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21 Possible Causes for Bilateral Knee Effusion, Progressive Contractures

  • Arthritis

    Flexion contractures may require intensive exercise, casting, or immobilization (eg, splinting) in progressively more stretched-open positions.[] After point-of-care ultrasound demonstrated bilateral knee effusions with complex, heterogeneous material, subsequent workup revealed a diagnosis of juvenile idiopathic arthritis[] Abstract Point-of-care musculoskeletal ultrasound can provide information about joint effusions and the quality of the effusion.[]

  • Osteoarthritis

    Another characteristic symptom of the disease is the progressive incapacity of the joint to function, leading – in the long run – to loss of mobility.[] This limitation is mainly related to the blocking of voluntary muscle functioning and the reflex contracture.[] With the evolution of the disease deformations of the bones and muscular contractures can occur, aggravating the pain and atrophying the muscles that surround the joints.[]

  • Pseudogout

    Two weeks prior to this surgery, she had sudden bilateral knee swelling was diagnosed in her home country of bilateral knee osteoarthritis with effusion and arthrocentesis[] Signs: Pseudo-Rheumatoid (5% of CPPD Deposition Disease) Symmetric Polyarthritis with low grade inflammation Synovial thickening Flexion contractures Morning Stiffness Fatigue[] Bilateral wrist x-rays showed triangular fibrocartilage complex chondrocalcinosis.[]

  • Eosinophilic Fasciitis

    He presented with progressive painless joint contractures of his right wrist and fingers, and reduced muscle strength of his right arm, without obvious skin changes.[] Although spontaneous remission of EF has been reported, treatment can help prevent the progression of flexion contractures and limited mobility.[] A 14-year-old boy was suspected of having a myopathy with joint contractures.[]

  • Rheumatoid Arthritis

    Erosion of the articular cartilage, together with ligamentous changes, result in deformity and contractures. As the disease progresses, pain and deformity increase.[] Flexion contractures may require intensive exercise, casting, or immobilization (eg, splinting) in progressively more stretched-open positions.[]

  • Juvenile Rheumatoid Arthritis

    Destructive surface changes contribute to pain and loss of motion, while ongoing growth disturbances and contractures produce further deformity (Figure 1).[] […] changed In some cases, symptoms of juvenile arthritis are mild and do not progress to more severe joint disease and deformities.[] Locally in the hip, acetabular and femoral dysplasia may progress, and systemically, an overall arrest of growth during active growth phases is well-documented. 5 Fortunately[]

  • Intermittent Hydrarthrosis

    Muscle deterioration progresses rapidly, and contractures develop. Some have abrupt intermittent oscillations of the irises in response to light (Gower’s sign).[]

  • Polyarthritis

    She had bilateral knee effusions. The remainder of her physical examination was unremarkable.[] The characteristic rapid progression of palmar contracture is a key finding that suggests the potential existence of a malignancy. [Indexed for MEDLINE] Free full text[] […] to flexion contracture of the hands.[]

  • Bursitis

    Bilateral cyst-like lesions are relatively commonly observed in people with chronic knee pain.[] 728.19 Other Polymyositis ossificans 728.2 Muscular wasting and disuse atrophy, not elsewhere classified Amyotrophia NOS Myofibrosis Excludes: neuralgic amyotrophy (353.5) progressive[] We have found that bilaterality of cysts or bursitides of the knee is a common occurrence, as more than one-half of the subjects exhibited bilaterality.[]

  • Autosomal Recessive Pachydermoperiostosis 

    Radiographic examination depicted diffuse periosteal reaction in the bilateral femurs, tibias, and fibulas with a moderate amount of bilateral knee effusions ( Fig. 2A, C[] For the treatment of her mild knee contractures, she performs physical therapy exercises twice daily and wears orthotics.[] Figure 1 Bilateral knee effusion . Figure 2 Hypertrophy of his feet and ankles with edema .[]

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