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Sonographic evaluation of hip joint effusion in osteoarthritis with correlation to radiographic findings

Sonographic evaluation of hip joint effusion in osteoarthritis with correlation to radiographic... Purpose Hip joint effusion is expected in rapidly destructive osteoarthritis, a diagnosis often only made retrospectively at the end stage of the disease. This study assesses whether the presence of an effusion identified during routine ultrasound‐guided hip injection may suggest a more aggressive process such as rapidly destructive osteoarthritis. Methods After the observation of 10 index cases of rapidly destructive osteoarthritis in patients who presented with a joint effusion on ultrasound, we retrospectively reviewed 94 hips from 89 patients who underwent ultrasound‐guided hip injection for pain. Preinjection longitudinal ultrasound images of the anterior capsule adjacent to the femoral neck and inferior to the femoral head were reviewed to determine if a joint effusion was present and the size of the effusion if one was there. Comparison of effusion size was then made between those hips that had a clinical and radiographic diagnosis of osteoarthritis and those who had rapidly destructive osteoarthritis by comparing the severity of joint effusion, if one was present. Results Patients with rapidly destructive osteoarthritis were more likely to have a large joint effusion 60% (3/5) than were those with osteoarthritis 6.7% (6/89) (p = 0.013). Conclusions Large joint effusions identified sonographically correlate well with radiographic findings of rapidly destructive osteoarthritis. Given rapid onset and severity of the disease, when a large joint effusion is identified on routine hip intervention, patients should be forewarned of the potential for this disease process. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound 42:205–211, 2014 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Sonographic evaluation of hip joint effusion in osteoarthritis with correlation to radiographic findings

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References (34)

Publisher
Wiley
Copyright
"Copyright © 2013 Wiley Periodicals, Inc."
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.22112
pmid
24281947
Publisher site
See Article on Publisher Site

Abstract

Purpose Hip joint effusion is expected in rapidly destructive osteoarthritis, a diagnosis often only made retrospectively at the end stage of the disease. This study assesses whether the presence of an effusion identified during routine ultrasound‐guided hip injection may suggest a more aggressive process such as rapidly destructive osteoarthritis. Methods After the observation of 10 index cases of rapidly destructive osteoarthritis in patients who presented with a joint effusion on ultrasound, we retrospectively reviewed 94 hips from 89 patients who underwent ultrasound‐guided hip injection for pain. Preinjection longitudinal ultrasound images of the anterior capsule adjacent to the femoral neck and inferior to the femoral head were reviewed to determine if a joint effusion was present and the size of the effusion if one was there. Comparison of effusion size was then made between those hips that had a clinical and radiographic diagnosis of osteoarthritis and those who had rapidly destructive osteoarthritis by comparing the severity of joint effusion, if one was present. Results Patients with rapidly destructive osteoarthritis were more likely to have a large joint effusion 60% (3/5) than were those with osteoarthritis 6.7% (6/89) (p = 0.013). Conclusions Large joint effusions identified sonographically correlate well with radiographic findings of rapidly destructive osteoarthritis. Given rapid onset and severity of the disease, when a large joint effusion is identified on routine hip intervention, patients should be forewarned of the potential for this disease process. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound 42:205–211, 2014

Journal

Journal of Clinical UltrasoundWiley

Published: May 1, 2014

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