Description

Backhaus et al reported a scoring system for a joint assessment performed using ultrasound. This involved assessments for synovitis, tenosynovitis or paratendonitis, and erosions. The authors are from multiple hospitals in Germany.


 

Evaluation was performed with gray-scale ultrasound (GSUS).

 

Sites selected: clinically dominant hand and corresponding foot

 

An erosion was defined as an interruption in the bone surface seen in 2 perpendicular planes.

 

Joint locations assessed for erosions: 14 sites at 6 joints

 

Fingers:

(1) metacarpophalangeal (MCP) II, dorsal aspect

(2) metacarpophalangeal (MCP) II, palmar aspect

(3) metacarpophalangeal (MCP) II, radial aspect

 

(4) metacarpophalangeal (MCP) III, dorsal aspect

(5) metacarpophalangeal (MCP), palmar aspect

 

(6) proximal interphalangeal (PIP) II, dorsal aspect

(7) proximal interphalangeal (PIP) II, palmar aspect

 

(8) proximal interphalangeal (PIP) III, dorsal aspect

(9) proximal interphalangeal (PIP) III, palmar aspect

 

Toes:

(10) metatarsophalangeal (MTP) II, dorsal aspect

(11) metatarsophalangeal (MTP) II, plantar aspect

 

(12) metatarsophalangeal (MTP) V, dorsal aspect

(13) metatarsophalangeal (MTP) V, plantar aspect

(14) metatarsophalangeal (MTP) V, lateral aspect

Erosions

Points

absent

0

present

1

 

total score for erosions on one side =

= SUM(points for all 14 sites)

 

Interpretation:

• minimum score for erosions: 0

• maximum score for erosions: 14

 


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