Sonographic Assessment of Healthy Peripheral Joints

Machado, Flávia Soares; Natour, Jamil; Takahashi, R.D.; Buosi, Ana Letícia Pirozzi; Furtado, Rita Nely Vilar

doi:10.7863/ultra.33.12.2087

Cited by 16 publications

(3 citation statements)

References 40 publications

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“…MSUS is an easily accessible diagnostic tool and a therapeutic option in patients with inflammatory arthritis including rheumatoid arthritis (RA) and OA [14,15]. Although most articular fluid is distributed throughout the joint recesses, the joint spaces between the articular surfaces are relatively small in healthy people [3]. High-resolution ultrasonography allows one to assess fine details in anatomical structures [5].…”

Section: Discussionmentioning

confidence: 99%

“…Reliable application of MSUS requires knowledge of the normal articular anatomy and its variation. Assessment of cartilage thickness is important when distinguishing between normal and pathological conditions, evaluating the severity, monitoring disease progression during long-term follow-up, and assessing the efficacy of disease-modifying OA drugs [3]. As the numbers of clinical trials employing MSUS increase, appropriate assessment of articular cartilage morphology and periarticular status is becoming more important.…”

Section: Introductionmentioning

confidence: 99%

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Standardized, musculoskeletal ultrasonographic reference values for healthy Korean adults

Kim

et al. 2019

Korean J Intern Med

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Standardized, musculoskeletal ultrasonographic reference values for healthy Korean adults

Kim

et al. 2019

Korean J Intern Med

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“…The prevalence of synovial abnormalities in our study was comparable with these previous studies, suggesting similar findings in diverse populations (China, USA, UK, and Italy). Several previous studies also reported higher prevalence of synovial hypertrophy and effusion in men than women [ 20 , 21 , 33 ]. This finding may be partly explained by the fact that men normally have thicker synovium and more synovial fluid than women [ 21 ].…”

Section: Discussionmentioning

confidence: 70%

Prevalence of ultrasound-detected knee synovial abnormalities in a middle-aged and older general population—the Xiangya Osteoarthritis Study

et al. 2021

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Background There is paucity of data on the prevalence of ultrasound-detected synovial abnormalities in the general population, and the relationship between synovial changes and knee pain remains unclear. We examined the prevalence of synovial abnormalities on ultrasound and the relationship of these features with knee pain and radiographic osteoarthritis (ROA) in a community sample. Methods Participants aged 50 years or over were from the Xiangya Osteoarthritis Study, a community-based cohort study. Participants were questioned about chronic knee pain and underwent (1) ultrasonography of both knees to determine presence of synovial hypertrophy (≥ 4 mm), effusion (≥ 4 mm), and Power Doppler signal [PDS; yes/no]; and (2) standard radiographs of both knees (tibiofemoral and patellofemoral views) to determine ROA. Results There were 3755 participants (mean age 64.4 years; women 57.4%). The prevalence of synovial hypertrophy, effusion, and PDS were 18.1% (men 20.2%; women 16.5%), 46.6% (men 49.9%; women 44.2%), and 4.9% (men 4.9%; women 5.0%), respectively, and increased with age (P for trend < 0.05). Synovial abnormalities were associated with knee pain, with adjusted odds ratios (aORs) of 2.39 (95% confidence interval [CI] 2.00–2.86) for synovial hypertrophy, 1.58 (95%CI 1.39–1.80) for effusion, and 4.36 (95%CI 3.09–6.17) for PDS. Similar associations with ROA were observed, the corresponding aORs being 4.03 (95%CI 3.38–4.82), 2.01 (95%CI 1.76–2.29), and 6.49 (95%CI 4.51–9.35), respectively. The associations between synovial hypertrophy and effusion with knee pain were more pronounced among knees with ROA than those without ROA, and the corresponding P for interaction were 0.004 and 0.067, respectively. Conclusions Knee synovial hypertrophy and effusion are more common and increase with age, affecting men more than women. All three ultrasound-detected synovial abnormalities associate both with knee pain and ROA, and knee synovial hypertrophy or effusion and ROA may interact to increase the risk of knee pain.

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Anterior Ankle

Greenberg,

Day,

Alradawi

2023

Manual of Musculoskeletal Ultrasound

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Sonographic Assessment of Healthy Peripheral Joints

Abstract: Sonographic changes in healthy peripheral joints were observed predominantly in the oldest group.

Cited by 16 publications

References 40 publications

Standardized, musculoskeletal ultrasonographic reference values for healthy Korean adults

Standardized, musculoskeletal ultrasonographic reference values for healthy Korean adults

Prevalence of ultrasound-detected knee synovial abnormalities in a middle-aged and older general population—the Xiangya Osteoarthritis Study

Anterior Ankle

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