Abstract
Objective. To evaluate the sites of inflammatory process in the shoulders of patients with polymyalgia rheumatica (PMR) using fat suppressed magnetic resonance imaging (MRI). Methods. Six consecutive, untreated new patients with PMR were investigated. Five patients with early rheumatoid arthritis (RA) and 4 patients with early psoriatic arthritis (PsA) with bilateral shoulder symptoms served as a control group. Bilateral shoulder fat-suppressed MRI sequences were performed in all patients and controls. We evaluated the presence of joint synovitis, bursitis, tenosynovitis, and bone and soft tissue edema. Results. Bilateral subacromial/subdeltoid bursitis was found in all patients with PMR, in 1/5 (20%) patients with RA (p <0.05), and in none with PsA (p <0.02). Glenohumeral synovitis was present in all case and controls. Biceps tenosynovitis was observed in 4/6 (67%) patients with PMR, in 4/5 (80%) with RA (not significant, NS), and in all 4 patients with PsA (NS). No evidence of bone edema adjacent to the joint capsule and entheseal insertions or in the soft tissues was present in either cases or controls. Conclusion. The absence of extracapsular abnormalities in the early shoulder disease of PMR does not confirm the hypothesis of a capsular-based disorder.
| Original language | English |
|---|---|
| Pages (from-to) | 120-124 |
| Number of pages | 5 |
| Journal | Journal of Rheumatology |
| Volume | 31 |
| Issue number | 1 |
| Publication status | Published - Jan 2004 |
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Keywords
- Bone edema
- Fat suppressed magnetic resonance imaging
- Polymyalgia rheumatica
ASJC Scopus subject areas
- Rheumatology
- Immunology
Cite this
Fat Suppression Magnetic Resonance Imaging in Shoulders of Patients with Polymyalgia Rheumatica. / Cantini, Fabrizio; Salvarani, Carlo; Niccoli, Laura; Nannini, Carlotta; Boiardi, Luigi; Padula, Angela; Olivieri, Ignazio; Valentino, Massimo; Barozzi, Libero.
In: Journal of Rheumatology, Vol. 31, No. 1, 01.2004, p. 120-124.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Fat Suppression Magnetic Resonance Imaging in Shoulders of Patients with Polymyalgia Rheumatica
AU - Cantini, Fabrizio
AU - Salvarani, Carlo
AU - Niccoli, Laura
AU - Nannini, Carlotta
AU - Boiardi, Luigi
AU - Padula, Angela
AU - Olivieri, Ignazio
AU - Valentino, Massimo
AU - Barozzi, Libero
PY - 2004/1
Y1 - 2004/1
N2 - Objective. To evaluate the sites of inflammatory process in the shoulders of patients with polymyalgia rheumatica (PMR) using fat suppressed magnetic resonance imaging (MRI). Methods. Six consecutive, untreated new patients with PMR were investigated. Five patients with early rheumatoid arthritis (RA) and 4 patients with early psoriatic arthritis (PsA) with bilateral shoulder symptoms served as a control group. Bilateral shoulder fat-suppressed MRI sequences were performed in all patients and controls. We evaluated the presence of joint synovitis, bursitis, tenosynovitis, and bone and soft tissue edema. Results. Bilateral subacromial/subdeltoid bursitis was found in all patients with PMR, in 1/5 (20%) patients with RA (p <0.05), and in none with PsA (p <0.02). Glenohumeral synovitis was present in all case and controls. Biceps tenosynovitis was observed in 4/6 (67%) patients with PMR, in 4/5 (80%) with RA (not significant, NS), and in all 4 patients with PsA (NS). No evidence of bone edema adjacent to the joint capsule and entheseal insertions or in the soft tissues was present in either cases or controls. Conclusion. The absence of extracapsular abnormalities in the early shoulder disease of PMR does not confirm the hypothesis of a capsular-based disorder.
AB - Objective. To evaluate the sites of inflammatory process in the shoulders of patients with polymyalgia rheumatica (PMR) using fat suppressed magnetic resonance imaging (MRI). Methods. Six consecutive, untreated new patients with PMR were investigated. Five patients with early rheumatoid arthritis (RA) and 4 patients with early psoriatic arthritis (PsA) with bilateral shoulder symptoms served as a control group. Bilateral shoulder fat-suppressed MRI sequences were performed in all patients and controls. We evaluated the presence of joint synovitis, bursitis, tenosynovitis, and bone and soft tissue edema. Results. Bilateral subacromial/subdeltoid bursitis was found in all patients with PMR, in 1/5 (20%) patients with RA (p <0.05), and in none with PsA (p <0.02). Glenohumeral synovitis was present in all case and controls. Biceps tenosynovitis was observed in 4/6 (67%) patients with PMR, in 4/5 (80%) with RA (not significant, NS), and in all 4 patients with PsA (NS). No evidence of bone edema adjacent to the joint capsule and entheseal insertions or in the soft tissues was present in either cases or controls. Conclusion. The absence of extracapsular abnormalities in the early shoulder disease of PMR does not confirm the hypothesis of a capsular-based disorder.
KW - Bone edema
KW - Fat suppressed magnetic resonance imaging
KW - Polymyalgia rheumatica
UR - http://www.scopus.com/inward/record.url?scp=0346688676&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0346688676&partnerID=8YFLogxK
M3 - Article
C2 - 14705230
AN - SCOPUS:0346688676
VL - 31
SP - 120
EP - 124
JO - Journal of Rheumatology
JF - Journal of Rheumatology
SN - 0315-162X
IS - 1
ER -