Delineating the Application of Ultrasound in Detecting Synovial Abnormalities of the Subtalar Joint in Juvenile Idiopathic Arthritis

Stefano Lanni; Francesca Bovis; Angelo Ravelli; Stefania Viola; Francesca Magnaguagno; Angela Pistorio; Gian Michele Magnano; Alberto Martini; Clara Malattia

doi:10.1002/acr.22846

Delineating the Application of Ultrasound in Detecting Synovial Abnormalities of the Subtalar Joint in Juvenile Idiopathic Arthritis

Arthritis Care & Research ◽

10.1002/acr.22846 ◽

2016 ◽

Vol 68 (9) ◽

pp. 1346-1353 ◽

Cited By ~ 11

Author(s):

Stefano Lanni ◽

Francesca Bovis ◽

Angelo Ravelli ◽

Stefania Viola ◽

Francesca Magnaguagno ◽

...

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Subtalar Joint

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Is it worth including subtalar joint in ultrasound ankle assessment of patients with juvenile idiopathic arthritis?

Pediatric Rheumatology ◽

10.1186/1546-0096-12-s1-p36 ◽

2014 ◽

Vol 12 (S1) ◽

Author(s):

Stefano Lanni ◽

Francesca Bovis ◽

Francesca Magnaguagno ◽

Angelo Ravelli ◽

Stefania Viola ◽

...

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Subtalar Joint

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Ultrasound-guided corticosteroid injection of the subtalar joint for treatment of juvenile idiopathic arthritis

Pediatric Radiology ◽

10.1007/s00247-015-3291-2 ◽

2015 ◽

Vol 45 (8) ◽

pp. 1212-1217 ◽

Cited By ~ 4

Author(s):

Cody M. Young ◽

Deanna M. Horst ◽

James W. Murakami ◽

William E. Shiels

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Subtalar Joint ◽

Corticosteroid Injection ◽

Ultrasound Guided

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Role of imaging in evaluation and management of juvenile idiopathic arthritis: a prospective cohort study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20184214 ◽

2018 ◽

Vol 6 (11) ◽

pp. 3516

Author(s):

Devi K. Bhanu ◽

Joseph Varghese

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Elbow Joint ◽

Subtalar Joint ◽

Wrist Joint ◽

Power Doppler ◽

Joint Effusion ◽

Radiology Department ◽

Age Group ◽

Power Doppler Signal

Background: This study was aimed to evaluate the role of imaging in diagnosis and management of juvenile idiopathic arthritis by comparing the evaluation findings of clinical and ultrasound of all 14 joints in arthritis affected patients under 16 years of age.Methods: Prospectively study was done on patients in age group of 0-16years, who referred to radiology department based on clinical assessment. USG is done in both shoulder, elbow, wrist, hip, knee, ankle and subtalar joints of each patient to assess the following parameters Synovial hypertrophy, joint effusion, power doppler signal, tenosynovitis, enthesitis, cartilage thinning, bone erosions and bursitis.Results: Out of 980 joints assessed 344 joints (35.1% of all joints) had clinical synovitis, while USG evidence was in 382 joints (38.9% of all joints). Among the 344 clinically positive joints (35.1% of all joints), 223 joints (64.8%) had features of synovitis in USG and the rest 121 (35.2%) joints were clinically positive turned out to be ultrasound negative. Out of 980 joints 636 joints (64.8%) were clinically negative, of these 159 joints (25%) was found to have synovitis in ultrasound and 477 joints (75%) turned out to be negative on ultrasound examination.Conclusions: The sensitivity and specificity of ultrasound over clinical examination in shoulder joint was 47.6% and 89.1% respectively, in elbow joint 53.8% and 92.1%, in wrist joint 64.3% and 72.6%, in hip joint 65.1% and 64.9%, in knee joint 74.7% and 61.2%, in ankle joint 67.2% and 59.2% and in subtalar joint 56.7% and 71.8%, respectively.

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