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25 Possible Causes for Joint Range of Motion Limitation, Tendon Xanthomas

  • Hypercholesterolemia

    Xanthomas are noted commonly on the Achilles tendons and metacarpal phalangeal extensor tendons of the hands.[] Achilles tendon thickening is the early characteristic of Achilles tendon xanthomas.[] Image of tendon xanthoma, a pathognomonic physical examination finding in patients with familial hypercholesterolemia. Figure.[]

  • Homozygous Familial Hypercholesterolemia

    The condition is characterized by exceptionally high LDL cholesterol levels, cutaneous and tendon xanthomas, and valvular and supravalvular stenosis, and accelerated atherosclerosis[] Xanthomas The high cholesterol level may result in the build-up of cholesterol deposits in the skin and tendons as well – xanthomas.[] RESULTS: The index cases were 24-year-old identical twin sisters with long-standing tendon xanthomas and high low-density lipoprotein cholesterol (LDL-C 10 mmol/L) but no[]

  • Osteoporosis

    Tendon xanthomas were regarded as very strong indicators, as was an affected sibling. A total score   100 warranted serum cholestanol assessment.[] Fractures in other parts of the body, including the distal radius and humerus, are typically painful and result in limited range of motion of the involved joint.[] Furthermore, patients with sacral fractures may have pain with physical examination techniques used to assess the sacroiliac joint, such as the FABER, Gaenslen, or squish[]

  • Pigmented Villonodular Synovitis

    A discussion of the synovial and bursal equivalents of the tenosynovial lesion commonly denoted as xanthoma, xanthogranuloma, giant cell tumor or myeloplaxoma of the tendon[] Inconvenience with limited joint motion range or pain, may be seen as the tumor slowly increases in size Joint instability with or without joint locking; which include joint[] Pain, repeated non-traumatic joint effusion and limitation of joint range of motion are observed in the diffuse form.[]

  • Prepatellar Bursitis

    Bude RO, Nesbitt SD, Adler RS, Rubenfire M (1998) Sonographic detection of xanthomas in normal-sized Achilles’ tendons of individuals with heterozygous familial hypercholesterolemia[] The symptoms of prepatellar bursitis or knee bursitis are a swelling over the kneecap which can cause limited range of motion of the joint.[] […] of motion When there is a limited range of motion or swells, a doctor may recommend using a needle and syringe to remove the fluid from the joint.[]

  • Popliteal Bursitis

    Although not typically associated with pain, xanthomas or rheumatoid nodules along the Achilles tendon can be seen in patients with hypercholesterolemia or RA, respectively[] On physical examination, the patient has a moderate to severe joint effusion that limits range of motion.[] There are also bursae superficial to and deep to the Achilles tendon that can become inflamed and be a source of pain.[]

  • Tendon Sheath Giant Cell Tumor

    GCTTS present as localized or diffuse proliferation of synovial-like cells, giant cells, inflammatory cells and xanthoma cells along tendon sheaths.[] […] active range of motion more than 20% with respect to the healthy side (8) Patients whose joint space has disappeared by standing position X-ray photography. (9) Patients[] Fibrous xanthoma of synovium (giant-cell tumor of tendon sheath, pigmented nodular synovitis). A study of one hundred and eighteen cases.[]

  • Fibroma

    […] sheath is less cellular with no xanthoma cells and no giant cells Microscopic (histologic) images Images hosted on other servers: H&E Various images Back to top[] The common symptoms were pain (62.5%), swelling or palpable mass (54.2%), and limited range of motion of the involved joint (50%).[] […] or tendon sheath Slit-like vascular spaces may be frequent Absent to rare findings Histiocytes Xanthoma cells Hemosiderin, free or in macrophages Multinucleated giant cells[]

  • Hyperlipoproteinemia Type 2b

    tendon xanthomas, most often on the hands and feet Patients with combined hypercholesterolemia andhypertriglyceridemia, have what kind of xanthoas?[] range of motion Treatment Initial: Observation Excision Some patients: For joint limitation or pain After maturation: No bone scan uptake; 6 to 12 months Recurrence: Rare[] The familial form is characterized by tendon xanthoma, xanthelasma, and premature cardiovascular disease.[]

  • Synovial Hemangioma

    They are seen in patients with hyperlipidemias. 14 Tendon xanthomas can present as a swelling over the Achilles tendon near the calcaneal insertion. 15 T1W and T2W MRI shows[] Patients are usually children and adolescents who present with pain, limited range of motion, or a mass that shrinks when the affected limb is elevated.[] PVNS  Synonyms:(PVNS, xanthoma, xanthogranuloma, fibroxanthoma, giant cell tumor of tendon sheath, benign synovioma, villous arthritis.)  It is a proliferative condition[]

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