Ultrasound investigation of the glenohumeral joint by anterior access in patients with rheumatoid arthritis and healthy controls

The aim of this study was to measure glenohumeral joint (GHJ) parameters via the anterior access through ultrasound and to compare to data from posterior and inferior accesses. Twenty healthy controls (M: F=15: 5, aged 45.1±11.2 years) and 16 patients (M: F=5: 11, aged 54.6±14.7 years) with active r...

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Published in:Medical science monitor 2015-02, Vol.21, p.533-541
Main Authors: Rozin, Alexander P, Toledano, Kohava, Dagan, Amir, Balbir-Gurman, Alexandra
Format: Article
Language:English
Subjects:
Arthritis, Rheumatoid - diagnostic imaging
Cartilage - diagnostic imaging
Case-Control Studies
Clinical Research
Demography
Female
Humans
Male
Middle Aged
Shoulder Joint - diagnostic imaging
Statistics, Nonparametric
Synovitis - diagnostic imaging
Ultrasonography
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Toledano, Kohava
Dagan, Amir
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description The aim of this study was to measure glenohumeral joint (GHJ) parameters via the anterior access through ultrasound and to compare to data from posterior and inferior accesses. Twenty healthy controls (M: F=15: 5, aged 45.1±11.2 years) and 16 patients (M: F=5: 11, aged 54.6±14.7 years) with active rheumatoid arthritis (RA) (DAS 28 4.6±1.2) were investigated (SonoSite-Titan). To make the GHJ visible on the anterior access, we used the original GHJ opening maneuver. The GHJ width was measured for every transducer position at 2 points. The positions were: posterior transversal, inferior longitudinal, anterior longitudinal along the articular line, anterior transversal upper, middle and lower. The joint width included thickness of cartilage plus synovial fluid/pannus. Rotator interval (RI) width and height (upper biceps channel) were measured. Our normal GHJ values by posterior and inferior accesses were within previously estimated values (
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Twenty healthy controls (M: F=15: 5, aged 45.1±11.2 years) and 16 patients (M: F=5: 11, aged 54.6±14.7 years) with active rheumatoid arthritis (RA) (DAS 28 4.6±1.2) were investigated (SonoSite-Titan). To make the GHJ visible on the anterior access, we used the original GHJ opening maneuver. The GHJ width was measured for every transducer position at 2 points. The positions were: posterior transversal, inferior longitudinal, anterior longitudinal along the articular line, anterior transversal upper, middle and lower. The joint width included thickness of cartilage plus synovial fluid/pannus. Rotator interval (RI) width and height (upper biceps channel) were measured. Our normal GHJ values by posterior and inferior accesses were within previously estimated values (&lt;2 mm and &lt;3 mm, respectively). We acquired the first values of GHJ width from the anterior access. The last were within a range of 0.7-1.7 mm for healthy controls. Patients with RA showed significantly enlarged joint cavities. RI was not inflamed. Posterior and inferior data of GHJ width were significantly correlated (p=0.01). The data did not correlate with anterior values (p=+0.44, p=-0.56). Synovitis was much more prominent in posterior, upper anterior transversal, and anterior longitudinal accesses. The GHJ may be visualized by anterior access using a special maneuver. Synovitis in the anterior region of the GHJ may develop at an independent rate. 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subjects Arthritis, Rheumatoid - diagnostic imaging
Cartilage - diagnostic imaging
Case-Control Studies
Clinical Research
Demography
Female
Humans
Male
Middle Aged
Shoulder Joint - diagnostic imaging
Statistics, Nonparametric
Synovitis - diagnostic imaging
Ultrasonography
title Ultrasound investigation of the glenohumeral joint by anterior access in patients with rheumatoid arthritis and healthy controls
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