Ultrasonography in Pediatric Rheumatology

Patricia Vega-Fernandez; Tracy V Ting; Laura Pratt; Christine M Bacha; Edward J Oberle

doi:10.1016/j.rdc.2021.09.009

Ultrasonography in Pediatric Rheumatology

Rheum Dis Clin North Am. 2022 Feb;48(1):217-231. doi: 10.1016/j.rdc.2021.09.009.

Authors

Patricia Vega-Fernandez¹, Tracy V Ting¹, Laura Pratt², Christine M Bacha³, Edward J Oberle⁴

Affiliations

¹ Department of Pediatrics, Division of Rheumatology, University of Cincinnati, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 4010, Cincinnati, OH 45229, USA.
² University of Nebraska Medical Center, 985520 Nebraska Medical Center, Omaha, NE 68198-5520, USA.
³ Division of Rheumatology, Nationwide Children's Hospital, 700 Children's Drive, ED 3013, Columbus, OH 43205, USA.
⁴ University of Nebraska Medical Center, 985520 Nebraska Medical Center, Omaha, NE 68198-5520, USA. Electronic address: [email protected].

PMID: 34798948
DOI: 10.1016/j.rdc.2021.09.009

Abstract

This review highlights the increasing evidence from the last few years supporting the use of musculoskeletal ultrasonography (MSUS) in the evaluation and management of patients with pediatric rheumatic diseases, particularly focusing on juvenile idiopathic arthritis. Recently developed definitions for the sonographic appearance of healthy and pathologic joints in children are discussed. Further topics explored include how MSUS enhances the diagnosis of inflammatory joint disease (synovitis, enthesitis, tenosynovitis), including the detection of subclinical synovitis. There is a brief summary on the use of ultrasonography in the evaluations of myositis, Sjögren syndrome, and scleroderma.

Keywords: Enthesitis; Juvenile idiopathic arthritis; Musculoskeletal ultrasonography; Pediatric rheumatology; Synovitis.

Publication types

Review

MeSH terms

Arthritis, Juvenile* / diagnostic imaging
Child
Enthesopathy*
Humans
Musculoskeletal System* / diagnostic imaging
Rheumatology*
Synovitis* / diagnostic imaging
Ultrasonography