medigraphic.com
ISSN 1405-8790 (Print)

2017, Number 1-2

<< Back

Rev Mex Med Fis Rehab 2017; 29 (1-2)

Bilateral massive bursitis of the shoulder with «rice grains» in a geriatric patient. Case report and bibliographic review

Zárate JA, Arriaga RJ, Alejo GMP

Language: Spanish
References: 23
Page: 26-29
PDF size: 178.58 Kb.


ABSTRACT

We report the case of a female geriatric patient, with the presence of pain and with an important increase in the shoulders, which was referred to the rehabilitation service under the diagnosis of massive bilateral rotator cuff lesion. Clinical assessment, as well as arthrocentesis, laboratory and cabinet studies, allowed the diagnosis of a bilateral subacromial-subdeltoid massive bursitis, with the presence of the sign in image, called «rice granules». The review of the literature was carried out at the international level, being detected that only two similar cases have been reported, while in Mexico, it would be the first report. The treatment by physical therapy and aspiration of the synovial fluid of the subacromial-subdeltoid bursa was not satisfactory, and it must be turned to the assessment of surgical management, which is the treatment of choice.


REFERENCES

  1. Steinfeld R, Rock MG, Younge DA, Cofield RH. Massive subacromial bursitis with rice bodies. Report of three cases, one of which was bilateral. Clin Orthop Relat Res. 1994; (301): 185-190.

  2. Law TC, Chong SF, Lu PP, Mak KH. Bilateral subacromial bursitis with macroscopic rice bodies: ultrasound, CT and MR appearance. Australas Radiol. 1998; 42 (2): 161-163.

  3. Smith MD, Barg E, Weedon H, Papengelis V, Smeets T, Tak PP et al. Microarchitecture and protective mechanisms in synovial tissue from clinically and arthroscopically normal knee joints. Ann Rheum Dis. 2003; 62 (4): 303-307.

  4. Barland P, Novikoff AB, Hamerman D. Electron microscopy of the human synovial membrane. J Cell Biol. 1962; 14: 207-220.

  5. Leupold JA, Nottage WM. La bursa subacromial. Ortho-tips. 2006; 2 (2): 95-97.

  6. Kennedy MS, Nicholson HD, Woodley SJ. Clinical anatomy of the subacromial and related shoulder bursae: A review of the literature. Clin Anat. 2017; 30 (2): 213-226.

  7. van Holsbeeck M, Strouse PJ. Sonography of the shoulder: evaluation of the subacromial-subdeltoid bursa. AJR Am J Roentgenol. 1993; 160 (3): 561-564.

  8. Draghi F, Scudeller L, Draghi AG, Bortolotto C. Prevalence of subacromial-subdeltoid bursitis in shoulder pain: an ultrasonographic study. J Ultrasound. 2015; 18 (2): 151-158.

  9. Popert AJ, Scott DL, Wainwright AC, Walton KW, Williamson N, Chapman JH. Frequency of occurrence, mode of development, and significance or rice bodies in rheumatoid joints. Ann Rheum Dis. 1982; 41 (2): 109-117.

  10. Cheung HS, Ryan LM, Kozin F, McCarty DJ. Synovial origins of Rice bodies in joint fluid. Arthritis Rheum. 1980; 23 (1): 72-76.

  11. Subramaniam R, Tan JW, Chau CY, Lee KT. Subacromial bursitis with giant rice bodies as initial presentation of rheumatoid arthritis. J Clin Rheumatol. 2012; 18 (7): 352-355.

  12. Wynne-Roberts CR, Cassidy JT. Juvenile rheumatoid arthritis with rice bodies: light and electron microscopic studies. Ann Rheum Dis. 1979; 38 (1): 8-13.

  13. Kim RS, Lee JY, Jung SR, Lee KY. Tuberculous subdeltoid bursitis with rice bodies. Yonsei Med J. 2002; 43 (4): 539-542.

  14. Tan CH, Rai SB, Chandy J. MRI appearances of multiple rice body formation in chronic subacromial and subdeltoid bursitis, in association with synovial chondromatosis. Clin Radiol. 2004; 59 (8): 753-757.

  15. Urruela AM, Rapp TB, Egol KA. Massive subacromial-subdeltoid bursitis with rice bodies secondary to an orthopedic implant. Am J Orthop (Belle Mead NJ). 2012; 41 (9): 418-421.

  16. Shin JJ, Lee JP, Doo SK. Multiple rice body formation in subacromial and subdeltoid bursal spaces. Clin Shoulder Elbow. 2016; 19 (2): 96-100.

  17. Forse CL, Mucha BL, Santos ML, Ongcapin EH. Rice body formation without rheumatic disease or tuberculosis infection: a case report and literature review. Clin Rheumatol. 2012; 31 (12): 1753-1756.

  18. Chung WY, Song JS, Oh HE, Park JE. A case of idiopathic massive rice bodies in the knee joint without rheumatoid arthritis or tuberculosis and a literature review. J Rheum Dis. 2016; 23 (5): 316-320.

  19. Chau CL, Griffith JF, Chan PT, Lui TH, Yu KS, Ngai WK. Rice-body formation in atypical mycobacterial tenosynovitis and bursitis: findings on sonography and MR imaging. AJR Am J Roentgenol. 2003; 180 (5): 1455-1459.

  20. Ottenheijm RP, Jansen MJ, Staal JB, van den Bruel A, Weijers RE, de Bie RA et al. Accuracy of diagnostic ultrasound in patients with suspected subacromial disorders: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2010; 91 (10): 1616-1625.

  21. Aszmann OC, Dellon AL, Birely BT, McFarland EG. Innervation of the human shoulder joint and its implications for surgery. Clin Orthop Relat Res. 1996; (330): 202-207.

  22. Mapp PI. Innervation of the synovium. Ann Rheum Dis. 1995; 54 (5): 398-403.

  23. Gotoh M, Hamada K, Yamakawa H, Inoue A, Fukuda H. Increased substance P in subacromial bursa and shoulder pain in rotator cuff diseases. J Orthop Res. 1998; 16 (5): 618-621.




2020     |     www.medigraphic.com