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Shoulder arthrography in rheumatoid arthritis.
Radiology
|September 1, 1975
Summary
Shoulder arthrography in rheumatoid arthritis reveals common joint changes and unique shoulder findings like rotator cuff tears. Identifying these is crucial for managing treatment side effects.
Area of Science:
- Radiology
- Rheumatology
- Orthopedic Surgery
Background:
- Rheumatoid arthritis commonly affects joints, including the shoulder.
- Treatment for rheumatoid arthritis can have significant side effects.
Purpose of the Study:
- To evaluate shoulder arthrogram findings in patients with rheumatoid arthritis.
- To identify specific arthrographic features indicative of rheumatoid arthritis involvement in the shoulder.
Main Methods:
- Retrospective review of shoulder arthrograms from 10 patients with rheumatoid arthritis.
- Analysis of common and unique arthrographic findings.
Main Results:
- Common findings included nodular filling defects, irregular capsular attachments, bursal filling defects, and lymphatic drainage.
- Unique shoulder findings were rotator cuff tears, frozen shoulder, and biceps sheath dilatation.
Conclusions:
- Shoulder arthrography can reveal characteristic changes in rheumatoid arthritis.
- Distinguishing rotator cuff tears and confirming glenohumeral involvement is vital for appropriate patient management due to treatment side effects.