Treatment of the ankle joint in rheumatoid arthritis with surgical and radiation synovectomy

1999 ◽  
Vol 28 (9) ◽  
pp. 785-791
Author(s):  
M. Rittmeister ◽  
T. Böhme ◽  
S. Rehart ◽  
F. Kerschbaumer

2005 ◽  
Vol 52 (10) ◽  
pp. 3269-3278 ◽  
Author(s):  
István Gál ◽  
Éva Bajnok ◽  
Sándor Szántó ◽  
Bara Sarraj ◽  
Tibor T. Glant ◽  
...  




1974 ◽  
Vol 12 (4) ◽  
pp. 15-16

A recent paper from Denmark1 reports that radiologically visible calcification of tibial arteries in the ankle-joint region was three times as frequent in a group of patients with rheumatoid arthritis who had received corticosteroids for more than six months as in a control group of patients. The author claims that this increased incidence was due to the corticosteroids.



2003 ◽  
Vol 4 (3) ◽  
pp. 170 ◽  
Author(s):  
Sang Hoon Lee ◽  
Jin-Suck Suh ◽  
Ho Seok Kim ◽  
Jong Doo Lee ◽  
Jungsik Song ◽  
...  


2020 ◽  
Vol 59 (03) ◽  
pp. 269-275
Author(s):  
Imre Szerb ◽  
Tamás Gál ◽  
Dániel Kiss ◽  
Viktória Nagy ◽  
László Hangody

Abstract Objective The study objective was to evaluate the long-term effect of radiosynoviorthesis (RSO) on the progression of radiological and nuclear-medical osteoarthritic features of hip and ankle joint in patients with osteoarthritis and rheumatoid arthritis. Patients and Methods The study included 89 hip joints of 81 patients, of which 48 had osteoarthritis (OA) and 33 had rheumatoid arthritis (RA). In terms of ankle joints, 64 patients were included of which 43 suffered from OA and 21 from RA. The mean follow-up time was 9.2 years for OA and 8.9 years for RA patients. Patients with RA were the active control group. Structural alterations of the hip joints were evaluated following Kellgren-Lawrence score and of ankle joint following Takakura score for both disease entities. For the evaluation of synovitis 2-phase bone scintigraphy was performed. Results RSO could prevent radiologic status deterioration among 70.6 % of hip osteoarthritic patients and 73.7 % among the hip RA patients. No structural progression was observed in 79.1 % of the treated ankle joints in patients with OA and in 85.7 % of the ankle joints in patients with RA.The scintigraphic response rate for the hip joints of OA patients was 68.6 %, 76.3 % for hip joints of RA patients, 83.1 %, ankle joints of OA patients, and 90.4 % ankle joints of RA patients.The radiographic and scintigraphic RSO response rates were not significantly higher for both joints in RA than OA patients. Conclusion RSO can be a good alternative in the treatment of synovitis and prevention of deterioration of inflammatory and radiographic features even in patients suffering from osteoarthritis and rheumatoid arthritis. RSO may have also a long-term effect to stop or delay progression of both diseases.



2005 ◽  
Vol 48 (spe2) ◽  
pp. 153-158 ◽  
Author(s):  
Carla Flávia de Lima ◽  
Tarcisio Passos Ribeiro de Campo

Rheumatoid arthritis can manifest itself through synovitis, of which the knee is the common locale. The treatment using an intra-articular radioisotope injection has been applied in various countries. In this work, the dose of radioactive material absorbed in the joint is evaluated, taking into consideration the dose received in the articular cartilage and adjacencies using a three-dimensional voxel model representing the knee. The radioisotopes studied were Samarium-153 and Dysprosium-165. The results show that the synovial membrane receives 85 to 98% of the normalized dose taken from all voxels representative of the synovium. The following features of 153Sm and of 165Dy - its short physical half-life, the gamma emissions with low energy which allow monitoring the injection trough scintigraphy images, the possibility of binding themselves to macroaggregates that are retained in the joint, the high percentage of the effective dose spread in the synovial membrane - make these suitable radioisotopes for radiation synovectomy.



1997 ◽  
Vol 16 (3) ◽  
pp. 284-290 ◽  
Author(s):  
S. Akagi ◽  
H. Sugano ◽  
R. Ogawa


1977 ◽  
Vol 36 (6) ◽  
pp. 532-539 ◽  
Author(s):  
G Hug ◽  
A S Dixon


2013 ◽  
Vol 65 (4) ◽  
pp. 503-511 ◽  
Author(s):  
R. Dubbeldam ◽  
H. Baan ◽  
A. V. Nene ◽  
K. W. Drossaers-Bakker ◽  
M. A. F. J. van de Laar ◽  
...  


2007 ◽  
Vol 28 (4) ◽  
pp. 239-244 ◽  
Author(s):  
Kichul Shin ◽  
Jung Chan Lee ◽  
Hyo Jin Choi ◽  
Jae Min Jeong ◽  
Miwon Son ◽  
...  


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