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Sonographic criteria for therapy follow-up in the course of ultrasound-guided intra- articular injections of hyaluronic acid in hand osteoarthritis  Andrea.

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Presentation on theme: "Sonographic criteria for therapy follow-up in the course of ultrasound-guided intra- articular injections of hyaluronic acid in hand osteoarthritis  Andrea."— Presentation transcript:

1 Sonographic criteria for therapy follow-up in the course of ultrasound-guided intra- articular injections of hyaluronic acid in hand osteoarthritis  Andrea S. Klauser, Ralph Faschingbauer, Karin Kupferthaler, Gudrun Feuchnter, Marius C. Wick, Werner R. Jaschke, Erich Mur  European Journal of Radiology  Volume 81, Issue 7, Pages (July 2012) DOI: /j.ejrad Copyright © 2011 Elsevier Ireland Ltd Terms and Conditions

2 Fig. 1 Sagittal dorsal high-frequency ultrasound image showing lengthwise measurement of the articular capsule of a proximal interphalangeal (PIP) 3 joint of a 54-years old female patient with hand OA to evaluate the maximum capsule distension. Left side of image is the distal portion of the joint. European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2011 Elsevier Ireland Ltd Terms and Conditions

3 Fig. 2 Sagittal dorsal sonographic widthwise measurement of the articular joint capsule distension of a proximal interphalangeal (PIP) 3 joint of a 54-years old female patient with OA. Left side of image is the distal portion of the joint. European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2011 Elsevier Ireland Ltd Terms and Conditions

4 Fig. 3 A representative dorsal axial high-frequency ultrasound image assessing the articular capsule distension in depth of a proximal interphalangeal (PIP) 3 joint of a 54-years old female patient with OA. European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2011 Elsevier Ireland Ltd Terms and Conditions

5 Fig. 4 Sagittal dorsal sonography for semi-quantitative assessment of blood vessels using PDUS. Left side of image is the distal portion of the joint. European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2011 Elsevier Ireland Ltd Terms and Conditions

6 Fig. 5 The total mean value of patients self-assessment of pain (on a 0–100 visual analogous scale; VAS) statistically significantly decreased from baseline (0), before the first intra-articular HA-injections, until 4 weeks after 5 weekly treatments (****p<0.0001). European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2011 Elsevier Ireland Ltd Terms and Conditions

7 Fig. 6 The mean joint capsule distension of all joints markedly decreased from baseline (0) until 4 weeks of weekly ultrasound-guided intra-articular HA-therapy (****p<0.0001). European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2011 Elsevier Ireland Ltd Terms and Conditions

8 Fig. 7 The mean PDUS-score before initiation of HA treatment (0) was statistically significantly higher than that after therapy (****p<0.0001). European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2011 Elsevier Ireland Ltd Terms and Conditions


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