A ressonância magnética do quadril na avaliação de pacientes com artrite reumatóide: estudo descritivo

OBJECTIVE: To assess the usefulness of MRI as a diagnostic method in patients with rheumatoid arthritis, and to evaluate the frequency of changes in the hip in symptomatic and asymptomatic patients. MATERIALS AND METHODS: Forty patients (17 symptomatic and 23 asymptomatic) were evaluated by 1.5 T ma...

Full description

Bibliographic Details
Authors: Caldana, Wanda Chiyoko Iwakami [UNIFESP], Ciconelli, Rozana Mesquita [UNIFESP], Juliano, Yara [UNIFESP], Fernandes, Artur da Rocha Correa [UNIFESP]
Format: article
Status:Published version
Publication Date:2005
Country:Brasil
Institution:Universidade Federal de São Paulo (UNIFESP)
Repository:Repositório Institucional da UNIFESP
Language:Portuguese
OAI Identifier:oai:repositorio.unifesp.br:11600/2602
Online Access:http://dx.doi.org/10.1590/S0100-39842005000400005
http://repositorio.unifesp.br/handle/11600/2602
Access Level:Open access
Keyword:Magnetic resonance imaging
Hip
Rheumatoid arthritis
Adult
Ressonância magnética
Quadril
Artrite reumatóide
Adulto
Description
Summary:OBJECTIVE: To assess the usefulness of MRI as a diagnostic method in patients with rheumatoid arthritis, and to evaluate the frequency of changes in the hip in symptomatic and asymptomatic patients. MATERIALS AND METHODS: Forty patients (17 symptomatic and 23 asymptomatic) were evaluated by 1.5 T magnetic resonance imaging (MRI) after intravenous contrast media injection. MRI findings were divided in inflammatory, degenerative, combined (inflammatory and degenerative) and extra-articular changes. RESULTS: The most frequent findings seen were degenerative and extra-articular changes (22.5% each). Inflammatory changes were seen in only five (12.5%) symptomatic patients, four of them with degenerative findings associated (10%). CONCLUSION: The use of MRI of the hip allowed the evaluation of the main articular abnormalities seen in patients with rheumatoid arthritis. The most frequent findings were degenerative and extra-articular changes. Inflammatory findings were seen in only five patients, four of them with degenerative changes associated.