Role of MRI in evaluation of hip joint involvement in juvenile idiopathic arthritis

被引：10

作者：

Abd El-Azeem, Mervat I. ^{[1
]}

Taha, Hanan A. ^{[2
]}

El-Sherif, Ashraf M. ^{[3
]}

机构：

[1] Beni Suef Univ, Rheumatol & Rehabil, Bani Suwayf, Egypt

[2] Beni Suef Univ, Internal Med, Bani Suwayf, Egypt

[3] Menia Univ, Radiol, Al Minya, Egypt

来源：

EGYPTIAN RHEUMATOLOGIST | 2012年 / 34卷 / 02期

关键词：

Juvenile idiopathic arthritis; Hip joint; MRI;

D O I：

10.1016/j.ejr.2012.03.001

中图分类号：

R5 [内科学];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

Aim of the Work: Evaluate the role of MRI in diagnosing hip arthritis and correlating it with clinical and laboratory assessment in juvenile idiopathic arthritis (JIA). Patients and Methods: Study included 30 patients with JIA with mean age 13.5 +/- 4.5. Disease activity was evaluated by DAS28 score, physician's global assessment (PGA-VAS), patient's global assessment (VASglobal) and assessment of functional ability by (CHAQ). Hip joint evaluation was assessed by hip pain on movement and degree of limitation of motion (score 0-3). Plain radiography and MRI of hip joint were performed for all patients. MRI score was done. Results: MRI of hips was abnormal in 12 (40%) of all patients: 2/8 ( 25%) of oligoarticular group, 4/13 (30.8%) of polyarticular group, 5/7 (71.4%) of systemic onset group and 1/2(50%) of enthesitis related group. Comparing mean values of MR score of the four clinical subsets showed significant difference (p < 0.001). Patients with active disease showed higher MR score (3.7 +/- 1.5) than those with inactive disease (2.1 +/- 9) [p < 0.002]. Presence of effusion and gadolinium enhancement were significantly higher in active hips (p < 0.01 and p < 0.001 respectively). VAS-PGA and ESR were significantly correlated with MRI score (p < 0.02 and < 0.05 respectively). Conclusion: MRI of the hip plays an important role in the study of patients with JIA as it reveals early joint involvement and evaluates the extent of joint disease. This permits intervention at an appropriate time with suitable treatment. Clinical and laboratory findings are inadequate diagnostic tools for the assessment of hip arthritis comparing with MRI. (C) 2012 Egyptian Society for Joint Diseases and Arthritis. Production and hosting by Elsevier B.V.

引用

页码：75 / 82

页数：8

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