Please use this identifier to cite or link to this item: https://repositorio.unifesp.br/handle/11600/38541
Title: Sonographic Assessment of Healthy Peripheral Joints Evaluation According to Demographic Parameters
Authors: Machado, Flavia S. [UNIFESP]
Natour, Jamil [UNIFESP]
Takahashi, Rogerio D. [UNIFESP]
Buosi, Ana Leticia P. de [UNIFESP]
Furtado, Rita N. V. [UNIFESP]
Universidade Federal de São Paulo (UNIFESP)
Keywords: bone erosion
healthy volunteers
joint
musculoskeletal ultrasound
power Doppler sonography
sonography
synovial hypertrophy
Issue Date: 1-Dec-2014
Publisher: Amer Inst Ultrasound Medicine
Citation: Journal of Ultrasound in Medicine. Laurel: Amer Inst Ultrasound Medicine, v. 33, n. 12, p. 2087-2098, 2014.
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.
URI: http://repositorio.unifesp.br/handle/11600/38541
ISSN: 0278-4297
Other Identifiers: http://dx.doi.org/10.7863/ultra.33.12.2087
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