RESUMO
Knee effusion can be detected by physical examination, ultrasound and MRI, but the utility of each test is unclear. This study aimed to analyze the diagnostic value of physical examination and ultrasound for knee effusion. A systematic literature search of electronic databases was completed. Bivariate mixed-effects regression modelling was used to estimate sensitivity, specificity and diagnostic odds ratio of physical examination and ultrasound diagnosis of knee effusion. Sensitivity of ultrasound diagnosis of knee effusion was higher than the bulge sign and patellar tap, leading to improved positive and negative predictive values.
Assuntos
Exame Físico , HumanosRESUMO
Each year increasing numbers of people participate in a wider variety of athletic endeavors. Unlike previous generations, many patients remain in these activities later into their lives, some well beyond retirement. As the population ages and their activities continue, they are subject to injury of various forms affecting all aspects of their bodies.
Assuntos
Traumatismos em Atletas , Atividades de Lazer , Administração dos Cuidados ao Paciente/métodos , Traumatismos em Atletas/classificação , Traumatismos em Atletas/etiologia , Traumatismos em Atletas/prevenção & controle , Traumatismos em Atletas/terapia , Comportamentos de Risco à Saúde/fisiologia , Humanos , Comportamento Sedentário , Fatores de TempoAssuntos
Lesões do Ligamento Cruzado Anterior , Traumatismos do Joelho , Ligamento Cruzado Anterior/cirurgia , Reconstrução do Ligamento Cruzado Anterior/métodos , Reconstrução do Ligamento Cruzado Anterior/reabilitação , Terapia por Exercício , Humanos , Traumatismos do Joelho/diagnóstico , Traumatismos do Joelho/prevenção & controle , Traumatismos do Joelho/reabilitação , Traumatismos do Joelho/cirurgia , Modalidades de Fisioterapia , Cuidados Pós-OperatóriosRESUMO
Glucocorticosteroid injections into the shoulder are commonly used in the treatment of rotator cuff tendinitis. These injections rarely result in any serious complications and are generally considered a safe therapeutic intervention. Despite the extensive application of this treatment, there have been no reports of dysphonia occurring after corticosteroid injection into the subacromial space. We report the case of a 66-yr-old man with dysphonia after undergoing subacromial glucocorticosteroid injection for treatment of rotator cuff tendinitis.
Assuntos
Dexametasona/efeitos adversos , Glucocorticoides/efeitos adversos , Tendinopatia/tratamento farmacológico , Distúrbios da Voz/induzido quimicamente , Idoso , Dexametasona/administração & dosagem , Glucocorticoides/administração & dosagem , Humanos , Injeções Intra-Articulares , Masculino , Manguito Rotador/fisiopatologia , Tendinopatia/fisiopatologiaRESUMO
We report the first case of diffuse abnormal insertional activity with bulbar muscle involvement. Electromyography performed 5 months earlier reported multilevel radiculopathy. A repeat electromyography study revealed short trains of positive waves without fibrillation potentials, diffusely present in all tested muscles. Positive waves were also found in the bulbar innervated muscles; these included the trapezius, frontalis, and the orbicularis oculi. This entity is important to recognize because confusion with neuromuscular syndromes can occur.
