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Pesquisa : A02.835.583.156 [Categoria DeCS]
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[PMID]:29069005
[Au] Autor:Mun JU; Cho HR; Bae SM; Park SK; Choi SL; Seo MS; Lim YS; Rn SHW; Kim YU
[Ad] Endereço:aDepartment of Orthopedic Surgery, Changwon Gyeongsang National University Hospital, Incheon bDepartment of Anesthesiology and Pain Medicine, Myongji Hospital, College of Medicine, Seonam University, Goyang cDepartment of Anesthesiology and Pain Medicine, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Incheon dDepartment of Anesthesiology and Pain Medicine, Catholic Kwandong University of Korea College of Medicine, International ST. Mary's Hospital, Incheon eDepartment of Nursing, Kyung-In Women's University, Incheon, Republic of Korea.
[Ti] Título:Effect of polydeoxyribonucleotide injection on pes anserine bursitis: A case report.
[So] Source:Medicine (Baltimore);96(43):e8330, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Pes anserine (PA) bursitis is an inflammatory condition of the medial knee. The PA bursa becomes more painful when infected, damaged, or irritated. Although various treatment options have been attempted to treat PA bursitis, optimal treatments are still debated. This study aims to investigate the effect of polydeoxyribonucleotide (PDRN) injection on reducing pain and inflammation in a patient presenting with PA bursitis. PATIENT CONCERNS: A 50-year-old female patient was admitted to our pain clinic with symptoms of tenderness and pain over the medial knee. Physical examination revealed the pain to be located over the proximal medial tibia at the insertion of the conjoined tendons of the PA. The knee had lost its range of movement and strength, and resisted knee flexion. DIAGNOSES: She was diagnosed as having PA bursitis. INTERVENTIONS: Ultrasound guided PA bursa injection was carried out. OUTCOMES: Follow-up for the patient was more than eight months. She showed good improvement in PA bursitis without any complications. LESSONS: This is the first successful report of successful PDRN injection for PA bursa.
[Mh] Termos MeSH primário: Artralgia
Bursite
Articulação do Joelho
Polidesoxirribonucleotídeos/administração & dosagem
[Mh] Termos MeSH secundário: Analgésicos/administração & dosagem
Anti-Inflamatórios/administração & dosagem
Artralgia/tratamento farmacológico
Artralgia/etiologia
Bolsa Sinovial/efeitos dos fármacos
Bursite/diagnóstico
Bursite/tratamento farmacológico
Bursite/etiologia
Bursite/fisiopatologia
Feminino
Seres Humanos
Injeções/métodos
Articulação do Joelho/diagnóstico por imagem
Articulação do Joelho/patologia
Meia-Idade
Resultado do Tratamento
Ultrassonografia/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Analgesics); 0 (Anti-Inflammatory Agents); 0 (Polydeoxyribonucleotides)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171123
[Lr] Data última revisão:
171123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008330


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[PMID]:28615733
[Au] Autor:Ospelt C; Frank-Bertoncelj M
[Ad] Endereço:Centre of Experimental Rheumatology, University Hospital Zurich, Wagistrasse 14, CH-8952 Schlieren, Zurich, Switzerland.
[Ti] Título:Why location matters - site-specific factors in rheumatic diseases.
[So] Source:Nat Rev Rheumatol;13(7):433-442, 2017 Jul.
[Is] ISSN:1759-4804
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Rheumatic diseases follow a characteristic anatomical pattern of joint and organ involvement. This Review explores three interconnected mechanisms that might be involved in the predilection of specific joints for developing specific forms of arthritis: site-specific local cell types that drive disease; systemic triggers that affect local cell types; and site-specific exogenous factors, such as focal mechanical stress, that activate cells locally. The embryonic development of limbs and joints is also relevant to the propensity of certain joints to develop arthritis. Additionally, location-specific homeostasis and disease occurs in skin and blood vessels, thereby extending the concept of site-specificity in human diseases beyond rheumatology. Acknowledging the importance of site-specific parameters increases the complexity of current disease paradigms and brings us closer to understanding why particular disease processes manifest at a particular location.
[Mh] Termos MeSH primário: Doenças Reumáticas/patologia
[Mh] Termos MeSH secundário: Bolsa Sinovial/patologia
Condrócitos/patologia
Extremidades/crescimento & desenvolvimento
Extremidades/patologia
Fibroblastos/patologia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170616
[St] Status:MEDLINE
[do] DOI:10.1038/nrrheum.2017.96


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[PMID]:28285012
[Au] Autor:Jordan SW; De la Garza M; Lewis VL
[Ad] Endereço:Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
[Ti] Título:Two-stage treatment of ischial pressure ulcers in spinal cord injury patients: Technique and outcomes over 8 years.
[So] Source:J Plast Reconstr Aesthet Surg;70(7):959-966, 2017 Jul.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Despite newly introduced techniques, reconstruction of ischial pressure ulcers remains a difficult problem with high-reported failure rates. METHODS: A retrospective chart review was performed on all spinal cord injury patients who underwent ischial pressure ulcer reconstruction by the senior author (V.L.) between 2004 and 2012. The two-stage procedure consisted of debridement and bone biopsy, followed by bursectomy, partial ischiectomy, fascial release, and gluteus maximus and hamstring advancement flaps. Postoperative care included 2-week supine bed rest on an air-fluidized bed, sitting tolerance rehabilitation, and thorough behavioral training. RESULTS: Sixty-five patients (74 flaps) were identified. A 45.9% had a previous attempt at reconstruction. The median follow-up period was 622 days. Overall, 67.6% of flaps were intact at the last follow-up. Superficial and deep dehiscence rates were 16.2 and 28.4%, respectively. Seven out of 35 flaps suffered late recurrence after being well healed for more than 1 year. History of previous reconstruction was found to be associated with increased odds of superficial (OR 6.02, 95% CI 1.55-23.3) and deep dehiscence (OR 12.3, 95% CI 1.99-76.9). CONCLUSIONS: The evolution of the senior author's decades of practice has led to the development of a simpler repair, which relies on plane-by-plane release of scarred tissues to improve the mobility of muscle and skin flaps without large tissue movements, even in the setting of apparent extensive tissue loss. This technique is a reliable option, particularly for the primary ischial pressure ulcer.
[Mh] Termos MeSH primário: Dissecação/métodos
Ísquio/patologia
Lesão por Pressão/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
[Mh] Termos MeSH secundário: Adulto
Biópsia
Bolsa Sinovial/cirurgia
Nádegas
Desbridamento
Fasciotomia
Feminino
Seguimentos
Músculos Isquiotibiais/cirurgia
Seres Humanos
Ísquio/cirurgia
Masculino
Meia-Idade
Retalho Miocutâneo
Osteomielite/diagnóstico
Osteomielite/tratamento farmacológico
Lesão por Pressão/etiologia
Recidiva
Estudos Retrospectivos
Traumatismos da Medula Espinal/complicações
Deiscência da Ferida Operatória/etiologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170313
[St] Status:MEDLINE


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[PMID]:28205669
[Au] Autor:Olive J; Videau M
[Ad] Endereço:Dr. Julien Olive, Département de Sciences Cliniques, Centre Hospitalier Universitaire Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, J2S 7C6, Canada.
[Ti] Título:Distal border synovial invaginations of the equine distal sesamoid bone communicate with the distal interphalangeal joint.
[So] Source:Vet Comp Orthop Traumatol;30(2):107-110, 2017 Mar 20.
[Is] ISSN:0932-0814
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Macroscopic studies have suggested a link between distal border synovial invaginations of the navicular bone and the distal interphalangeal joint. However, many practitioners consider that these invaginations are directly and solely related to navicular disease. The objective was to investigate the communication pattern of these synovial invaginations with the synovial compartments of the distal interphalangeal joint and the navicular bursa, using minimally invasive imaging techniques. METHODS: In a prospective observational study, 10 cadaveric limbs with radiographically evident distal border synovial invaginations were randomly assigned to computed tomography arthrography or bursography groups, using iopamidol. RESULTS: In 5/5 limbs, contrast medium filled the invaginations following distal interphalangeal arthrography. In the other five limbs, no contrast medium filled the invaginations following bursography. CLINICAL SIGNIFICANCE: Contrary to existing beliefs, these invaginations are more likely associated with distal interphalangeal joint synovitis and may not be directly linked to primary navicular bone pathology, but might reflect distal interphalangeal arthropathy. Therefore, the rationale for assessment of these invaginations in stallion selection or pre-purchase examinations as a predictive sign for navicular disease is questionable. Nonetheless, comorbidities are frequent in the equine distal limb. Enlarged synovial invaginations may also be seen in limbs with concomitant primary navicular disease. Further studies are needed to elucidate possible inter-related pathological processes.
[Mh] Termos MeSH primário: Cavalos/anatomia & histologia
Articulações/anatomia & histologia
Ossos Sesamoides/anatomia & histologia
[Mh] Termos MeSH secundário: Animais
Bolsa Sinovial/anatomia & histologia
Bolsa Sinovial/diagnóstico por imagem
Casco e Garras/anatomia & histologia
Casco e Garras/diagnóstico por imagem
Articulações/diagnóstico por imagem
Estudos Prospectivos
Ossos Sesamoides/diagnóstico por imagem
Membrana Sinovial/diagnóstico por imagem
Tarso Animal/anatomia & histologia
Tarso Animal/diagnóstico por imagem
Tomografia Computadorizada por Raios X/veterinária
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170217
[St] Status:MEDLINE
[do] DOI:10.3415/VCOT-16-08-0120


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[PMID]:28190095
[Au] Autor:Ruangchaijatuporn T; Gaetke-Udager K; Jacobson JA; Yablon CM; Morag Y
[Ad] Endereço:Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Rachathewi, Bangkok, 10400, Thailand.
[Ti] Título:Ultrasound evaluation of bursae: anatomy and pathological appearances.
[So] Source:Skeletal Radiol;46(4):445-462, 2017 Apr.
[Is] ISSN:1432-2161
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:A bursa is an extra-articular sac that may communicate with a joint and functions to decrease friction between tendons and either bone or skin. Bursae can be classified as native and non-native (adventitious) bursae. The native bursae are lined with a synovial membrane and occur at predictable anatomical sites; knowledge of these normal structures can help distinguish them from other pathological entities. An adventitious bursa can form at sites of friction rather than at predictable anatomical sites, but otherwise have imaging features similar to native bursae. Bursal distention can occur from many pathological processes, most commonly resulting from chronic overuse injury. When imaging bursal pathological conditions, there is often an overlap of imaging findings, regardless of the cause. In general, ultrasound of a distended bursa reveals a fluid collection with either simple anechoic or more complex hypoechoic fluid. Bursal distention is characteristically unilocular and compressible, unlike other structures such as ganglion cysts, which are usually multilocular and non-compressible. This article reviews the anatomical locations of common bursae and shows pathological examples using ultrasound. Knowledge of typical locations and imaging appearances of bursae can aid in narrowing the differential diagnosis and guiding further management and treatment decisions.
[Mh] Termos MeSH primário: Bolsa Sinovial/anatomia & histologia
Bolsa Sinovial/diagnóstico por imagem
Bursite/diagnóstico por imagem
Ultrassonografia/métodos
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170213
[St] Status:MEDLINE
[do] DOI:10.1007/s00256-017-2577-x


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[PMID]:28079582
[Au] Autor:Mu A; Peng P; Agur A
[Ad] Endereço:From the *Department of Anesthesia and Pain Management, University Health Network, University of Toronto, Toronto, Ontario, Canada; and †Department of Anatomy, University of Toronto, Toronto, Ontario, Canada.
[Ti] Título:Landmark-Guided and Ultrasound-Guided Approaches for Trochanteric Bursa Injection: A Cadaveric Study.
[So] Source:Anesth Analg;124(3):966-971, 2017 Mar.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Trochanteric bursa (TB) injection with local anesthetic and corticosteroid is a treatment for patients suffering from greater trochanteric pain syndrome. Both landmark (LM)-guided and ultrasound (US)-guided methods have been used, but their accuracies have not been determined. This study examined the accuracy of these injections with cadaveric dissection. METHODS: Twenty-four hip specimens were randomized to receive TB injections with methylene blue under either LM-guided or US-guided approach. After dissection, the locations of the dye were classified into 3 categories: intrabursal, extrabursal, or combined intrabursal and extrabursal. The presence of dye in the intrabursal space with or without extrabursal leak was considered a successful injection. Accuracy was defined as the percentage of successful injection. RESULTS: The accuracies of the LM-guided and US-guided injection were 0.67 (95% confidence interval 0.35-0.90) and 0.92 (95% confidence interval 0.62-1.00), respectively, with no significant difference. CONCLUSIONS: This is the first cadaveric study examining the accuracy of both the US-guided and LM-guided techniques for TB injection. Future clinical studies are required to compare the outcomes of LM-guided and US-guided greater trochanteric pain syndrome injection.
[Mh] Termos MeSH primário: Pontos de Referência Anatômicos/diagnóstico por imagem
Bolsa Sinovial/diagnóstico por imagem
Fêmur/diagnóstico por imagem
Articulação do Quadril/diagnóstico por imagem
Ultrassonografia de Intervenção/métodos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Bolsa Sinovial/metabolismo
Cadáver
Feminino
Fêmur/metabolismo
Articulação do Quadril/metabolismo
Seres Humanos
Injeções Intra-Articulares/métodos
Masculino
Azul de Metileno/administração & dosagem
Azul de Metileno/metabolismo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
T42P99266K (Methylene Blue)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170113
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000001864


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[PMID]:28007292
[Au] Autor:Shah A; James SL; Davies AM; Botchu R
[Ad] Endereço:Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, UK. Electronic address: doctigs@gmail.com.
[Ti] Título:A diagnostic approach to popliteal fossa masses.
[So] Source:Clin Radiol;72(4):323-337, 2017 Apr.
[Is] ISSN:1365-229X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:There is a myriad of potential mass lesions that occur in the popliteal fossa, which present as palpable masses or are found incidentally on imaging. With a thorough knowledge and understanding of the appearances and locations of these different entities, one can narrow the differential diagnoses in the majority of cases. This will eliminate unnecessary additional investigations and enable a more rapid management. We present a review of frequently encountered and less common entities using an anatomical sieve, with the aim of providing a diagnostic approach to popliteal fossa masses.
[Mh] Termos MeSH primário: Artropatias/diagnóstico por imagem
Articulação do Joelho/diagnóstico por imagem
Neoplasias Lipomatosas/diagnóstico por imagem
Neoplasias de Tecido Muscular/diagnóstico por imagem
Osteocondroma/diagnóstico por imagem
Neoplasias de Tecidos Moles/diagnóstico por imagem
[Mh] Termos MeSH secundário: Bolsa Sinovial/diagnóstico por imagem
Diagnóstico Diferencial
Diagnóstico por Imagem/métodos
Seres Humanos
Cápsula Articular/diagnóstico por imagem
Cisto Popliteal/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170331
[Lr] Data última revisão:
170331
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161224
[St] Status:MEDLINE


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[PMID]:27764718
[Au] Autor:Friedman MV; Stensby JD; Long JR; Currie SA; Hillen TJ
[Ad] Endereço:Washington University School of Medicine, Mallinckrodt Institute of Radiology, 510 South Kingshighway Boulevard, St. Louis, MO 63110, United States. Electronic address: friedmanm@mir.wustl.edu.
[Ti] Título:Beyond the greater trochanter: a pictorial review of the pelvic bursae.
[So] Source:Clin Imaging;41:37-41, 2017 Jan - Feb.
[Is] ISSN:1873-4499
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Review the MRI appearance of different bursae located throughout the pelvis, including the pertinent osseous and musculotendinous anatomy. MATERIALS AND METHODS: Bursae are potential spaces that reduce friction between opposed moving components which can become inflamed, clinically mimicking internal derangement. RESULTS: This series illustrates the most common as well as lesser-known pelvic bursae. Common causes of bursitis including overuse, trauma, and infection are presented. CONCLUSION: Multiple bursae are located throughout the pelvis. It is important for radiologists to recognize bursitis as a potential etiology of pain and be familiar with their anatomical locations in order to guide appropriate management.
[Mh] Termos MeSH primário: Bolsa Sinovial/diagnóstico por imagem
Bursite/diagnóstico por imagem
Imagem por Ressonância Magnética
Pelve/diagnóstico por imagem
[Mh] Termos MeSH secundário: Fêmur/diagnóstico por imagem
Seres Humanos
Dor
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170116
[Lr] Data última revisão:
170116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE


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[PMID]:27320798
[Au] Autor:Andersson G; Backman LJ; Christensen J; Alfredson H
[Ad] Endereço:Department of Integrative Medical Biology, Section for Anatomy, Umeå University, Umeå, Sweden.
[Ti] Título:Nerve distributions in insertional Achilles tendinopathy - a comparison of bone, bursae and tendon.
[So] Source:Histol Histopathol;32(3):263-270, 2017 Mar.
[Is] ISSN:1699-5848
[Cp] País de publicação:Spain
[La] Idioma:eng
[Ab] Resumo:BACKGROUND/AIM: In a condition of pain in the Achilles tendon insertion there are multiple structures involved, such as the Achilles tendon itself, the retrocalcaneal bursa and a bony protrusion at the calcaneal tuberosity called Haglund's deformity. The innervation patterns of these structures are scarcely described, and the subcutaneous calcaneal bursa is traditionally not considered to be involved in the pathology. This study aimed at describing the innervation patterns of the four structures described above to provide a better understanding of possible origins of pain at the Achilles tendon insertion. METHODS: Biopsies were taken from 10 patients with insertional Achilles tendinopathy, which had pathological changes in the subcutaneous and retrocalcaneal bursae, a Haglund deformity and Achilles tendon tendinopathy as verified by ultrasound. The biopsies were stained using immunohistochemistry in order to delineate the innervation patterns in the structures involved in insertional Achilles tendinopathy. RESULTS: Immunohistochemical examinations found that the subcutaneous bursa scored the highest using a semi-quantitative evaluation of the degree of innervation when compared to the retrocalcaneal bursa, the Achilles tendon, and the calcaneal bone. CONCLUSIONS: These findings suggest that the subcutaneous bursa, which is traditionally not included in surgical treatment, may be a clinically important factor in insertional Achilles tendinopathy.
[Mh] Termos MeSH primário: Tendão do Calcâneo/inervação
Calcâneo/inervação
Tendinopatia
[Mh] Termos MeSH secundário: Adulto
Bolsa Sinovial/inervação
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170420
[Lr] Data última revisão:
170420
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160621
[St] Status:MEDLINE
[do] DOI:10.14670/HH-11-790


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[PMID]:28100982
[Au] Autor:Avasarala SK; Ahsan ST
[Ti] Título:Bilateral Lower-Extremity Edema Caused by Iliopsoas Bursal Distention after Hip Arthroplasty.
[So] Source:Tex Heart Inst J;43(6):550-551, 2016 Dec.
[Is] ISSN:1526-6702
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Lower-extremity edema is encountered by internists, nephrologists, vascular specialists, and many others. We report a case of an elderly woman who presented with a painful, swollen left leg. Without a clear diagnosis, she had been taking diuretics for the past 8 years for swelling in both legs. After extensive investigation, we found that her lower-extremity edema was due to bilateral iliopsoas bursal distention secondary to degeneration of her hip prostheses. Chronic breakdown of the polyethylene component of the hip prostheses had led to a communication between the artificial joints and the iliopsoas bursae. With the aid of ultrasonographic guidance, she underwent drainage, followed by clinical and radiographic improvement. Although case reports have described leg swelling arising from extravascular compression by enlarged iliopsoas bursae, we think that this is the first case of clinically significant bilateral lower-extremity edema arising from that cause. More important than the novelty is the inappropriate use of diuretics to treat lower-extremity edema without first establishing a diagnosis.
[Mh] Termos MeSH primário: Artroplastia de Quadril/efeitos adversos
Artroplastia de Quadril/instrumentação
Bolsa Sinovial
Edema/etiologia
Prótese de Quadril/efeitos adversos
Falha de Prótese
Músculos Psoas
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Bolsa Sinovial/diagnóstico por imagem
Angiografia por Tomografia Computadorizada
Drenagem/métodos
Edema/diagnóstico por imagem
Edema/terapia
Feminino
Seres Humanos
Extremidade Inferior
Flebografia/métodos
Desenho de Prótese
Músculos Psoas/diagnóstico por imagem
Resultado do Tratamento
Ultrassonografia de Intervenção
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170120
[St] Status:MEDLINE
[do] DOI:10.14503/THIJ-15-5722



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