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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.[merckmanuals.com] After point-of-care ultrasound demonstrated bilateral knee effusions with complex, heterogeneous material, subsequent workup revealed a diagnosis of juvenile idiopathic arthritis[ncbi.nlm.nih.gov] Abstract Point-of-care musculoskeletal ultrasound can provide information about joint effusions and the quality of the effusion.[ncbi.nlm.nih.gov]

  • 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.[oafifoundation.com] This limitation is mainly related to the blocking of voluntary muscle functioning and the reflex contracture.[physio-pedia.com] 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.[oafifoundation.com]

  • 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[ncbi.nlm.nih.gov] Signs: Pseudo-Rheumatoid (5% of CPPD Deposition Disease) Symmetric Polyarthritis with low grade inflammation Synovial thickening Flexion contractures Morning Stiffness Fatigue[fpnotebook.com] Bilateral wrist x-rays showed triangular fibrocartilage complex chondrocalcinosis.[ncbi.nlm.nih.gov]

  • 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.[ncbi.nlm.nih.gov] Although spontaneous remission of EF has been reported, treatment can help prevent the progression of flexion contractures and limited mobility.[clinicalgate.com] A 14-year-old boy was suspected of having a myopathy with joint contractures.[ncbi.nlm.nih.gov]

  • Rheumatoid Arthritis

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

  • Juvenile Rheumatoid Arthritis

    Destructive surface changes contribute to pain and loss of motion, while ongoing growth disturbances and contractures produce further deformity (Figure 1).[healio.com] […] changed In some cases, symptoms of juvenile arthritis are mild and do not progress to more severe joint disease and deformities.[orthoinfo.aaos.org] 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[healio.com]

  • Intermittent Hydrarthrosis

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

  • Polyarthritis

    She had bilateral knee effusions. The remainder of her physical examination was unremarkable.[academic.oup.com] 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[ncbi.nlm.nih.gov] […] to flexion contracture of the hands.[ncbi.nlm.nih.gov]

  • Bursitis

    Bilateral cyst-like lesions are relatively commonly observed in people with chronic knee pain.[arthritis-research.biomedcentral.com] 728.19 Other Polymyositis ossificans 728.2 Muscular wasting and disuse atrophy, not elsewhere classified Amyotrophia NOS Myofibrosis Excludes: neuralgic amyotrophy (353.5) progressive[drdegroot.com] 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.[arthritis-research.biomedcentral.com]

  • 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[doi.org] For the treatment of her mild knee contractures, she performs physical therapy exercises twice daily and wears orthotics.[doi.org] Figure 1 Bilateral knee effusion . Figure 2 Hypertrophy of his feet and ankles with edema .[jmedicalcasereports.biomedcentral.com]

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