Relation of glenohumeral and acromioclavicular joint destruction in rheumatoid shoulder. A 15 year follow up study
OBJECTIVES To evaluate the relation of glenohumeral (GH) and acromioclavicular (AC) joint involvement in a cohort of 74 patients with seropositive and erosive rheumatoid arthritis (RA) followed up prospectively. METHODS At the 15 year follow up radiographs of 148 shoulders were evaluated, and the gr...
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| Veröffentlicht in: | Annals of the rheumatic diseases 2000-02, Vol.59 (2), p.158-160 |
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| container_title | Annals of the rheumatic diseases |
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| creator | Lehtinen, Janne T Kaarela, Kalevi Belt, Eero A Kautiainen, Hannu J Kauppi, Markku J Lehto, Matti U K |
| description | OBJECTIVES To evaluate the relation of glenohumeral (GH) and acromioclavicular (AC) joint involvement in a cohort of 74 patients with seropositive and erosive rheumatoid arthritis (RA) followed up prospectively. METHODS At the 15 year follow up radiographs of 148 shoulders were evaluated, and the grade of destruction of GH and AC joints were assessed by the Larsen method. One GH joint arthroplasty had been performed after 13 years of the disease onset and the preoperative radiograph was evaluated. RESULTS Erosive involvement (Larsen grade ⩾ 2) was observed in 96 of 148 (65%) of the shoulders. Both GH and AC joints were affected in 62 of 148 (42%) shoulders. GH joint alone was involved in nine (6%) shoulders and only AC joint was affected in 25 (17%) shoulders. AC joint destruction correlated with the GH joint destruction,r=0.74 (95% confidence intervals (CI) 0.65 to 0.80 ). CONCLUSION In RA AC joint is affected more often than the GH joint, but in half of the patients both joints are involved. This should be remembered when treating painful rheumatoid shoulder. |
| doi_str_mv | 10.1136/ard.59.2.158 |
| format | Article |
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A 15 year follow up study</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Lehtinen, Janne T ; Kaarela, Kalevi ; Belt, Eero A ; Kautiainen, Hannu J ; Kauppi, Markku J ; Lehto, Matti U K</creator><creatorcontrib>Lehtinen, Janne T ; Kaarela, Kalevi ; Belt, Eero A ; Kautiainen, Hannu J ; Kauppi, Markku J ; Lehto, Matti U K</creatorcontrib><description>OBJECTIVES To evaluate the relation of glenohumeral (GH) and acromioclavicular (AC) joint involvement in a cohort of 74 patients with seropositive and erosive rheumatoid arthritis (RA) followed up prospectively. METHODS At the 15 year follow up radiographs of 148 shoulders were evaluated, and the grade of destruction of GH and AC joints were assessed by the Larsen method. One GH joint arthroplasty had been performed after 13 years of the disease onset and the preoperative radiograph was evaluated. RESULTS Erosive involvement (Larsen grade ⩾ 2) was observed in 96 of 148 (65%) of the shoulders. Both GH and AC joints were affected in 62 of 148 (42%) shoulders. GH joint alone was involved in nine (6%) shoulders and only AC joint was affected in 25 (17%) shoulders. AC joint destruction correlated with the GH joint destruction,r=0.74 (95% confidence intervals (CI) 0.65 to 0.80 ). CONCLUSION In RA AC joint is affected more often than the GH joint, but in half of the patients both joints are involved. This should be remembered when treating painful rheumatoid shoulder.</description><identifier>ISSN: 0003-4967</identifier><identifier>EISSN: 1468-2060</identifier><identifier>DOI: 10.1136/ard.59.2.158</identifier><identifier>PMID: 10666177</identifier><identifier>CODEN: ARDIAO</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and European League Against Rheumatism</publisher><subject>acromioclavicular joint ; Acromioclavicular Joint - diagnostic imaging ; Adolescent ; Adult ; Aged ; Arthritis, Rheumatoid - diagnostic imaging ; Biological and medical sciences ; Concise Report ; Diseases of the osteoarticular system ; Female ; Follow-Up Studies ; glenohumeral joint ; Humans ; Inflammatory joint diseases ; Larsen method ; Male ; Medical sciences ; Middle Aged ; Prospective Studies ; Radiography ; rheumatoid shoulder ; Severity of Illness Index ; Shoulder ; Shoulder Joint - diagnostic imaging</subject><ispartof>Annals of the rheumatic diseases, 2000-02, Vol.59 (2), p.158-160</ispartof><rights>Annals of the Rheumatic Diseases</rights><rights>2000 INIST-CNRS</rights><rights>Copyright: 2000 Annals of the Rheumatic Diseases</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b476t-bb8a5b7ab8b60c23ce6ae9e32661f8d53db263cd5e44231c152186fec0016a8d3</citedby><cites>FETCH-LOGICAL-b476t-bb8a5b7ab8b60c23ce6ae9e32661f8d53db263cd5e44231c152186fec0016a8d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1753072/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1753072/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1271161$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10666177$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lehtinen, Janne T</creatorcontrib><creatorcontrib>Kaarela, Kalevi</creatorcontrib><creatorcontrib>Belt, Eero A</creatorcontrib><creatorcontrib>Kautiainen, Hannu J</creatorcontrib><creatorcontrib>Kauppi, Markku J</creatorcontrib><creatorcontrib>Lehto, Matti U K</creatorcontrib><title>Relation of glenohumeral and acromioclavicular joint destruction in rheumatoid shoulder. A 15 year follow up study</title><title>Annals of the rheumatic diseases</title><addtitle>Ann Rheum Dis</addtitle><description>OBJECTIVES To evaluate the relation of glenohumeral (GH) and acromioclavicular (AC) joint involvement in a cohort of 74 patients with seropositive and erosive rheumatoid arthritis (RA) followed up prospectively. METHODS At the 15 year follow up radiographs of 148 shoulders were evaluated, and the grade of destruction of GH and AC joints were assessed by the Larsen method. One GH joint arthroplasty had been performed after 13 years of the disease onset and the preoperative radiograph was evaluated. RESULTS Erosive involvement (Larsen grade ⩾ 2) was observed in 96 of 148 (65%) of the shoulders. Both GH and AC joints were affected in 62 of 148 (42%) shoulders. GH joint alone was involved in nine (6%) shoulders and only AC joint was affected in 25 (17%) shoulders. AC joint destruction correlated with the GH joint destruction,r=0.74 (95% confidence intervals (CI) 0.65 to 0.80 ). CONCLUSION In RA AC joint is affected more often than the GH joint, but in half of the patients both joints are involved. This should be remembered when treating painful rheumatoid shoulder.</description><subject>acromioclavicular joint</subject><subject>Acromioclavicular Joint - diagnostic imaging</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Arthritis, Rheumatoid - diagnostic imaging</subject><subject>Biological and medical sciences</subject><subject>Concise Report</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>glenohumeral joint</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Larsen method</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>rheumatoid shoulder</subject><subject>Severity of Illness Index</subject><subject>Shoulder</subject><subject>Shoulder Joint - diagnostic imaging</subject><issn>0003-4967</issn><issn>1468-2060</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kUuLFDEUhYMoTs_ozrUEFGZjtXlUHr0RhsYXNCP4GNyFVJKaTpuqtElltP-90WrGcePqEu53zz03B4AnGC0xpvylTnbJVkuyxEzeAwvcctkQxNF9sEAI0aZdcXECTnPe1SeSWD4EJxhxzrEQC5A-uqAnH0cYe3gd3Bi3ZXBJB6hHC7VJcfDRBH3jTQk6wV304wSty1Mq5s-cH2HaujLoKXoL8zaWYF1awguIGTy4OtPHEOIPWPYwT8UeHoEHvQ7ZPT7WM_DlzevP63fN5sPb9-uLTdO1gk9N10nNOqE72XFkCDWOa7dylFTnvbSM2o5waixzbUsoNpgRLHnvDEKYa2npGXg16-5LNzhr3DjVu9Q--UGng4raq387o9-q63ijsGAUCVIFnh0FUvxe6slqF0saq-eKCIkERaSt1IuZqn-Vc3L97QaM1O-EVE1IsZUiqiZU8ad3Xd2B50gq8PwI6Gx06JMejc9_OSIw5rhizYz5PLmft22dvikuqGDq8mqtyNWnr5t2g9Rl5c9nvht2_3f4C7t3t2Q</recordid><startdate>20000201</startdate><enddate>20000201</enddate><creator>Lehtinen, Janne T</creator><creator>Kaarela, Kalevi</creator><creator>Belt, Eero A</creator><creator>Kautiainen, Hannu J</creator><creator>Kauppi, Markku J</creator><creator>Lehto, Matti U K</creator><general>BMJ Publishing Group Ltd and European League Against Rheumatism</general><general>BMJ</general><general>Elsevier Limited</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>5PM</scope></search><sort><creationdate>20000201</creationdate><title>Relation of glenohumeral and acromioclavicular joint destruction in rheumatoid shoulder. A 15 year follow up study</title><author>Lehtinen, Janne T ; Kaarela, Kalevi ; Belt, Eero A ; Kautiainen, Hannu J ; Kauppi, Markku J ; Lehto, Matti U K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b476t-bb8a5b7ab8b60c23ce6ae9e32661f8d53db263cd5e44231c152186fec0016a8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>acromioclavicular joint</topic><topic>Acromioclavicular Joint - diagnostic imaging</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Arthritis, Rheumatoid - diagnostic imaging</topic><topic>Biological and medical sciences</topic><topic>Concise Report</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>glenohumeral joint</topic><topic>Humans</topic><topic>Inflammatory joint diseases</topic><topic>Larsen method</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>rheumatoid shoulder</topic><topic>Severity of Illness Index</topic><topic>Shoulder</topic><topic>Shoulder Joint - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lehtinen, Janne T</creatorcontrib><creatorcontrib>Kaarela, Kalevi</creatorcontrib><creatorcontrib>Belt, Eero A</creatorcontrib><creatorcontrib>Kautiainen, Hannu J</creatorcontrib><creatorcontrib>Kauppi, Markku J</creatorcontrib><creatorcontrib>Lehto, Matti U K</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of the rheumatic diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lehtinen, Janne T</au><au>Kaarela, Kalevi</au><au>Belt, Eero A</au><au>Kautiainen, Hannu J</au><au>Kauppi, Markku J</au><au>Lehto, Matti U K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relation of glenohumeral and acromioclavicular joint destruction in rheumatoid shoulder. A 15 year follow up study</atitle><jtitle>Annals of the rheumatic diseases</jtitle><addtitle>Ann Rheum Dis</addtitle><date>2000-02-01</date><risdate>2000</risdate><volume>59</volume><issue>2</issue><spage>158</spage><epage>160</epage><pages>158-160</pages><issn>0003-4967</issn><eissn>1468-2060</eissn><coden>ARDIAO</coden><abstract>OBJECTIVES To evaluate the relation of glenohumeral (GH) and acromioclavicular (AC) joint involvement in a cohort of 74 patients with seropositive and erosive rheumatoid arthritis (RA) followed up prospectively. METHODS At the 15 year follow up radiographs of 148 shoulders were evaluated, and the grade of destruction of GH and AC joints were assessed by the Larsen method. One GH joint arthroplasty had been performed after 13 years of the disease onset and the preoperative radiograph was evaluated. RESULTS Erosive involvement (Larsen grade ⩾ 2) was observed in 96 of 148 (65%) of the shoulders. Both GH and AC joints were affected in 62 of 148 (42%) shoulders. GH joint alone was involved in nine (6%) shoulders and only AC joint was affected in 25 (17%) shoulders. AC joint destruction correlated with the GH joint destruction,r=0.74 (95% confidence intervals (CI) 0.65 to 0.80 ). CONCLUSION In RA AC joint is affected more often than the GH joint, but in half of the patients both joints are involved. This should be remembered when treating painful rheumatoid shoulder.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and European League Against Rheumatism</pub><pmid>10666177</pmid><doi>10.1136/ard.59.2.158</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | acromioclavicular joint Acromioclavicular Joint - diagnostic imaging Adolescent Adult Aged Arthritis, Rheumatoid - diagnostic imaging Biological and medical sciences Concise Report Diseases of the osteoarticular system Female Follow-Up Studies glenohumeral joint Humans Inflammatory joint diseases Larsen method Male Medical sciences Middle Aged Prospective Studies Radiography rheumatoid shoulder Severity of Illness Index Shoulder Shoulder Joint - diagnostic imaging |
| title | Relation of glenohumeral and acromioclavicular joint destruction in rheumatoid shoulder. A 15 year follow up study |
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