The correlation between clinical and ultrasonographic findings of ankle disease in JIA

Burns, Jft; Wright, SA; McCallister, C.; Rooney, M.

doi:10.1186/1546-0096-6-s1-p100

Cited by 2 publications

(1 citation statement)

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“…Furthermore, they were the sole joints in which the frequency of clinical synovitis with a negative US was greater than that of subclinical synovitis. Recently, Burns et al (34) found that only 29% of 49 clinically swollen ankles in 34 children with JIA had tibiotalar effusion alone on US assessment, 69% of ankles had tenosynovitis and 39% had tenosynovitis alone, and 33% of ankles had both tenosynovitis and a tibiotalar effusion. The authors suggested that in JIA there is a clinical overdiagnosis of tibiotalar synovitis and an underdiagnosis of tendon involvement.…”

Section: Discussionmentioning

confidence: 99%

Comparison of clinical versus ultrasound‐determined synovitis in juvenile idiopathic arthritis

Magni‐Manzoni¹,

Epis²,

Ravelli³

et al. 2009

Arthritis & Rheumatism

170

138

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Objective. To compare clinical evaluation and ultrasonography (US) in the assessment of joint synovitis in children with juvenile idiopathic arthritis (JIA). Methods. Thirty-two patients underwent clinical evaluation of 52 joints by 2 pediatric rheumatologists. Joints were assessed for swelling, tenderness/pain on motion, and restricted motion. The same joints were scanned independently by an experienced sonographer for synovial hyperplasia, joint effusion, and power Doppler (PD) signal. Results. In total, 1,664 joints were assessed both clinically and with US. On clinical examination, 98 joints (5.9%) were swollen, 59 joints (3.5%) were tender, and 40 joints (2.4%) had restricted motion. On US evaluation, 125 joints (7.5%) had synovial hyperplasia, 153 joints (9.2%) had joint effusion, and 53 joints (3.2%) had PD signal. A total of 104 (6.3%) and 167 (10%) joints had clinical and US synovitis, respectively. Of the 1,560 clinically normal joints, 86 (5.5%) had subclinical synovitis (i.e., had synovitis on US). US led to classifying 5 patients as having polyarthritis who were classified as having oligoarthritis or were found to have no synovitis on clinical evaluation. US variables were moderately correlated with clinical measures of joint swelling, but poorly correlated with those of joint tenderness/pain on motion and restricted motion. Overall, correlations were lower for PD signal than for synovial hyperplasia and joint effusion. Conclusion. We found that subclinical synovitis as detected by US is common in children with JIA. This finding may have important implications for patient classification and may affect the choice of the optimal therapeutic strategy in individual patients.

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Section: Discussionmentioning

confidence: 99%

Comparison of clinical versus ultrasound‐determined synovitis in juvenile idiopathic arthritis

Magni‐Manzoni¹,

Epis²,

Ravelli³

et al. 2009

Arthritis & Rheumatism

170

138

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Ultrasonographic Evaluation of Sub-Clinical Synovitis in Juvenile Idiopathic Arthritis: The Disease Classification and Management

Suhaib

Rasool

Haris

et al. 2022

Life

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Background: Ultrasonography (USG) is a perfect device for analyzing more than one joint in rather brief intervals of time and is well accepted by children with no harmful ionizing radiation, usually does not require sedation, and can be carried out without difficulty in an outpatient setting. Purpose: To demonstrate the ability of ultrasonography (USG) in detecting clinical and subclinical synovitis in children with juvenile idiopathic arthritis (JIA) and compare the USG findings with clinical findings. Methods: 20 patients with JIA diagnosed according to the ILAR criteria were include. A total of 208 joints were examined both clinically and ultrasonographically for detection of synovitis. The presence of subclinical synovitis detected by USG was sought and its effect on the classification of JIA was assessed. USG assessment was done using the High-Resolution Linear probe including both grey scale and Power Doppler assessment. Results: The mean age of patients was 10.2 years with average disease duration of 5.9 months. A total of 49 joints (23.5%) had clinical synovitis and 59 joints (28.4%) had USG synovitis out of a total of 208 joints. A total of 14 joints had subclinical synovitis (8.8% out of the 159 clinically normal joints) upon USG. USG additionally brought about classifying three patients as having poly articular disorder who had been considered as oligo articular upon clinical examination. Conclusion: USG assessment of subclinical synovitis in JIA patients is an essential component of classifying the disease and detects more joints with synovitis than clinical examination; however, both are complimentary and should be used in combination in all patients with JIA.

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The correlation between clinical and ultrasonographic findings of ankle disease in JIA

Cited by 2 publications

References 0 publications

Comparison of clinical versus ultrasound‐determined synovitis in juvenile idiopathic arthritis

Comparison of clinical versus ultrasound‐determined synovitis in juvenile idiopathic arthritis

Ultrasonographic Evaluation of Sub-Clinical Synovitis in Juvenile Idiopathic Arthritis: The Disease Classification and Management

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