The Rheumatoid Hand

by Garlaschi, G.; Silvestri, E.; Satragno, L.; Cimmino, M. A.

• ISBN13: 9788847001664
• ISBN10: 8847001668
• Format: Hardcover
• Copyright: 2002-08-01
• Publisher: Springer Verlag

Summary

Rheumatic inflammatory diseases represent a steadily increasing group of disorders that have considerable social impact through affected patients' worsening quality of life and require engagement in the health field. Among these, rheumatoid arthritis stands as the most frequent pathology, and the hand is the most typical affected area. The incidence of rheumatic arthritis, as indicated by recent epidemiological studies, is bound to undergo a further significant increase in the future. There is, therefore, a need for careful diagnosis of the disease, based on clinical criteria designed by the American College of Rheumatology and Diagnostic Imaging. The latter provides an objective assessment of the extent and severity of joint involvement. Rheumatoid Hand includes 25 tables of clinical and radiological cases. The text analyses the capability of diagnostic imaging (conventional radiology, ultrasonography and magnetic resonance) to identify the early stages and the activity of disease, allowing the rheumatologist to decide on an effective therapeutic plan.

Table of Contents

Foreword	v
H.K. Genant
Foreword	vii
G. Cittadini
History, Epidemiology and Clinical Evaluation of Rheumatoid Arthritis	1	(8)
Introduction	1	(1)
Epidemiology	1	(1)
Clinical Features	2	(2)
Evaluation of Patients with Rheumatoid Arthritis	4	(1)
Laboratory Investigations	4	(1)
Clinical Evaluation	4	(1)
Imaging Techniques	5	(1)
Composite Indexes	5	(1)
Etiopathogenesis	5	(2)
Therapy	7	(2)
Diagnostic Imaging	9	(50)
Conventional Radiography	9	(18)
Examination Techniques and Normal Radiographic Anatomy	10	(1)
Standard Views	10	(3)
Specific Views	13	(5)
Conventional Radiography and Rheumatoid Arthritis	18	(9)
Ultrasonography	27	(18)
Transducers	27	(1)
Doppler Techniques	27	(1)
Contrast Agents	28	(1)
Examination Technique	28	(1)
Ultrasonography	28	(1)
Color Doppler and Power Doppler	28	(1)
Ultrasonograpic Anatomy	29	(6)
US in Rheumatoid Arthritis	35	(10)
Magnetic Resonance	45	(14)
Examination Technique	45	(2)
MR Normal Anatomy	47	(1)
Bone	47	(1)
Bone Marrow	47	(1)
Hyaline Cartilage	47	(1)
Tendons, Ligaments and Joint Capsule	47	(3)
Muscular Tissue	50	(1)
Adipose Tissue	50	(1)
Fluids	51	(1)
Magnetic Resonance in Rheumatoid Arthritis	52	(7)
Clinical and Radiological Cases	59	(52)
Bibliography	111