Document Detail


Abnormal sonographic findings in the asymptomatic arthritic shoulder.
MedLine Citation:
PMID:  11922195     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the diagnostic value of ultrasonography (US) in the evaluation of arthritic shoulder joints, especially in painless shoulders. METHODS: US examinations were performed in 57 consecutive patients with rheumatoid arthritis (114 shoulders) and in 32 controls (32 shoulders), using a 7.5 MHz linear probe and a standardized study protocol. US findings were compared with clinical, laboratory, and radiological data to find any relationship. RESULTS: Abnormal sonographic findings were found in 80 shoulders (70%); the most common were lesions in the supraspinatus tendon (38%), subacromial-subdeltoid bursitis (29%), bone erosions of the humeral head (20%), glenohumeral joint ellusion (19%), and biceps tendinitis (13%). Although US abnormalities were most frequent in patients with painful shoulders or abnormal findings on physical examination or radiography, a high rate of alterations was found in asymptomatic shoulders (51%), in normal shoulders on physical examination (44%) and in normal shoulders on radiographic assessment (61%). Differences of US findings in relation to time of evolution of rheumatoid arthritis, patient's age, and radiographic stage in hand and/or wrist joints were not found. CONCLUSION: US abnormalities in the shoulder joint are frequent in rheumatoid arthritis, both in patients with and without shoulder complaints as well as in patients with normal findings on physical examination.
Authors:
A Naranjo; T Marrero-Pulido; S Ojeda; F Francisco; C Erausquin; I Rúa-Figueroa; C Rodríguez-Lozano; C R Hernández-Socorro
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Scandinavian journal of rheumatology     Volume:  31     ISSN:  0300-9742     ISO Abbreviation:  Scand. J. Rheumatol.     Publication Date:  2002  
Date Detail:
Created Date:  2002-03-29     Completed Date:  2002-04-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0321213     Medline TA:  Scand J Rheumatol     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  17-21     Citation Subset:  IM    
Affiliation:
Section of Rheumatology, Hospital Universitario de Gran Canaria Dr. Negrin, Las Palmas de Gran Canaria, Spain. anaranjo@correo.hpino.rcanaria.es
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthritis, Rheumatoid / physiopathology,  radiography,  ultrasonography*
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Reproducibility of Results
Rheumatoid Factor / analysis
Rheumatoid Nodule
Shoulder Joint / physiopathology,  radiography,  ultrasonography*
Chemical
Reg. No./Substance:
9009-79-4/Rheumatoid Factor

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