Abstract
Objectives: The aims of our study were to investigate the prevalence of ultrasound (US) pathological abnormalities in the hip of psoriatic arthritis (PsA) patients and compare them with the clinical findings. Methods: Sixty-five PsA patients were enrolled in the study. Bilateral examination of the hip was performed to detect joint effusion, synovial hypertrophy, irregularity of femoral head and neck profile as seen in erosions and/or osteophytes. Results: Joint effusion was detected in 20 out of 130 hips (15%). Synovial hypertrophy was present in 12 out of 20 hips (60%) associated with effusion (9.3% of all hip joints) and only 1 of them showed PD signal. Small effusion without synovial proliferation was imaged in 8 out of 20 hips (40%). On the whole 14 out of 65 patients (21%) had joint effusion with or without synovial hypertrophy using US. No erosions of the femoral head and neck profile were detected whilst osteophytes were imaged in 27 joints (20%). No US abnormalities were demonstrated in 18 hips with pain/tenderness on physical examination, whilst joint effusion was seen in 8 joints which were asymptomatic. Conclusions: US is a useful imaging method to evaluate hip involvement in PsA that could be integrated into routine PsA management even if patients do not complain of hip involvement.
| Original language | English |
|---|---|
| Pages (from-to) | 152-155 |
| Number of pages | 4 |
| Journal | Clinical and Experimental Rheumatology |
| Volume | 30 |
| Issue number | 2 |
| Publication status | Published - 2012 |
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Keywords
- Erosion
- Hip
- Psoriatic arthritis
- Synovitis
- Ultrasound
ASJC Scopus subject areas
- Rheumatology
- Immunology
- Immunology and Allergy
Cite this
Ultrasound imaging for the rheumatologist XXXVIII. Sonographic assessment of the hip in psoriatic arthritis patients. / Riente, Lucrezia; Delle Sedie, Andrea; Sakellariou, Garifallia; Filippucci, Emilio; Meenagh, Gary; Iagnocco, Annamaria; Cioffi, Elisa; Valesini, Guido; Grassi, Walter; Montecucco, Carlomaurizio; Bombardieri, Stefano.
In: Clinical and Experimental Rheumatology, Vol. 30, No. 2, 2012, p. 152-155.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Ultrasound imaging for the rheumatologist XXXVIII. Sonographic assessment of the hip in psoriatic arthritis patients
AU - Riente, Lucrezia
AU - Delle Sedie, Andrea
AU - Sakellariou, Garifallia
AU - Filippucci, Emilio
AU - Meenagh, Gary
AU - Iagnocco, Annamaria
AU - Cioffi, Elisa
AU - Valesini, Guido
AU - Grassi, Walter
AU - Montecucco, Carlomaurizio
AU - Bombardieri, Stefano
PY - 2012
Y1 - 2012
N2 - Objectives: The aims of our study were to investigate the prevalence of ultrasound (US) pathological abnormalities in the hip of psoriatic arthritis (PsA) patients and compare them with the clinical findings. Methods: Sixty-five PsA patients were enrolled in the study. Bilateral examination of the hip was performed to detect joint effusion, synovial hypertrophy, irregularity of femoral head and neck profile as seen in erosions and/or osteophytes. Results: Joint effusion was detected in 20 out of 130 hips (15%). Synovial hypertrophy was present in 12 out of 20 hips (60%) associated with effusion (9.3% of all hip joints) and only 1 of them showed PD signal. Small effusion without synovial proliferation was imaged in 8 out of 20 hips (40%). On the whole 14 out of 65 patients (21%) had joint effusion with or without synovial hypertrophy using US. No erosions of the femoral head and neck profile were detected whilst osteophytes were imaged in 27 joints (20%). No US abnormalities were demonstrated in 18 hips with pain/tenderness on physical examination, whilst joint effusion was seen in 8 joints which were asymptomatic. Conclusions: US is a useful imaging method to evaluate hip involvement in PsA that could be integrated into routine PsA management even if patients do not complain of hip involvement.
AB - Objectives: The aims of our study were to investigate the prevalence of ultrasound (US) pathological abnormalities in the hip of psoriatic arthritis (PsA) patients and compare them with the clinical findings. Methods: Sixty-five PsA patients were enrolled in the study. Bilateral examination of the hip was performed to detect joint effusion, synovial hypertrophy, irregularity of femoral head and neck profile as seen in erosions and/or osteophytes. Results: Joint effusion was detected in 20 out of 130 hips (15%). Synovial hypertrophy was present in 12 out of 20 hips (60%) associated with effusion (9.3% of all hip joints) and only 1 of them showed PD signal. Small effusion without synovial proliferation was imaged in 8 out of 20 hips (40%). On the whole 14 out of 65 patients (21%) had joint effusion with or without synovial hypertrophy using US. No erosions of the femoral head and neck profile were detected whilst osteophytes were imaged in 27 joints (20%). No US abnormalities were demonstrated in 18 hips with pain/tenderness on physical examination, whilst joint effusion was seen in 8 joints which were asymptomatic. Conclusions: US is a useful imaging method to evaluate hip involvement in PsA that could be integrated into routine PsA management even if patients do not complain of hip involvement.
KW - Erosion
KW - Hip
KW - Psoriatic arthritis
KW - Synovitis
KW - Ultrasound
UR - http://www.scopus.com/inward/record.url?scp=84863752222&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84863752222&partnerID=8YFLogxK
M3 - Article
C2 - 22546068
AN - SCOPUS:84863752222
VL - 30
SP - 152
EP - 155
JO - Clinical and Experimental Rheumatology
JF - Clinical and Experimental Rheumatology
SN - 0392-856X
IS - 2
ER -