Costovertebral and costotransverse joint involvement in spondyloarthritis

ObjectivesCostovertebral (CV), costotransverse (CTr), sternoclavicular (SC), and manubriosternal (MS) joints are impacted in spondyloarthritis (SpA) patients; however, clinical aspects of these involvements require additional evaluation.MethodsA total of 281 SpA patients who had undergone chest comp...

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Published in:International journal of rheumatic diseases 2023-11, Vol.26 (11), p.2141-2150
Main Authors: Ata, Emine Büşra, Durhan, Gamze, Bilgin, Emre, Arıyürek, Orhan Macit, Kalyoncu, Umut
Format: Article
Language:English
Subjects:
Ankylosing spondylitis
Arthritis
Chest
Clinical aspects
Computed tomography
Inflammatory diseases
Joint diseases
Psoriatic arthritis
Rheumatic diseases
Rheumatoid arthritis
Thorax
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Summary:ObjectivesCostovertebral (CV), costotransverse (CTr), sternoclavicular (SC), and manubriosternal (MS) joints are impacted in spondyloarthritis (SpA) patients; however, clinical aspects of these involvements require additional evaluation.MethodsA total of 281 SpA patients who had undergone chest computed tomography (CT) for any reason between 2010 and 2020 were included in the study. SpA patients were divided into three groups, ankylosing spondylitis (AS), non‐radiographic axial SpA, and psoriatic arthritis. Thirty age‐ and sex‐matched rheumatoid arthritis (RA) patients and 30 non‐rheumatic disease individuals were selected for comparison. An experienced radiologist reviewed 24 CV, 20 CTr, 2 SC, and 1 MS joints from a thorax CT for each patient. All joints were classified as: normal (0); suspicious (1), mild (2), moderate (3), or severe (4).ResultsTotal CV and CTr joint scores differed between diseases (p 
ISSN:1756-1841
1756-185X
DOI:10.1111/1756-185X.14873