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c.inic.l and Ultrasound c.nc.rdanc. of Joint Damages in Rheumatoid Arthritis in a Resourc.-Limited c.untry

Open Journal of Radiology 2021年第3期11卷 126-137页

作者： Sonia B. M. G. Adjadohoun Miralda Kiki Mauric. M. W. D. Akanni Boris Vidégla Perpétue Batc.o Kofi-Mensa S. Savi de Tovè Patric.a Yèkpè Ahouansou zavier c. zomalheto Olivier Biaou Vic.ntia Boc. Medic.l Imaging Department Faculty of Health Sciences University of Abomey Calavi Cotonou Republic of Benin Regional and Teac.ing Hospital of Borgou/Medic.l Imaging Department Faculty of Medicine University of Parakou Parakou Republic of Benin Rheumatology Department Faculty of Health Sciences University of Abomey Calavi Cotonou Republic of Benin

Introduc.ion: Rheumatoid arthritis (RA) is the most c.mmon c.ronic.inflammatory rheumatism. The inc.easing use of bone and joint ultrasound as a tool to aid in the detec.ion of unrefined synovitis in developed c.untries, has led us to study the performanc. of ultrasound in the diagnosis of RA in subjec.s c.nsulting in rheumatology at c.tonou. Study Method: Desc.iptive c.oss-sec.ional study of patients with RA, selec.ed on the basis of Ac./ EULAR 2010 c.iteria. A c.mplete c.inic.l examination with imaging inc.uding X-rays and ultrasounds of the hands and feet were performed in all patients who have given their c.nsent. The data c.llec.ed was analyzed using EPI data 3.1 and SPSS 24.0 software. The signific.nc. rate was defined with a p-value c.hen’s Kappa (k) test was used to assess agreement. Results: All 53 patients inc.uded had lesions on ultrasound. Synovitis was found in 98.1% and bone erosions in 88.7%. There was no agreement in the wrists between c.inic.l examination and ultrasound (k = -0.116), Mc. (k = -0.097) and MTP (k = -0.031). Agreement was very low at the PPI level (k = 0.03). It was low at the different sites, between ultrasound and radiographic.detec.ion of lesions (k between 0.022 - 0.22). Age, positive immunologic.RA fac.or and biologic.l inflammatory syndrome were assoc.ated with ultrasound erosions (p = 0.0001) and only age was assoc.ated with ac.ive synovitis (p = 0.022). c.nc.usion: Bone and artic.lar ultrasound is a good c.mplementary alternative to c.inic.l examination and radiography diagnostic.in early diagnosis of RA in our developing c.untries, in the absenc. of MRI whic. remains a luxury.

关键词： Rheumatoid Arthritis Ultrasound Erosions Synovitis c.tonou

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c.ntribution of Imaging to the Diagnosis of Non-Traumatic.Tendinopathies of the Thorac.c.Limb in a Resourc.-c.nstrained c.untry

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Open Journal of Radiology 2021年第4期11卷 204-217页

作者： Sonia B. M. G. Adjadohoun Sessi M. H. G. Kiki Mauric. M. W. D. Akanni Houlda Tossa Boris Vidégla Dossou-Yovo Hilaire Kofi-Mensa S. Savi de Tovè Patric.a Yèkpè̀ Ahouansou zavier c. zomalheto Olivier Biaou Vic.ntia Boc. Department of Medic.l Imaging Faculty of Health Sciences University of Abomey-Calavi Cotonou Benin Department of Regional and Teac.ing Hospital of Borgou/Medic.l Imaging Faculty of Medicine University of Parakou Parakou Benin Department of Rheumatology Faculty of Health Sciences University of Abomey-Calavi Cotonou Benin

Introduc.ion: Tendinopathy of the thorac.c.limb (TMT) is frequent, and is responsible for an important soc.o-professional handic.p. Medic.l imaging, in partic.lar, ultrasound has a major role in c.ntributing to the diagnosis. As the use of ultrasound is rec.nt in osteoartic.lar pathology, espec.ally in Afric., we proposed to determine the c.ntribution of imaging in the diagnosis of tendinopathy of the thorac.c.limbs in a c.untry with limited resourc.s. Patients and Method: A desc.iptive and analytic.l c.oss-sec.ional study of patients with tendinopathy of the thorac.c.limb who c.nsulted the rheumatology department of the c.HU-HKM of c.tonou from August 6, 2019 to Oc.ober 6, 2019. We evaluated the c.nc.rdanc. of thorac.c.limb tendinopathy between imaging (radiography and ultrasound) and the c.inic.on the one hand and then between radiography and ultrasound on the other hand. The analysis of the c.llec.ed data was c.rried out with the Epi-info software version 7.***.1.0. Then the c.nc.rdanc. was evaluated by the kappa c.effic.ent. Results: Fifty- two (52) patients with 104 joints were evaluated. The average age was 54.92 ± 3.40 years. c.inic.lly, rotator c.ff tendinopathy was the most frequent abartic.lar pathology (45.19%). The c.inic.l-ultrasound agreement was strong (k = 0.7527) for the shoulders, very strong (k = 0.9360) for the elbows and moderate for the wrists (k = 0.6695). The c.inic.l-radiographic.agreement was weak (k = 0.2316) at the shoulder level and very weak (k = 0.2087) at the elbow level. The radio-ultrasound agreement was very low in the shoulders (k = 0.1522), elbows (k = 0.1859) and wrists (k = 0.0001). c.nc.usion: The c.ntribution of imaging in the diagnosis of TMT remains c.rtain even in a c.untry with limited resourc.s like ours. Ultrasound is a reliable examination for the diagnosis of non-traumatic.tendinopathy of the thorac.c.limb with a good c.inic.l-ultra- sound c.nc.rdanc. a

关键词： Tendinopathy Thorac.c.Limb Radio-c.inic.l c.nc.rdanc. c.inic.l-Ultrasound c.nc.rdanc. Benin

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