Abstract

Background:Ultrasound has been widely used in clinical settings for the assessment of different types of Arthritis as well as in their management. This Review study assessed the diagnostic value of Ultrasonography in comparison with major types of Arthritis namely Osteoarthritis (OA), Rheumatoid Arthritis (RA), Gouty Arthritis (GA), Pseudogout (Calcium Pyrophosphate Deposition Disease - CPPD), Psoriatic Arthritis (PA), Infectious Arthritis (IA) and Spondyloarthritis (SA).Methodology:Computerized literature search of PubMed was conducted from 1990 to present, for publications in English on diagnostic ultrasonography and major types of arthritis. A total of 206 publications were identified. Experimental and clinical studies that focused on the ultrasound features of the major types of Arthritis were accepted. A total of 52 out of the 206 publications, met our search criteria. Among these, 12 studies focused on OA, 7 on RA, 7 on GA, 5 on CPPD, 10 on PA, 4 on IA, and 7 on SA. From all the studies, some distinctive US features are reviewed for each of the major arthritis. Some of the features were unique and some overlapped.Conclusion:Ultrasound may demonstrate the ability to differentiate between the major types of Arthritis on a basic level when combined with history and physical examination. This can prove to be beneficial in the early diagnosis of the major types of arthritis, but with few limitations. This review literature shows that Ultrasound can be very helpful in bed side analysis of the major types of arthritis as well as in differentiating between them, because this modality besides being non-invasive is also very cheap.

Highlights

  • Osteoarthritis (OA) or degenerative joint disease is the most common type followed by Rheumatoid Arthritis (RA), Gouty Arthritis (GA), Pseudogout or Calcium Pyrophosphate Deposition Disease (CPPD), Psoriatic Arthritis (PA), Infectious Arthritis (IA), Spondyloarthritis (SA) and other related autoimmune diseases

  • This review study assessed the diagnostic value of ultrasonography in comparison between major types of Arthritis namely OA, RA, GA, CPPD, PA, IA and SA

  • Two common indications for Musculoskeletal US (MSUS) are to assist in the clinical diagnosis of major types of arthritis and to note the degree of synovitis

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Summary

Conclusion

Ultrasound may demonstrate the ability to differentiate between the major types of Arthritis on a basic level when combined with history and physical examination. This can prove to be beneficial in the early diagnosis of the major types of arthritis, but with few limitations. This review literature shows that Ultrasound can be very helpful in bed side analysis of the major types of arthritis as well as in differentiating between them, because this modality besides being non-invasive is very cheap

Introduction
Objective
Materials and Methods
Osteoarthritis and Usefulness of Diagnostic Ultrasonography
Rheumatoid Arthritis and Usefulness of Diagnostic Ultrasonography
Gouty Arthritis and Usefulness of Diagnostic Ultrasonography
Psoriatic Arthritis and Usefulness of Diagnostic Ultrasonography
Infectious Arthritis and Usefulness of Diagnostic Ultrasonography
Spondyloarthritis and Usefulness of Diagnostic Ultrasonography
FUTURE PERSPECTIVES
Findings
CONCLUSION
Full Text
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