Abstract
The interest and application of musculoskeletal ultrasound (MSUS) in juvenile idiopathic arthritis (JIA) are increasing. Numerous studies have shown that MSUS is more sensitive than clinical examination for detecting subclinical synovitis. MSUS is a well-accepted tool, easily accessible and non-irradiating. Therefore, it is a useful technique throughout JIA management. In the diagnostic work-up, MSUS allows for better characterizing the inflammatory involvement. It helps to define the disease extension, improving the classification of patients into JIA subtypes. Moreover, it is an essential tool for guiding intra-articular and peritendinous procedures. Finally, during the follow-up, in detecting subclinical disease activity, MSUS can be helpful in therapeutic decision-making. Because of several peculiarities related to the growing skeleton, the MSUS standards defined for adults do not apply to children. During the last decade, many teams have made large efforts to define normal and pathological US features in children in different age groups, which should be considered during the US examination. This review describes the specificities of MSUS in children, its applications in clinical practice, and its integration into the new JIA treat-to-target therapeutic approach.
Reference77 articles.
1. Prevalence and Incidence of Juvenile Idiopathic Arthritis: A Systematic Review;Thierry;Jt. Bone Spine,2014
2. International League of Associations for Rheumatology Classification of Juvenile Idiopathic Arthritis: Second Revision, Edmonton, 2001;Petty;J. Rheumatol.,2004
3. Time to Diagnosis in Juvenile Idiopathic Arthritis: A French Perspective;Aoust;Orphanet J. Rare Dis.,2017
4. Clinical Outcome and Long-Term Remission in JIA;Glerup;Curr. Rheumatol. Rep.,2017
5. Pro Musculoskeletal Ultrasonography in Rheumatoid Arthritis;Ohrndorf;Clin. Exp. Rheumatol.,2015
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