Validity and sensitivity to change of the semi-quantitative OMERACT ultrasound scoring system for tenosynovitis in patients with rheumatoid arthritis

Ammitzbøll-Danielsen, Mads; Østergaard, Mikkel; Naredo, Esperanza; Terslev, Lene

doi:10.1093/rheumatology/kew317

Cited by 33 publications

(23 citation statements)

References 19 publications

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“…Furthermore, a semi-quantitative scoring system in grey-scale and colour Doppler mode US has been developed by the OMERACT US group to assess tenosynovitis [15, 16]. Several studies evaluating this scoring system on patients with RA have shown excellent intra- and inter-reader agreement as well as good ability to detect response to systemic treatment [17, 18]. Moreover, studies evaluating synovitis and tenosynovitis on US in JIA have emerged which outline the usefulness of US in monitoring disease progression, however an US scoring system has yet to be proposed [19, 20].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided steroid tendon sheath injections in juvenile idiopathic arthritis: a 10-year single-center retrospective study

et al. 2017

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BackgroundThe aims of this study were to: (a) Identify tendon sheaths most commonly treated with steroid injections in a pediatric patient population with Juvenile Idiopathic Arthritis (JIA); (b) Describe technical aspects of the procedure; (c) Characterize sonographic appearance of tenosynovitis in JIA; (d) Assess agreement between clinical request and sites injected.MethodsThis was a 10 year single-center retrospective study (May 2006-April 2016) of patients with JIA referred by Rheumatology for ultrasound-guided tendon sheath injections. Patient demographics, clinical referral information, sonographic appearance of the tendon sheaths and technical aspects of the procedure were analyzed.ResultsThere were 308 procedures of 244 patients (75% female, mean age 9.6 years) who underwent a total of 926 tendon sheath injections. Ankle tendons were most commonly injected (84.9%), specifically the tendon sheaths of tibialis posterior (22.3%), peroneus longus (20%) and brevis (19.7%). The majority of treated sites (91.9%) showed peritendinous fluid and sheath thickening on ultrasound. There were 2 minor intra-procedure complications without sequelae. A good agreement between clinical request and sites injected was observed.ConclusionsUltrasound-guided tendon sheath injections with steroids are used frequently to treat patients with JIA. It is a safe intervention with a high technical success rate. The ankle region, specifically the medial compartment, is the site most commonly injected in this group of patients. The most common sonographic finding is peritendinous fluid and sheath thickening. These findings might assist clinicians and radiologists to characterize and more effectively manage tenosynovitis in patients with JIA.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-guided steroid tendon sheath injections in juvenile idiopathic arthritis: a 10-year single-center retrospective study

et al. 2017

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“…Two experts in musculoskeletal US, with a documented high intrareader and inter-reader agreement,13 blinded to the randomisation and intervention, performed the US assessment at baseline, 2, 4 and 12 weeks. A General Electric Logiq E9 (Milwaukee, Wisconsin, USA) US unit with a high frequency linear ML 6–15 probe was used.…”

Section: Methodsmentioning

confidence: 99%

Intramuscular versus ultrasound-guided intratenosynovial glucocorticoid injection for tenosynovitis in patients with rheumatoid arthritis: a randomised, double-blind, controlled study

et al. 2016

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“…Validity of the method and sensitivity to change were primarily demonstrated for all US findings by Terslev et al [99,100], thus making it an important imaging method in the management of RA, along with other studies which confirmed predicting value in the treatment response [101,102], and the role in discriminating between clinical and imaging, real remission [93,103,104].…”

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confidence: 85%

Diagnostic Challenges and Management Update in Rheumatoid Arthritis

Boldeanu¹,

Ionescu²,

Popoviciu³

et al. 2020

Rheumatoid Arthritis - Other Perspectives Towards a Better Practice

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Rheumatoid arthritis is a chronic, systemic inflammatory disease, with certain evidence of multiple factors involved, but also with the strong autoimmune component, leading to a high potential for disability, through synovial inflammation and joint destruction. Diagnostic methods and management possibilities have recently improved, thus leading to a better outcome, based on the treat to target recommendation. Although biologic agents represent efficient therapeutic agents, in the last few years, the advances in understanding the mediators involved in rheumatoid arthritis pathogenesis have provided new targeted therapies, represented by small molecule inhibitors against the Janus kinases that contribute in the signaling pathways of various cytokine receptors.

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Validity and sensitivity to change of the semi-quantitative OMERACT ultrasound scoring system for tenosynovitis in patients with rheumatoid arthritis

Abstract: This study demonstrated an excellent intra- and inter-reader agreement between two investigators for the OMERACT US scoring system for tenosynovitis and a high ability to detect changes over time. Quantitative assessment by PI did not add further information.

Cited by 33 publications

References 19 publications

Ultrasound-guided steroid tendon sheath injections in juvenile idiopathic arthritis: a 10-year single-center retrospective study

Ultrasound-guided steroid tendon sheath injections in juvenile idiopathic arthritis: a 10-year single-center retrospective study

Intramuscular versus ultrasound-guided intratenosynovial glucocorticoid injection for tenosynovitis in patients with rheumatoid arthritis: a randomised, double-blind, controlled study

Diagnostic Challenges and Management Update in Rheumatoid Arthritis

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