Magnetic-Resonance Imaging for Early Diagnosis of Coxitis in Patients With Spondyloarthritis

Бочкова, А. Г.; Левшакова, А. В.; Tyukhova, E Yu; Rumyantseva, O.; Смирнов, А. В.; Pushkova, O V; Эрдес, Ш. Ф.

doi:10.14412/1995-4484-2012-1183

Cited by 9 publications

(6 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[14] показали, что коксит вносит наибольший вклад в увеличение функционального индекса BASFI, чем такие показатели, как пол, длительность АС и внескелетные проявления. Сходные данные получены и в ранее проведенных отечественных исследованиях [4,12], что нашло подтверждение и в настоящей работе. Ранее М.В.…”

Section: Discussionunclassified

“…Бочкова и соавт. [12] ранее высказали предположение о том, что наличие остеита может приводить к рентгенологическому прогрессированию коксита, тогда как наши данные свидетельствуют, что на появление структурных изменений в ТБС может оказывать влияние и синовит. В связи с этим необходимы дальнейшие исследования с целью уточнения факторов, влияющих на рентгенологическое прогрессирование коксита.…”

Section: Discussionunclassified

“…Всем пациентам УЗИ ТБС проводилось на аппарате Sono Diagnost 360 (Philips, Нидерланды) с использованием линейного (7,5 МГц) и конвексного (5,0 МГц) датчиков. Наличие синовита сустава регистрировалась в том случае, если расстояние между сигналами от капсулы сустава и внутренней части шейки бедренной кости составляло >7 мм [11,12]. О р и г и н а л ь н ы е и с с л е д о в а н и я Conclusion.…”

Section: материал и методыunclassified

See 2 more Smart Citations

Instrumental diagnosis of coxitis in ankylosing spondylitis in real clinical practice

Agafonova¹,

Dubinina²,

Дёмина³

et al. 2019

Naučno-praktičeskaâ revmatologiâ

View full text Add to dashboard Cite

Coxitis is one of the most common extra-axial manifestations of ankylosing spondylitis (AS). Most Russian studies consider hip joint (HJ) involvement in AS patients as a major factor of poor prognosis in this disease. All detected hip joint changes are characterized by one term «coxitis». Until recently, there has been no clarity on inflammation of which structures of HJ leads to its destruction. This problem can be solved by prospective studies. A start was made by the V.A. Nasonova Research Institute of Rheumatology on the study of the evolution of coxitis in AS in 2013. This communication is devoted to the results initially identified by various imaging techniques for detecting HJ changes.Objective:to study the characteristics of HJ injury in AS, which have been detected by different imaging techniques.Subjects and methods.The investigation enrolled 125 AS patients, including 84 men (a male/female ratio of 2:1). The mean age of the patients was 31.4±9.1 years; the mean age at disease onset – 24.6±4.4 years; the median duration of AS at the time of examination – 96 (12–444) months. The HLA-B27 antigen was present in the majority of patients (94%). AS activity defined by ASDAS-CRP and BASDAI was high; BASFI scores averaged 3.4±2.1. All the patients underwent the following instrumental examinations: plain pelvis radiography, HJ ultrasound and magnetic resonance imaging (MRI).Results and discussion.The clinical, ultrasound, and MRI signs of coxitis were found in 82, 75, and 88% of cases, respectively; coxitis was radiologically confirmed only in 50% of patients. This disease was diagnosed by several techniques in the vast majority of cases. The diagnosis of coxitis was based only on clinical signs in only three (2%) patients. In approximately every sixth (16%) patients with AS, who had clinical signs of coxitis, the latter was verified only by one of the instrumental techniques (ultrasonography, radiography, or MRI). Our findings demonstrated that more than half of patients had high coxitis activity, and more prolonged coxitis was responsible for higher X-ray HJ changes and functional limitations.Conclusion.Our study has showed that the instrumental techniques used to diagnose coxitis are not equivalent in evaluating HJ injury. To decide which of them is more effective in screening and predicting the course of coxitis, there is a need for further prospective investigations.

show abstract

Section: Discussionunclassified

Section: материал и методыunclassified

See 1 more Smart Citation

Instrumental diagnosis of coxitis in ankylosing spondylitis in real clinical practice

Agafonova¹,

Dubinina²,

Дёмина³

et al. 2019

Naučno-praktičeskaâ revmatologiâ

View full text Add to dashboard Cite

show abstract

“…АС часто сопровождается пораже-нием относящегося к аксиальному скелету тазобедрен-ного сустава (ТБС). Его воспаление -коксит, особенно-сти клинической картины которого описаны более 30 лет назад [2], при АС является фактором неблагоприятного прогноза, ухудшает функциональный статус больных и часто приводит к инвалидизации в молодом возрасте [3][4][5]. Общепринятого определения для этого патологи-ческого состояния пока нет.…”

unclassified

“…В то же время следует отметить, что выпот при УЗИ (ШКР≥7) обнару-живался и у больных без клинических признаков коксита (23%), а также в контрольной группе здоровых лиц (25%). Отсутствие корреляции между клиническими проявлени-ями коксита и данными УЗИ наблюдалось чаще в случае небольшого увеличения количества жидкости [3]. По данным Е.В.…”

unclassified

Coxitis in Ankylosing Spondylitis: Comparison of Clinical Manifestations With Ultrasound Study Data

Подряднова¹,

Rm²,

Урумова³

et al. 2014

rsp

View full text Add to dashboard Cite

Diagnosis and Treatment of Coxitis in Patients With Ankylosing Spondylitis

Agafonova¹,

Dubinina²,

Эрдес³

2018

rsp

View full text Add to dashboard Cite

The review analyzes the foreign and Russian literature published in the past 30 years and devoted to the diagnosis and treatment of coxitis in ankylosing spondylitis (AS). The results of previous works have revealed the high rate of hip joint injury (HJI) in AS, but it is still unclear which diagnostic technique is the most sensitive for the early detection of coxitis. The latter has been shown to serve as one of the predictors of early disability in patients. The most studied treatment for coxitis is now HJI endoprosthesis, for which indications and contraindications have been clearly developed, while the question of drug therapy remains open.

show abstract

Magnetic-Resonance Imaging for Early Diagnosis of Coxitis in Patients With Spondyloarthritis

Cited by 9 publications

References 12 publications

Instrumental diagnosis of coxitis in ankylosing spondylitis in real clinical practice

Instrumental diagnosis of coxitis in ankylosing spondylitis in real clinical practice

Coxitis in Ankylosing Spondylitis: Comparison of Clinical Manifestations With Ultrasound Study Data

Diagnosis and Treatment of Coxitis in Patients With Ankylosing Spondylitis

Contact Info

Product

Resources

About