Ultrasonography and color Doppler in juvenile idiopathic arthritis: diagnosis and follow-up of ultrasound-guided steroid injection in the wrist region. A descriptive interventional study
(2012) In Pediatric Rheumatology 10.- Abstract
- Background: The wrist region is one of the most complex joints of the human body. It is prone to deformity and functional impairment in juvenile idiopathic arthritis (JIA), and is difficult to examine clinically. The aim of this study was to evaluate the role of ultrasonography (US) with Doppler in diagnosis of synovitis, guidance of steroid injections, and follow-up examinations of the wrist in JIA. Methods: In 11 patients (median age 12.5 years, range 2-16), 15 wrists with clinically active arthritis were assessed clinically by US and color Doppler (Logiq 9, GE, 16-4 MHz linear transducer) prior to and 1 and 4 weeks after US-guided steroid injection. Results: US detected synovitis in the radio-carpal joints, the midcarpal joints, and the... (More)
- Background: The wrist region is one of the most complex joints of the human body. It is prone to deformity and functional impairment in juvenile idiopathic arthritis (JIA), and is difficult to examine clinically. The aim of this study was to evaluate the role of ultrasonography (US) with Doppler in diagnosis of synovitis, guidance of steroid injections, and follow-up examinations of the wrist in JIA. Methods: In 11 patients (median age 12.5 years, range 2-16), 15 wrists with clinically active arthritis were assessed clinically by US and color Doppler (Logiq 9, GE, 16-4 MHz linear transducer) prior to and 1 and 4 weeks after US-guided steroid injection. Results: US detected synovitis in the radio-carpal joints, the midcarpal joints, and the tendon sheaths in 87%, 53% and 33% of the wrists, respectively. Multiple compartments were involved in 67%. US-guidance allowed accurate placement of steroid in all 21 injected compartments, with a low rate of subcutaneous atrophy. Synovial hypertrophy was normalized in 86% of the wrists, hyperemia in 91%, and clinically active arthritis in 80%. Conclusions: US enabled detection of synovial inflammation in compartments that are difficult to evaluate clinically and exact guidance of injections, and it was valuable for follow-up examinations. Normalization of synovitis was achieved in most cases, which supports the notion that US is an important tool in management of wrist involvement in JIA. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/2813073
- author
- Laurell, Louise LU ; Court-Payen, Michel ; Nielsen, Susan ; Zak, Marek and Fasth, Anders
- organization
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Ultrasonography, Color Doppler, Juvenile idiopathic arthritis, US-guided, steroid injection, Wrist
- in
- Pediatric Rheumatology
- volume
- 10
- publisher
- BioMed Central (BMC)
- external identifiers
-
- wos:000304055800001
- scopus:84859913391
- pmid:22520244
- ISSN
- 1546-0096
- DOI
- 10.1186/1546-0096-10-11
- language
- English
- LU publication?
- yes
- id
- 37fc114e-f627-4a38-8c47-5904e84cb5d2 (old id 2813073)
- date added to LUP
- 2016-04-01 13:45:38
- date last changed
- 2022-03-21 20:20:25
@article{37fc114e-f627-4a38-8c47-5904e84cb5d2,
abstract = {{Background: The wrist region is one of the most complex joints of the human body. It is prone to deformity and functional impairment in juvenile idiopathic arthritis (JIA), and is difficult to examine clinically. The aim of this study was to evaluate the role of ultrasonography (US) with Doppler in diagnosis of synovitis, guidance of steroid injections, and follow-up examinations of the wrist in JIA. Methods: In 11 patients (median age 12.5 years, range 2-16), 15 wrists with clinically active arthritis were assessed clinically by US and color Doppler (Logiq 9, GE, 16-4 MHz linear transducer) prior to and 1 and 4 weeks after US-guided steroid injection. Results: US detected synovitis in the radio-carpal joints, the midcarpal joints, and the tendon sheaths in 87%, 53% and 33% of the wrists, respectively. Multiple compartments were involved in 67%. US-guidance allowed accurate placement of steroid in all 21 injected compartments, with a low rate of subcutaneous atrophy. Synovial hypertrophy was normalized in 86% of the wrists, hyperemia in 91%, and clinically active arthritis in 80%. Conclusions: US enabled detection of synovial inflammation in compartments that are difficult to evaluate clinically and exact guidance of injections, and it was valuable for follow-up examinations. Normalization of synovitis was achieved in most cases, which supports the notion that US is an important tool in management of wrist involvement in JIA.}},
author = {{Laurell, Louise and Court-Payen, Michel and Nielsen, Susan and Zak, Marek and Fasth, Anders}},
issn = {{1546-0096}},
keywords = {{Ultrasonography; Color Doppler; Juvenile idiopathic arthritis; US-guided; steroid injection; Wrist}},
language = {{eng}},
publisher = {{BioMed Central (BMC)}},
series = {{Pediatric Rheumatology}},
title = {{Ultrasonography and color Doppler in juvenile idiopathic arthritis: diagnosis and follow-up of ultrasound-guided steroid injection in the wrist region. A descriptive interventional study}},
url = {{http://dx.doi.org/10.1186/1546-0096-10-11}},
doi = {{10.1186/1546-0096-10-11}},
volume = {{10}},
year = {{2012}},
}