Publication Details
Abstract
The early detection and monitoring of osteochondral abnormalities associated with various arthropathies are essential for effective management. This study aimed to identify distinctive ultrasound manifestations indicative of hyaline cartilage and underlying bone alterations in different arthropathies and connective tissue disorders. A total of 540 patients with joint symptoms were examined using high-resolution ultrasound equipment. Ultrasound features of cartilage and bone changes were analyzed, with specific variations observed across rheumatoid arthritis (RA), reactive arthritis (ReA), gouty arthritis (GdA), osteoarthritis (OA), systemic lupus erythematosus (SLE), systemic scleroderma (SSc), and psoriatic arthropathy (PsA). Results revealed characteristic patterns of cartilage thinning, thickening, and erosions, as well as bone sclerosis and marginal bone growths, unique to each condition. Notably, early cartilage erosion detection occurred within approximately 2.9 months from the onset of destructive arthritis. This study underscores the high sensitivity and specificity of ultrasound diagnostics in detecting and monitoring osteochondral abnormalities, offering valuable insights for early intervention and treatment strategies in arthropathies.