The ultrasound 7 score in the assessment of synovitis in rheumatoid arthritis: correlation with clinical disease activity indices

Kamel, Shereen R.; Sadek, Hanaa A.; Mohamed, Fatma; Samra, Manal F. Abu; Osman, Haidy M.

doi:10.4103/err.err_4_17

Cited by 9 publications

(10 citation statements)

References 24 publications

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“…This agreed with Zou et al [32] where their US7 score was positively correlated with DAS28. This also came in accordance with Kamel et al [21] where all clinical disease activity indices [CDAI (Clinical Disease Activity Index), GAS (global arthritis score) and RAPID3 (Routine Assessment of Patient Index Data 3)] were significantly positively correlated with GSUS7 and PDUS7 synovitis. This indicated that the use of the US7 joint score could add beneficial value in the assessment of RA disease activity, similar to DAS28 Zou et al [32].…”

Section: Discussionsupporting

confidence: 90%

“…This was in concordance with Yılmaz et al [28], as in their CTS group, the mean difference was found to be (1.40 ms), whereas it was (0.12ms) in the control group, indicating a significant difference between the two groups (p < 0.001). The previous study was also in agreement with findings of Ozben et al ( 2012 In the present study, we used the 7-joint US score as it combines soft tissue changes (synovitis and tenosynovitis) by gray scale (GS) and neovascularization by Power Doppler (PD) in addition to erosive bony changes and it reveals clinical correlation with diseases activity as well [21]. However, we performed the assessment for each hand separately in order to find how the 7 joint activity scores are related to different grades of nerve affection whether by EDX or to neuromuscular ultrasound parameters.…”

Section: Discussionsupporting

confidence: 89%

“…The US7 score includes a combination of semi-quantitative gray scale (GS) and PD findings obtained by a formula that includes the sum of different parameters. Its score ranges from 0 to 27 for GS and from 0 to 39 for PD [21]:…”

Section: Mtp2 and Mtp5 Jointsmentioning

confidence: 99%

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Carpal tunnel syndrome in rheumatoid arthritis patients: the role of combined ultrasonographic and electrophysiological assessment

Mahmoud

El-Naby

Awad

2022

Egypt Rheumatol Rehabil

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Background Carpal tunnel syndrome (CTS) is known as one of the most common neurological extra-articular manifestations in rheumatoid arthritis (RA) patients. Studies on CTS in RA depend mostly on electrophysiological assessment. Few studies have used ultrasonography for evaluation of the local causes with much focus on wrist arthritis and tenosynovitis as the main cause of entrapment neuropathy of the median nerve in RA. The aim of our study is to assess the local causes of carpal tunnel syndrome in rheumatoid arthritis patients by ultrasonography and whether inflammatory or anomalous variations could affect decision-making and patient management. Results Carpal tunnel syndrome was diagnosed in 71 out of 74 examined RA wrists by nerve conduction studies (NCSs) and was categorized from minimal to severe according to Padua et al.’s (Ital J Neurol Sci 18:145–50, 1997) grading criteria. Median nerve CSA at the level of the carpal tunnel inlet and flattening ratio showed statistically significant relation with CTS severity. Bifid MN was found in 20 wrists (10 mild CTS wrists and 10 moderate CTS wrists), a persistent median artery was found in 4 wrists with moderate CTS, and an accessory muscle bundle was present in 3 wrists (2 mild CTS and 1 moderate CTS). The majority of the examined hands (85.1%) showed flexor tendon tenosynovitis at the wrist level and radio-carpal joint synovitis. The US7-joint score using GSUS7 & PDUS7 for synovitis, tenosynovitis and erosions showed significant relation with patients’ disease activity by DAS28 score. Significant relations between CTS severity and the following nerve conduction studies’ parameters, median nerve distal motor latency (DML), motor/sensory NCV, peak sensory latency, amplitude of SNAP, and median-radial latency difference test, were observed. Conclusion Synovial inflammation and local causes of median nerve compression such as bifid median nerve, persistent median artery, and accessory muscle bundle are collectively contributing factors in the etiology of carpal tunnel syndrome in rheumatoid arthritis patients. Ultrasonographic visualization of these inflammatory and anomalous variations enables early detection of CTS and highlights the possibility of non-arthritic-related causes. Using the 7-joint ultrasound (US7) score for assessment of synovitis, tenosynovitis, and erosions in rheumatoid arthritis patients is of valuable role in reflecting inflammation and its relation to the development of CTS in RA patients.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

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Carpal tunnel syndrome in rheumatoid arthritis patients: the role of combined ultrasonographic and electrophysiological assessment

Mahmoud

El-Naby

Awad

2022

Egypt Rheumatol Rehabil

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“…In our studied RA patients, erosions were found most in lateral aspect of 5th MTP & radial aspect of 2nd MCP. Similar results were reported by Ohrndorf and Backhaus (2013) (S. Ohrndorf & Backhaus, 2013) & Kamel et al (2017 (Kamel et al, 2017). Also, this distribution of erosions was shown by a French-US working group before presenting new semiquantitative erosions score with good correlation to radiography.…”

Section: Discussionsupporting

confidence: 87%

“…This may be because this is the mainly affected joint in RA & it is more used in activities of daily living, predisposing it to more mechanical stress. But in contrast, Kamel et al (2017) (Kamel, Sadek, Mohamed, Samra, & Osman, 2017) found that the MCP II was the most affected joint region. Different population (number of patients, duration of disease and disease-modifying antirheumatic drugs) may be the reason for this difference.…”

Section: Discussionmentioning

confidence: 88%

Quality of life assessment and its correlation with disease activity in rheumatoid arthritis patients

Shahin

El-Deeb

El-Banna

et al. 2022

ijhs

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Background: Rheumatoid arthritis (RA) is a chronic autoimmune disease of unknown etiology that leads to synovial membrane inflammation & destruction of the synovial joints. Quality of life (QoL) is a multidimensional concept that is used to describe the individuals’ perceptions, satisfaction, and evaluation of different areas of their own lives. Objective: to assess the impact of rheumatoid arthritis on the quality of life of the patients & its correlation with disease activity & functional impairment. Materials and methods: The study was carried out on 60 RA patients. All patients were subjected to complete clinical examination & laboratory assessment. Disease activity had been assessed through Disease Activity Score 28 (DAS 28). Functional assessment by HAQ-DI (Health Assessment Questionnaire - Disability Index) was done. Quality of life assessment by: World Health Organization Quality of Life BREF (WHO QoL BREF) and Rheumatoid Arthritis Quality of Life (RAQoL). Sleep quality was assessed by PSQI. Results: There was significant negative correlation between QoL assessed by (WHO QoL BREF) & DAS. There was significant positive correlation between QoL assessed by RAQoL & DAS (P < 0.001), quality of sleep assessed by (PSQI) & DAS.

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Is superficial radial nerve affected in patients with hand osteoarthritis?

Umay

Gürçay

Serçe

et al. 2022

Journal of Hand Therapy

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The ultrasound 7 score in the assessment of synovitis in rheumatoid arthritis: correlation with clinical disease activity indices

Cited by 9 publications

References 24 publications

Carpal tunnel syndrome in rheumatoid arthritis patients: the role of combined ultrasonographic and electrophysiological assessment

Carpal tunnel syndrome in rheumatoid arthritis patients: the role of combined ultrasonographic and electrophysiological assessment

Quality of life assessment and its correlation with disease activity in rheumatoid arthritis patients

Is superficial radial nerve affected in patients with hand osteoarthritis?

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