Evaluation of clinical feature of some juxta-articular soft tissue diseases

ABSTRACT

Background: In Vietnam the juxta-articular soft tissue diseasesare very popular, but they have not been studied yet. Objectives: (1) Describe clinical feature of some juxta-articular soft tissue diseases (tendinopathy) (except periarthritis of the shoulder). (2) Determine the risk factors of these diseases. Subjects and method:118 patients with juxta-articular soft tissue diseases. Diagnosed following the standard criteria and treated in Rheumatology Department Bach Mai hospital (Hanoi - Vietnam) in the period from December 2005 to August 2006 There was a prospective descriptive method of study.Results:(1) Clinical feature of some juxta-articular soft tissue diseases average age 50.2 \xb1 10.4 years, female/male ration 41, the most frequent clinical forms Tendinosis of the Elbow (Tennis Elbow) (25.4%), de Quervain\u2019s tenosynovitis (22.9%), trigger finger (17.8%), Pes Anserine Bursitis (23.7%). Clinical symtoms pain intensity average VAS score 5,8 \xb1 1,3 mild and moderate limitation of movement, inflammatory signs were not evident Mild swelling (55%), redness, increase of local temperature (4-5%), pain character Tendinosis of the Elbow and Pes Anserine Bursitis permanent mild pain (73.6% and 68%), de Quervain\u2019s tenosynovitis and trigger finger pain with irrdiation along the tendon (100%). (2)The risk factors ofthese diseases manual and repetitive work, care of children (74%), middle age (73%), female (80,5%), osteoarthritis (21.2%), diabetes associated with trigger finger (19%).Conclusion: (1) The juxta-articular soft tissue diseases were seen at middle age, with feminine preponderance, moderate pain, not evident inflammation. Clinical forms the prevalence of each group odd diseases (Tendinosis of the Elbow, de Quervain\u2019s tenosynovitis, trigger finger, Pes Anserine Bursitis) are quite eqiuvalent. (2) The risk factors of these diseases manual and repetitive work, care of children, middle age, female, osteoarthritis, diabetes.