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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Isolated diseases of the os pisiforme is seldom described in the literature. Since 1973 wehave seen 7 patients with typical signs: pain at the region of pisiform, increased by dorsiflexion and radial deviations of the wrist and by compressing the pisiform in the palmar-dorsal plane. The diagnosis of pisiform disease is based on clinical and X-ray examination and followed by histological study after operation. Five of the seven patients came to operation for the following disorder: local, circumscribed chondrosis, chondromatosis of flexor carpi ulnaris with osteochondromatosis, atrophy of the pisiform and in the two cases aseptic osteonecrosis. After partial resection of the pisiform, once combined with Z-shaped lengthening of the tendon of Flexor carpi ulnaris or complete enucleation of the bone all patients were free of discomfort and remained so.
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PMID:[Diseases of the pisiform bone]. 61 82

Synovectomy is the routine surgical treatment for cases of therapy-resistant exudative synovitis or teno-synovitis, which are frequently seen in cases of rheumatoid arthritis and less frequently in synovial osteochondromatosis, pigmented villo-nodular synovitis and degenerative joint diseases. The best results are obtained following a so-called "early synovectomy", which means a synovectomy performed prior to the onset of destructive changes of bone and cartilage and before the occurrence of irreversible mechanical distension of ligaments and capsules. When carried out under the above mentioned conditions, complete local relief of pain can be achieved in nearly all cases. In rheumatoid arthritis the pain relief may be temporary or permanent depending on the disease progression in each individual case. Statistically, the danger of relapse increases in proportion to the length of time following synovectomy. Analogous results can be obtained by the use of chemical (osmic acid 2%) or radioactive (Er-165, Re-186, P-32, Y-90) synovectomy. Further experience with these agents will be necessary to determine to what degree they can replace surgical therapy.
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PMID:[Indications and types of synovectomy]. 113 57

An unusual clinical finding is presented with a brief review of the literature. Synovial osteochondromatosis is typically a benign process involving metaplasia of the synovial intima and the formation of cartilaginous nodules that may eventually become ossified. Synovial osteochondromatosis should always be considered as a differential diagnosis whenever a patient presents with pain, swelling, and loss of function at or around a joint. Chondrosarcoma has been misdiagnosed, leading to radical and unnecessary amputation, because synovial osteochondromatosis has not been considered. Alternatively, synovial osteochondromatosis may degenerate to or be associated with a malignant process. When radiographs or more sophisticated investigative procedures, such as magnetic resonance imaging, fail to provide a conclusive answer, histologic findings provide the definitive diagnosis.
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PMID:Synovial osteochondromatosis. A brief review. 150 82

Asymptomatic loose bodies were detected in the temporomandibular joint of a 62-year-old woman during an examination before comprehensive dental care. The radiologic interpretation was synovial chondrometaplasia (synovial osteochondromatosis). A histologic diagnosis was not obtained, because surgery was unwarranted in view of the lack of symptoms and the benign differential diagnosis. Review of the literature revealed 62 reported cases of temporomandibular joint chondrometaplasia, all of which included one or more of the following: swelling, pain, joint noise, and limited mandibular movement. These reports have described this entity as a rare lesion, but the rate of reports has increased, perhaps because of greater practitioner awareness and increased sensitivity of diagnostic tests.
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PMID:Asymptomatic, radiologically detected chondrometaplasia in the temporomandibular joint. 192 29

Synovial osteochondromatosis of the hand is uncommon, except for tenosynovial chondromatosis of the digits. It is even more rare in the wrist joint. A patient with synovial osteochondromatosis of the distal radioulnar joint that involved the triangular fibrocartilage complex is described. At operation, synovectomy, excision of osteochondral bodies, and removal of the entire triangular fibrocartilage complex was done. The triangular fibrocartilage complex was reconstructed using part of the extensor carpi ulnaris tendon. One year after operation, the patient had regained almost full range of motion and is without pain.
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PMID:Reconstruction of the triangular fibrocartilage complex after surgery for treatment of synovial osteochondromatosis of the distal radioulnar joint. 226 84

We report four patients who showed hundreds of brilliant white loose bodies at arthroscopy of the knee after a short history of pain and crepitus. Histological, historical and clinical evidence is presented which indicates that the aetiology of this condition is the culture of chondrocytes in synovial fluid. It is suggested that reversal of the usually accepted order of events in synovial osteochondromatosis could provide a better and unified explanation for both that condition and multiple loose bodies. The term 'snow storm knee' is proposed to describe the dramatic picture seen at arthroscopy.
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PMID:The aetiology of multiple loose bodies. Snow storm knee. 265 22

Osteochondroma is about 50% of benign bone neoplasms and up to 15% of all primary tumours of the skeleton; metaphysis of long bones are more frequently involved with the spine being interested in 2.5-5% of all cases, usually pertaining to multiple osteochondromatosis, in which many areas of the skeleton are affected. A solitary osteochondroma of the right pedicle of L4 causing sciatalgic pain and difficulty warling and treated by surgery is presented. Only two other cases of solitary osteochondroma involving the lumbar spine have been previously reported.
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PMID:Solitary osteochondroma of the pedicle of L4 causing root compression. Case report. 324 33

Synovial osteochondromatosis is a rare disease which usually runs a benign course. The knee, hip, elbow and the small joints of the hands and the wrists are the joints most affected, (Chadwick, 1977; Milgram, 1977; Murphy, 1962) and the common complaints are of swelling and stiffness, sometimes associated with locking and pain. We present a case with symptoms and signs of ulnar nerve palsy, due to synovial osteochondromatosis of the elbow.
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PMID:Ulnar nerve palsy as a complication of synovial osteochondromatosis of the elbow. 731 37

Multiple osteochondromatosis in a female BoxerA young female Boxer was presented for a problem of lameness affecting the right hind leg. The lameness was associated with a ruptured anterior cruciate ligament. Following the radiographic examination, lesions compatible with a diagnosis of osteochondromatosis were found. There was no pain associated with this condition and it was an accidental finding. Macroscopic and microscopic finds are discussed and there are a few observations about the pathogeny, treatment and prognosis.
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PMID:[Multiple osteochondromatosis in a female boxer (author's transl)]. 734 Sep 27

To study the characteristic diagnostic imaging features of idiopathic synovial osteochondromatosis with different imaging techniques as well as the differential diagnosis between idiopathic and secondary forms, 7 patients with idiopathic synovial osteochondromatosis were retrospectively examined from January, 1988, through December, 1993. In 6 patients the disease was monoarticular (the shoulder in 4 patients, the elbow in one patient and the hip in another one). In one patient two joints were involved--i.e., the left elbow and the right knee. In all cases the clinical picture was characterized by pain and functional impairment of the involved joint, which was swollen in 3 patients. The definitive diagnosis was made on the basis of surgical and/or arthroscopic findings in 4 cases and of radiologic and MR findings in 4 cases and of radiologic and MR findings in 4 cases. In all patients conventional radiology showed multiple juxtaarticular calcified and/or ossified bodies, mostly uniform in size. Calcification patterns varied from small specks of calcification (2-3 mm) to large calcified bodies (1-2 cm) with a typical "cluster" appearance. Conventional arthrography and computerized arthrotomography (performed on 3 patients) demonstrated the intraarticular site of calcified bodies as filling defects at hypertrophic synovial recesses. CT and MRI (performed on 4 patients) allowed easier demonstration of calcified/ossified bodies and of their relationships with articular structures. Moreover, synovial proliferation and cartilagineous nodules obliterating articular spaces, synovial recesses and juxtaarticular bursae were depicted. In particular, MRI allowed the differentiation not only of the different stages of the disease, but also of the idiopathic from the secondary forms. MRI plays therefore a fundamental role in the diagnosis of idiopathic synovial osteochondromatosis, directly influencing surgical planning, i.e., removing articular loose bodies with partial or total synoviectomy by means of arthroscopy.
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PMID:[Diagnostic imaging of idiopathic synovial osteochondromatosis]. 764 24


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