Dr Pradep Kumar Shenoy Chandrasekhara


Musculoskeletal deformities should either be diagnosed using ultrasound or MRI and the former is a rapidly growing imaging modality used for the investigation and management of musculoskeletal disorders. Ultrasonography are safe and one thing is patient’s tolerability and ability to scan multiple joints in a short period of time. Thanks to smaller high-frequency transducers that were better suited for superficial structures such as the small joints, many reports and studies have been published. But MRI scanning the patients ned that extra patience and with the deformity it is also challenging to hold the hand in a still position for a long time.  And also the fact that it is relatively cheap. This study helps us understand the role of USG in diagnosing the pathology.


Full Text:



Smolen JS, Breedveld FC, Burmester GR, Bykerk V, Dougados M, Emery P, et al. Treating rheumatoid arthritis to target: 2014 update of the recommendations of an international task force. Ann Rheum Dis. 2016;75:3–15. doi: 10.1136/annrheumdis-2015-207524.

Prevoo ML, Hof MA v ’t, Kuper HH, van Leeuwen MA, van de Putte LB, Van Riel PL. Modified disease activity scores that include twenty-eight-joint counts: development and validation in a prospective longitudinal study of patients with rheumatoid arthritis. Arthritis Rheum. 1995;38:44–8. doi: 10.1002/art.1780380107.

Aletaha D, Nell VP, Stamm T, Uffmann M, Pflugbeil S, Machold K, et al. Acute phase reactants add little to composite disease activity indices for rheumatoid arthritis: validation of a clinical activity score. Arthritis Res Ther. 2005;7:R796–806. doi: 10.1186/ar1740.

Smolen JS, Breedveld FC, Schiff MH, Kalden JR, Emery P, Eberl G. A simplified disease activity index for rheumatoid arthritis for use in clinical practice. Rheumatology (Oxford) 2003;42:244–57. doi: 10.1093/rheumatology/keg072.

Felson DT, Smolen JS, Wells G, Zhang B, van Tuyl LH, Funovits J, et al. American College of Rheumatology/European League against Rheumatism provisional definition of remission in rheumatoid arthritis for clinical trials. Ann Rheum Dis. 2011;70:404–13. doi: 10.1136/ard.2011.149765.

Millot F, Clavel G, Etchepare F, Gandjbakhch F, Grados F, Saraux A, et al. Musculoskeletal ultrasonography in healthy subjects and ultrasound criteria for early arthritis (the ESPOIR cohort) J Rheumatol. 2011;38:613–20. doi: 10.3899/jrheum.1003797. Terslev L, Torp-Pedersen S, Qvistgaard E, von der Recke P, Bliddal H. Doppler ultrasound findings in healthy wrists and finger joints. Ann Rheum Dis. 2004;63:644–8. doi: 10.1136/ard.2003.009548.

Kitchen J, Kane D. Greyscale and power Doppler ultrasonographic evaluation of normal synovial joints: correlation with pro- and anti-inflammatory cytokines and angiogenic factors. Rheumatology. 2015;54:458–62. doi: 10.1093/rheumatology/keu354.

Padovano I, Costantino F, Breban M, D’Agostino MA. Prevalence of ultrasound synovial inflammatory findings in healthy subjects. Ann Rheum Dis. 2016;75:1819–23. doi: 10.1136/annrheumdis-2015-208103.


  • There are currently no refbacks.