Rheumatology Medical News about RA

Become a Member Today!
Register

Most Viewed Abstracts

1. Report Shows Shift in Starting Salaries for Physicians

2. Rapid correction of low vitamin D status in nursing home residents

3. 2008 Exclusive Survey—Earnings: Good news for primary care income

4. Medicare pay-for-reporting effort draws fire from frustrated doctors

5. Allopurinol-induced recurrent dress syndrome: Pathophysiology and treatment

Your Article Summary

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

Prediction of wrist prognosis in patients with early rheumatoid arthritis according to radiographic classification
The Journal of Hand Surgery, 05/26/09

Murakoshi K et al. – Results indicate that type I (ankylosing) and III (disintegrating) wrists defined according to the modified Schulthess classification of rheumatoid wrist involvement had radiographic progression and ultimately underwent deformation. This analysis also showed that the baseline carpal height ratio (CHR) index was even more useful in predicting radiographic progression after 10 years.

Methods

A study to determine the importance of CHR or ulnar translation ratio (UTR) in predicting radiographic progression of RA in wrist
106 wrists with early RA; radiologic misalignment was assessed by measuring CHR and UTR
Modified Schulthess classification of rheumatoid wrist involvement used to classify the subtypes of wrist joint destruction:
- Types I: ankylosing
- Type II: osteoarthritis
- Type III: disintegrating and
- Type IV: defined as normal
Wrist joints were evaluated as stable or progressive by measuring the values of CHR and UTR indices
Modified Schulthess classification of rheumatoid wrist involvement subtypes were also evaluated for association with radiographic progression over 10 yrs using the baseline CHR and UTR indices

Results

Mean CHR values of types I and III were 0.42 and 0.37 respectively
The mean UTR values of types I and III were 0.348 and 0.351, respectively
These values indicated that degradation was faster in types I and III than in other types
We then found type I and III wrists to have progressive arthritis, and type II and IV wrists stable arthritis
Baseline CHR index was a significant predictor of radiographic progression

<< Previous
Knee vs hip single-joint intra-articular hyaluronic acid...

Next >>
The CARD8 p.C10X polymorphism associates with the inflammatory...