Juvenile rheumatoid arthritis of the knee: Evaluation with US

Delia Sureda, Sergi Quiroga, Cristina Arnal, Mercè Boronat, Jordi Andreu, Lourdes Casas

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    Abstract

    PURPOSE: To evaluate the value of ultrasound (US) in assessing joint inflammation in patients with juvenile rheumatoid arthritis (JRA) of the knee. MATERIALS AND METHODS: US scans obtained in 36 children (mean age, 8 years) with JRA of the knee were compared with those obtained in 30 healthy children. RESULTS: Changes in synovial membrane (synovial thickness), presence of fluid in the suprapatellar bursa, and alterations in the contour (blurring) of the articular cartilage showed statistically significant differences between JRA patients and control subjects. US was more sensitive than physical examination for detecting a minimal amount of intraarticular fluid in 21% of JRA-affected knees with no clinical evidence of active disease. CONCLUSION: US is a simple, rapid, inexpensive, and accurate method for assessing joint inflammation in patients with JRA of the knee.
    Original languageEnglish
    Pages (from-to)403-406
    JournalRadiology
    Volume190
    Issue number2
    DOIs
    Publication statusPublished - 1 Jan 1994

    Keywords

    • Arthritis, rheumatoid
    • Cartilage
    • Knee, arthritis
    • Knee, US
    • Synovial membrane

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