Hakan GENÇ, Barış NACIR, Burcu DUYUR ÇAKIT, Fatma Şebnem ERDİNÇ, Aynur KARAGÖZ

Ultrasonographically Diagnosed Bicipital Fasciitis: The Importance of Ultrasonography for Early Diagnosis and Emphasis on Aseptic Technique

Here, we present a case of bicipital fasciitis after intraarticular injection of the shoulder joint. Bicipital fasciitis was diagnosed using real-time ultrasonography. The infection was probably due to non-compliance with aseptic conditions. Therefore, we also want to emphasise the importance of using an aseptic technique.

Ultrasonografi ile Tanı Konulan Bisipital Fasiit: Erken Tanıda Ultrasonografinin Önemi ve Aseptik Tekniğe Vurgu

Bu makalede gerçek zamanlı ultrasonografi ile tanı koyduğumuz, eklem içi enjeksiyon sonrası gelişen bir bisipital fasiit olgusu sunduk. Enfeksiyon muhtemelen aseptik koşullara uyulmaması nedeniyle gerçekleşmişti. Bu yüzden bu yazıda aseptik tekniğin önemini de vurguladık.

PDF

___

1. Dunn F. Two cases of biceps injury in bodybuilders with initially misleading presentation. Emerg Med J 2002; 19: 461-2.

2. Wall DB, de Virgilio C, Black S, Klein SR. Objective criteria may assist in distinguishing necrotizing fasciitis from nonnecrotizing soft tissue infection. Am J Surg 2000; 179: 17-21.

3. Young MH, Aronoff DM, Engleberg NC. Necrotizing fasciitis: pathogenesis and treatment. Expert Rev Anti Infect Ther 2005; 3: 279-94.

4. Bisno AL, Cockerill FR, Bermudez CT. The initial outpatientphysician encounter in group A streptococcal necrotizing fasciitis. Clin Infect Dis 2000; 31: 607-8.

5. Kim HJ, Kim DH, Ko DH. Coagulase-positive staphylococcal necrotizing fasciitis subsequent to shoulder sprain in a healthy woman. Clin Orthop Surg 2010; 2: 256-9.

6. Green RJ, Dafoe DC, Raffin TA. Necrotizing fasciitis. Chest 1996; 110: 219-29.

7. Yoshii Y, Ishii T, Sakai S. Necrotising soft tissue infection of bilateral upper limb caused by the injection of oral bacteria: a case report. Hand Surg 2013; 18: 243-6.

8. McHenry CR, Piotrowski JJ, Petrinic D, Malangoni MA. Determinants of mortality for necrotizing soft-tissue infections. Ann Surg 1995; 221: 558-65.

9. Brook I, Frazier EH. Clinical and microbiological features of necrotizing fasciitis. J Clin Microbiol 1995; 33: 2382-7.

10. Miller LG, Perdreau-Remington F, Rieg G, Mehdi S, Perlroth J, Bayer AS, et al. Necrotizing fasciitis caused by communityassociated methicillin-resistant Staphylococcus aureus in Los Angeles. N Engl J Med 2005; 7; 352: 1445-53.

11. Smith AJ, Robertson D, Tang MK, Jackson MS, MacKenzie D, Bagg J. Staphylococcus aureus in the oral cavity: a three-year retrospective analysis of clinical laboratory data. Br Dent J 2003; 20; 195: 701-3.

12. Stecco C, Gagey O, Macchi V, Porzionato A, De Caro R, Macchi V, et al. Tendinous muscular insertions onto the deep fascia of the upper limb. First part: anatomical study. Morphologie 2007; 91: 29-37.

13. Patil P, Dasgupta B. Role of diagnostic ultrasound in the assessment of musculoskeletal diseases. Ther Adv Musculoskelet Dis 2012; 4: 341-55.

14. del Cura JL. Ultrasound-guided therapeutic procedures in the musculoskeletal system. Curr Probl Diagn Radiol 2008; 37: 203- 18.

15. Testa A, Giannuzzi R, De Biasio V. Case report: role of bedside ultrasonography in early diagnosis of myonecrosis rapidly developed in deep soft tissue infections. J Ultrasound 2015; 19: 217-21.