Sonographic Assessment of Healthy Peripheral Joints Evaluation According to Demographic Parameters

Sonographic Assessment of Healthy Peripheral Joints Evaluation According to Demographic Parameters

Author Machado, Flavia S. Autor UNIFESP Google Scholar
Natour, Jamil Autor UNIFESP Google Scholar
Takahashi, Rogerio D. Autor UNIFESP Google Scholar
Buosi, Ana Leticia P. de Autor UNIFESP Google Scholar
Furtado, Rita N. V. Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
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.
Keywords bone erosion
healthy volunteers
musculoskeletal ultrasound
power Doppler sonography
synovial hypertrophy
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Grant number FAPESP: 2009/54559-3
Date 2014-12-01
Published in Journal of Ultrasound in Medicine. Laurel: Amer Inst Ultrasound Medicine, v. 33, n. 12, p. 2087-2098, 2014.
ISSN 0278-4297 (Sherpa/Romeo, impact factor)
Publisher Amer Inst Ultrasound Medicine
Extent 2087-2098
Access rights Closed access
Type Article
Web of Science ID WOS:000346232600004

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