Comparison of clinical and ultrasonographic evaluations for peripheral synovitis in XXXX .

@entity1 @entity1184 @entity2681 @entity603 @entity4932 @entity158
OBJECTIVES: The characteristics of @entity603 in @entity4932 ( @entity4932 ) are important to evaluate, as they define several clinical categories. The metacarpophalangeal (MCP) and metatarsophalangeal (MTP) joints are frequently involved. Few studies have investigated peripheral joint evaluation using ultrasonography, a sensitive tool for detecting subclinical @entity603 . Our objectives here were to compare clinical and ultrasound evaluations of MCP and @entity603 and to determine the prevalence of predefined ultrasound abnormalities in @entity4932 @entity1 and healthy controls. METHODS: Standardized physical and ultrasound assessments of the same joints were done in 31 consecutive @entity1 with @entity4932 and 41 healthy volunteers. Joint @entity158 , motion limitation, and swelling were recorded. Ultrasonography was performed on the same joints by 2 trained sonographers who recorded synovial fluid, @entity1184 , @entity2681 , and power Doppler signal. Intraobserver reproducibility of ultrasonography was assessed. RESULTS: Of 558 peripheral joints examined in @entity4932 @entity1 , 69 (12.5%) had @entity603 and 83 (15%) had abnormal physical findings. All the physical abnormalities were significantly associated with @entity603 (P < 0.0001) but agreement was low between ultrasonographic and physical findings. @entity603 was most common at the feet (59.4%), where it was detected clinically in only 25% of cases. @entity603 was associated with the presence of synovial fluid. Cartilage vascularization was found in 2 (4.2%) healthy controls. CONCLUSION: Ultrasonography is useful for monitoring @entity603 in @entity4932 . Subclinical involvement of the MTP joints is common. Clinicians should be aware of the specific ultrasonographic findings in @entity1 .
