SAT0198 How normal are the hands of normal controls? a study with dedicated magnetic resonance imaging

Parodi, Monica; Dazzi, G; Silvestri, Enzo; Garlaschi, Giacomo; Poggi, Elena; Cimmino, M. A.

doi:10.1136/annrheumdis-2001.696

Cited by 6 publications

(6 citation statements)

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“…However, ECU tendinopathy has also been reported to have a prevalence of between 4% and 85% in asymptomatic volunteers. 16,17 A study found rates of tendinopathy of 41% in patients with MRIs performed for ulnar-sided wrist pain compared with 10% in MRIs performed for other causes. 18 As one would expect in traumatic TFCC tears, we did not observe a higher rate of findings consistent with ulnocarpal abutment.…”

Section: Discussionmentioning

confidence: 99%

MRI Findings in Patients Undergoing Triangular Fibrocartilage Complex Repairs Versus Patients Without Ulnar-Sided Wrist Pain

Verhiel

Blackburn

Ritt

et al. 2020

Hand (New York, N,Y.)

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Background: The clinical picture of ulnar-sided wrist pain is oftentimes confusing because various pathologies may be coexistent. In this study, we aimed: (1) to compare the prevalence of potential causes of ulnar-sided wrist pain on magnetic resonance imaging (MRI) in patients who underwent triangular fibrocartilage complex (TFCC) repair and control subjects: and (2) to evaluate whether inferior clinical results were associated with specific patient characteristics or other potential causes of ulnar-sided wrist pain. Methods: We included 67 patients who underwent a TFCC repair and 67 control subjects. The MRI scans were examined for sources of ulnar-sided wrist pain. After TFCC repair, 42 patients (63%) completed surveys, including Quick Disabilities of the Arm, Shoulder and Hand and pain scores. Bivariate analysis was performed to compare our groups and to identify factors associated with our outcomes. Results: We found significantly higher rates of distal radioulnar joint (DRUJ) arthritis ( P = .033), extensor carpi ulnaris (ECU) pathology ( P = .028), and ulnar styloid fractures ( P = .028) in patients with TFCC repairs. With increasing age, increasing pathology in the pisotriquetral joint ( P = .040), more ulnocarpal abutment ( P = .0081), and more degenerative tears ( P < .001) were seen in both groups. No demographic characteristics or MRI findings were significantly associated with our outcomes. Conclusions: We observed higher rates of DRUJ arthritis and ECU pathology in patients with TFCC tears undergoing repair compared with age- and sex-matched controls. This may be due to damage to the TFCC itself altering relationships of the DRUJ and the ECU subsheath, or it may reflect various pathologies that cause ulnar-sided wrist pain and drive patients toward surgery.

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Section: Discussionmentioning

confidence: 99%

MRI Findings in Patients Undergoing Triangular Fibrocartilage Complex Repairs Versus Patients Without Ulnar-Sided Wrist Pain

Verhiel

Blackburn

Ritt

et al. 2020

Hand (New York, N,Y.)

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“…Inoltre è possibile che le articolazioni asintomatiche di pazienti con artrite in altre sedi o con sola psoriasi cutanea presentino delle alterazioni suggestive di una artrite (19). Questa informazione deve essere interpretata alla luce del possibile riscontro di lesioni tipiche dell'artrite anche in soggetti normali (20). In un futuro molto prossimo, la grande sensibilità della RMN permetterà di valutare in tempi più rapidi di quelli attuali se una determinata terapia è efficace o meno, rendendo possibili adeguamenti più tempestivi e con ogni probabilità un migliore controllo dell'artrite.…”

Section: Discussionunclassified

Magnetic resonance imaging of the joints: a revolution for the practicing rheumatologist

Cimmino¹

2011

Reumatismo

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In the last 15 years, new imaging techniques have changed the life of practicing rheumatologists in terms of both diagnostic approach and knowledge of disease mechanisms. Clinical symptoms, disease signs and the results of physical examination have been more closely related to their anatomical basis. In particular, magnetic resonance imaging allow diagnosis of disease in its early phase and its follow-up with a previously unknown sensitivity. Novel imaging studies have contributed to elucidate several pathogenetic mechanisms in musculoskeletal diseases, such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, polymyalgia rheumatica and osteoarthritis; allow evaluation of the real degree of joint inflammation, which is often uncoupled from clinical signs; and possibly reduce the need for large clinical trials. In conclusion, new imaging techniques and refinements of the established techniques have opened exciting perspectives in our understanding and treatment of many rheumatic diseases. Much attention should be paid to the training of new generations of rheumatologists in this field

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“…Per la dia-gnosi differenziale sarà importante valutare il pattern RMN delle lesioni ossee e dei tessuti molli piuttosto che l'attività della membrana sinoviale (49) che non sembra differire nelle varie forme di artrite. Il riscontro di lesioni tipiche dell'artrite in pazienti con sola psoriasi non dovrebbe stupire perché esse sono presenti anche nei soggetti sani (50). Tuttavia la frequenza delle lesioni, in particolare quella dell'edema osseo che non si trova invece nei sani, è di gran lunga superiore nell'APs.…”

Section: Discussioneunclassified

Magnetic resonance imaging of the peripheral joints in psoriatic arthritis

D'Auria¹,

Scarpa²,

Parodi³

et al. 2011

Reumatismo

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Objective: Magnetic resonance imaging (MRI) has been widely used for the evaluation of rheumatoid arthritis (RA), with only a minority of studies considering other types of arthritis. This review is concerned with an evaluation of the MRI appearance of peripheral joints in psoriatic arthritis (PsA). Methods: A Medline search was performed to identify all publications from the years 1985 to 2006 concerning MRI of the peripheral joints and PsA. Additional papers were retrieved by scanning the references to the Medline-listed articles. Articles written in English, French, German, and Italian were included. Results: Most papers studied the hand and wrist, and only few of them were concerned with the knee, foot, temporomandibular joint, and elbow. Patients with PsA showed often, but not always, a pattern of joint inflammation which extended beyond the capsule into the extraarticular tissue. Bone oedema and erosions were less frequent than in RA. In particular, bone oedema at the entheseal junction was seen, especially in the knee. The degree of synovitis, assessed by dynamic MRI, was similar in PsA and RA. Discussion: Data on MRI of the peripheral joints in PsA are scanty. Only few studies were specifically designed to evaluate the pattern of arthritis in PsA, with most information deriving from papers where different types of arthritis were considered together. An enthesis-related origin of PsA has been proposed in contrast to the primarily synovial inflammation of RA. This pathogenic interpretation is likely to be true, but does not explain all cases of PsA, and needs to be confirmed by further studies

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SAT0198 How normal are the hands of normal controls? a study with dedicated magnetic resonance imaging

Cited by 6 publications

References 0 publications

MRI Findings in Patients Undergoing Triangular Fibrocartilage Complex Repairs Versus Patients Without Ulnar-Sided Wrist Pain

MRI Findings in Patients Undergoing Triangular Fibrocartilage Complex Repairs Versus Patients Without Ulnar-Sided Wrist Pain

Magnetic resonance imaging of the joints: a revolution for the practicing rheumatologist

Magnetic resonance imaging of the peripheral joints in psoriatic arthritis

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