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Yamada T. Popeye's sign: A diagnostic clue. Clin Case Rep 2023; 11:e7378. [PMID: 37220507 PMCID: PMC10199805 DOI: 10.1002/ccr3.7378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 03/31/2023] [Accepted: 05/03/2023] [Indexed: 05/25/2023] Open
Abstract
Key Clinical Message Sudden onset bulging of the upper arm may indicate biceps tendon rupture. Abstract We describe a 72-year-old man with Popeye's sign. The patient experienced a sudden shock in his right humerus while mowing grass with his right arm using wide sweeps of a scythe. His right upper arm had an obvious bulging appearance after 3 days, indicating a rupture of the biceps tendon.
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Viegas JM, Brás PG, Cardoso I, Rosa SA. Popeye Deformity: A Red Flag for Wild-Type Transthyretin Amyloidosis. Am J Med 2023; 136:e90-e91. [PMID: 36740212 DOI: 10.1016/j.amjmed.2023.01.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Revised: 01/16/2023] [Accepted: 01/18/2023] [Indexed: 02/05/2023]
Affiliation(s)
- José Miguel Viegas
- Department of Cardiology, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal.
| | - Pedro Garcia Brás
- Department of Cardiology, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
| | - Isabel Cardoso
- Department of Cardiology, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
| | - Sílvia Aguiar Rosa
- Department of Cardiology, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
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Hemachandran N, Goyal A, Kandasamy D, Gamanagatti S, Srivastava DN, Ansari MT. Myotendinous pseudomasses: an imaging review. Acta Radiol 2021; 64:172-186. [PMID: 34851168 DOI: 10.1177/02841851211061446] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
A mass or a tumor may not always be an underlying cause for a clinically apparent swelling. A wide range of myotendinous disorders can present as pseudomasses. These include muscle/myofascial hernia, tendon tears, benign hypertrophy, accessory muscles, tendon xanthomas, diffuse myositis, and exertional compartment syndromes. We have briefly reviewed these lesions highlighting their typical radiological findings and have also highlighted the role of different imaging modalities and the role of dynamic imaging. Although rare, radiologists should be aware of these entities to avoid mislabeling a pseudomass as a mass or malignancy and to detect the abnormality in not-so-apparent masses.
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Affiliation(s)
| | - Ankur Goyal
- Department of Radiodiagnosis, AIIMS, New Delhi, India
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Kraus J. A complicated case of sternoclavicular septic arthritis. JAAPA 2021; 34:12-14. [PMID: 34582380 DOI: 10.1097/01.jaa.0000758260.94127.18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Jason Kraus
- Jason Kraus practices in the hospital internal medicine division at the Mayo Clinic in Rochester, Minn. The author has disclosed no potential conflicts of interest, financial or otherwise
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Hayashi A, Nishizawa T, Fujii T, Uematsu H. Popeye sign with ecchymosis. BMJ Case Rep 2021; 14:e242908. [PMID: 33846197 PMCID: PMC8047999 DOI: 10.1136/bcr-2021-242908] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/25/2021] [Indexed: 11/04/2022] Open
Affiliation(s)
- Anna Hayashi
- School of Medicine, Aichi Medical University, Nagoya, Aichi, Japan
| | - Toshinori Nishizawa
- Department of General Internal Medicine, St Luke's International University, Chuo-ku, Tokyo, Japan
- Department of Family Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Japan
| | - Tatsuya Fujii
- Department of Orthopedics, Matsue Hospital, Tokyo, Japan
| | - Haruhiro Uematsu
- Department of General Internal Medicine, Toyota Regional Medical Center, Toyota, Aichi, Japan
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Zabrzyński J, Huri G, Gagat M, Łapaj Ł, Yataganbaba A, Szwedowski D, Askin M, Paczesny Ł. The Impact of Smoking on Clinical Results Following the Rotator Cuff and Biceps Tendon Complex Arthroscopic Surgery. J Clin Med 2021; 10:599. [PMID: 33562734 PMCID: PMC7915659 DOI: 10.3390/jcm10040599] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 01/31/2021] [Accepted: 02/03/2021] [Indexed: 12/18/2022] Open
Abstract
The purpose of this study was to investigate the association of smoking and functional outcomes after arthroscopic treatment of complex shoulder injuries: rotator cuff tears (RCTs) with biceps tendon (LHBT) tears. This retrospective case-control study has been conducted on a cohort of patients who underwent shoulder arthroscopy between 2015 and 2017 due to complex injury treatment. The outcomes were assessed using the American Shoulder and Elbow Surgeons Score (ASES), the University of California at Los Angeles (UCLA) Shoulder Score, need for non-steroid anti-inflammatory drugs (NSAIDs) consumption and the visual analog scale (VAS). Complications and changes in smoking status were also noted. A cohort of 59 patients underwent shoulder arthroscopy, due to complex LHBT pathology and RCTs, and were enrolled in the final follow-up examination; with mean duration of 26.03 months. According to smoking status, 27 of patients were classified as smokers, and the remaining 32 were non-smokers. In the examined cohort, 36 patients underwent the LHBT tenotomy and 23 tenodesis. We observed a relationship between smoking status and distribution of various RCTs (p < 0.0001). The mean postoperative ASES and UCLA scores were 80.81 and 30.18 in the smoker's group and 84.06 and 30.93 in the non-smoker's group, respectively. There were no statistically significant differences in pre/postoperative ASES and postoperative UCLA scores between smokers and non-smokers (p > 0.05). The VAS was significantly lower in the non-smokers' group (p = 0.0021). Multi-tendon injuries of the shoulder are a serious challenge for surgeons, and to obtain an excellent functional outcome, we need to limit the negative risk factors, including smoking. Furthermore, there is a significant association between smoking and the occurrence of massive rotator cuff tears, and the pain level measured by the VAS. Simultaneous surgical treatment of RC and LHBT lesions in the smoker population allowed us to obtain the functional outcomes approximated to non-smokers in the long-term follow-up. Of course, we cannot assert that smoking is the real cause of all complications, however, we may assume that this is a very important, negative factor in shoulder arthroscopy.
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Affiliation(s)
- Jan Zabrzyński
- Department of General Orthopaedics, Musculoskeletal Oncology and Trauma Surgery, University of Medical Sciences, 61-701 Poznan, Poland;
- Department of Orthopaedics, Orvit Clinic, Citomed Healthcare Center, 87-100 Torun, Poland;
- Department of Pathology, Faculty of Medicine, Nicolaus Copernicus University in Torun, 87-100 Torun, Poland
| | - Gazi Huri
- Orthopaedics and Traumatology Department, Hacettepe Universitesi, Ankara 06-532, Turkey; (G.H.); (A.Y.); (M.A.)
| | - Maciej Gagat
- Department of Histology and Embryology, Faculty of Medicine, Nicolaus Copernicus University in Torun, 87-100 Torun, Poland;
| | - Łukasz Łapaj
- Department of General Orthopaedics, Musculoskeletal Oncology and Trauma Surgery, University of Medical Sciences, 61-701 Poznan, Poland;
| | - Alper Yataganbaba
- Orthopaedics and Traumatology Department, Hacettepe Universitesi, Ankara 06-532, Turkey; (G.H.); (A.Y.); (M.A.)
| | - Dawid Szwedowski
- Orthopaedic Arthroscopic Surgery International (OASI) Bioresearch Foundation, 20-133 Milan, Italy;
| | - Mehmet Askin
- Orthopaedics and Traumatology Department, Hacettepe Universitesi, Ankara 06-532, Turkey; (G.H.); (A.Y.); (M.A.)
| | - Łukasz Paczesny
- Department of Orthopaedics, Orvit Clinic, Citomed Healthcare Center, 87-100 Torun, Poland;
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