DOI: https://doi.org/10.36347/sasjm.2025.v11i10.006

Pages: 970-975

Background: The ultrasonographic assessment of synovitis in rheumatoid arthritis (RA) is important for the establishment of appropriate treatment, development and monitoring of the patient. More useful and with the limited number of ultrasonographer and echograph of the authors are interested in finding reduced assessments of synovitis at hand. Aims: To compare ultrasonographic synovitis scores at the palmar and dorsal hands and wrists and these scores with clinical parameters of disease activity. Materials and methods: Cross-sectional study including 37 patients with RA meeting ACR 1987 collected in consultation. Predetermined questionnaire containing demographic, laboratory and clinical data was completed. Ultrasound examination was performed. For each patient 20 joints were evaluated and the gray-scale ultrasound (GSUS) of synovial hypertrophy was evaluated semi-quantitatively, Power Doppler ultrasound (PDUS) was measured semi quantitatively. Ultrasound score (ES) is determined by the sum of semi -quantitative scores GSUS and PDUs. Volar (VES) and dorsal (DES) ultrasound scores were obtained by adding the semi- quantitative grade of each face in each patient. Results: 37 patients were included with a mean age of 50 years ± 19.9. Disease duration of RA had a median of 7.5 years [3.2- 19.2]. The mean HAQ was 1.6 ± 0.6 and the mean DAS28 was 1.4 ± 5 with a median of (ES) total = 16 [8.5 to 29], (DES) had a median of 11 [6.5-20] and (VES) was 4 [1, 5-8]. Correlation between (DES) and (VES) was statistically significant p < 0, 001.Statistically significant correlation between CDAI, HAQ and the 3scores (r = 0.3; 0.47) ;( ES) was significantly correlated with DAS 28 (r = 0.04). Conclusion: In this study the correlation between dorsal and volar assessment of synovitis in RA and ultrasound parameters scores was similar.