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Haslock I.
Medicine North America, 1996;19:49-58

Common periarticular syndromes are soft tissue lesions that are painful and disabling. They can occur in various parts of the body:

  • Shoulder (capsulitis, stiffness resulting from diabetes, supraspinatus tendinitis, bicipital tendinitis)
  • Elbow (epicondylitis, inflammatory bursitis)
  • Wrist (tenosynotivitis, repetitive strain syndrome)
  • Hand (tenosynovitis, plant-thorn synovitis, Dupuytren's contracture)
  • Hip (sub-trochanteric bursitis, tenosynotivitis of the groin)
  • Knee (Baker's cyst, infrapatellar bursitis)
  • Calf (musculo-tendinous tearing)
  • Foot and ankle (tenosynovitis, central core degeneration, ligamentous lesions, plantar fascilitis, Dupuytren's contracture).

Important steps in the management of those with periarticular syndromes include:

  • Careful examination of the patient
  • Localizing the periarticular and soft tissue lesions
  • Consideration of rheumatic disease especially if several sites are involved
  • Consideration of the cause of the lesion
  • Modification of factors causing the problem
  • Patient education to avoid recurrences.



 
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