Correlation between Joint Ultrasound Data and Clinical, Laboratory and Instrumental Indices in Patients with Rheumatoid Arthritis

Комарова, Е Б

doi:10.17691/stm2017.9.1.11

Cited by 1 publication

(1 citation statement)

References 13 publications

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“…Arthroscopy served as a gold standard to which MRI 174,175 and ultrasound [176][177][178][179] were compared, including descriptions of simultaneous use of ultrasound and arthroscopy to assess synovitis. 180,181 An example of another arthroscopy-directed assessment that cannot be duplicated by an ultrasound-guided procedure, the oxygenation state of the synovial membrane was measured using the Lidox probe, developed to assess brain tissue.…”

Section: Imag Ingmentioning

confidence: 99%

Will rheumatologists ever pick up the arthroscope again?

Ike

Kalunian

2021

Int J of Rheum Dis

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Conditions prompting physicians and surgeons first adapting endoscopes to peer into joints were mainly the sort of synovial conditions that would concern today's rheumatologists. Rheumatologists were among the pre‐World War II pioneers developing and documenting arthroscopy. The post‐War father of modern arthroscopy, Watanabe, found rheumatologists among his early students, who took back the technique to their home countries, teaching orthopedists and rheumatologists alike. Rheumatologists described and analyzed the intra‐articular features of their common diseases in the ’60s and ’70s. A groundswell of interest from academic rheumatologists in adapting arthroscopy grew considerably in the ’90s with development of “needle scopes” that could be used in an office setting. Rheumatologists helped conduct the very trials the findings of which reduced demand for their arthroscopic services by questioning the efficacy of arthroscopic debridement in osteoarthritis (OA) and also developing biological compounds that greatly reduced the call for any resective intervention in inflammatory arthropathies. The arthroscope has proven an excellent tool for viewing and sampling synovium and continues to serve this purpose at several international research centers. While cartilage is now imaged mainly by magnetic resonance imaging, some OA features – such as a high prevalence of visible calcinosis – beg further arthroscopy‐directed investigation. A new generation of “needle scopes” with far superior optics awaits future investigators, should they develop interest.

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