| Theme | Amyloid-Related Bone and Joint Derangements -- Clinical Diagnosis and Treatment | |
|---|---|---|
| Title | Ultrasonographic evaluation of dialysis-related osteoarthropathy | |
| Publish Date | 1997/08 | |
| Author | Ryuji Aoyagi | Division of Internal Medicine, Ojiya General Hospital |
| Author | Masaaki Arakawa | Department of Medicine (II), Niigata University School of Medicine |
| [ Summary ] | The diagnosis of dialysis-related amyloidosis is confirmed by histologic evaluation of the involved tissue. Ultrasonographic images of shoulder and hip joints clearly demonstrate periarticular soft tissue structures such as the joint capsule, Iigament, and fluid collection. Recently, ultrasonography of shoulder and hip joints has facilitated the diagnosis of dialysis-related amyloidosis. We measured the distance between the humeral surface and the inner surface of the deltoid muscle (shoulder-capsular distance ; SCD), and the femoral surface and the hip joint capsule (hip-capsular distance : HCD), as markers of joint capsule swelling. The SCD and HCD were significantly wider in patients with than in those without dialysis-related amyloid osteoarthropathy. In longitudinal study revealed these parameters to be increased. Ultrasonography of shoulder and hip joints is a useful and non-invasive tool for evaluating dialysis arthropathy, and also facilitates the diagnosis and monitoring of dialysis-related amyloid osteoarthropathy. |
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