Contribution of Ultrasound in Current Practice for Managing Juvenile Idiopathic Arthritis

Borocco, Charlotte; Anselmi, Federica; Rossi‐Semerano, Linda

doi:10.3390/jcm12010091

Cited by 6 publications

(5 citation statements)

References 68 publications

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“…Sağlıklı çocuklar ve erişkinler arasındaki KİSUS bulguları bazı belirgin farklılıklar göstermektedir. Çocuklardaki USG bulgularının içindeki temel farklılıklar; artmış kartilaj kalınlığı, fizyolojik kartilaj vaskülarizasyonu, ossifikasyon merkezlerinin ve epifiz plaklarının varlığı olarak sıralanabilir (14). Bu açıdan normal ve patolojik bulgularının ayrımının yapılabilmesi için, çocuklarda-ki KİSUS ölçüm yöntemleri ve bulguları standardize edilmeye çalışılmaktadır (15,16).…”

Section: Discussionunclassified

Sağlıklı çocuklarda kartilaj ve entez kalınlıklarının ultrasonografi ile değerlendirilmesi: Pilot çalışma

Sözeri

2023

Jour Umraniye Pediatr

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Objective: Joint cartilage and enthesis thicknesses could be detected by high-resolution ultrasonography. Normal reference ranges for age and sex have been reported in studies from various countries. Ultrasonographic evaluation of lower extremity enthesis and knee joint cartilage (KJC) thicknesses in healthy Turkish children was aimed. Material and Methods: This pilot study was designed as multicenter cross-sectional; KJC and 3 enthesis attachment area (proximal patellar ligament [PPL], distal patellar ligament [DPL], and Achilles tendon [AT]) measurements were made by ultrasound in 209 (F: 98, M: 110) healthy children aged 5-15 years from five centers. According to the age of the children included in the study, they were grouped as 5-10 years old and 10-15 years old. Ultrasound measurements were made by seven researchers trained in musculoskeletal system ultrasound using a 7.5-10 Mhz linear probe. Gray-scale images were acquired according to the standard protocol reported in the EULAR guideline. Results: A total of 342 entheses and 321 cartilage measurements were made from 208 healthy children included in the study. In the 5-10 age group, PPL, DPL, and AT thicknesses were found to be statistically significantly lower (p=0.00). A positive correlation was found between age and PPL, DPL, and AT (r=0.25, 0.47, and 0.30). It was observed that DPL and AT measurements in the 10-15 age group differed between genders, while PPL was not statistically different in both genders. No gender difference was detected in the enthesis areas in the younger age group. Thickness was found to be significantly higher in the 5-10 age group (p=0.00). There was a negative correlation between age and knee cartilage thickness (r=−0.24, p=0.00). KJC was found to be thicker in boys than girls in both age groups (p=0.00). Conclusion: This is the first multicenter study to evaluate enthesis and cartilage thickness in healthy Turkish children. These data will guide the ultrasound studies to be performed in various patient groups, especially in chronic rheumatic diseases.

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Section: Discussionunclassified

Sağlıklı çocuklarda kartilaj ve entez kalınlıklarının ultrasonografi ile değerlendirilmesi: Pilot çalışma

Sözeri

2023

Jour Umraniye Pediatr

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“…In children and adolescents with rheumatic disease, MSUS is applied successful in diagnosis and disease monitoring. It is especially promising in the assessment of JIA, as a reliable method to precisely document and monitor the synovial inflammation process [2,24,25,44].…”

Section: Malesmentioning

confidence: 99%

Ultrasound‐guided determination demonstrates influence of age, sex and type of sport on medial femoral condyle cartilage thickness in children and adolescents

Schneider,

Weber,

Nourkami‐Tutdibi

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeTo analyse the reliability of ultrasound‐guided measurement of the cartilage thickness at the medial femoral condyle in athletically active children and adolescents before and after mechanical load in relation to age, sex and type of sport.MethodsThree successive measurements were performed in 157 participants (median/min–max age: 13.1/6.0–18.0 years, 106 males) before and after mechanical load by squats at the same site of the medial femoral condyle by defined transducer positioning. Test–retest reliability was examined using Cronbach's calculation. Differences in cartilage thickness were analysed with respect to age, sex and type of practiced sports, respectively.ResultsExcellent reliability was achieved both before and after mechanical load by 30 squats with a median cartilage thickness of 1.9 mm (range: 0.5–4.8 mm) before and 1.9 mm (0.4–4.6 mm) after mechanical load. Male cartilages were thicker (p < 0.01) before (median: 2.0 mm) and after (2.0 mm) load when compared to female cartilage (before: 1.6 mm; after: 1.7 mm). Median cartilage thickness was about three times higher in karate athletes (before: 2.3 mm; after: 2.4 mm) than in sports shooters (0.7; 0.7 mm). Cartilage thickness in track and field athletes, handball players and soccer players were found to lay in‐between. Sport type related thickness changes after mechanical load were not significant.ConclusionMedial femoral condyle cartilage thickness in childhood correlates with age, sex and practiced type of sports. Ultrasound is a reliable and simple, pain‐free approach to evaluate the cartilage thickness in children and adolescents.Level of EvidenceLevel III.

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“…After a comprehensive pre-operative assessment, the patient's follow-up will include ultrasound imaging, X-rays, and MRI with gadolinium contrast enhancement. Musculoskeletal ultrasound is essential for characterizing articular or periarticular arthritis and assessing the treatment response [8].…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies

Klein

Barbier

Glorion

et al. 2023

JCM

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Juvenile idiopathic arthritis is the most common chronic rheumatic disease encountered in children under the age of sixteen and causes significant impairments in daily life. Over the last two decades, the introduction of new drug treatments (including disease-modifying antirheumatic drugs and biologics) has changed the course of this disease, thus reducing the indication for surgery. However, some patients fail to respond to drug therapy and thus require personalized surgical management, e.g., the local reduction of joint effusion or a synovial pannus (via intra-articular corticosteroid injections, synovectomy, or soft tissue release), and management of the sequelae of arthritis (such as growth disorders and joint degeneration). Here, we provide an overview of the surgical indications and outcomes of the following interventions: intra-articular corticosteroid injections, synovectomy, soft tissue release, surgery for growth disorders, and arthroplasty.

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Contribution of Ultrasound in Current Practice for Managing Juvenile Idiopathic Arthritis

Cited by 6 publications

References 68 publications

Sağlıklı çocuklarda kartilaj ve entez kalınlıklarının ultrasonografi ile değerlendirilmesi: Pilot çalışma

Sağlıklı çocuklarda kartilaj ve entez kalınlıklarının ultrasonografi ile değerlendirilmesi: Pilot çalışma

Ultrasound‐guided determination demonstrates influence of age, sex and type of sport on medial femoral condyle cartilage thickness in children and adolescents

Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies

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