wagner UA, Prange S et al (1999) Evaluation of chronic tears of the rotator cuff by ultrasound a new index. J Bone Joint Surg Br 81 675-678 Wamser G, Bohndorf K, Vollert K et al (2003) Power Doppler sonography with and without echo-enhancing contrast agent and contrast-enhanced MRI for the evaluation of rheumatoid arthritis of the shoulder joint differentiation between synovitis and joint effusion. Skeletal Radiol 32 351-359... 

Things that can upset the structural balance of the shoulder include arthritis, tendon and ligament abrasions and ruptures, and deterioration and fracture of the bones. Rheumatoid arthritis (RA) affects the soft tissues and... 

Sperling JW, et al. Total shoulder arthroplasty versus hemiarthroplasty for rheumatoid arthritis of the shoulder results of 303 consecutive cases. J Shoulder Elbow Surg 2007 16(6) 683-90. 

Ovesen J, Olsen BS, Jdiannsen HV, Sojbjerg JO. Capitellocondylar total elbow replacement in late-stage rheumatoid arthritis. J Shoulder Elbow Surg 2005 July—August 14(4) 414—20. 

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