Hand Tendon Involvement in Rheumatoid Arthritis: An Ultrasound Study

Filippucci, Emilio; Gabba, Alessandra; Geso, Luca Di; Girolimetti, Rita; Salaffi, Fausto; Grassi, Walter

doi:10.1016/j.semarthrit.2011.09.006

Cited by 75 publications

(37 citation statements)

References 28 publications

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“…MSUS is a very useful imaging tool for baseline assessment and further monitoring since it is non-radiating and more sensitive in detecting clinical and subclinical synovitis and tenosynovitis in comparison to CE in RA target areas [30,[40][41][42][43][44]. Moreover, MSUS has been considered by some authors as the "goldstandard" method for the evaluation of superficial tendons [45].…”

Section: Clinical and Imaging Evaluationmentioning

confidence: 99%

Concepts in diagnosing, scoring, and monitoring tenosynovitis and other tendon abnormalities in patients with rheumatoid arthritis- the role of musculoskeletal ultrasound.

Micu¹,

Berghea

Fodor

2016

Med Ultrason

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In the last years, important advancements have been made in implementing high resolution imaging related information inside the global management algorithm in RA patients. Musculoskeletal ultrasound has already proven its utility in visualizing directly the joint synovial tissue, the synovial vascularization and in monitoring the response to therapy. Recently, much attention has been given to the presence of tenosynovitis, as a constant, complementary but different facet of the inflammatory involvement in RA. Tenosynovitis identification in early RA stages may allow adequate treatment adjustment in early and established disease in order to prevent and/ or slow down the development of structural damage at tendon and joint level.

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Section: Clinical and Imaging Evaluationmentioning

confidence: 99%

Concepts in diagnosing, scoring, and monitoring tenosynovitis and other tendon abnormalities in patients with rheumatoid arthritis- the role of musculoskeletal ultrasound.

Micu¹,

Berghea

Fodor

2016

Med Ultrason

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show abstract

“…Tendon damage was found in at least 1 anatomic site in 43.3% of patients assessed. Particularly, among the 5400 tendons assessed, echostructure derangement, partial tear and complete rupture were retrieved in 5.4%, 3.3% and 0.6% of RA tendons, respectively [35]. At wrist level, the tendons most frequently involved resulted to be the 1 st and 6 th compartment extensor tendons.…”

Section: C) Tendon Rupturementioning

confidence: 95%

“…According to OMERACT, tenosynovitis is defined as hypoechoic or anechoic thickened tissue with or without fluid within the tendon sheath that is seen in 2 perpendicular planes, and that may exhibit Doppler signal [6]. Filippucci et al showed that the 2 nd and 4 th finger flexor and the extensor carpi ulnaris tendons were often involved in patients affect by RA [35].…”

Section: B) Tenosynovitismentioning

confidence: 99%

“…Not all researches provided US definition of tendon lesions, adopting a binary quantification system to describe the presence of tendon structural damages, underlining the need for further investigation to propose common scoring systems [36]. Filippucci et al in 2012 published an ultrasonographic study specifically concerning hand tendon involvement in RA [35]. Ninety patients were enrolled assessing hand flexors and wrist extensors.…”

Section: C) Tendon Rupturementioning

confidence: 99%

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11 Ultrasound for Rheumatoid Arthritis

Dogra¹,

Gaitini²,

Monu³

2010

Musculoskeletal Ultrasound With MRI Correlations

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Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by synovial inflammation that can lead to structural damage of cartilage, bone and tendons. Assessing the inflammatory activity and the severity is essential in RA to help rheumatologists in adopting proper therapeutic strategies and in evaluating disease outcome and response to treatment. In the last years musculoskeletal (MS) ultrasonography (US) underwent tremendous technological development of equipment with increased sensitivity in detecting a wide set of joint and soft tissues abnormalities. In RA MSUS with the use of Doppler modalities is a useful imaging tool to depict inflammatory abnormalities (i.e. synovitis, tenosynovitis and bursitis) and structural changes (i.e. bone erosions, cartilage damage and tendon lesions). In addition, MSUS has been demonstrated to be able to monitor the response to different therapies in RA to guide local diagnostic and therapeutic procedures such as biopsy, fluid aspirations and injections. Future applications based on the development of new tools may improve the role of MSUS in RA.

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“…For example, US has shown a greater sensitivity than clinical examination in identifying inflammatory and structural tendon changes [14][15][16][17]. Several studies have focused on the reliability of US in detecting and grading tendon damage in RA, resulting in good interobserver agreement [18][19][20].…”

Section: Introductionmentioning

confidence: 99%

How does a cadaver model work for testing ultrasound diagnostic capability for rheumatic-like tendon damage?

et al. 2016

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(1); or complete tear (2). All 20 tendons were blindly and independently evaluated twice, over two rounds, by each of the three observers. Overall, technical performance was satisfactory for all items in the two rounds (all values over 2.9 in a Likert scale 1-5). Intraobserver and interobserver agreement for US grading of tendon damage was good (mean κ values 0.62 and 0.71, respectively), with greater reliability found in the TAT than the TPT. Concordance between US findings and experimental tendon lesions was acceptable (70-100 %), again greater for the TAT than for the TPT. A cadaver model with surgically created tendon damage can be useful in evaluating US metric properties of RA tendon lesions Keywords Tendon tear · Tendon damage · Ultrasound · Cadaver · Specimen Abstract To establish whether a cadaver model can serve as an effective surrogate for the detection of tendon damage characteristic of rheumatoid arthritis (RA). In addition, we evaluated intraobserver and interobserver agreement in the grading of RA-like tendon tears shown by US, as well as the concordance between the US findings and the surgically induced lesions in the cadaver model. RA-like tendon damage was surgically induced in the tibialis anterior tendon (TAT) and tibialis posterior tendon (TPT) of ten ankle/ foot fresh-frozen cadaveric specimens. Of the 20 tendons examined, six were randomly assigned a surgically induced partial tear; six a complete tear; and eight left undamaged. Three rheumatologists, experts in musculoskeletal US, assessed from 1 to 5 the quality of US imaging of the cadaveric models on a Likert scale. Tendons were then categorized as having either no damage, (0); partial tear, Electronic supplementary material The online version of this article

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Hand Tendon Involvement in Rheumatoid Arthritis: An Ultrasound Study

Cited by 75 publications

References 28 publications

Concepts in diagnosing, scoring, and monitoring tenosynovitis and other tendon abnormalities in patients with rheumatoid arthritis- the role of musculoskeletal ultrasound.

Concepts in diagnosing, scoring, and monitoring tenosynovitis and other tendon abnormalities in patients with rheumatoid arthritis- the role of musculoskeletal ultrasound.

11 Ultrasound for Rheumatoid Arthritis

How does a cadaver model work for testing ultrasound diagnostic capability for rheumatic-like tendon damage?

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