Assessment of Shoulder Pain in Rheumatoid Arthritis Patients by using High Resolution Musculoskeletal Ultrasound
Dahi, N., Abogabal, M., El Azizi, N., El Serwe, M. (2019). Assessment of Shoulder Pain in Rheumatoid Arthritis Patients by using High Resolution Musculoskeletal Ultrasound. EKB Journal Management System, 28(4), 73-80. doi: 10.21608/ejmm.2019.283218
Najie M.S. Dahi; Mervat M. Abogabal; Noran O. El Azizi; Maha A. El Serwe. "Assessment of Shoulder Pain in Rheumatoid Arthritis Patients by using High Resolution Musculoskeletal Ultrasound". EKB Journal Management System, 28, 4, 2019, 73-80. doi: 10.21608/ejmm.2019.283218
Dahi, N., Abogabal, M., El Azizi, N., El Serwe, M. (2019). 'Assessment of Shoulder Pain in Rheumatoid Arthritis Patients by using High Resolution Musculoskeletal Ultrasound', EKB Journal Management System, 28(4), pp. 73-80. doi: 10.21608/ejmm.2019.283218
Dahi, N., Abogabal, M., El Azizi, N., El Serwe, M. Assessment of Shoulder Pain in Rheumatoid Arthritis Patients by using High Resolution Musculoskeletal Ultrasound. EKB Journal Management System, 2019; 28(4): 73-80. doi: 10.21608/ejmm.2019.283218

Assessment of Shoulder Pain in Rheumatoid Arthritis Patients by using High Resolution Musculoskeletal Ultrasound

Egyptian Journal of Medical Microbiology
Volume 28, Issue 4, October 2019, Pages 73-80    PDF (325.87 K)
Document Type: New and original researches in the field of Microbiology.
DOI: 10.21608/ejmm.2019.283218
Authors
Najie M.S. Dahi* ; Mervat M. Abogabal; Noran O. El Azizi; Maha A. El Serwe
Department of Internal Medicine and Rheumatology, Faculty of Medicine-Ain Shams University
Abstract
Background: Shoulder pain is a common complaints encountered in rheumatoid arthritis (RA) patients. Through the first two years of RA, nearly 50% of patients have shoulder symptoms, and 90% complain of shoulder pain at some time during the course of the disease. Objectives: to identify the ultrasound (US) abnormalities in RA patients with shoulder pain and to correlate them with clinical and laboratory parameters of the disease. Methodology: A case control cross sectional study was performed on 50 RA patients with shoulder pain satisfying the 2010 ACR/EULAR criteria, and 30 age and sex matched volunteers complain of shoulder pain serving as controls. US assessment was performed bilaterally in RA patient’s shoulder and control’s shoulder. Results: The most common shoulder image abnormalities in RA patients were subacromial-subdeltoid (SASD) chronic bursitis and glenohumeral joint (GHJ) effusion in 38% of patients' shoulders, acromioclavicular joint (ACJ) irregularity in 35% of patients' shoulders, and supraspinatus tendinopathy in 34% of patients' shoulders. There was a significant relation between shoulder pain and US detected full thickness tear of supra-spinatus tendon (p=0.025), SASD chronic bursitis (p=0.033), humeral bone irregularity (p=0.049), ACJ irregularity (p=0.002) and GHJ effusion (p=0.033). There was a significant relation between disease activity and US-detected humeral bone erosions (p=0.002), ACJ synovitis (p=0.021), and ACJ osteophytes (p=0.025). Conclusion: US imaging is an important additional tool that supplements conventional radiography of the shoulder joints in RA.
Keywords
Shoulder Pain; Rheumatoid Arthritis; Musculoskeletal Ultrasound
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