Abstract:
OBJECTIVE:To describe echographic abnormalities on the proximal (PIP) and distal (DIP) interphalangeal joints of healthy subjects. METHODS:Healthy asymptomatic volunteers under forty were enrolled. Ultrasonography was performed on PIP and DIP 2-5 in the presence of two operators. In B mode, synovial hypertophy and effusion were defined with the OMERACT criteria. In power Doppler mode, the inflammatory activity was evaluated. RESULTS:46 subjects were enrolled: mean age 25.5 years, 89% right handed. 368 PIPs and DIPs were scanned. Effusion was found in 19.6% of dominant PIPs versus 22.3% of non-dominant PIPs (p>0.05). Effusion could be uni- or bilateral. DIP effusion was less frequent (3% DIPs). Average size of effusion was 0.83+/-0.25 mm for PIP and 0.72+/-0.16 mm for DIP. CONCLUSION:Our study proposes a descriptive analysis of the PIP and the DIP joints. It confirms, with a bigger number of studied joints, the possible existence of a physiological effusion of the PIP of healthy subjects. It is the first descriptive study of the normal DIP where the presence of an effusion is very rare.
journal_name
Joint Bone Spinejournal_title
Joint bone spineauthors
Rosenberg C,Arrestier S,Etchepare F,Fautrel B,Rozenberg S,Bourgeois Pdoi
10.1016/j.jbspin.2008.06.017subject
Has Abstractpub_date
2009-05-01 00:00:00pages
265-7issue
3eissn
1297-319Xissn
1778-7254pii
S1297-319X(08)00329-1journal_volume
76pub_type
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