Date: Sunday, November 8, 2015
Session Type: ACR Poster Session A
Session Time: 9:00AM-11:00AM
To determine hand disability and articular damage in patients with Rheumatoid arthritis (RA) and to define their relation with musculoskeletal ultrasonography (US) findings, clinical and laboratory parameters.
The study included 43 RA patients (22 women, 21 men) with a mean age of 55.72±11.76 years. Demographic and clinical parameters including disease duration, duration of morning stiffness, number of tender and swollen joints were recorded. Grip strength, lateral, tip and three-fingered pinch of the dominant hand was measured. The rheumatoid arthritis articular damage (RAAD) score was used to assess the articular damage and deformities of the dominant hand. Hand disability was assessed by special hand disability index (HDI) of Standford Health Assessment Questionnaire (HAQ) and upper extremity Quick Disabilities of Arm, Shoulder, and Hand (QuickDASH) questionnaire was applied to evaluated the disability of upper extremity. C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) were evaluated as laboratory parameters. Musculoskeletal ultrasonography (US) was performed in the selected joints: wrist, metacarpophalengeal (MCP) MCP I, II,III and proximal interphalengeal (PIP) PIF I, II and III; which are most likely to be affected by RA. The presence of synovitis and tenosynovitis and erosions were examined by the grey-scale US (GSUS) and also the presence of synovitis and tenosynovitis in the selected joints were examined by power Doppler US (PDUS).
GSUS sinovitis sum score was correlated with RAAD, QuickDASH, (respectively r=0.315, p=0.039, r=0.744, p=0.001) GSUS tenosinovits sum score was correlated with RAAD, HDI, DASH, and disease duration (respectively r=0.448, p=0.003, r=0.281, p=0.068, r=0.400, p=0.008, r=0.367, p=0.016). GSUS erosion sum score was correlated with RAAD and disease duration (respectively r=0.403, p=0.007, r=0.455, p=0.002), PDUS tenosinovitis sum score was correlated with lateral pinch and tip pinch (respectively r=0.335, p=0.037, r=0.310, p=0.055).
Our results suggest that pinch measurements, hand disability, articular damage scores seem to be the most related variables with US findings. Therefore US assessment of the dominant hand should be included in the evaluation and follow-up of the patients with RA.
To cite this abstract in AMA style:Keskin D, Bodur H, Tan A, Oczakar L. Ultrasonographic Evaluation of Rheumatoid Hand: Hand Disability and Disease Activity Correlation [abstract]. Arthritis Rheumatol. 2015; 67 (suppl 10). https://acrabstracts.org/abstract/ultrasonographic-evaluation-of-rheumatoid-hand-hand-disability-and-disease-activity-correlation/. Accessed December 7, 2019.
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