Reliability of ultrasonography in detecting shoulder disease in patients with rheumatoid arthritis

G. A.W. Bruyn, E. Naredo, I. Möller, C. Moragues, J. Garrido, G. H. De Bock, M. A. D'Agostino, E. Filippucci, A. Lagnocco, M. Backhaus, W. A.A. Swen, P. Balint, C. Pineda, S. Milutinovic, D. Kane, G. Kaeley, F. J. Narvaez, R. J. Wakefield, J. A. Narvaez, J. De AugustinW. A. Schmidt

Research output: Contribution to journalArticle

51 Citations (Scopus)


Objectiva: To assess the intra and interobserver reproducibility of musculoskeletal ultrasonography (US) among rheumatologists in detecting destructive and inflammatory shoulder abnormalities in patients with rheumatoid arthritis (RA) and to determine the overall agreement between US and MRI. Methods: A total of 14 observers examined 5 patients in 2 rounds independently and blindly of each other. US results were compared with MRI. Overall agreement of all findings, of positive findings on MRI, as well as intra and interobserver reliabilities, were calculated. Results: Overall agreement between US and MRI was seen in 79% with regard to humeral head erosions (HHE), In 64% with regard to posterior recess synovitis (PRS), In 31% with regard to axillary recess synovitis (ARS), In 64% with regard to bursitis, In 50% with regard to biceps tenosynovitis (BT), and in 84% for complete cuff tear (CCT). Intraobserver and interobserver K was 0.69 and 0.43 for HHE, 0.29 and 0.49 for PRS, 0.57 and 1.00 for ARS, -0.17 and 0.51 for bursitis, 0.17 and 0.46 for BT and 0.52 and 0.6 for CCT, respectively. The intraobserver and l;nterobserver K for power Doppler (PD) was 0.90 and 0.70 for glenohumeral signals and 0.60 and 0.51 for bursal signals, respectively. Conclusions: US is a reliable imaging technique for most shoulder pathology in RA especially with regard to PD. Standardisation of scanning technique and definitions of particular lesions may further enhance the reliability of US investigation of the shoulder.

Original languageEnglish
Pages (from-to)357-361
Number of pages5
JournalAnnals of the rheumatic diseases
Issue number3
Publication statusPublished - Mar 1 2009

ASJC Scopus subject areas

  • Immunology and Allergy
  • Rheumatology
  • Immunology
  • Biochemistry, Genetics and Molecular Biology(all)

Fingerprint Dive into the research topics of 'Reliability of ultrasonography in detecting shoulder disease in patients with rheumatoid arthritis'. Together they form a unique fingerprint.

  • Cite this

    Bruyn, G. A. W., Naredo, E., Möller, I., Moragues, C., Garrido, J., De Bock, G. H., D'Agostino, M. A., Filippucci, E., Lagnocco, A., Backhaus, M., Swen, W. A. A., Balint, P., Pineda, C., Milutinovic, S., Kane, D., Kaeley, G., Narvaez, F. J., Wakefield, R. J., Narvaez, J. A., ... Schmidt, W. A. (2009). Reliability of ultrasonography in detecting shoulder disease in patients with rheumatoid arthritis. Annals of the rheumatic diseases, 68(3), 357-361.