Evaluation of Osteoarthritic Features in Peripheral Joints by Ultrasound Imaging: A Systematic Review

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aut.relation.articlenumber100194en_NZ
aut.relation.issue3en_NZ
aut.relation.journalOsteoarthritis and Cartilage Openen_NZ
aut.relation.volume3en_NZ
aut.researcherDrabsch, Julie
dc.contributor.authorMolyneux, Pen_NZ
dc.contributor.authorBowen, Cen_NZ
dc.contributor.authorEllis, Ren_NZ
dc.contributor.authorRome, Ken_NZ
dc.contributor.authorFrecklington, Men_NZ
dc.contributor.authorCarroll, Men_NZ
dc.date.accessioned2021-09-10T00:38:43Z
dc.date.available2021-09-10T00:38:43Z
dc.date.copyright2021en_NZ
dc.date.issued2021en_NZ
dc.description.abstractObjective To determine how structural and inflammatory osteoarthritis (OA) features in peripheral joints are assessed, defined and graded by ultrasound (US) imaging. Design MEDLINE, CINAHL, Cochrane and SPORTDiscus were systematically searched in March 2021. To be eligible, studies needed to (1) include participants with peripheral joint OA, and (2) used grey scale USI or power Doppler (PD) to assess one or more US features in peripheral joints of the hands and feet. Methodological quality of all included studies was assessed using the Critical Appraisal Skills Program (CASP) tool. Results A total of 159 citations were identified for screening. Thirty-two articles were included for final analysis and were of good methodological quality. Thirty articles evaluated US features of hand OA and two assessed US OA features in the foot. There were inconsistencies between studies in terms of what US features were assessed, how these features were defined and what grading system was applied to determine degree of osteoarthritic change. Conclusion The review found inconsistencies in the definition of synovial pathology. Consequently, it is unclear whether synovial pathology is best represented as separate entities or combined as a single domain, termed “synovitis”. How OA US features were defined and graded has largely been extrapolated from recommendations originally constructed for populations with rheumatoid arthritis (RA). Given the prognostic value of synovitis for OA progression and the reduced degree of inflammation experienced in OA compared to RA, the validity of applying definitions, grading systems and atlases originally developed for inflammatory arthritis needs consideration.
dc.identifier.citationOsteoarthritis and Cartilage Open, Volume 3, Issue 3, 2021, 100194
dc.identifier.doi10.1016/j.ocarto.2021.100194en_NZ
dc.identifier.issn2665-9131en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/14488
dc.languageenen_NZ
dc.publisherElsevier BVen_NZ
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S2665913121000571
dc.rights© 2021 Published by Elsevier Ltd on behalf of Osteoarthritis Research Society International (OARSI). This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectOsteoarthritis; Ultrasound imaging; Peripheral joints
dc.titleEvaluation of Osteoarthritic Features in Peripheral Joints by Ultrasound Imaging: A Systematic Reviewen_NZ
dc.typeJournal Article
pubs.elements-id435644
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences/Physiotherapy Department
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences/Podiatry Department
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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