Development of a Musculoskeletal Ultrasound Protocol to Evaluate Hand Pain in Systemic Sclerosis Patients
Hand impairment is a frequently reported complaint in systemic sclerosis (SSc) patients and a leading cause of disability and diminished quality of life. Managing hand pain can be particularly challenging due to the coexistence of non-inflammatory arthralgias, inflammatory arthritis, acro-osteolysis...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-03-01
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| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/14/7/669 |
| _version_ | 1797212778876895232 |
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| author | Meridith L. Balbach Robert Corty Bradford Hill Tracy Frech Fawad Aslam Erin Y. Chew |
| author_facet | Meridith L. Balbach Robert Corty Bradford Hill Tracy Frech Fawad Aslam Erin Y. Chew |
| author_sort | Meridith L. Balbach |
| collection | DOAJ |
| description | Hand impairment is a frequently reported complaint in systemic sclerosis (SSc) patients and a leading cause of disability and diminished quality of life. Managing hand pain can be particularly challenging due to the coexistence of non-inflammatory arthralgias, inflammatory arthritis, acro-osteolysis, tenosynovitis, joint contractures, tendon friction rubs, nerve entrapment, Raynaud’s phenomenon (RP), digital ulcers (DU), sclerodactyly, calcinosis, and chronic pain. While physical examination and radiographs are the first line methods for evaluating hand pain, they are limited in scope and miss many underlying etiologies of hand impairment. We propose a joint ultrasound (US) hand protocol to differentiate between various articular, periarticular, ischemic, skin, and nerve pathologies and to assist in targeted treatment strategies. |
| first_indexed | 2024-04-24T10:47:48Z |
| format | Article |
| id | doaj.art-6f526fe866164a85b7a17d639e1b2c17 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-04-24T10:47:48Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-6f526fe866164a85b7a17d639e1b2c172024-04-12T13:16:39ZengMDPI AGDiagnostics2075-44182024-03-0114766910.3390/diagnostics14070669Development of a Musculoskeletal Ultrasound Protocol to Evaluate Hand Pain in Systemic Sclerosis PatientsMeridith L. Balbach0Robert Corty1Bradford Hill2Tracy Frech3Fawad Aslam4Erin Y. Chew5Division of Rheumatology and Immunology, Vanderbilt University Medical Center, Nashville, TN 37232, USADivision of Rheumatology and Immunology, Vanderbilt University Medical Center, Nashville, TN 37232, USADepartment of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USADivision of Rheumatology and Immunology, Vanderbilt University Medical Center, Nashville, TN 37232, USAMayo Clinic in Arizona, Department of Rheumatology, Scottsdale, AZ 85259, USADivision of Rheumatology and Immunology, Vanderbilt University Medical Center, Nashville, TN 37232, USAHand impairment is a frequently reported complaint in systemic sclerosis (SSc) patients and a leading cause of disability and diminished quality of life. Managing hand pain can be particularly challenging due to the coexistence of non-inflammatory arthralgias, inflammatory arthritis, acro-osteolysis, tenosynovitis, joint contractures, tendon friction rubs, nerve entrapment, Raynaud’s phenomenon (RP), digital ulcers (DU), sclerodactyly, calcinosis, and chronic pain. While physical examination and radiographs are the first line methods for evaluating hand pain, they are limited in scope and miss many underlying etiologies of hand impairment. We propose a joint ultrasound (US) hand protocol to differentiate between various articular, periarticular, ischemic, skin, and nerve pathologies and to assist in targeted treatment strategies.https://www.mdpi.com/2075-4418/14/7/669musculoskeletal ultrasoundsystemic sclerosishand pain |
| spellingShingle | Meridith L. Balbach Robert Corty Bradford Hill Tracy Frech Fawad Aslam Erin Y. Chew Development of a Musculoskeletal Ultrasound Protocol to Evaluate Hand Pain in Systemic Sclerosis Patients Diagnostics musculoskeletal ultrasound systemic sclerosis hand pain |
| title | Development of a Musculoskeletal Ultrasound Protocol to Evaluate Hand Pain in Systemic Sclerosis Patients |
| title_full | Development of a Musculoskeletal Ultrasound Protocol to Evaluate Hand Pain in Systemic Sclerosis Patients |
| title_fullStr | Development of a Musculoskeletal Ultrasound Protocol to Evaluate Hand Pain in Systemic Sclerosis Patients |
| title_full_unstemmed | Development of a Musculoskeletal Ultrasound Protocol to Evaluate Hand Pain in Systemic Sclerosis Patients |
| title_short | Development of a Musculoskeletal Ultrasound Protocol to Evaluate Hand Pain in Systemic Sclerosis Patients |
| title_sort | development of a musculoskeletal ultrasound protocol to evaluate hand pain in systemic sclerosis patients |
| topic | musculoskeletal ultrasound systemic sclerosis hand pain |
| url | https://www.mdpi.com/2075-4418/14/7/669 |
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