Role of diagnostic ultrasound in the assessment of musculoskeletal diseases

Patil, Pravin; Dasgupta, Bhaskar

doi:10.1177/1759720x12442112

Cited by 121 publications

(81 citation statements)

References 59 publications

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“…The development of high-resolution transducers has increased the potential of ultrasound to evaluate superficial anatomical structures of the hand and fingers [2]. In view of reliability and a good sensitivity:specificity ratio, USG has been proposed as the gold standard in assessing tendon involvement [6] (Tables 3 and 4). In the current study, USG diagnosed 20 of 20 cases (100%) of isolated tenosynovitis with peritendinous fluid collection and increased vascularity.…”

Section: Discussionmentioning

confidence: 99%

Role of ultrasonography in evaluation of tendons abnormalities in hand and fingers

El-Deek

Dawood

2019

Egypt J Radiol Nucl Med

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Background: Characterization of tendon pathologies of the hand and fingers remains problematic, despite advances in imaging. By using clinical history and imaging appearance, one can determine the diagnosis. Ultrasonography (USG) may be used as the first imaging modality when MRI unavailable or has a higher cost for patients. Purpose: Assessment of role of USG in evaluation of tendons abnormalities in hand and fingersResults: USG detected 20 of 20 cases (100%) of tenosynovitis, 8 of 10 cases (80%) of trigger finger, 10 of 12 cases (83.3%) of tendon tear, 3 of 3 cases (100%) of foreign body impaction, 12 of 12 cases (100%) of simple ganglion, and 3 of 3 cases (100%) of solid masses with sensitivity, specificity, and accuracy 93.8%, 97.8%, and 95.8%, respectively. Conclusion: USG is a powerful, easy, and inexpensive imaging tool that allows accurate assessment of the hand and finger's tendons abnormalities.

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Section: Discussionmentioning

confidence: 99%

Role of ultrasonography in evaluation of tendons abnormalities in hand and fingers

El-Deek

Dawood

2019

Egypt J Radiol Nucl Med

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“…Additionally, MRI has a unique capacity to detect inflammation within bone in the form of bone marrow edema, and this provides important diagnostic and prognostic information in patients with RA. US is widely used in the early diagnosis of RA, particularly in the introduction and application of high frequency color Doppler US, which can monitor joint effusion, blood flow change in the synovium and synovial thickening (25). Furthermore, US may be used to monitor disease status and predict disease recurrence, providing an effective and valuable evaluation of treatments (26).…”

Section: Discussionmentioning

confidence: 99%

Diagnostic value of high-frequency ultrasound and magnetic resonance imaging in early rheumatoid arthritis

Wang

Sun

et al. 2016

Experimental and Therapeutic Medicine

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Abstract. Early diagnosis and management improve the outcome of patients with rheumatoid arthritis (RA). The present study explored the application of high-frequency ultrasound (US) and magnetic resonance imaging (MRI) in the detection of early RA. Thirty-nine patients (20 males and 19 females) diagnosed with early RA were enrolled in the study. A total of 1,248 positions, including 858 hand joints and 390 tendons, were examined by high-frequency US and MRI to evaluate the presence of bone erosion, bone marrow edema (BME), synovial proliferation, joint effusion, tendinitis and tendon sheath edema. The imaging results of the above abnormalities, detected by US, were compared with those identified using MRI. No statistically significant overall changes were observed between high-frequency US and MRI in detecting bone erosion [44 (5.1%) vs. 35 (4.1%), respectively; P>0.05], tendinitis [18 (4.6%) vs. 14 (1.5%), respectively; P>0.05] and tendon sheath edema [37 (9.5%) vs. 30 (7.7%), respectively; P>0.05]. Significant differences were observed between high-frequency US and MRI with regards to the detection of synovial proliferation [132 (15.4%) vs. 66 (7.7%), respectively; P<0.05] and joint effusion [89 (10.4%) vs. 52 (6.1%), respectively; P<0.05]. In addition, significant differences were identified between the detection of BME using MRI compared with high-frequency US (5.5 vs. 0%, respectively; P<0.05). MRI and high-frequency US of the dominant hand and wrist joints were comparably sensitive to bone erosion, tendinitis and tendon sheath edema. However, MRI was more sensitive in detecting bone marrow edema in early RA, while US was more sensitive in the evaluation of joint effusion and synovial proliferation. In conclusion, US and MRI are promising for the detection and diagnosis of inflammatory activity in patients with RA.

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“…Closed reduction is conducted for stable fractures of the proximal phalanx while displacing fractures with or without instability should be treated operatively [7]. High-resolution ultrasound is a non-invasive imaging modality without radiation and permits real time dynamic scan [8]. It can visualize fractures as disruption of bone continuity as small as 1 mm in cadavers and soft tissue interposition at the fracture site [9].…”

Section: Discussionmentioning

confidence: 99%

Can Musculoskeletal Ultrasound Help Decision Making on Post-traumatic Treatment of a Proximal Phalanx Fracture?

Allam¹,

Saadany²,

Al-deeb³

et al. 2015

Journal of Medical Ultrasound

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Proximal phalanx fractures are common. Impingements of flexor tendons on the fractured segment after intervention may occur and can be diagnosed by high-resolution ultrasound. The present report highlights the usefulness of musculoskeletal ultrasound in evaluation of persistent finger pain after a proximal phalanx fracture and the importance of dynamic examination in identifying the painful mechanism, which may alter the decision regarding the postoperative treatment course. ª

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Role of diagnostic ultrasound in the assessment of musculoskeletal diseases

Cited by 121 publications

References 59 publications

Role of ultrasonography in evaluation of tendons abnormalities in hand and fingers

Role of ultrasonography in evaluation of tendons abnormalities in hand and fingers

Diagnostic value of high-frequency ultrasound and magnetic resonance imaging in early rheumatoid arthritis

Can Musculoskeletal Ultrasound Help Decision Making on Post-traumatic Treatment of a Proximal Phalanx Fracture?

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