Age dependent ultrasound B-mode findings of the elbow joint in healthy children and adolescents

Trauzeddel, Ralf; Lehman, Hartwig; Haller, Maria; Palm-Beden, Katharina; Ganser, Gerd; Berendes, R.; Nirschl, Christine; Nimtz-Talaska, A.; Krumrey-Langkammerer, Manuela; Schoof, Philipp; Windschall, Daniel

doi:10.1007/s00296-018-4233-8

Cited by 19 publications

(22 citation statements)

References 18 publications

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“…Musculoskeletal ultrasound examination technology has made great progress in recent decades, especially in the pediatric population. However, challenges in the growing skeleton, incomplete ossi cation and physiological vascularity among children have made sonography more di cult to interpretate [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Age, Gender, Height and Weight in Relation to Joint Cartilage Thickness Among School-aged Children From Ultrasonographic Measurement

Gau

Yao

Gan

et al. 2020

Preprint

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Background: Among school-age children, the decrease of cartilage thickness (Cth) with increasing age is well known. However, the influence of body mass index (BMI), height or weight on Cth has not been revealed. Here in, we aim to establish an age- and gender-specific Cth standard reference among Asians and investigate the possible prestige of BMI, height and weight. Methods: A cross-sectional study was performed in healthy Asian children. Bilateral knees, ankles, wrists, second metacarpophalangeals (MCPs) and proximal interphalangeals (PIPs) were measured using ultrasound. The children’s height, weight and BMI were also recorded for later adjustment.Results: A total of 200 school age Asian children (including 86 girls and 114 boys, aged between 5 to 13 years-old) were investigated. Cth differences were observed in the knees, ankles, wrists, MCPs and PIPs between sexes (p<0.05), with girls having thinner cartilage thickness. While Cth decreases with increasing age ( p <0.0001, 0.039, 0.001, 0.023, 0.091 in girls’ knees, ankles, wrists, MCPs and PIPs and p = 0.002, 0.001, <0.0001, 0.001, 0.045 in boys’, respectively). Our data showed that weight, height and BMI are not the main factors contributing to Cth. A formula to calculate gender-specific cartilage thickness for Asian school age children is suggested. There was no difference in Cth after adjusting for height or weight between Asian or Caucasian group.Conclusions: A formula to calculate gender-specific cartilage thickness for Asian school age children is suggested. Height, weight and BMI were not the major contributor for Cth among school age children.

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Section: Introductionmentioning

confidence: 99%

Age, Gender, Height and Weight in Relation to Joint Cartilage Thickness Among School-aged Children From Ultrasonographic Measurement

Gau

Yao

Gan

et al. 2020

Preprint

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“…Um gelenkspezifische Normalbefunde für eine große Anzahl gesunder Kinder und Jugendlicher zu untersuchen und zu sammeln, nahmen in den letzten Jahren auch mehrere nationale Arbeitsgruppen wichtige Studienprojekte auf. So konnten sonografische Normalbefunde für das Knie-, das Hüft-, das Schultergelenk, die Ellenbogen- und Handgelenke erstellt und publiziert werden 19 20 21 22 23 . Gemeinsame Ergebnisse in allen untersuchten Gelenken waren ein hoher Knorpelanteil im Kleinkindalter aufgrund der inkompletten Mineralisation der Epi- und Apophysen.…”

Section: Physiologische Ultraschallbefunde An Kindlichen Gelenkenunclassified

“…Einige Arbeiten konnten die wichtige Bedeutung der Ultraschalltechnik für die Kinderrheumatologie, insbesondere für die Diagnosestellung der Juvenilen idiopathischen Arthritis (JIA), hervorheben [5,6,8]. Die Standardisierung und Evidenz für den routinemäßigen Einsatz der Ultraschalltechnik wächst zunehmend auf der Basis zahlreicher Studien, die in den vergangenen Jahren sonografische Normbefunde sowie international konsentierte Standards für die Erhebung, Interpretation und auch Schwereeinteilung bei der Gelenkentzündung publizieren konnten [14][15][16][17][18][19][20][21][22][23]. Bei der Gelenksonografie werden für eine gute Abbildung der Weichteile möglichst hohe Ultraschallfrequenzen eingesetzt.…”

Section: Introductionunclassified

Ultraschalldiagnostik in der Kinderrheumatologie

Windschall

Malattia

Krumrey-Langkammerer

et al. 2022

Aktuelle Rheumatologie

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ZusammenfassungDer Artikel gibt einen Überblick zum aktuellen Stand der Ultraschallbefundung in der Kinderrheumatologie und geht insbesondere auf den praktischen Einsatz und die technischen Aspekte der Gelenksonografie ein. Dabei werden auch die wissenschaftlichen Entwicklungen der letzten Jahre zusammengefasst und berücksichtigt. Neben der Gelenksonografie wird die Ultraschalltechnik in der Kinderrheumatologie zunehmend auch auf weitere Körperregionen und -organe ausgeweitet, die für die kinderrheumatologische Diagnostik relevant sind.

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“…Moreover, they developed a semiquantitative scoring system for assessing the grade of maturation of ossification nuclei in healthy children 5. The creation of image acquisition protocols for normal paediatric hip,6 knee,7 elbow8 and wrist9 has helped in performing US scannings in children. Other factors influencing the correct interpretation of results in children include small joint size with slow blood flow, restless children and effect of transducer pressure in small paediatric joints.…”

mentioning

confidence: 99%

What is the real role of ultrasound in the management of juvenile idiopathic arthritis?

2020

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Age dependent ultrasound B-mode findings of the elbow joint in healthy children and adolescents

Cited by 19 publications

References 18 publications

Age, Gender, Height and Weight in Relation to Joint Cartilage Thickness Among School-aged Children From Ultrasonographic Measurement

Age, Gender, Height and Weight in Relation to Joint Cartilage Thickness Among School-aged Children From Ultrasonographic Measurement

Ultraschalldiagnostik in der Kinderrheumatologie

What is the real role of ultrasound in the management of juvenile idiopathic arthritis?

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