Vega-Fernandez Patricia, Ting Tracy V, Pratt Laura, Bacha Christine M, Oberle Edward J
Department of Pediatrics, Division of Rheumatology, University of Cincinnati, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 4010, Cincinnati, OH 45229, USA.
University of Nebraska Medical Center, 985520 Nebraska Medical Center, Omaha, NE 68198-5520, USA.
Rheum Dis Clin North Am. 2022 Feb;48(1):217-231. doi: 10.1016/j.rdc.2021.09.009.
This review highlights the increasing evidence from the last few years supporting the use of musculoskeletal ultrasonography (MSUS) in the evaluation and management of patients with pediatric rheumatic diseases, particularly focusing on juvenile idiopathic arthritis. Recently developed definitions for the sonographic appearance of healthy and pathologic joints in children are discussed. Further topics explored include how MSUS enhances the diagnosis of inflammatory joint disease (synovitis, enthesitis, tenosynovitis), including the detection of subclinical synovitis. There is a brief summary on the use of ultrasonography in the evaluations of myositis, Sjögren syndrome, and scleroderma.
本综述强调了过去几年中越来越多的证据支持在评估和管理小儿风湿性疾病患者时使用肌肉骨骼超声检查（MSUS），尤其关注幼年特发性关节炎。文中讨论了最近针对儿童健康和病理性关节的超声表现制定的定义。探讨的其他主题包括MSUS如何增强对炎症性关节疾病（滑膜炎、附着点炎、腱鞘炎）的诊断，包括亚临床滑膜炎的检测。还简要总结了超声检查在评估肌炎、干燥综合征和硬皮病方面的应用。
