دورية أكاديمية
Ultrasound assessment of new onset bilateral painful shoulder in patients with polymyalgia rheumatica and rheumatoid arthritis.
العنوان: | Ultrasound assessment of new onset bilateral painful shoulder in patients with polymyalgia rheumatica and rheumatoid arthritis. |
---|---|
المؤلفون: | Ruta S; Rheumatology Unit, Internal Medicine Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. santiago.ruta@hospitalitaliano.org.ar, Rosa J, Navarta DA, Saucedo C, Catoggio LJ, Monaco RG, Soriano ER |
المصدر: | Clinical rheumatology [Clin Rheumatol] 2012 Sep; Vol. 31 (9), pp. 1383-7. Date of Electronic Publication: 2012 Jun 09. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Springer Country of Publication: Germany NLM ID: 8211469 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1434-9949 (Electronic) Linking ISSN: 07703198 NLM ISO Abbreviation: Clin Rheumatol Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2008->: Heidelberg : Springer Original Publication: Brussels : Acta Medica Belgica, [1982- |
مواضيع طبية MeSH: | Arthritis, Rheumatoid/*diagnostic imaging , Bursitis/*diagnostic imaging , Polymyalgia Rheumatica/*diagnostic imaging , Shoulder/*diagnostic imaging , Ultrasonography/*methods, Aged ; Case-Control Studies ; Female ; Humans ; Inflammation ; Male ; Middle Aged ; Pain/diagnostic imaging ; Reproducibility of Results ; Shoulder Joint/diagnostic imaging ; Synovitis/physiopathology ; Tenosynovitis/physiopathology |
مستخلص: | The aim of our study was to investigate by ultrasound (US) the anatomical structures affected during a new episode of bilateral painful shoulder in patients with polymyalgia rheumatica (PMR) and rheumatoid arthritis (RA) and to compare the findings between these two conditions. PMR and RA patients complaining of new onset bilateral painful shoulder were included. Subjects without any known rheumatic condition with a new onset unilateral painful shoulder were assessed as a control group. US evaluation includes the depiction subacromial-subdeltoid (SAD) bursitis, long head biceps (LHB) tenosynovitis and/or gleno-humeral (GH) synovitis. Thirty patients with PMR, 30 with RA, and 60 controls were included for a total of 60 shoulders per group. Unilateral SAD bursitis and LHB tenosynovitis were significantly more frequent in patients with PMR when compared to those with RA (p < 0.0001 and p < 0.01, respectively) and controls (p < 0.001 and p < 0.01, respectively). Unilateral GH synovitis was more common in RA than in PMR and controls (p < 0.05 and p < 0.01, respectively). Bilateral SAD bursitis was significantly more frequent in patients with PMR than in those with RA (p < 0.01) as was bilateral LHB tenosynovitis (p < 0.01). No significant differences were found in bilateral GH synovitis. US-detected periarticular inflammatory involvement more frequently in PMR both unilaterally and bilaterally and intra-articular inflammatory involvement was commonly in RA but only unilaterally. |
References: | J Korean Med Sci. 2007 Aug;22(4):660-6. (PMID: 17728506) Ann Rheum Dis. 2001 Nov;60(11):1021-4. (PMID: 11602472) Ann Rheum Dis. 2010 May;69(5):879-82. (PMID: 19773289) Arthritis Rheum. 2001 May;44(5):1155-9. (PMID: 11352249) Clin Exp Rheumatol. 2006 Jan-Feb;24(1):1-5. (PMID: 16539811) Clin Exp Rheumatol. 2006 Jan-Feb;24(1):6-11. (PMID: 16539812) Int J Rheumatol. 2009;2009:738931. (PMID: 20130800) Ann Rheum Dis. 2010 Sep;69(9):1580-8. (PMID: 20699241) Rheumatology (Oxford). 2009 Dec;48(12):1566-9. (PMID: 19808693) J Rheumatol. 2002 Jan;29(1):123-30. (PMID: 11824948) Ann Rheum Dis. 2001 Jul;60(7):641-9. (PMID: 11406516) Best Pract Res Clin Rheumatol. 2003 Feb;17(1):17-32. (PMID: 12659819) Semin Arthritis Rheum. 1984 May;13(4):322-8. (PMID: 6729485) Ann Intern Med. 1997 Jul 1;127(1):27-31. (PMID: 9214249) J Rheumatol. 1988;15(5):750-2. (PMID: 3262751) J Rheumatol. 2001 May;28(5):1049-55. (PMID: 11361188) Rheumatol Int. 2000;19(5):185-9. (PMID: 10984136) Rheumatology (Oxford). 2012 Jan;51(1):77-86. (PMID: 21565899) Geriatrics. 1988 Oct;43(10):65-6, 69-72. (PMID: 3047014) Reumatismo. 2009 Oct-Dec;61(4):290-7. (PMID: 20143005) |
تواريخ الأحداث: | Date Created: 20120612 Date Completed: 20130317 Latest Revision: 20211021 |
رمز التحديث: | 20240628 |
DOI: | 10.1007/s10067-012-2016-2 |
PMID: | 22684205 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1434-9949 |
---|---|
DOI: | 10.1007/s10067-012-2016-2 |