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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Sonographic Assessment of Healthy Peripheral Joints Evaluation According to Demographic Parameters

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Author(s):
Machado, Flavia S. [1] ; Natour, Jamil [1] ; Takahashi, Rogerio D. [2] ; de Buosi, Ana Leticia P. [1] ; Furtado, Rita N. V. [1]
Total Authors: 5
Affiliation:
[1] Univ Fed Sao Paulo, Div Rheumatol, Escola Paulista Med, BR-04023900 Sao Paulo - Brazil
[2] Univ Fed Sao Paulo, Dept Radiol, Escola Paulista Med, BR-04023900 Sao Paulo - Brazil
Total Affiliations: 2
Document type: Journal article
Source: JOURNAL OF ULTRASOUND IN MEDICINE; v. 33, n. 12, p. 2087-2098, DEC 2014.
Web of Science Citations: 6
Abstract

Objectives-To describe quantitative and semiquantitative sonographic joint measurements in healthy adults and compare them with demographic parameters. Methods-A cross-sectional study was conducted. Bilateral sonographic measurements of small, medium, and large joints were performed in 130 healthy volunteers, stratified into Sage groups (A, 18-29; B, 30-39; C, 40-49; D, 50-59; and E, 60-80 years). Quantitative synovial hypertrophy measurements and semiquantitative synovial hypertrophy, power Doppler, bone erosion (score 0-3), and articular cartilage (score 0-4) measurements were performed by a blinded radiologist using a 6-18-MHz linear array transducer. The sonographic measurements were correlated with demographic parameters. The significant P value was set at .05. Results-A total of 6500 joint recesses were studied; the mean age +/- SD of the participants was 44.8 +/- 14.6 years, and 76.9% were women. The highest quantitative synovial hypertrophy values were found in the hip (6.4 mm) and talonavicular joint (2.6 mm). The joint recesses with a greater frequency of hypothetical pathologic semiquantitative scores were second metatarsophalangeal (78.8%) and first metatarsophalangeal (69.3%) for synovial hypertrophy, radiocarpal (17.7%) and first metatarsophalangeal (15.8%) for power Doppler, and posterior glenohumeral (23.1%) and ulnocarpal (4.2%) for bone erosion. The highest quantitative synovial hypertrophy values and the lowest semiquantitative synovial hypertrophy, `power Doppler, bone erosion, and articular cartilage scores were observed in age group E (P < .046). There were positive correlations between the sonographic measurements and height, age, weight, and body mass index in 30.4%, 34.8%, 43.5%, and 47.8%, respectively, of all the joint recesses studied. Conclusions-Sonographic changes in healthy peripheral joints were observed predominantly in the oldest group. (AU)

FAPESP's process: 09/54559-3 - Articular sonography: findings in normal subjets compared with rheumatoid arthritis pacients
Grantee:Jamil Natour
Support type: Regular Research Grants