Diagnostic value of musculoskeletal USG in patients with rheumatoid arthritis of wrist at a tertiary care center
Journal Title: Medpulse International Journal of Radiology - Year 2019, Vol 9, Issue 2
Abstract
Background: Musculoskeletal ultrasound may be used to assist needle positioning to facilitate invasive rheumatological procedures such as aspiration of fluid, drainage of abscess, tissue biopsy and local injection of therapeutic agents. Aim: To evaluate the diagnostic value of musculoskeletal USG in patients with rheumatoid arthritis of wrist at a tertiary care center. Material and Methods: A total of 50 patients (40 patients were already diagnosed and on treatment and 10 patients were newly diagnosed) of Rheumatoid arthritis were studied. 25 healthy volunteers were also included as control cases. All patients were subjected to B mode ultrasonography and power Doppler study of wrist joint. Results: The most common pathology that we found in our study was bony erosions. We found carpal erosions in 45 patients. Out of these patients with bony erosions, the pannus associated with bony erosions was found in 38 patients. The pannus was hyperaemic in 34 patients. We also found synovial thickening in Radiocarpal joint in 42 patients. Conclusion: Ultrasonography of wrist is a real-time, noninvasive, cheap, easily available investigation in patients with rheumatoid arthritis.
Authors and Affiliations
Sanket Ravikant Shah, Chetan Shashikant Ravi
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