Spondyloarthritis & psoriatic arthritis

Ankle retinacula abnormalities as features of psoriatic arthritis: An ultrasound study

Joint Bone SpinePublished Cross-sectional study

Authors' conclusion

US abnormalities of FR were more frequent in PsA than RA and appeared to be specific for PsA.

Study context

Population
Rheumatoid arthritis (RA) or psoriatic arthritis (PsA) patients with ankle pain and healthy controls
Participants
80 participants
Exposure
Ultrasonography (US) of ankle retinacula in PsA vs RA vs healthy controls
  • RAn = 37reference
  • PsAn = 23
  • Healthy controlsn = 20
Outcome
US abnormalities of the SPR and FR (B mode and power Doppler), plus synovitis and tenosynovitis

Main finding

As reported in the abstract

FR thickness

PsA

0.96

± 0.39

RA

0.64

± 0.15

P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeRAPsA
Retinaculitis of FR (thickness≥1mm with hypervascularization or hypoechogenicity), ankles3%39 %
Other FR abnormalities (hypoechogenicity, PD positivity, periostosis) · PsA vs RA · more frequent in PsA
P < 0.001

FR thickness cut-off of 1mm for diagnosis of PsA (ROC analysis)

Sensitivity
49%
Specificity
97%

SPR evaluation

The two disease groups did not differ

Original publication

Ankle retinacula abnormalities as features of psoriatic arthritis: An ultrasound study. Joint Bone Spine. Published 4 October 2023. doi:10.1016/j.jbspin.2023.105649

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.