Sonographic findings in haemodialysis-related chronic arthropathy

European Radiology
G CoariS Persichetti

Abstract

In 33 subjects receiving long-term haemodialysis sonographic examination of shoulders, hips and knees was performed. Changes of both joints and periarticular soft tissues were found in 60 shoulders, 16 hips and 42 knees. In the shoulder besides the presence of tenosynovitis and bursitis, even significant thickening of rotator cuff and increased distance between capsule and bone in transascellar scan were found. Also, in the hip the distance between capsule and bone was significantly increased. In the knee effusion was present in 14 cases and synovial hypertrophy in 20. Articular femoral cartilage was significantly thinned. Results obtained suggest the hypothesis of the presence of an important inflammatory component in the pathogenesis of arthropathy related to haemodialytic treatment. The production of cytokines by mononuclear cells stimulated by beta-2 microglobulin may cause the inflammatory response. Sonographic findings of alterations in 42 symptomless joints show the importance of this diagnostic method to begin an early therapy.

Citations

Feb 15, 2011·Clinical Rheumatology·Marwin GutierrezWalter Grassi
Apr 29, 1998·Kidney International·F TakayamaT Niwa
Aug 12, 1999·Radiologic Clinics of North America·W W Gibbon, R J Wakefield
Aug 12, 1999·Radiologic Clinics of North America·R Ptasznik
Aug 1, 2007·Journal of Clinical Ultrasound : JCU·Ulku KerimogluCetin Turgan

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