03. Sigal Z. M., Surnina O. V., Bryndin V. V. Express-diagnostics of rheumatoid arthritis and osteoarthrosis

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DOI: 10.15507/0236-2910.027.201703.330-344

Express-diagnostics of rheumatoid arthritis and osteoarthrosis

Zoltan M. Sigal
Head of the Operative Surgery and Topographic Anatomy Chair, Izhevsk State Medical Academy (281 Kommunarov St., Izhevsk 426034, Russia), Dr.Sci. (Medicine), Professor, ORCID: http://orcid.org/0000-0001-9823-868X, This email address is being protected from spambots. You need JavaScript enabled to view it.

Olga V. Surnina
Associated Professor of the Operative Surgery and Topographic Anatomy Chair, Izhevsk State Medical Academy (281 Kommunarov St., Izhevsk 426034, Russia); Ph.D., Head of Departament of Ultrasound Diagnostic, Udmurt Republican Clinican and Diagnostic Center (87b Lenina St., Izhevsk 426000, Russia) (Medicine), ORCID: http://orcid.org/0000-0002-9538-1808, This email address is being protected from spambots. You need JavaScript enabled to view it.

Vladimir V. Bryndin
Pro-Rector for Academic Affairs, Head of the Physical Therapy and Medical Monitoring chair, Izhevsk State Medical Academy (281 Kommunarov St., Izhevsk 426034, Russia), Ph.D. (Medicine), This email address is being protected from spambots. You need JavaScript enabled to view it.

Introduction: Diseases of bones and joints have the third greatest impact on the health of the world population. Rheumatoid arthritis and osteoarthritis are uppermost inflammatory diseases of the joints. The aim of the study is the assessment of the ultrasonography and transillumination pulsooptometry of the knee joint as the diagnostic tools for rheumatoid arthritis and osteoarthrosis.
Materials and Methods: 2 266 people (29 % – rheumatoid arthritis, 62 % – osteoarthritis, 9 % – healthy), aged 19–75 years took part in the study. The ultrasonography and transillumination pulsooptometry were conducted. Measurements of hemodynamics and optical density were performed using the device and method of Z. M. Sigal (2007). Results. Various indicators were established, for example, the volume of synovial fluid in the suprapatellar bag for rheumatoid arthritis and osteoarthritis. Optical density for rheumatoid arthritis is three times less than for osteoarthritis. There are significant differences in the amplitude of pulse oscillations in rheumatoid arthritis and osteoarthritis.
Results: Various indicators were established, for example, the volume of synovial fluid in the suprapatellar bag for rheumatoid arthritis and osteoarthritis. Optical density for rheumatoid arthritis is three times less than for osteoarthritis. There are significant differences in the amplitude of pulse oscillations in rheumatoid arthritis and osteoarthritis.
Discussion and Conclusions: The volume of synovial fluid in the suprapatellar bag of the knee joint with rheumatoid arthritis is higher than in osteoarthritis and normal: 55.8 cm3 and above and 3,29 cm3, 1,85 cm3 and below, respectively. With osteoarthritis and normal amount of synovial fluid did not differ significantly. The optical density in the suprapatellar bag of the knee joint for rheumatoid arthritis was 0.56 ± 0.2, the amplitude of pulse oscillations was 13.45 ± 3.62 mm. In osteoarthritis, these values were 1.63 ± 0.39 and 7.67 ± 1.62, respectively. These indicators are practically important for differential diagnostics of diseases; they indicate the presence or absence of fluid, inflammation and visualize bags. The rapid diagnostic method for rheumatoid arthritis and osteoarthrosis developed by the authors includes ultrasonography of the suprapatellar bag and transillumination pulsooptometry.

Keywords: rheumatoid arthritis, osteoarthrosis, expresses diagnostics, ultrasonography, transilluminationpulsooptometry, knee joint

For citation: Sigal Z. M., Surnina O. V., Bryndin V. V. Express-diagnostics of rheumatoid arthritis and osteoarthrosis. Vestnik Mordovskogo universiteta = Mordovia University Bulletin. 2017; 27(3):330–344. DOI: 10.15507/0236-2910.027.201703.330-344

Contribution of the co-authors: Z. M. Sigal managed the research project, developed a theoretical framework and methods of research, conducted research of transillumination pulsooptometry; O. V. Surnina reviewed relevant medical literature, developed a theoretical framework and methods of research, conducted ultrasonography; V. V. Bryndin critically reviewed and revised the draft, and controlled research in general.

This work is licensed under a Creative Commons Attribution 4.0 License.