{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:22:40Z","timestamp":1787840560622,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,1]]},"abstract":"\n Background:<\/jats:title>\n This study aimed to compare the percentage of detection of periarthritis in patients with rheumatoid arthritis using clinical examination and ultrasound methods.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n This study is a cross-sectional study which was conducted in Al-Zahra Hospital (Isfahan, Iran) during 2014\u20132015. In our study, ninety patients were selected based on the American College of Rheumatology 2010 criteria. All patients were examined by a rheumatologist to find the existence of effusion, and the data were filled in the checklist. The ultrasonography for detecting effusion in periarticular structures was done by an expert radiologist with two methods, including high-resolution ultrasonography and power Doppler. The percentage of effusion existence found by physical examination was compared by sonography, and the Chi-square and\n t<\/jats:italic>\n -tests were used for data analysis.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The percentage of effusion found in areas with physical examination by rheumatologist was lower than the frequency distribution of effusions found by sonography (8.3% VS 14.2%) (\n P<\/jats:italic>\n < 0.001). In sonography, rotator cuff tendonitis is the most common periarthritis. Other findings in sonography were biceps tendinitis (10 cases), wrist tendonitis (13 cases), olecranon bursitis (9 cases), golfers elbow (4 cases), tennis elbow (4 cases), trochanteric bursitis (6 cases), anserine bursitis (6 cases), prepatellar bursitis (11 cases), and ankle tendonitis (7 cases). Tenderness on physical examination was found in 15% of the cases, and the evidence of periarthritis was found in 21\/7% through sonography (\n P<\/jats:italic>\n < 0.001) and 34% through Doppler sonography (\n P<\/jats:italic>\n < 0.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The percentage of periarthritis detection by ultrasonography and power Doppler sonography was higher than clinical examination. Hence, the ultrasonography is more accurate than physical examination.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/1735-1995.196616","type":"journal-article","created":{"date-parts":[[2017,1,12]],"date-time":"2017-01-12T07:44:08Z","timestamp":1484207048000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Comparison the percentage of detection of periarthritis in patients with rheumatoid arthritis using clinical examination or ultrasound methods"],"prefix":"10.4103","volume":"21","author":[{"given":"Hadi","family":"Karimzadeh","sequence":"first","affiliation":[{"name":"Department of Rheumatology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Seyedbonakdar","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Mousavi","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehdi","family":"Karami","sequence":"additional","affiliation":[{"name":"Department of Radiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2016,12,26]]},"reference":[{"key":"R3-20250827","first-page":"155","volume":"18","author":"Andrea","year":"2008","journal-title":"Ultrasound in the diagnosis and management of rheumatic disease. Ch. 13"},{"key":"R4-20250827","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1136\/ard.2004.023929","article-title":"Assessment of inflammatory activity in rheumatoid arthritis: A comparative study of clinical evaluation with grey scale and power Doppler ultrasonography","volume":"64","author":"Naredo","year":"2005","journal-title":"Ann Rheum Dis"},{"key":"R5-20250827","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1111\/1756-185X.12545","article-title":"Ultrasound in rheumatology","volume":"17","author":"Schmidt","year":"2014","journal-title":"Int J Rheum Dis"},{"key":"R6-20250827","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.1002\/acr.21836","article-title":"American College of Rheumatology report on reasonable use of musculoskeletal ultrasonography in rheumatology clinical practice","volume":"64","author":"McAlindon","year":"2012","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"R7-20250827","doi-asserted-by":"crossref","first-page":"3338","DOI":"10.1002\/art.11349","article-title":"Rheumatoid arthritis of the shoulder joint: Comparison of conventional radiography, ultrasound, and dynamic contrast-enhanced magnetic resonance imaging","volume":"48","author":"Hermann","year":"2003","journal-title":"Arthritis Rheum"},{"key":"R8-20250827","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1136\/ard.60.7.641","article-title":"Guidelines for musculoskeletal ultrasound in rheumatology","volume":"60","author":"Backhaus","year":"2001","journal-title":"Ann Rheum Dis"},{"key":"R9-20250827","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1136\/ard.2005.037382","article-title":"Interobserver reliability in musculoskeletal ultrasonography: Results from a \u2019teach the teachers\u2019 rheumatologist course","volume":"65","author":"Naredo","year":"2006","journal-title":"Ann Rheum Dis"},{"key":"R10-20250827","doi-asserted-by":"crossref","first-page":"1502","DOI":"10.2214\/AJR.07.2548","article-title":"Early rheumatoid arthritis: A review of MRI and sonographic findings","volume":"189","author":"Boutry","year":"2007","journal-title":"AJR Am J Roentgenol"},{"key":"R11-20250827","first-page":"18","article-title":"Serum levels of IL-17, IL-4, and INF\u03b3 in Serbian patients with early rheumatoid arthritis","volume":"19","author":"Pavlovic","year":"2014","journal-title":"J Res Med Sci"},{"key":"R12-20250827","first-page":"1567","article-title":"Effect of conjugated linoleic acid, Vitamin E, alone or combined on immunity and inflammatory parameters in adults with active rheumatoid arthritis: A randomized controlled trial","volume":"5","author":"Aryaeian","year":"2014","journal-title":"Int J Prev Med"},{"key":"R13-20250827","first-page":"9","article-title":"Effects of aerobic exercise on hematologic indices of women with rheumatoid arthritis: A randomized clinical trial","volume":"21","author":"Jafari Shapoorabadi","year":"2016","journal-title":"J Res Med Sci"}],"container-title":["Journal of Research in Medical Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01222967-201621000-00134","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:03Z","timestamp":1787837103000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01222967-201621000-00134"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.4103\/1735-1995.196616","relation":{},"ISSN":["1735-1995","1735-7136"],"issn-type":[{"value":"1735-1995","type":"print"},{"value":"1735-7136","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1]]},"assertion":[{"value":"2016-07-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-09-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}