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1.
Br J Hosp Med (Lond) ; 82(9): 1-8, 2021 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-34601927

RESUMEN

Metatarsalgia is a common presentation, particularly in middle-aged women. This review discusses the anatomical basis and classifies the different pathologies into primary, secondary and iatrogenic. The key elements to differentiate the pathologies within each classification which could cause a patient to suffer with metatarsalgia are outlined. Further investigations are briefly covered, but a linked article discusses the investigations of metatarsalgia in more detail. The article gives an overview of metatarsalgia to help clinicians to investigate and manage these symptoms.


Asunto(s)
Metatarsalgia , Femenino , Humanos , Metatarsalgia/diagnóstico , Metatarsalgia/etiología , Metatarsalgia/terapia , Persona de Mediana Edad
2.
Br J Hosp Med (Lond) ; 82(9): 1-7, 2021 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-34601938

RESUMEN

Metatarsalgia is a common clinical conundrum that requires careful assessment. There are a variety of causes and understanding these can help manage the pain. These causes have different imaging characteristics and require specific imaging. By understanding core imaging principles and how they apply to causes of metatarsalgia, pathology can be more efficiently investigated. This article covers primary, secondary and iatrogenic causes of metatarsalgia with the most appropriate imaging modalities for each and the salient imaging findings. This article reviews the common forefoot pathologies and how they may be optimally radiologically investigated, with an emphasis on the key imaging findings.


Asunto(s)
Mano , Metatarsalgia , Diagnóstico por Imagen , Pruebas Diagnósticas de Rutina , Pie , Humanos , Metatarsalgia/diagnóstico por imagen , Metatarsalgia/etiología
3.
Br J Hosp Med (Lond) ; 80(8): 456-460, 2019 Aug 02.
Artículo en Inglés | MEDLINE | ID: mdl-31437039

RESUMEN

Ulnar-sided wrist pain is often unfairly labelled as the 'back pain' of the wrist. This reputation comes from the complexity of diagnosing problems related to this area of the wrist. This article summarizes the anatomy and biomechanics of the wrist and presents a logical approach to diagnosing the aetiology of the pain. The problems are categorised based on the anatomical structure from which the pain arises: either bony, soft tissue-related or arising from nerves or vascular structures. The article also outlines the relevant examination findings and the most appropriate investigation that would yield a diagnosis with any given presentation. A linked article detailing the imaging of ulnar-sided wrist pain is included in this issue (10.12968/hmed.2019.80.8.461).


Asunto(s)
Técnicos Medios en Salud/estadística & datos numéricos , Artralgia/diagnóstico , Dolor/diagnóstico , Radiología/métodos , Cúbito/diagnóstico por imagen , Articulación de la Muñeca/fisiopatología , Fenómenos Biomecánicos , Competencia Clínica , Femenino , Humanos , Masculino , Manejo del Dolor/métodos , Dimensión del Dolor , Examen Físico/métodos , Rango del Movimiento Articular/fisiología , Traumatismos de la Muñeca/diagnóstico
4.
Br J Hosp Med (Lond) ; 80(8): 461-465, 2019 Aug 02.
Artículo en Inglés | MEDLINE | ID: mdl-31437044

RESUMEN

Ulnar-sided wrist pain is a complex entity to diagnose clinically and frequently requires imaging to help confirm or determine the diagnosis. This article reviews the imaging and the logical imaging pathway of the common causes of ulnar-sided wrist pain, and illustrates various pathologies. It also discusses appropriate imaging modalities for various conditions. The causes of ulnar-sided wrist pain are stratified according to the affected anatomical structures, such as bony, soft tissue or neurovascular aetiologies. This review provides a handy imaging framework for non-radiologist clinicians of the common conditions producing ulnar-sided wrist pain. A linked article (10.12968/hmed.2019.80.8.456) detailing the diagnosis of ulnar-sided wrist pain is included in this issue.


Asunto(s)
Artralgia/diagnóstico por imagen , Diagnóstico por Imagen/métodos , Cúbito/diagnóstico por imagen , Articulación de la Muñeca/diagnóstico por imagen , Artralgia/etiología , Artralgia/fisiopatología , Femenino , Humanos , Masculino , Dimensión del Dolor , Sensibilidad y Especificidad , Traumatismos de los Tendones/complicaciones , Traumatismos de los Tendones/diagnóstico por imagen , Cúbito/fisiopatología , Traumatismos de la Muñeca/complicaciones , Traumatismos de la Muñeca/diagnóstico por imagen , Articulación de la Muñeca/fisiopatología
5.
Br J Hosp Med (Lond) ; 80(4): 196-200, 2019 Apr 02.
Artículo en Inglés | MEDLINE | ID: mdl-30951414

RESUMEN

Heel pain presents frequently to primary care, commonly affecting athletic and elderly patients. Its presentation can be a common source of confusion for clinicians given the wide variety of differential diagnoses and the similarities in presenting symptoms and signs. This review classifies heel pain according to site of pain and explores the common pathologies clinicians may encounter. A brief summary of common imaging modalities used is provided. The literature is reviewed to guide evidence-based practice and to provide a framework to help clinicians investigate and manage heel pain before onward referral for specialist intervention. A linked article detailing the imaging of heel pain is included in this issue ( https://doi.org/10.12968/hmed.2019.80.4.192 ).


Asunto(s)
Analgésicos/uso terapéutico , Ortesis del Pié , Talón , Dolor Musculoesquelético/terapia , Modalidades de Fisioterapia , Tendón Calcáneo , Corticoesteroides/administración & dosificación , Antiinflamatorios no Esteroideos/uso terapéutico , Bursitis/terapia , Calcáneo/lesiones , Tratamiento Conservador , Manejo de la Enfermedad , Fascitis Plantar/terapia , Enfermedades del Pie/terapia , Fracturas por Estrés/terapia , Humanos , Inyecciones , Ortopedia , Osteoartritis/terapia , Derivación y Consulta , Zapatos , Articulación Talocalcánea , Síndrome del Túnel Tarsiano/terapia , Tendinopatía/terapia
6.
Br J Hosp Med (Lond) ; 80(4): 192-195, 2019 Apr 02.
Artículo en Inglés | MEDLINE | ID: mdl-30951433

RESUMEN

Heel pain is a common presentation in primary care and affects a wide range of the population but predominantly elderly, obese and athletic patients. History and clinical assessment are paramount in the management of this condition but the presentation can confound clinicians, necessitating the use of imaging to confirm or clarify the diagnosis when there is clinical uncertainty. This article illustrates the various conditions producing heel pain to help clinicians determine the appropriate imaging modality to image the common causes of heel pain. A linked article detailing the management of heel pain is included in this issue ( https://doi.org/10.12968/hmed.2019.80.4.196 ).


Asunto(s)
Talón/diagnóstico por imagen , Dolor Musculoesquelético/diagnóstico por imagen , Tendón Calcáneo/diagnóstico por imagen , Bursitis/diagnóstico por imagen , Calcáneo/diagnóstico por imagen , Calcáneo/lesiones , Fascitis Plantar/diagnóstico por imagen , Enfermedades del Pie/diagnóstico por imagen , Fracturas por Estrés/diagnóstico por imagen , Humanos , Imagen por Resonancia Magnética , Osteoartritis/diagnóstico por imagen , Radiografía , Articulación Talocalcánea/diagnóstico por imagen , Síndrome del Túnel Tarsiano/diagnóstico por imagen , Tendinopatía/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Ultrasonografía
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