CASES
Case 1- Inflammatory Arthritis- Middle aged lady who is a known case of Rheumatoid arthritis since 5 years.
Case 2- Tuberculosis of elbow- 31 year old farmer with chronic pain and
restricted movements of elbow with swelling.
Case 3- Tuberculosis of knee- 45 yr old construction worker with chronic pain and swelling in knee.
Case 4- Tuberculosis of shoulder- 22 yr old farmer with pain and swelling of shoulder with restricted movements.
Case 5- Rheumatoid arthritis- Middle aged lady who is a known case of
inflammatory arthritis,
on treatment since 2 yrs.
RESULTS
Inflammatory Arthritis- Out of total of 20 patients of Inflammatory synovitis- •16 showed predominant hard to firm areas(Blue)- 80%
- •3 showed predominant firm areas(Green) with traces of
red-15%
- •1 showed predominant soft areas (Red color)-5%.
Infective (Tuberculous Synovitis)- Out of total of 10 patients of Infective synovitis- •7 patients showed predominant red color(soft
areas)- 70%.
- •3 patients showed predominant firm areas
( Green with traces of blue)- 30%
- •No patient showed predominant blue color.
DISCUSSION
- Synovial elastography is not yet being done on a regular basis
like breast elastography.
- As of now there are no specific studies done on synovial
elastography.
- There are no published reports on the findings of sono-elastography in pathologies of synovium.
- Ours is probably the first study exclusively on sono-elastography of the synovium.
Inflammatory synovitis –
Consists of the inflammed synovium which pathologically
shows inflammatory cell infiltrate (neutrophills and Leukocytes).
Due to it/s dense cellularity,
it is firm to hard in consistency and
gives predominant green to blue areas of sono-elastography
in keeping with the histo-pathological findings.
Infective synovitis - Infected synovium
Exudation with necrosis and caseation ( in TB) predominates.
Dense cellularity seen within inflammed synovium is not seen in
infected synovium.
Therefore on the sono-elatogram predominant red to green
areas are seen in view of less cellularity and more
necrosis/fluid component/pus.