Consistency of the sonographic image (double contour sign) in patients with gout after ambulation

The aim of this study was to know whether or not any crystal shedding occurs after ambulation in patients with gout and how it affects the consistency of the sonographic image of crystal deposition on hyaline cartilage. A total of 18 consecutive patients (29 knees), 11 with early gout (17 knees) and...

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Main Author: Angel Checa
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Medical Ultrasound
Subjects:
Online Access:http://www.jmuonline.org/article.asp?issn=0929-6441;year=2019;volume=27;issue=1;spage=40;epage=42;aulast=
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author Angel Checa
author_facet Angel Checa
author_sort Angel Checa
collection DOAJ
description The aim of this study was to know whether or not any crystal shedding occurs after ambulation in patients with gout and how it affects the consistency of the sonographic image of crystal deposition on hyaline cartilage. A total of 18 consecutive patients (29 knees), 11 with early gout (17 knees) and seven with chondrocalcinosis (12 knees), were prospectively scanned by ultrasound. Examination at rest and after ambulation was performed in each patient. Crystal aggregates were measured in a transverse view. Crystal shedding after ambulation was noted in two patients (two knees) with gout. However, crystal deposits on the surface of the articular cartilage in gout kept invariable size. In patients with chondrocalcinosis, crystal shedding by ambulation was absent. The conclusion of this study is that the size of crystal deposits on the hyaline cartilage in gout and chondrocalcinosis assessed by ultrasound is not modifiable by ambulation.
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spelling doaj.art-4184555ee3e643c48e5244b6219509512022-12-21T22:07:36ZengWolters Kluwer Medknow PublicationsJournal of Medical Ultrasound0929-64412212-15522019-01-01271404210.4103/JMU.JMU_77_18Consistency of the sonographic image (double contour sign) in patients with gout after ambulationAngel ChecaThe aim of this study was to know whether or not any crystal shedding occurs after ambulation in patients with gout and how it affects the consistency of the sonographic image of crystal deposition on hyaline cartilage. A total of 18 consecutive patients (29 knees), 11 with early gout (17 knees) and seven with chondrocalcinosis (12 knees), were prospectively scanned by ultrasound. Examination at rest and after ambulation was performed in each patient. Crystal aggregates were measured in a transverse view. Crystal shedding after ambulation was noted in two patients (two knees) with gout. However, crystal deposits on the surface of the articular cartilage in gout kept invariable size. In patients with chondrocalcinosis, crystal shedding by ambulation was absent. The conclusion of this study is that the size of crystal deposits on the hyaline cartilage in gout and chondrocalcinosis assessed by ultrasound is not modifiable by ambulation.http://www.jmuonline.org/article.asp?issn=0929-6441;year=2019;volume=27;issue=1;spage=40;epage=42;aulast=Chondrocalcinosiscrystal sheddingcrystal-induced arthritisdiagnostic ultrasoundgout
spellingShingle Angel Checa
Consistency of the sonographic image (double contour sign) in patients with gout after ambulation
Journal of Medical Ultrasound
Chondrocalcinosis
crystal shedding
crystal-induced arthritis
diagnostic ultrasound
gout
title Consistency of the sonographic image (double contour sign) in patients with gout after ambulation
title_full Consistency of the sonographic image (double contour sign) in patients with gout after ambulation
title_fullStr Consistency of the sonographic image (double contour sign) in patients with gout after ambulation
title_full_unstemmed Consistency of the sonographic image (double contour sign) in patients with gout after ambulation
title_short Consistency of the sonographic image (double contour sign) in patients with gout after ambulation
title_sort consistency of the sonographic image double contour sign in patients with gout after ambulation
topic Chondrocalcinosis
crystal shedding
crystal-induced arthritis
diagnostic ultrasound
gout
url http://www.jmuonline.org/article.asp?issn=0929-6441;year=2019;volume=27;issue=1;spage=40;epage=42;aulast=
work_keys_str_mv AT angelcheca consistencyofthesonographicimagedoublecontoursigninpatientswithgoutafterambulation