Naslov
Biceps brachii tenosynovitis - Case report

Autori
Crnogorac, Maja ; Čavka, Mislav ; Ivanac, Gordana ; Radović, Niko ; Brkljačić, Boris

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
4. Zajednički kongres Hrvatskog društva za ultrazvuk u medicini i biologiji HLZ-a i Združenja za rabo ultrazvoka v medicini SZD-a Knjiga sažetaka / - , 2015, 72-72

Skup
4. Zajednički kongres Hrvatskog društva za ultrazvuk u medicini i biologiji HLZ-a i Združenja za rabo ultrazvoka v medicini SZD-a

Mjesto i datum
Split, Hrvatska, 16.04.2015. - 18.04.2015

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
MSK ultrasound; Tendinitis; Radiology

Sažetak
The biceps brachii muscle is located on the anterior part of the upper arm, and has several important functions – to rotate the forearm (supination) and to flex the elbow. Injury to the long head of the biceps brachiii tendon (LHBBT) is common and can be a significant source of refractory shoulder pain. Symptoms are often nonspecific and associated lesions elswhere in the shoulder are common. Biceps tendinitis is the acute inflammation of the tendon, which may occur because of sudden overuse, especially among older patients. Tenosynovitis is used to describe normal tendons surrounded by increased fluid or proliferating synovium and thickend tendons surrounded by normal fluid. Patients with acute biceps tendinitis can present in the emergency room, where differential diagnosis such as shoulder fractures, dislocation, arthritis, vascular abnormalities must be ruled out. Patient described in our case complained of sudden pain and swelling of the left upper-arm. In the first ER examination only shoulder x-ray was performed and no bone abnormalities were described. A few days later patient returns with even greater pain and swelling and is sent on US examination under suspition of deep vein thrombosis. US examination reveals biceps tendon sheath distension by anechoic fluid 5x2 cm wide. A simple US guided punction and evacuation led to clinical improvement. Radiography is available and inexpensive but rules out only bone structure abnormalities. US is reliable to demonstrate the wide spectrum of tendon pathology including tenosynovitis, partial or complete tears, ganglia, tendon instability, bone spurs. Doppler US is used for detection of hypervascularisation of inflammed tissues. Suspected accompanying anatomic lesions may require MRI.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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