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06 Apr2018

06 April 2018.

Written by SonoSkills
Posted in Musculoskeletal

06-04-2018 08:10:25
researchgate
Image by: researchgate

Detecting tenosynovitis with ultrasound

Tenosynovitis is a very common disease manifestation in patients with rheumatoid arthritis (RA).

It has been associated with lower physical function and may be one of the best imaging predictors for early development of RA.

Several studies have confirmed the limitations of clinical examination for detection of tenosynovitis in comparison with ultrasound (US).

Using US for tenosynovitis detection requires a highly validated and reliable US scoring system. The Outcome Measures in Rheumatology Clinical Trials group proposed a tenosynovitis scoring system described by Ammitzbøl-Danielsen et al. (2018).

Focusing on the US part of this scoring system they grade the US findings in tenosynovitis as:

Greyscale US > grade:
0: normal
1: minimal
2: moderate
3: severe

Doppler US > grade:
0: no intratenosynovial Doppler signal
1: focal intratenosynovial Doppler activity
2: multifocal intratenosynovial Doppler activity
3: diffuse intratenosynovial Doppler activity

Have a look at the Sonoskills website for more interesting content related to musculoskeletal ultrasound!

> From: Ammitzbøll-Danielsen et al., J Rheumatol 45 (2018-03-14 11:14:34) 165-169. All rights reserved to The Journal of Rheumatology. Click here for the online summary.

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Image by: pyroenergen

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About the Author
SonoSkills
SonoSkills
SonoSkills provides musculoskeletal ultrasound (MSU) and anatomy training to primary healthcare professionals like physiotherapists, medical specialis...

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  • Articles
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        • Rib cage
        • Cervical
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