Evaluation of joint cartilage thickness in healthy children by ultrasound: An experience from a developing nation

Samanta, Moumita; Mitra, Sonali; Samui, Partha Pratim; Mondal, Rakesh; Hazra, Avijit; Sabui, Tapas

doi:10.1111/1756-185x.13374

Cited by 14 publications

(16 citation statements)

References 14 publications

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“…In line with Spannow and Moumita's observation [7,8], our data on school aged children between age 5 to 13 suggested that the Cth declines as the age advances. Although this linear correlation is true in our study as well as other reports [7,8], it is not always the case since the measures of Cth in those preschoolaged-children and elder teens have been reported otherwise [17]. In the present study, without the very young children and older teens, we took advantage of the linear correlation and established a formula to calculate the Cth with 95% con dent interval in the knees, ankles, wrists, MCPs and PIPs joints among Taiwanese school aged girls and boys.…”

Section: Discussionsupporting

confidence: 91%

Age, Gender, Height and Weight in Relation to Joint Cartilage Thickness Among School-aged Children From Ultrasonographic Measurement

Gau

Yao

Gan

et al. 2020

Preprint

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Background: Among school-age children, the decrease of cartilage thickness (Cth) with increasing age is well known. However, the influence of body mass index (BMI), height or weight on Cth has not been revealed. Here in, we aim to establish an age- and gender-specific Cth standard reference among Asians and investigate the possible prestige of BMI, height and weight. Methods: A cross-sectional study was performed in healthy Asian children. Bilateral knees, ankles, wrists, second metacarpophalangeals (MCPs) and proximal interphalangeals (PIPs) were measured using ultrasound. The children’s height, weight and BMI were also recorded for later adjustment.Results: A total of 200 school age Asian children (including 86 girls and 114 boys, aged between 5 to 13 years-old) were investigated. Cth differences were observed in the knees, ankles, wrists, MCPs and PIPs between sexes (p<0.05), with girls having thinner cartilage thickness. While Cth decreases with increasing age ( p <0.0001, 0.039, 0.001, 0.023, 0.091 in girls’ knees, ankles, wrists, MCPs and PIPs and p = 0.002, 0.001, <0.0001, 0.001, 0.045 in boys’, respectively). Our data showed that weight, height and BMI are not the main factors contributing to Cth. A formula to calculate gender-specific cartilage thickness for Asian school age children is suggested. There was no difference in Cth after adjusting for height or weight between Asian or Caucasian group.Conclusions: A formula to calculate gender-specific cartilage thickness for Asian school age children is suggested. Height, weight and BMI were not the major contributor for Cth among school age children.

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Section: Discussionsupporting

confidence: 91%

Age, Gender, Height and Weight in Relation to Joint Cartilage Thickness Among School-aged Children From Ultrasonographic Measurement

Gau

Yao

Gan

et al. 2020

Preprint

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“…Standard reference values provide the basis for pediatric musculoskeletal sonography had been established in a Danish study [ 7 ] and in India [ 8 ] focusing on Caucasians and multiethnic population. Their results indicated that with the growth of age, the thickness of hyaline cartilage may decline with decreasing cellular concentrate [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Age, gender, height and weight in relation to joint cartilage thickness among school-aged children from ultrasonographic measurement

et al. 2021

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Background Among school-age children, the decrease of cartilage thickness (Cth) with increasing age is well known. However, the influence of body mass index (BMI), height or weight on Cth has not been revealed. Here in, we aim to establish an age- and gender-specific Cth standard reference among Asians and investigate the possible prestige of BMI, height and weight. Methods A cross-sectional study was performed in healthy Asian children. Bilateral knees, ankles, wrists, second metacarpophalangeals (MCPs) and proximal interphalangeals (PIPs) were measured using ultrasound. The children’s height, weight and BMI were also recorded for later adjustment. Results A total of 200 school age Asian children (including 86 girls and 114 boys, aged between 5 to 13 years-old) were investigated. Cth differences were observed in the knees, ankles, wrists, MCPs and PIPs between sexes (p < 0.05), with girls having thinner cartilage thickness. While Cth decreases with increasing age (p < 0.0001, 0.039, 0.001, 0.023, 0.091 in girls’ knees, ankles, wrists, MCPs and PIPs and p = 0.002, 0.001, < 0.0001, 0.001, 0.045 in boys’, respectively). Our data showed that weight, height and BMI are not the main factors contributing to Cth. A formula to calculate gender-specific cartilage thickness for Asian school age children is suggested. There was no difference in Cth after adjusting for height or weight between Asian or Caucasian group. Conclusions A formula to calculate gender-specific cartilage thickness for Asian school age children is suggested. Height, weight and BMI were not the major contributor for Cth among school age children.

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“…We conducted a cross‐sectional study including 27 diagnosed cases of JIA according to the 2001 revised International League of Associations for Rheumatology classification, aged 2‐12 years who attended the pediatric rheumatology clinic of a tertiary care hospital from June 2013 to May 2014. A group of 54 age‐ and sex‐matched healthy children were selected randomly from our previously published study cohort to compare with the cases. Two controls were selected for each case by stratified random sampling to avoid selection bias.…”

Section: Methodsmentioning

confidence: 99%

“…Ultrasound has shown to be a reliable tool in the assessment of joint cartilage thickness in rheumatic diseases . We have used ultrasonography (USG) to establish age‐ and sex‐related normal reference intervals for joint cartilage thickness in children between the ages of 2 to 12 years in our previous study . In this study we have assessed changes in cartilage thickness in the knee, ankle, and wrist joints in a pediatric population suffering from JIA.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound detected changes in joint cartilage thickness in juvenile idiopathic arthritis

Mitra

Samui²,

Samanta

et al. 2019

Int J of Rheum Dis

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Aim:The purpose of this study was to investigate the changes in joint cartilage thickness in different subtypes of juvenile idiopathic arthritis (JIA) using ultrasound, comparing them with healthy children and to evaluate the relationship with disease duration and inflammatory markers. Methods:We conducted a cross-sectional study comprising of 27 cases of JIA and 54 age-and sex-matched healthy children. Bilateral wrist, knee and ankle joint cartilage thicknesses were measured by ultrasound as per European League Against Rheumatism standard guidelines and compared them between JIA subtypes as well as between cases and control.Results: Descriptive analysis of the whole cohort revealed the mean age of the study population was 8.3 ± 3.2 years with mean cartilage thicknesses at the wrist, knee and ankle being 1.40 ± 0.89 mm, 1.57 ± 0.78 mm and 1.41 ± 0.85 mm, respectively.The median cartilage thicknesses of wrist, knee and ankle joints of JIA cases (n = 27) and healthy controls (n = 54) were 1.01, 1.35, 1.05 and 1.95, 2.00, 1.95, respectively.

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Evaluation of joint cartilage thickness in healthy children by ultrasound: An experience from a developing nation

Abstract: Measurement of joint cartilage thickness in children with MSUS and comparison with these normative values can help in better screening for joint-related disease in children.

Cited by 14 publications

References 14 publications

Age, Gender, Height and Weight in Relation to Joint Cartilage Thickness Among School-aged Children From Ultrasonographic Measurement

Age, Gender, Height and Weight in Relation to Joint Cartilage Thickness Among School-aged Children From Ultrasonographic Measurement

Age, gender, height and weight in relation to joint cartilage thickness among school-aged children from ultrasonographic measurement

Ultrasound detected changes in joint cartilage thickness in juvenile idiopathic arthritis

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