Synovitis Shoulder

Joint or muscle pains have sometimes been reported in patients receiving aldesleukin, as has shoulder arthralgia with normal radiography and scintigraphic imaging consistent with bilateral synovitis (4,108). 

Edwards and coworkers (1994) reported a high incidence of intracapsular synovitis in patients having shoulder (Bankart) repair procedures wherein the SURETAG device was used. This device was made from a copolymer of glycolide and trimethylene carbonate. In a similar study, Paganini and others reported no device-related complications with 22 SURETAG patients followed for two years (Paganini et al, 1995). 

US can detect a variety of minus lesions ranging from small para-articular erosions caused by chronic synovitis to large post-traumatic defects. One of the most common bone defects is the Hill-Sachs lesion, a compressive fracture of the humeral head that follows anterior shoulder dislocation (see Chapter 6). The lesion derives from the traumatic action of the sharp anterior glenoid border against the posterolateral aspect of the dislocated humeral head. US has proved to be an efficient modality to detect a Hill-Sachs lesion and assess... 

Bianchi S, Mazzola CG, Martinoli C et al (1998) Quiz case of the month. Intra-articular pigmented villonodular synovitis of the knee. Eur Radiol 8 1275-1276 Bize P, Pugliese F, Bacigalupo L et al (2004) Unrecognized bilateral posterior shoulder dislocation diagnosed by ultrasound. Eur Radiol 14 350-352... 

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... 

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