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, Page 73-80 PDF (325.87 K) | ||||
Document Type: New and original researches in the field of Microbiology. | ||||
DOI: 10.21608/ejmm.2019.283218 | ||||
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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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