Abstract
We developed two new radiographic parameters-the humeral surface height ratio and ulnar surface height ratio-to precisely detect changes in the bony structure of rheumatoid elbows. Of the 59 patients with rheumatoid arthritis, 101 elbows were classified into four types (osteoarthritis, ankylosis, erosive, and resorptive) according to the radiographic appearance. Clinically, osteoarthritis type and ankylosis type were considered to be stable form, and erosive type and resorptive type were unstable form. Patients' clinical data and yearly radiographic changes in the bony structure evaluated by the humeral surface height ratio and ulnar surface height ratio were compared among the four types and between the two forms. There were significant differences between the two forms and among the three types except for the ankylosis type in yearly radiographic changes in the bony structure evaluated by the humeral surface height ratio and ulnar surface height ratio. Stable and unstable forms were distinguished by a cut-off point of 0.65 and 2.58 in yearly radiographic changes in the bony structure evaluated by the humeral surface height ratio and the ulnar surface height ratio, respectively. These parameters might be useful for monitoring the structural changes of the elbow joint in rheumatoid arthritis.
| Original language | English |
|---|---|
| Pages (from-to) | 637-643 |
| Number of pages | 7 |
| Journal | Clinical Rheumatology |
| Volume | 29 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Jun 2010 |
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Keywords
- Elbow joint
- Joint destruction pattern
- Radiographic parameter
- Rheumatoid arthritis
ASJC Scopus subject areas
- Rheumatology
Cite this
Radiographic measurements in the evaluation and classification of elbow joint destruction in patients with rheumatoid arthritis. / Hashizume, Kenzo; Nishida, Keiichiro; Fujiwara, Kazuo; Kadota, Yasutaka; Nakahara, Ryuuichi; Ezawa, Kazuhiko; Inoue, Hajime; Ozaki, Toshihumi.
In: Clinical Rheumatology, Vol. 29, No. 6, 06.2010, p. 637-643.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Radiographic measurements in the evaluation and classification of elbow joint destruction in patients with rheumatoid arthritis
AU - Hashizume, Kenzo
AU - Nishida, Keiichiro
AU - Fujiwara, Kazuo
AU - Kadota, Yasutaka
AU - Nakahara, Ryuuichi
AU - Ezawa, Kazuhiko
AU - Inoue, Hajime
AU - Ozaki, Toshihumi
PY - 2010/6
Y1 - 2010/6
N2 - We developed two new radiographic parameters-the humeral surface height ratio and ulnar surface height ratio-to precisely detect changes in the bony structure of rheumatoid elbows. Of the 59 patients with rheumatoid arthritis, 101 elbows were classified into four types (osteoarthritis, ankylosis, erosive, and resorptive) according to the radiographic appearance. Clinically, osteoarthritis type and ankylosis type were considered to be stable form, and erosive type and resorptive type were unstable form. Patients' clinical data and yearly radiographic changes in the bony structure evaluated by the humeral surface height ratio and ulnar surface height ratio were compared among the four types and between the two forms. There were significant differences between the two forms and among the three types except for the ankylosis type in yearly radiographic changes in the bony structure evaluated by the humeral surface height ratio and ulnar surface height ratio. Stable and unstable forms were distinguished by a cut-off point of 0.65 and 2.58 in yearly radiographic changes in the bony structure evaluated by the humeral surface height ratio and the ulnar surface height ratio, respectively. These parameters might be useful for monitoring the structural changes of the elbow joint in rheumatoid arthritis.
AB - We developed two new radiographic parameters-the humeral surface height ratio and ulnar surface height ratio-to precisely detect changes in the bony structure of rheumatoid elbows. Of the 59 patients with rheumatoid arthritis, 101 elbows were classified into four types (osteoarthritis, ankylosis, erosive, and resorptive) according to the radiographic appearance. Clinically, osteoarthritis type and ankylosis type were considered to be stable form, and erosive type and resorptive type were unstable form. Patients' clinical data and yearly radiographic changes in the bony structure evaluated by the humeral surface height ratio and ulnar surface height ratio were compared among the four types and between the two forms. There were significant differences between the two forms and among the three types except for the ankylosis type in yearly radiographic changes in the bony structure evaluated by the humeral surface height ratio and ulnar surface height ratio. Stable and unstable forms were distinguished by a cut-off point of 0.65 and 2.58 in yearly radiographic changes in the bony structure evaluated by the humeral surface height ratio and the ulnar surface height ratio, respectively. These parameters might be useful for monitoring the structural changes of the elbow joint in rheumatoid arthritis.
KW - Elbow joint
KW - Joint destruction pattern
KW - Radiographic parameter
KW - Rheumatoid arthritis
UR - http://www.scopus.com/inward/record.url?scp=77954425281&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77954425281&partnerID=8YFLogxK
U2 - 10.1007/s10067-010-1381-y
DO - 10.1007/s10067-010-1381-y
M3 - Article
VL - 29
SP - 637
EP - 643
JO - Clinical Rheumatology
JF - Clinical Rheumatology
SN - 0770-3198
IS - 6
ER -