MỐI LIÊN QUAN GIỮA TRIỆU CHỨNG LÂM SÀNG VÀ THĂM DÒ HÌNH ẢNH CỦA THOÁI HÓA KHỚP BÀN NGÓN CHÂN I NGUYÊN PHÁT

Abstract

Objective: To describe clinical symptoms, x-ray images, ultrasound images of the primary osteoarthritis in metatarsophalangeal joints of foot and evaluate the association between clinical manifestation and ultrasound in research subjects. Subjects and method: The descriptive study on the case series of 50 patients with symptoms of swelling and/or pain and/or movement restriction and/or deformation of first metatarsophalangeal joint for outpatient examination at the Rheumatogy consultant in Bach Mai hospital from August in 2022 to August in 2023. Results: The average age of this group is 59,2 ± 9,4. Classification of osteoarthritis grade based on x-ray at grade 1 and grade 2 with the rate of 61% and 32%, respectively. The most common image in ultrasound is osteophytes 67%, joint effusion and thick synovium is less common with 23% and 8,2%, respectively. The higher grade of osteoarthritis on the x-ray images, the more painful, statistically significant difference with 95% confidence. There is a relationship between the appearance of osteophytes image on ultrasound and the grade of deformation joint, movement restriction. Conclusion: There is a strong correlation between the severity of clinical manifestations and the grade of x-ray images and ultrasound images.