Ultrasonographic characteristic of knee joint structures in hypermobility syndrome
https://doi.org/10.14412/1995-4484-2003-1130
Abstract
Objective. To determine structural origin of joint pain in hypermobility syndrome (HS) by sonographic scanning. Material and. 48 women aged 16 to 25 years were examined. 21 HS patients of group 1 had knee pain (12 bilateral and 9 unilateral, 33 painful joints), group II consisted of 17 women with HS without knee pain. 10 healthy women were included in control group. Degree of hypermobility was assessed according to Beighton score. Sonographic examination was performed with 5-7,5 MHz linear and convex probes. Thickness of synovial tissue and femur condyles cartilage, presence of synovial fluid, state of menisci, collateral ligaments, m. semimembranosus tendon was estimated. Results. Sonographic changes (mainly collateral ligaments edema and tendinitis of m. semimembranosus tendon) were found in 30 of 33 painful joints of group 1, 16 of 34 joints of group II and only 1 of 20 joints of control group. Frequency of tissue changes adjacent to knee joint differed significantly between groups 1 and II (p=0,001), I and III (p=0,000), 2 and 3 (p=0,01). Conclusion. In most cases knee joint pain in HS is accompanied by sonographic signs of soft tissue damage - mainly collateral ligaments edema and tendinitis of m. semimembranosus tendon. These changes in HS may be asymptomatic.
References
1. <div><p>Дахи А., Цветкова Е.С., Мач Э.С. и др. Ультразвуковая диагностика синовита при остеоартрозе. Клинич. рев- матол., 1994, 1, 19-22.</p><p>Луговец С.Г., Мач Э.С., Пушкова О.В. Киста Бейкера. Росс, ревматол., 1998, 2, 52-55.</p><p>Привес М.Г, Лысенков Н.К., Бушкович В.И. Анатомия человека. М., Медицина, 1985, 219.</p><p>Aguado U.J, Mayordomo М, Naredo Е. et al. Pes anseri- nus tendo- bursitis: what are we talking about? Scand.J. Rheumatol., 2000, 29, 3, 184-186.</p><p>Beigton P.H., Grahame R., Bird H. Hypermobility of joints.2-nd edition. Berlin. Springer-Verlag. 1989.</p><p>Beigton P., Solomon L., Soskolne C.L. Articular mobility in an African population. Ann.Rheum.Dis., 1973, 32, 413418.</p><p>Graham R., Bird H., Child A. The British Society for Rheumatology Special Interest Group on Heritable Disoders of Connective Tissue. Criteria for the Benign Joint Hypermobility Syndrome. The Revised (Brighton 1998) Criteria for the Diagnosis of the BJHS. J.Rheumatol., 2000, 27, 1777-1779.</p><p>Hall M.G, Ferrel W.R, Sturrock R.D. et al. The effect hypermobility syndrome on knee joint proprioreception. Br. J. Rheumatol., 1995, 34, 121-5.</p><p>Klemp P. Hypermobility. Arm. Rheum. Dis., 1997, 56, 573-575.</p><p>Sattler H., Hardland U., Sonography of the soft tissues. In: Artrosonography. Springer-Verlag, 1989, 125-139.</p><p>Van Holsbeek М., Introcaso J.H., eds. Sonography of tendons. In: Musculoskeletal Ultrasaund. St.Luis : Mosby Year book, 1991, 57-121.</p></div><br />
Review
For citations:
Belenky A.G., Severinova M.V., Mach E.S. Ultrasonographic characteristic of knee joint structures in hypermobility syndrome. Rheumatology Science and Practice. 2003;41(1):29-32. (In Russ.) https://doi.org/10.14412/1995-4484-2003-1130
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