Systematische Charakterisierung der sonomorphologischen
			 Veränderungen in den Frühstadien der rheumatoiden Arthritis

Krolak, C.; Wirth, S; Hoepfner, S.; Treitl, Marcus; Becker-Gaab, C.; Reiser, M.

doi:10.1055/s-2003-38666

Cited by 5 publications

(2 citation statements)

References 7 publications

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“…It is often reported that the sixth compartment (ECU) is frequently involved in RA [ 24 ], and Lillegraven et al report that tenosynovitis at this location can predict erosive progression in RA patients [ 2 ]. Intratendinous Doppler signal in the ECU in healthy participants has not previously been reported, but Doppler signals have been detected in healthy Achilles tendons [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Three-dimensional Doppler ultrasound findings in healthy wrist and finger tendon sheaths - can feeding vessels lead to misinterpretation in Doppler-detected tenosynovitis?

Ammitzbøll-Danielsen¹,

Janţă²,

Torp‐Pedersen³

et al. 2016

Arthritis Res Ther

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BackgroundThe aim was to investigate the presence of feeding vessels in or in close proximity to extensor and flexor tendon sheaths at the wrists level and in finger flexor tendon sheaths in healthy controls, using 3D ultrasound (US), which may cause pitfalls, in order to ensure correct interpretation of Doppler signals when diagnosing tenosynovitis.MethodForty healthy participants (20 women and 20 men age 23-67 years) without prior history of arthritis, tendon diseases or present pain in their hands were included. Twenty participants had 3D Doppler US of the second and third finger and twenty of the right wrist. US was carried out using a GE Logiq E9 unit with a 3D US probe. The colour Doppler settings were to published recommendation.ResultsThe feeding vessels in or in close proximity to the tendon sheaths were found in the flexor and extensor tendons sheaths at least once in each participant. No significant difference in feeding vessels was seen between the radial and carpal level in the wrist (p = 0.06) or between the second and third flexor tendon sheath (p = 0.84).ConclusionDoppler findings in or in close proximity to the tendon sheaths were common in wrists and fingers in healthy participants. These feeding vessels can be a source of error, not only due to their presence but also because they may be interpreted as being inside the tendon sheath due to blooming and reverberations artefacts. These vessels should be taken into consideration when diagnosing Doppler tenosynovitis.

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Section: Discussionmentioning

confidence: 99%

Three-dimensional Doppler ultrasound findings in healthy wrist and finger tendon sheaths - can feeding vessels lead to misinterpretation in Doppler-detected tenosynovitis?

Ammitzbøll-Danielsen¹,

Janţă²,

Torp‐Pedersen³

et al. 2016

Arthritis Res Ther

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“…3, 4), 4/30 of the traumatic patients, and none of the control patients. The fluid in the patients with rheumatoid arthritis represents the inflammatory process of the synovium of the DIP joints [10], whereas the fluid in the trauma patients most probably represents acute trauma with fluid near the torn tendon. …”

Section: Discussionmentioning

confidence: 99%