High-resolution ultrasound evaluation of extrinsic wrist ligaments in patients affected by rheumatoid arthritis

Luca Maria Sconfienza, Enzo Silvestri, Marco Amedeo Cimmino

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives To evaluate the ultrasound features of the extrinsic wrist ligaments in rheumatoid arthritis (RA) patients in comparison with healthy volunteers. Methods Twenty-one consecutive patients affected by RA (12 men, 9 women; mean age 57±14.6 years) were compared with 21 controls (12, 9; 54±12.1, respectively). Wrists were evaluated using ultrasound on both palmar and dorsal sides along each ligament, using carpal bones as references. The following ligaments were studied: radioscaphocapitate, radiolunotriquetral, palmar ulnolunate, palmar ulnotriquetral, dorsal radiotriquetral, dorsal ulnotriquetral, and radial collateral ligament. Ligament number and thickness were noted. Echotexture was rated as fibrillar, fragmented, or heterogeneous; the surface was rated as smooth or blurred. Results The number of palmar ulnolunate and palmar ulnotriquetral ligaments detected by ultrasound in patients was significantly lower than in controls (P00.031 and P0 0.037, respectively). All ligaments had significantly more fragmented or heterogeneous echotexture and blurred surface and were significantly thinner in patients than in controls (P

Original languageEnglish
Pages (from-to)1586-1591
Number of pages6
JournalEuropean Radiology
Volume22
Issue number7
DOIs
Publication statusPublished - Jul 2012

Keywords

  • Extrinsic wrist ligaments .Wrist .Wrist instability
  • Keywords Rheumatoid arthritis
  • Ultrasound

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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