Ultrasonography and computed tomography in patients with crystal induced arthropathy

ABSTRACT

To assess the different ultrasonography [US] and computed tomography [CT] findings in patients with crystal induced arthropathy. A total of 45 patients; 27 male and 18 female with joint effusion are enrolled in the study in the period between May 2008 to November 2012 by the cooperation of the Radiology and Rheumatology and Rehabilitation Departments, Sohag University Hospital All patients subjected to physical examination, ultrasonography; computed tomography; joint aspiration and analysis of aspirated fluid. Ages of the patients were between 40-73 years. Thirty sixth patients were proven to have crystals fluid analysis. About 90% of them diagnosed by CT and 86% diagnosed by US. Different types of calcification were found In 88% f patients. US show double contour sign in about14% of patients with MSU. Synovial hypertrophy was observed in about 28% of patients. Erosion was diagnosed better by CT than US and found in 80%." of patients. Uneven joint space was seen in 22% of patients. US and CT are very important in assessment of patients with crystal induced arthropathy