著者

小浦 卓 高木 徹 横山 裕介 小西池 泰三

出版者

日本関節病学会

雑誌

日本関節病学会誌 (ISSN:18832873)

巻号頁・発行日

vol.38, no.2, pp.155-158, 2019 (Released:2020-04-28)

参考文献数

6

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Background: Popliteal cysts are often observed in patients with rheumatoid arthritis (RA) . Complications of these cysts are rupture, dissection, pseudothrombophlebitis, leg ischemia, nerve entrapment, and compartment syndrome. We describe a patient suffering from RA with a ruptured popliteal cyst that was treated by surgery.Case: A 74-year-old patient with RA presented with sudden-onset pain and tense swelling in his right calf. Prior to hospital admission, a deep vein thrombosis (DVT) was suspected, and he was referred for evaluation and treatment. His C-reactive protein level was 3.78 mg/dL, and his D-dimer level was 3.7 μg/mL (normal level, <1.0 μg/mL) . During his evaluation for DVT, the diagnosis of a ruptured popliteal cyst (RPC) was made on enhanced computed tomography and magnetic resonance imaging. He resisted conservative management and was treated surgically. Postoperatively, the cyst disappeared completely and has not recurred.Conclusion: A popliteal cyst is a benign lesion that results from degenerative or inflammatory disease of the knee joint. This cyst may rupture causing severe pain in the calf, with warmth, erythema, and tenderness. This may be confused with other causes of swelling and pain in the calf including deep vein thrombosis. Hence it is also described as pseudothrombophlebitis. After surgical resection of such cysts, general as well as local signs of inflammation improved. In difficult cases, surgery is considered to be very effective for the treatment of RPCs. In the case of failure of conservative management, surgical treatment is a good option for the treatment of RPCs.

著者

名越 充 橋詰 博行 小西池 泰三 廣岡 孝彦 内田 圭治

出版者

日本肩関節学会

雑誌

肩関節 (ISSN:09104461)

巻号頁・発行日

vol.32, no.3, pp.665-667, 2008 (Released:2008-11-21)

参考文献数

4

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Calcified tendinitis is a common shoulder disease accompanied with severe pain. We experienced many cases of calcified tendinitis over some short periods in a year. We examined the correlation between the occurrence of calcified tendinitis and seasons. 212 patients (males 72, females 140) with acute calcified tendinitis visited to 12 hospitals during two years (January. 2005-December. 2006) in the Chugoku and Shikoku area were investigated. The average age was 57.1 years old. The day of the 1st medical examination and the numbers of cases were examined. The correlation between the occurrence and 4 seasons (March-May, June-August, September-November, December-February) and the correlation in the occurrences between each areas were statistically analyzed. The correlation between the occurrence and seasons was not seen (Wilcoxon signed-rank test). In winter, the mean value of the number of cases of calcified tendonitis tended to be fewest. There was a strong correlation in occurrence between the Sanyo West and Shikoku Setouchi areas (Spearman correlation coefficient ; 0.53997, P=0.0065). More cases and analysis in various points of view are needed for evidence of the correlation between the occurrence and season.

著者

西田 圭一郎 橋詰 謙三 小西池 泰三 廣岡 孝彦 名越 充

雑誌

日本手の外科学会雑誌 = The journal of Japanese Society for Surgery of the Hand (ISSN:09105700)

巻号頁・発行日

vol.23, no.6, pp.988-992, 2006-12-25

参考文献数

13