Ultrasound analysis of progress of rheumatoid arthritis in temporomandibular joints and joints of the hands
Rheumatoid arthritis (RA) is a chronic progressive degenerative inflammatory autoimmune systemic disease characterized by peripheral polyarthritis. The hands are usually the most affected and studied. Argentine Society of Rheumatology cites: "symmetric joint inflammation of small and large...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/39030 |
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I10-R327-article-39030 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
rheumatoid arthritis (RA) temporomandibular joints (TMJ) ultrasound joints of the hands artritis reumatoide articulaciones temporomandibulares ultrasonido articulaciones de las manos |
| spellingShingle |
rheumatoid arthritis (RA) temporomandibular joints (TMJ) ultrasound joints of the hands artritis reumatoide articulaciones temporomandibulares ultrasonido articulaciones de las manos Rhys, K Gobbi, C Castrillón, ME Paulazo, C Morón, M Albiero, E Alba, P Yorio, M Ultrasound analysis of progress of rheumatoid arthritis in temporomandibular joints and joints of the hands |
| topic_facet |
rheumatoid arthritis (RA) temporomandibular joints (TMJ) ultrasound joints of the hands artritis reumatoide articulaciones temporomandibulares ultrasonido articulaciones de las manos |
| author |
Rhys, K Gobbi, C Castrillón, ME Paulazo, C Morón, M Albiero, E Alba, P Yorio, M |
| author_facet |
Rhys, K Gobbi, C Castrillón, ME Paulazo, C Morón, M Albiero, E Alba, P Yorio, M |
| author_sort |
Rhys, K |
| title |
Ultrasound analysis of progress of rheumatoid arthritis in temporomandibular joints and joints of the hands |
| title_short |
Ultrasound analysis of progress of rheumatoid arthritis in temporomandibular joints and joints of the hands |
| title_full |
Ultrasound analysis of progress of rheumatoid arthritis in temporomandibular joints and joints of the hands |
| title_fullStr |
Ultrasound analysis of progress of rheumatoid arthritis in temporomandibular joints and joints of the hands |
| title_full_unstemmed |
Ultrasound analysis of progress of rheumatoid arthritis in temporomandibular joints and joints of the hands |
| title_sort |
ultrasound analysis of progress of rheumatoid arthritis in temporomandibular joints and joints of the hands |
| description |
Rheumatoid arthritis (RA) is a chronic progressive degenerative inflammatory autoimmune systemic disease characterized by peripheral polyarthritis. The hands are usually the most affected and studied. Argentine Society of Rheumatology cites: "symmetric joint inflammation of small and large joints such as hands, feet, knees, elbows, shoulders, hips, which may compromise diarthrodial joints such as temporomandibular and cricoarytenoid joints", specifying the temporomandibular joints (TMJ), not studied to a similar way. Objective: To observe the progress of RA in the TMJs and the joints of the hands.
A cross-sectional descriptive observational study was conducted. Approved by CIEIS of Hospital Córdoba. Sixty patients who consecutively attended the Rheumatology Service of the Hospital Córdoba were studied and evaluated jointly by a dentist and a rheumatologist. They met the criteria for RA according to the American College of Rheumatology. The same medical specialist in Diagnostic Imaging performed all the Doppler ultrasounds of the joints: right proximal interphalangeal joint, left proximal interphalangeal joint, right metacarpophalangeal joint, left metacarpophalangeal joint, right carpal joint, left carpal joint, right temporomandibular joint, and left temporomandibular joint. Effusions <2mm and ≥2mm were differentiated. Regular and irregular bone surfaces were recorded.
In right joints, with joint effusion ≥ 2 mm, irregular surfaces appeared: TMJ 50% condylar surfaces, 44% glenoid cavities. In the carpal rac joints. and inc. 44%, metacarpophalangeal 11% and proximal interphalangeal 6%. While the joints on the left side, with irregular bone surfaces and joint effusion ≥ 2mm: TMJ 28% condylar, 33% glenoid cavities. In carpus rac. and inc. 44%, metacarpophalangeal 17% and proximal interphalangeal 6%.
The information provided by the ultrasound of the temporomandibular joints and the hands was convincing in showing the progress of the disease. For this pathology, ultrasound is an innocuous, economical and painless means of diagnosis, with easy access and instrumentation. TMJs are not usually routinely evaluated by the rheumatologist, although they are the most social joints and the patient's diet depends on them. Data from both joints are fundamental in interdisciplinary decision-making and joint action on the progress of RA, improving the patient's prognosis and quality of life.
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/39030 |
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I10-R327-article-390302024-04-15T16:14:45Z Ultrasound analysis of progress of rheumatoid arthritis in temporomandibular joints and joints of the hands Análisis ecográficos de avance de la artritis reumatoide en articulaciones temporomandibulares y articulaciones de las manos Rhys, K Gobbi, C Castrillón, ME Paulazo, C Morón, M Albiero, E Alba, P Yorio, M rheumatoid arthritis (RA) temporomandibular joints (TMJ) ultrasound joints of the hands artritis reumatoide articulaciones temporomandibulares ultrasonido articulaciones de las manos Rheumatoid arthritis (RA) is a chronic progressive degenerative inflammatory autoimmune systemic disease characterized by peripheral polyarthritis. The hands are usually the most affected and studied. Argentine Society of Rheumatology cites: "symmetric joint inflammation of small and large joints such as hands, feet, knees, elbows, shoulders, hips, which may compromise diarthrodial joints such as temporomandibular and cricoarytenoid joints", specifying the temporomandibular joints (TMJ), not studied to a similar way. Objective: To observe the progress of RA in the TMJs and the joints of the hands. A cross-sectional descriptive observational study was conducted. Approved by CIEIS of Hospital Córdoba. Sixty patients who consecutively attended the Rheumatology Service of the Hospital Córdoba were studied and evaluated jointly by a dentist and a rheumatologist. They met the criteria for RA according to the American College of Rheumatology. The same medical specialist in Diagnostic Imaging performed all the Doppler ultrasounds of the joints: right proximal interphalangeal joint, left proximal interphalangeal joint, right metacarpophalangeal joint, left metacarpophalangeal joint, right carpal joint, left carpal joint, right temporomandibular joint, and left temporomandibular joint. Effusions <2mm and ≥2mm were differentiated. Regular and irregular bone surfaces were recorded. In right joints, with joint effusion ≥ 2 mm, irregular surfaces appeared: TMJ 50% condylar surfaces, 44% glenoid cavities. In the carpal rac joints. and inc. 44%, metacarpophalangeal 11% and proximal interphalangeal 6%. While the joints on the left side, with irregular bone surfaces and joint effusion ≥ 2mm: TMJ 28% condylar, 33% glenoid cavities. In carpus rac. and inc. 44%, metacarpophalangeal 17% and proximal interphalangeal 6%. The information provided by the ultrasound of the temporomandibular joints and the hands was convincing in showing the progress of the disease. For this pathology, ultrasound is an innocuous, economical and painless means of diagnosis, with easy access and instrumentation. TMJs are not usually routinely evaluated by the rheumatologist, although they are the most social joints and the patient's diet depends on them. Data from both joints are fundamental in interdisciplinary decision-making and joint action on the progress of RA, improving the patient's prognosis and quality of life. Artritis reumatoide (AR), enfermedad sistémica autoinmune inflamatoria crónica progresiva degenerativa caracterizada por poliartritis periférica. Las manos suelen ser las más afectadas y estudiadas. Sociedad Argentina de Reumatología cita: “inflamación articular en forma simétrica de pequeñas y grandes articulaciones como manos, pies, rodillas, codos, hombros, caderas, pudiendo comprometer articulaciones diartrodiales como las témporomandibulares y cricoaritenoideas”, especificando las articulaciones temporomandibulares (ATM), no estudiadas en similar magnitud. Objetivo: Observar el avance de AR en las ATM y las articulaciones de las manos. Se realizó un estudio observacional descriptivo transversal. Aprobado por CIEIS del Hospital Córdoba. Se estudiaron 60 pacientes que asistieron de forma consecutiva al Servicio de Reumatología del Hospital Córdoba, evaluados conjuntamente por odontóloga y médico/a reumatólogo/a. Cumplían con criterios de AR según el American College of Rheumatology. Misma médica especialista en Diagnóstico por Imágenes realizó todas las ecografías Doppler de articulaciones: interfalángica proximal derecha, interfalángica proximal izquierda, metacarpofalángica derecha, metacarpofalángica izquierda, carpo derecho, carpo izquierdo, temporomandibular derecha y temporomandibular izquierda. Se discriminó en derrames < 2mm y ≥ 2mm. Se registraron superficies óseas regulares e irregulares. En articulaciones derechas, con derrame articular ≥ 2mm, presentaron superficies irregulares: ATM 50% de superficies condilares, 44% de cavidades glenoideas. En las articulaciones carpo rac. e inc. 44%, metacarpofalángicas 11% e interfalángicas proximales 6%. Mientras que las articulaciones del lado izquierdo, con superficies óseas irregulares y con derrame articular ≥ 2mm: ATM 28% de condilares, 33% cavidades glenoideas. En carpo rac. e inc. 44%, metacarpofalángicas 17% e interfalángicas proximales 6%. La información brindada por las ecografías de las articulaciones temporomandibulares y de las manos fue contundente en mostrar el avance de la enfermedad. Para esta patología, las ecografías son un medio de diagnóstico inocuo, económico e indoloro, de fácil acceso e instrumentación. Las ATM no suelen ser evaluadas de rutina por el/la médico/a reumatólogo/a, aunque son las articulaciones más sociales y de ellas depende la alimentación del paciente. Los datos de ambas articulaciones son fundamentales en el abordaje de decisiones interdisciplinarias y la acción conjunta sobre el avance de la AR, mejorando el pronóstico del paciente y su calidad de vida. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-10-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto https://revistas.unc.edu.ar/index.php/med/article/view/39030 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. Suplemento JIC XXIII (2022): Suplemento JIC XXIII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |