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Leidersnaider, Caio Leal; Sztajnbok, Flávio Roberto; Coutinho, Evandro Silva Freire; Vaz, João Luiz Pereira; Porangaba, Marina; Hamdan, Paulo Cesar; Martins, Pedro Henrique; Constantino, Carolina Pesce Lamas; Ancillotti, Roger Vinicius; Messeder, Alexandre Malta; Monteiro, Débora Guimarães; Folly, Mayara Malta; Mogami, Roberto

Chikungunya Fever: Comparison Study of Synovitis and Tenosynovitis of the Hands and Wrists Using Physical Examination, Ultrasound, and MRI Findings

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  • Media type: E-Article
  • Title: Chikungunya Fever: Comparison Study of Synovitis and Tenosynovitis of the Hands and Wrists Using Physical Examination, Ultrasound, and MRI Findings
  • Contributor: Leidersnaider, Caio Leal; Sztajnbok, Flávio Roberto; Coutinho, Evandro Silva Freire; Vaz, João Luiz Pereira; Porangaba, Marina; Hamdan, Paulo Cesar; Martins, Pedro Henrique; Constantino, Carolina Pesce Lamas; Ancillotti, Roger Vinicius; Messeder, Alexandre Malta; Monteiro, Débora Guimarães; Folly, Mayara Malta; Mogami, Roberto
  • imprint: Wiley, 2022
  • Published in: Journal of Ultrasound in Medicine
  • Language: English
  • DOI: 10.1002/jum.15766
  • ISSN: 0278-4297; 1550-9613
  • Origination:
  • Footnote:
  • Description: <jats:sec><jats:title>Objectives</jats:title><jats:p>To compare musculoskeletal changes on a physical examination (PE), ultrasound (US) and magnetic resonance imaging (MRI) of the hands and wrists of patients with Chikungunya fever (CF).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>The sample consisted of 30 patients in the chronic phase of CF. The sites analyzed were the interphalangeal (IP), metacarpophalangeal (MCP) and wrist/mediocarpal (WMC) joints and periarticular soft tissue. The interval between the PE and imaging tests was 7 days, and the interval between US and MRI was 2 days. The kappa coefficient was calculated to estimate the agreement between the PE and US and MRI findings and between the US and MRI findings.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Significant agreement was observed between PE and US in the diagnosis of synovitis. The only statistically significant agreement between US and MRI was the finding of flexor tenosynovitis; the agreement was moderate.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>US has great potential for use in diagnosing synovitis suspected based on a PE. The limited agreement observed between US and MRI, in turn, may suggest a complementary role of these methods.</jats:p></jats:sec>