Part 2: clinical indications for musculoskeletal ultrasound in rheumatology. Kane D, Grassi W, Sturrock R, Balint PV (2004) Musculoskeletal ultrasound-a state of the art review in rheumatology. Am J Phys Med Rehabil Assoc Acad Physiatrists 90(2):112–118. Hong BY, Lee JI, Kim HW, Cho YR, Lim SH, Ko YJ (2011) Detectable threshold of knee effusion by ultrasonography in osteoarthritis patients. Knee Surg Sports Traumatol, Arthrosc Off J ESSKA 1(3–4):226–234. Hefti F, Muller W, Jakob RP, Staubli HU (1993) Evaluation of knee ligament injuries with the IKDC form. Hauzeur JP, Mathy L, De Maertelaer V (1999) Comparison between clinical evaluation and ultrasonography in detecting hydrarthrosis of the knee. The German arthroplasty registry, annual report 2020. Grimberg A, Jansson V, Lützner J, Melsheimer O, Morlock M, Steinbrück A. Įşen S, Akarırmak U, Aydın FY, Unalan H (2012) Clinical evaluation during the acute exacerbation of knee osteoarthritis: the impact of diagnostic ultrasonography. ĭraghi F, Urciuoli L, Alessandrino F, Corti R, Scudeller L, Grassi R (2015) Joint effusion of the knee: potentialities and limitations of ultrasonography. ĭelaunoy I, Feipel V, Appelboom T, Hauzeur JP (2003) Sonography detection threshold for knee effusion. Part 1: prevalence of inflammation in osteoarthritis. ĭ’Agostino MA, Conaghan P, Le Bars M, Baron G, Grassi W, Martin-Mola E et al (2005) EULAR report on the use of ultrasonography in painful knee osteoarthritis. 2021Ĭhiba D, Tsuda E, Maeda S, Sasaki E, Takahashi I, Nakaji S et al (2016) Evaluation of a quantitative measurement of suprapatellar effusion by ultrasonography and its association with symptoms of radiographic knee osteoarthritis: a cross-sectional observational study. European Society of MusculoSkeletal Radiology. (2016) Musculoskeletal ultrasound technical guidelines V. moderate/severe effusion by means of palpation.īeggs Ian e. Furthermore, for the first time, it has been possible to define sonographic threshold values for the detection of effusion and differentiation of mild vs. Especially in moderate to severe effusions, US provides a practical and reliable tool for outcome measurement superior to palpatory assessment with the goal of optimising individual recommendations during the rehabilitation course. ConclusionsĪs demonstrated in this multicenter study, the size of suprapatellar effusions can be easily quantified with high accuracy using standardised bedside ultrasound. Threshold values could be determined for the detection of effusions by palpation and for the differentiation between mild and moderate/severe effusions (effusion depth: 2.6 mm and resp. In a total of 164 sonographies, a strong correlation between palpatory and US effusion ( r = 0.83, p < 0.01) with lower deviations in US quantification compared to palpatory quantification Y = 1.15 + 0.15* x was seen. The palpatory assessment was graded using the International Knee Documentation Committee (oIKDC). Data were collected in ACLR and post surgery in defined intervals up to one year post-operation. US was performed on 35 patients as part of the ongoing CAMOPED study. We sought to externally validate ultrasonography (US) for quantification of suprapatellar effusion size to improve diagnosis and individualised rehabilitation strategies in knee rehabilitation after anterior cruciate ligament reconstruction (ACLR) surgery.
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