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首页> 外文期刊>Clinical rheumatology >Ultrasonographic evaluation of tendons and enthesal sites in rheumatoid arthritis: comparison with ankylosing spondylitis and healthy subjects.
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Ultrasonographic evaluation of tendons and enthesal sites in rheumatoid arthritis: comparison with ankylosing spondylitis and healthy subjects.

机译：类风湿关节炎中肌腱和内皮位置的超声检查：与强直性脊柱炎和健康受试者的比较。

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The objective of this study was to determine tendon involvements and enthesal abnormalities in patients with rheumatoid arthritis (RA) using high-resolution ultrasonographic images and to compare the findings with those seen in patients with ankylosing spondylitis (AS) and healthy controls. A total of 24 patients with RA, 18 with AS, and 20 healthy controls matched by age and body mass index (BMI) were included in the study. All of the patients and controls underwent clinical and ultrasonographic examinations of both lower limbs at five enthesal sites (superior and inferior pole of the patella, tibial tuberosity, Achilles tendon, and plantar aponeurosis) and both upper limbs at two tendon sites (tendons of m. biceps brachii and supraspinatus at the shoulder). High-resolution ultrasonographic examinations were performed to detect bursitis, structure thickness, bony erosion, and enthesophyte. An ultrasonographic score of lower limb enthesitis was calculated using the Glasgow Ultrasound Enthesitis ScoringSystem (GUESS) in all patients. Tendon involvements and enthesal abnormalities were found significantly more often in the RA group than in controls (p<0.05 to <0.001), but were not found to be different from the AS group (p>0.05). On clinical examination 67 of 336 (19.9%) tendon and enthesal sites were abnormal and on ultrasonographic examination 130 of 336 (38.2%) sites were abnormal in RA patients. The most frequently affected enthesal sites in the lower limbs were suprapatellar, infrapatellar, and Achilles tendon in both the RA and AS groups. The tibial tuberosity was less affected in both groups, and involvement of the plantar aponeurosis was not different from the controls. A statistically significant correlation was found between the Ritchie articular index and GUESS (r=0.578, p=0.008). Tendon involvements and enthesal abnormalities in RA patients were found more often than had been estimated. Further studies are required to validate our results.
机译：这项研究的目的是使用高分辨率的超声图像确定类风湿关节炎（RA）患者的肌腱受累和鞘膜异常，并将结果与​​强直性脊柱炎（AS）和健康对照者的发现进行比较。这项研究共纳入了24例RA患者，18例AS患者和20例年龄和体重指数（BMI）相匹配的健康对照者。所有患者和对照组均接受五个超声检查部位（（骨的上，下极，胫骨结节，跟腱，足底腱膜）和两个上肢（两个肌腱的肌腱）的上下肢的临床和超声检查肱二头肌和肩上肌。进行了高分辨率超声检查，以检测滑囊炎，结构厚度，骨侵蚀和内生菌。所有患者均使用格拉斯哥超声肠炎评分系统（GUESS）计算下肢肠炎的超声评分。在RA组中，肌腱受累和皮肤异常的发生率明显高于对照组（p <0.05至<0.001），但与AS组无差异（p> 0.05）。在临床检查中，RA患者的336个肌腱和鞘位异常（67个）（19.9％），而在超声检查中，336个肌腱和鞘位异常130个（38.2％），这些异常。在RA和AS组中，下肢受影响最严重的上皮部位是sup上肌，in下肌和跟腱。两组的胫骨结节受影响均较小，足底腱膜受累与对照组无差异。在Ritchie关节指数和GUESS之间发现了统计学上显着的相关性（r = 0.578，p = 0.008）。在RA患者中，肌腱受累和皮肤异常异常的发生率比估计的高。需要进一步研究以验证我们的结果。

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