Prevalence of joint, entheseal, tendon, and bursal findings in young, healthy individuals by musculoskeletal ultrasound

Schreiner, J. K.; Scheicht, Dennis; Karakostas, Pantelis; Recker, Florian; Ziob, Jana; Behning, Charlotte; Preuß, Peter; Brossart, Peter; Schäfer, V.

doi:10.1080/03009742.2021.1998972

Cited by 5 publications

(15 citation statements)

References 29 publications

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“…The fitness indices of the upper and lower body were calculated with a mean of 0.88 ± 0.62 and 3.90 ± 1.12, respectively. 8 …”

Section: Resultsmentioning

confidence: 99%

“…The Short-Form International Physical Activity Questionnaire (SF-IPAQ) was used to evaluate the individual participants’ fitness level. 8 …”

Section: Methodsmentioning

confidence: 99%

“…Applied scanning planes for joint, enthesis, tendon and bursa lesions were selected based on the Sonography of Large Joints in Rheumatology (SOLAR) score and predefined scanning planes for the assessment of wrist and tibiotalar joints, entheses, bursae and tendons as described before. 5 , 8 , 17 The individuals were examined in a sitting position when the upper extremities were assessed. Ultrasound examination of the lower extremities was carried out with the participants lying on the examination table.…”

Section: Methodsmentioning

confidence: 99%

“…The proximal plantar fascia entheses and distal Achilles’ tendon entheses were assessed with the participant lying prone and the feet hanging over the end of the examination table in active dorsiflexion. 8 The duration of the ultrasound examinations ranged between 30 and 60 min.…”

Section: Methodsmentioning

confidence: 99%

“…Joint effusion, hyperperfusion and entheseal pathology were evaluated binarily (y/n) in GS and PD images. 8 Inter-reader agreement was determined by calculating Cohen’s kappa for each pair, based on their first image evaluation. Kappa values of less than 0.0 were considered poor, 0–0.20 slight, 0.21–0.40 fair, 0.41–0.60 moderate, 0.61–0.80 substantial and 0.81–1.0 almost perfect agreement.…”

Section: Methodsmentioning

confidence: 99%

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Changes in ultrasound imaging of joints, entheses, bursae and tendons 24 and 48 h after adjusted weight training

Schreiner

Recker

Scheicht

et al. 2022

Therapeutic Advances in Musculoskeletal

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Background: Joint effusion and enthesitis are common ultrasound findings in rheumatic diseases such as rheumatoid arthritis or spondyloarthritis. However, changes of joints and entheses were not only observed in patients but also in physically active individuals and athletes. Objectives: The purpose of this study was to evaluate joint, entheseal, bursal and tendon musculoskeletal ultrasound (MSUS) findings in large and medium joints of young healthy individuals after completing a standardised weight training. Design: This is a prospective cohort study. Methods: MSUS examinations of large- and medium-sized joints, and related entheseal sites, bursae and tendons were performed on young healthy individuals (ages 18–30 years). Before, 24 and 48 h after completing 1 h of standardised weight exercise, the subjects were evaluated by MSUS. The development of the MSUS findings and associated effects were examined using generalised linear mixed effects models. Results: In total, 51 healthy individuals (52.9% female) with a mean age of 23.7 (±2.5) years were enrolled. The results showed an increase in the number of individuals with at least one joint effusion from 37 (72.5%) before the weight training to 48 (94.1%) after 48 h. Entheses with pathologies were observed in 14 participants (27.5%) at baseline, increasing to 29 participants (56.9%) 48 h after the weight training. Biceps tendon sheath effusion was detected in 9 individuals (17.6%) prior to training, rising to 22 individuals (43.1%) after 48 h. A significant increase in the number of joints with effusion and abnormal entheses within 48 h after the weight training was indicated by the generalised linear mixed effects models. Conclusion: Within 48 h after the weight training session, a significant increase in the prevalence of joint effusion in large and medium joints and the prevalence of abnormal entheses was observed. As a result, when performing and interpreting an MSUS examination, the patient’s physical activities should be taken into account.

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“…The fitness indices of the upper and lower body were calculated with a mean of 0.88 ± 0.62 and 3.90 ± 1.12, respectively. 8 …”

Section: Resultsmentioning

confidence: 99%

“…The Short-Form International Physical Activity Questionnaire (SF-IPAQ) was used to evaluate the individual participants’ fitness level. 8 …”

Section: Methodsmentioning

confidence: 99%