Musculoskeletal Ultrasound: A Valuable Tool for Diagnosing Rheumatic Illnesses

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Image 10: This image was taken after aspiration of the fluid from the cyst.

Conclusion

MSK ultrasound is an imaging modality with practical application for the clinical rheumatologist. A growing literature supports its reliability in diagnosing early RA and assessing disease activity in established patients in addition to improving accuracy by excluding RA mimics. The added benefit of needle guidance can increase the diagnostic yield of arthrocentesis, which may obviate the need for radiology referral for root joint aspirations (hip and shoulder) or deep bursal aspirations.

Further study of this imaging modality and recognition of its application for the clinician will enhance treatment of rheumatic disease patients.

Khushboo Sheth, MBBS, is a resident in Internal Medicine at the University of Connecticut in Farmington, Conn.

Christopher Scola, MD, is chief of the Rheumatology Division at Hartford Hospital and assistant clinical professor of medicine at the University of Connecticut School of Medicine, Hartford, Conn.

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