Sonographic description and classification of ... - Springer Link
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Sonographic description and classification of ... - Springer Link
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ORIGINAL ARTICLE
Sonographic description and classification of tendinous involvement in relation to tophi in chronic tophaceous gout Eloy de Ávila Fernandes & Gabriel B. Sandim & Sônia A. V. Mitraud & Edson S. Kubota & Antonio J. L. Ferrari & Artur R. C. Fernandes
Received: 11 April 2010 / Revised: 7 June 2010 / Accepted: 21 June 2010 / Published online: 4 July 2010 # European Society of Radiology 2010
Abstract Objective To describe and classify the varied ultrasound features of tendinous involvement in relation to tophi in chronic tophaceous gout so that they are better recognised. Methods Ultrasound images of 138 affected areas from 31 patients with chronic tophaceous gout were analysed using high-quality broadband linear transducers. The relationship between tendon and tophi was classified, and the interobserver agreement regarding classification was analysed. Results Tophi envelopment in the tendon was the most frequent characteristic (45%) followed by no relationship between tophi and tendon (41%), tophi at the insertion site of the tendon (7%), extrinsic compression (6%) and tophi within the tendon (1%). The inter-observer concordance on classification of the relationship between tophi and tendon was measured using McNemar’s test with P
