Ultrasonographic Assessment of Fifth Metatarsophalangeal Joint Erosion in Rheumatoid Arthritis: Which Aspect Is Better?

Nevsun Inanc; Gulsen Ozen; Sibel Zehra Aydin; Esen Kasapoglu-Gunal; Haner Direskeneli

doi:10.1016/j.ultrasmedbio.2015.11.024

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Ultrasonographic Assessment of Fifth Metatarsophalangeal Joint Erosion in Rheumatoid Arthritis: Which Aspect Is Better?

Journal article

Peer reviewed

Ultrasonographic Assessment of Fifth Metatarsophalangeal Joint Erosion in Rheumatoid Arthritis: Which Aspect Is Better?

Nevsun Inanc, Gulsen Ozen, Sibel Zehra Aydin, Esen Kasapoglu-Gunal and Haner Direskeneli

Ultrasound in medicine & biology, Vol.42(4), pp.864-869

04/01/2016

DOI: 10.1016/j.ultrasmedbio.2015.11.024

PMID: 26742892

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Abstract

In this study, the best ultrasound (US) aspect for detection of fifth metatarsophalangeal (MTP) joint erosions, the most frequently eroded joint, in rheumatoid arthritis (RA) patients is investigated. Forty-eight RA patients (F/M = 35/13, mean age and disease durations 50.3 ± 11.8 and 7.9 ± 6.9 y, respectively) were evaluated by B-mode US for erosion. Images were obtained from the dorsal, lateral and plantar aspect of the fifth MTP joint, in longitudinal and transverse scans. The fifth MTP erosions were detected in 36 of 48 patients (75%) and 67 of 96 feet (69.8%). Of the erosions, 15 (22.4%), 53 (79.1%) and 59 (88.0%) were observed at dorsal, lateral and plantar aspects, respectively. Despite not being statistically different, the detection rate of fifth MTP erosions was numerically higher in the plantar aspect than both the lateral and dorsal aspects. In conclusion, the fifth MTP erosions in RA patients are more commonly detected in the plantar aspect US than in dorsal and lateral assessments.

Arthritis, Rheumatoid - diagnostic imaging

Arthritis, Rheumatoid - pathology

Female

Humans

Image Enhancement - methods

Male

Metatarsophalangeal Joint - diagnostic imaging

Metatarsophalangeal Joint - pathology

Patient Positioning - methods

Reproducibility of Results

Sensitivity and Specificity

Ultrasonography - methods

Details

Title: Subtitle: Ultrasonographic Assessment of Fifth Metatarsophalangeal Joint Erosion in Rheumatoid Arthritis: Which Aspect Is Better?
Creators: Nevsun Inanc - Marmara University
Gulsen Ozen - Marmara University
Sibel Zehra Aydin - Department of Rheumatology, School of Medicine, Ottawa University, Ottawa, Ontario, Canada
Esen Kasapoglu-Gunal - Department of Rheumatology, Faculty of Medicine, Goztepe Medeniyet University, Istanbul, Turkey
Haner Direskeneli - Marmara University
Resource Type: Journal article
Publication Details: Ultrasound in medicine & biology, Vol.42(4), pp.864-869
DOI: 10.1016/j.ultrasmedbio.2015.11.024
PMID: 26742892
ISSN: 0301-5629
eISSN: 1879-291X
Language: English
Date published: 04/01/2016
Academic Unit: Internal Medicine
Record Identifier: 9984702938202771

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