EDITORIAL
The clinical implication of cervical interspinous bursitis in the diagnosis of polymyalgia rheumatica
Rheumatology Division, Hospital Xeral-Calde, Lugo, Spain
Correspondence to:
Miguel A Gonzalez-Gay, Rheumatology Division, Hospital Xeral-Calde, c) Dr Ochoa s/n, 27004 Lugo, Spain; miguelaggay@hotmail.com
Accepted 25 February 2008
| The first 150 words of the full text of this article appear below. |
Polymyalgia rheumatica (PMR) is a relatively common inflammatory condition characterised by pain, aching and morning stiffness involving the shoulder and hip girdles and the neck.1 2 Patients are generally older than 50 years and the erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are usually elevated.1 PMR may occur as an isolated disease or it may be observed in the setting of giant cell arteritis (GCA).3
Arthroscopic studies have confirmed the presence of synovitis in proximal joints of patients with PMR.4 However, the cause of musculoskeletal symptoms in these patients is not clearly defined because joint synovitis may only partially explain the diffuse discomfort along with involvement of periarticular structures. Interestingly, MRI and ultrasonography (US) studies disclosed bilateral inflammation of subacromial and subdeltoid bursae in association with synovitis of the glenohumeral joints and tenosynovitis of the biceps in patients with PMR.5 6 More recently, using MRI and US, Cantini et al also
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Ann Rheum Dis 2008 67: 758-761.[Abstract] [Full Text] [PDF]
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