Diagnostic Value of High Frequency Ultrasound in Rheumatoid Arthritis Shoulder Joint Pathologies
DOI: 10.23977/medsc.2024.050401 | Downloads: 21 | Views: 436
Author(s)
Zhang Tingting 1, Li Rui 1
Affiliation(s)
1 Department of Rheumatology and Immunology, Xi'an Fifth Hospital, Xi'an, Shaanxi, 710000, China
Corresponding Author
Zhang TingtingABSTRACT
In order to explore the diagnostic value of high-frequency ultrasound (HFUS) in shoulder joint pathologies of rheumatoid arthritis (RA) patients, and the method used is high frequency ultrasound (HFUS) to scan the shoulder joints of 120 patients with RA who have shoulder pain, swelling and limited mobility. Inflammatory diseases include synovitis, tenosynovitis, tendonitis and bursitis, as well as structural pathologies including bone erosion, osteophyte, tendon damage, tendon atrophy and tendon dislocation, were statistically analyzed. The thickness of acromioclavicular joint cavity, glenohumeral joint cavity, subacromial-subdeltoid bursa and tendon and tendon sheath of long head of biceps brachii were also analyzed. The results showed that 10 pathological types were detected. Among them, synovitis in 33 cases (33/120, 27.5%), tenosynovitis in 61 cases (61/120, 50.8%), bursitis in 55 cases (55/120, 45.8%), bone erosion in 73 cases (73/120, 60.8%), tendinitis in 15 cases (15/120, 12.5%), tendon damage in 10 cases (10/120, 8.3%), calcified tendinitis in 7 cases (7/120, 5.8%), osteophyte in 44 cases (44/120, 36.7%), tendon atrophy and tendon dislocation occurred in 2 cases each(2/120,1.7%), glenohumeral joint cavity thickness (5.97±2.12)mm, acromioclavicular joint cavity thickness(3.91±0.37)mm, tendon of long head of biceps brachii thickness(6.27±1.48)mm, tendon sheath of biceps brachii long head thickness(3.49±1.88)mm, subacromial-subdeltoid bursa thickness(6.42±3.67)mm. We come to the conclusion that high-frequency ultrasound can effectively identify a variety of pathological changes caused by rheumatoid shoulder arthritis, which has high diagnostic value.
KEYWORDS
High-Frequency Ultrasound, Rheumatoid Arthritis, Shoulder Joint, Diagnostic ValueCITE THIS PAPER
Zhang Tingting, Li Rui, Diagnostic Value of High Frequency Ultrasound in Rheumatoid Arthritis Shoulder Joint Pathologies. MEDS Clinical Medicine (2024) Vol. 5: 1-7. DOI: http://dx.doi.org/10.23977/medsc.2024.050401.
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