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Skeletal Radiology
Published in: Skeletal Radiology 2/2004

01-02-2004 | Article

Ultrasound detection of bone erosions in rheumatoid arthritis: a comparison to routine radiographs of the hands and feet

Authors: Robert Lopez-Ben, Wanda K. Bernreuter, Larry W. Moreland, Graciela S. Alarcon

Published in: Skeletal Radiology | Issue 2/2004

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Abstract

Purpose

To determine if ultrasound (US) of selected joints in the hands and feet can detect more erosions than radiography and establish the presence of erosive disease in patients with rheumatoid arthritis (RA).

Methods

Eighty joints in ten patients with RA and 40 joints in five healthy control subjects, who were age, gender and ethnicity-matched to the patients with arthritis, were prospectively studied with radiographs and sonography. Conventional radiographs of the hands and feet were obtained. US examinations of the 2nd and 5th metacarpal-phalangeal (MCP) joints of the hands, and the 1st and 5th metatarsal-phalangeal (MTP) joints of the feet were performed. Radiographs and US exams were independently graded for the presence of erosions.

Results

None of the control subjects had erosions. US detected erosions in 17/80, and radiographs detected erosions in 6/80 joints assessed with both modalities. US detected all erosions seen by radiographs in these selected joints. Erosive disease was present in the radiographs of seven of ten RA patients. US established erosive disease in eight of ten RA patients. US determined erosive disease in two of the three patients without radiographic erosions.

Conclusions

US of the MTP and MCP joints in RA can detect erosions not seen with radiography and may be complementary to radiography in establishing the presence of erosive disease in early RA.
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Metadata
Title
Ultrasound detection of bone erosions in rheumatoid arthritis: a comparison to routine radiographs of the hands and feet
Authors
Robert Lopez-Ben
Wanda K. Bernreuter
Larry W. Moreland
Graciela S. Alarcon
Publication date
01-02-2004
Publisher
Springer-Verlag
Published in
Skeletal Radiology / Issue 2/2004
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-003-0693-2

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