دورية أكاديمية
Foot and Ankle Conventional Radiography in Juvenile Idiopathic Arthritis: Does It Still Matter?
| العنوان: | Foot and Ankle Conventional Radiography in Juvenile Idiopathic Arthritis: Does It Still Matter? |
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| المؤلفون: | Posadzy, Magdalena, Sowińska, Anna, Vanhoenacker, Filip, Gietka, Piotr, Żelnio, Ewa, Sudoł-Szopińska, Iwona |
| المصدر: | Journal of the Belgian Society of Radiology; Vol 106, No 1 (2022); 87 ; 2514-8281 |
| بيانات النشر: | Ubiquity Press |
| سنة النشر: | 2022 |
| المجموعة: | Journal of the Belgian Society of Radiology (JBSR) |
| مصطلحات موضوعية: | Foot, Ankle, Radiography, Arthralgia, Juvenile Idiopathic Arthritis (JIA) |
| الوصف: | Objectives: The aim of this study was to evaluate the residual value of Conventional Radiography in children with arthralgia clinically suspected of Juvenile Idiopathic Arthritis (JIA).Materials and Methods: Three hundred seventy-two patients aged 1–18 years suspected of JIA were retrospectively reviewed. All patients had foot and ankle plain films performed in standard two projections: ankle in antero-posterior and lateral, and foot in antero-posterior and oblique. The cohort was divided into two groups: patients with confirmed JIA and non-JIA control group of children with foot and ankle arthralgia without diagnosis of inflammatory connective tissue disease. Radiographic findings in both groups were compared.Results: In 40% of JIA and 70% of non-JIA patients radiographs were normal. All radiographic findings were significantly more common in JIA than in non-JIA group (p = 0.000). Soft tissue swelling was the most frequent abnormality found in JIA patients (31, 51%) and only in 2.41% of non-JIA patients (p = 0.000). Osteoporosis and joint space narrowing were also significantly more common in JIA group (p = 0.000). The majority of imaging findings in non-JIA group were non-inflammatory abnormalities.Conclusion: Conventional radiography is an important tool in differential diagnosis of arthralgia of unknown etiology, as soft tissue swelling, osteoporosis and joint space narrowing are significantly more common in JIA patients as compared with patients without the diagnosis of inflammatory connective tissue disease. However, in case of high clinical suspicion of JIA and normal radiography, we recommend subsequent ultrasound (US) and/or MRI to allow early treatment. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf; application/xml |
| اللغة: | English |
| العلاقة: | https://www.jbsr.be/jms/article/view/2729/2232Test; https://www.jbsr.be/jms/article/view/2729/2233Test; https://www.jbsr.be/jms/article/downloadSuppFile/2729/11415Test; https://www.jbsr.be/jms/article/downloadSuppFile/2729/11416Test; https://www.jbsr.be/jms/article/downloadSuppFile/2729/11417Test; https://www.jbsr.be/jms/article/downloadSuppFile/2729/11418Test; https://www.jbsr.be/jms/article/downloadSuppFile/2729/11419Test; https://www.jbsr.be/jms/article/view/2729Test |
| DOI: | 10.5334/jbsr.2729 |
| الإتاحة: | https://doi.org/10.5334/jbsr.2729Test https://www.jbsr.be/jms/article/view/2729Test |
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| رقم الانضمام: | edsbas.CEFE2055 |
| قاعدة البيانات: | BASE |
| DOI: | 10.5334/jbsr.2729 |
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