- Poster presentation
- Open Access
Ultrasonography (US) in juvenile idiopathic arthritis (JIA): diagnosis, treatment and follow-up of ankle involvement
© Laurell et al; licensee BioMed Central Ltd. 2008
- Published: 15 September 2008
- Public Health
- Clinical Sign
- Juvenile Idiopathic Arthritis
The aim of this study was to evaluate the usefulness of US and Doppler-US of the ankle region in children with JIA, for diagnosis of inflammation, guidance of steroid injection and follow-up.
15 ankle regions with clinical signs of arthritis were examined with US and Doppler-US in 12 children, 9 girls and 3 boys between 2 and 14 years (mean 6.5 years, median 5 years).
US demonstrated inflammation in 24 compartments: 12 talocrural-, 6 subtalar-, 1 talonavicular joint and 5 tendonsheaths, respectively. US-guided steroid injection was successfully performed and the effect on synovial hypertrophy, effusion and synovial hyperaemia was measured after 1 and 4 weeks.
Results at follow-up with US and Doppler-US after US-guided steroid injection
Synovial Hypertrophy (n = 24)
Effusion (n = 8)
Synovial Hyperaemia (n = 23)
US is a valuable tool to determine the exact location of synovitis, in guiding steroid injections and for follow-up in JIA. In our preliminary study there was improvement of the inflammation in a majority of compartments. Further research of the application of US in the paediatric population is needed before firm conclusions of its clinical value can be drawn.
This article is published under license to BioMed Central Ltd.