Pregnant versus non-pregnant healthy subjects - a prospective longitudinal musculoskeletal ultrasound study concerning the spectrum of normality

Medical Ultrasonography
Mihaela MicuRuxandra Ionescu

Abstract

Pregnancy induces profound changes in the maternal body and the normality spectrum may differ compared to non-pregnant subjects. The main objective was to establish the presence, frequency and distribution of articular and peri-articular abnormal findings in healthy women, pregnant and non-pregnant, using clinical examination (CE) and musculoskeletal ultrasound (MSUS). Second objective was to identify which joint/tendon set would show fewer modifications in both groups of healthy subjects and would remain stable throughout pregnancy. A prospective cross-sectional and longitudinal study on healthy pregnant (case group, 5 evaluations - 1st, 2nd, and 3rd trimester of pregnancy and 2 postpartum visits) and non-pregnant female volunteers (control group, one evaluation), consisting in CE vs MSUS joint and tendon evaluation, was conducted. MSUS elementary lesions such as synovial hypertrophy, effusion, Power Doppler (PD) signal, erosions and osteophytes were quantified. The case group (20 pregnant women) and 75 age- matched controls were evaluated on 46 joints and 24 tendon units. The highest frequency of grey scale pathologic-like imaging abnormalities was detected at metatarsophalangeal joints and wrist level in both groups. No path...Continue Reading

Citations

Nov 5, 2021·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·Esperanza NaredoDaniela Fodor

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