Do ankle, hindfoot, and heel ultrasound findings predict the symptomatology and quality of life in rheumatoid arthritis patients?

Oana Șerban/ Iulia Papp/ Corina Delia Bocșa/ Mihaela Cosmina Micu/ Maria Bădărînză/ Adriana Albu/ Daniela Fodor

Abstract Objectives: To evaluate the ankle, hindfoot, and heel changes (determined by physical examination, ultrasound and baropodometry) in patients with rheumatoid arthritis, to compare the findings with healthy subjects, and to analyze if these findings are associated with ankle pain and could affect the quality of life. Methods: We enrolled 35 rheumatoid arthritis patients and 35 healthy controls, and evaluated their ankles (tibiotalar joints, tendons), hindfeet (talonavicular, subtalar join(..)

DOI: 10.15557/JoU.2020.0012

Published Online: 15-June-2020

High-resolution ultrasonography of the sural nerve in diabetic peripheral neuropathy

Kunwar Pal Singh/ Kamlesh Gupta/ Nilanshu Kataria/ Vijinder Arora/ Nimisha Nagpal

Abstract Aim of the study: To study the cross-sectional area, the maximum thickness of the nerve fascicle and the thickness/width ratio of the sural nerve in patients with diabetes mellitus and non-diabetic subjects using high-resolution ultrasonography and to correlate the results with nerve conduction studies. Material and methods: This prospective study was conducted among 60 patients divided into two groups: A and B. Group A consisted of 30 patients >18 years of age with a history of type 2 (..)

DOI: 10.15557/JoU.2020.0013

Published Online: 15-June-2020

Sonoelastic response of median nerve to rehabilitation in carpal tunnel syndrome

Yasemin Durum Polat/ Elif Aydın/ Fikriye Sinem Ince/ Mehmet Bilgen

Abstract Aim of the study: To evaluate the sonoelastic response of the median nerve in patients with carpal tunnel syndrome following conservative rehabilitation with splint plus exercise regimens. Materials and methods: A total of thirty-five patients diagnosed with mild carpal tunnel syndrome and treated with splint plus exercise therapy; hand resting splint all day for 3 weeks and then only at nights along with nerve gliding exercises in 10 repetitions 3 times a day. The median nerve was eval(..)

DOI: 10.15557/JoU.2020.0014

Published Online: 15-June-2020

Comparison of the resistive indices obtained in the uterine artery and the ophthalmic artery in preeclamptic and normotensive patients in Doppler US

Syeda Rabi Madina/ Raham Bacha/ Syed Amir Gilani/ Wafa Fatima/ Wahida Awais/ Hamnah Fatima/ Iqra Manzoor

Abstract Introduction: Preeclampsia is a medical condition characterized by hypertension and proteinuria during pregnancy, with the symptoms generally manifesting in the 3rd trimester. Hypertension brings hemodynamic changes; it is therefore expected that arterial blood flow velocity waveforms will be different in the uterine and ophthalmic arteries in preeclampsia. Vascular changes do occur in preeclampsia, which in turn induces hemodynamic changes. Aim: To compare mean values of the resistive (..)

DOI: 10.15557/JoU.2020.0015

Published Online: 15-June-2020

Diagnostic accuracy of ultrasonography in adults with obstructive jaundice

Olufunke O. Fadahunsi/ Bolanle O. Ibitoye/ Adewale O. Adisa/ Olusegun I. Alatise/ Victor A. Adetiloye/ Bukunmi Michael Idowu

Abstract Aim of the study: To determine the sensitivity and specificity of ultrasound for detecting the causes of obstructive jaundice. Materials and methods: Eighty adult patients with clinical and biochemical features of obstructive jaundice were enrolled in this study. The causes, degrees and levels of ductal obstruction were evaluated sonographically via the transabdominal route. The ultrasonographic diagnoses were correlated with surgical findings and histopathological diagnoses. Results: T(..)

DOI: 10.15557/JoU.2020.0016

Published Online: 15-June-2020

Fetal ultrasound estimated weight and correlation to Brazilian newborn weight

Roberto Noya Galluzzo/ Alberto Trapani Júnior/ Heron Werner/ Renato Augusto Moreira de Sá/ João Carlos Xikota/ Edward Araujo Júnior/ Maria Marlene de Souza Pires

Abstract Background: To compare the best fetal weight formula with different biometric tables on the weight of Brazilian newborns. Methods: This observational study has tested the performance of different common fetal weight formulas and biometric tables. Weight estimates were performed by the methods of Warsof et al. (1977), Shepard et al. (1982), Hadlock et al. (1985), Furlan et al. (2012) and Stirnemann et al. (2017). The biometric tables selected were the following: Snijders and Nicolaides ((..)

DOI: 10.15557/JoU.2020.0017

Published Online: 15-June-2020

Association of spectral Doppler cardiac activity in the lower limb veins and echocardiographic findings in patients with tricuspid regurgitation

Iqra Manzoor/ Syed Amir Gilani/ Raham Bacha/ Mehreen Fatima

Abstract Objective: To determine the association between spectral Doppler cardiac activity in the lower limb veins and echocardiographic findings in patients with tricuspid regurgitation. Material and methods: A cross-sectional analysis was performed in the Gilani Ultrasound Center over a period of 13 months. The total study sample comprised 400 subjects. All individuals referred for abdominal ultrasound having cardiac activities in external iliac vein, popliteal and posterior tibial vein, indiv(..)

DOI: 10.15557/JoU.2020.0018

Published Online: 15-June-2020

Cervical stenosis and pregnancy rate after ultrasound guided cervical dilation in women undergoing saline infusion sonography

Abstract Aim: To assess the effect of ultrasound-guided cervical dilation on clinical pregnancy rates in women with cervical stenosis. Methods: A prospective case control study was conducted in women with unexplained infertility. These women underwent saline infusion sonography and were suspected of having cervical stenosis if a 7 French Foley’s catheter could not be introduced into the cervical canal. Women with suspected stenosis who agreed to undergo ultrasound guided dilation were included a(..)

DOI: 10.15557/JoU.2020.0019

Published Online: 15-June-2020

Ultrasound anatomy of the fingers: flexor and extensor system with emphasis on variations and anatomical detail

Michel De Maeseneer/ Jie Meng/ Stefaan Marcelis/ Tjeerd Jager/ Steven Provyn/ Maryam Shahabpour

Abstract Many anatomical details and variants occur in the finger tendons and soft tissue structures. These may lead to misdiagnosis if the radiologist is not well aware of them. We discuss the midhand extensor tendons, dorsal hood, junctura tendinea, conjoint tendons, transverse retinacular ligament, triangular ligament as well as central and distal slip anatomy and ultrasound correlation. The dorsal hood is an important structure to center the tendons at the midportion of the MCP heads, and th(..)

DOI: 10.15557/JoU.2020.0020

Published Online: 15-June-2020

Ultrasound of the elbow with emphasis on the sonoanatomy of the distal biceps tendon and its importance for the surgical treatment of tendon lesions

Giorgio Tamborrini/ Magdalena Müller-Gerbl/ Nicole Vogel/ David Haeni

Abstract Degenerative or traumatic ruptures of the distal biceps tendon are less common than proximal lesions. Distal lesions lead to a significant loss of function with usually considerable discomfort for patients. Therefore, precise diagnostics using operator-dependent high-resolution musculoskeletal ultrasound with illustration of the extent of the affected tendon lesion are important for optimizing patient management. In this article, we discuss the precise high-resolution musculoskeletal ul(..)

DOI: 10.15557/JoU.2020.0021

Published Online: 15-June-2020

Ultrasonography of vulnerable atherosclerotic plaque in the carotid arteries: B-mode imaging

Andrzej Fedak/ Katarzyna Ciuk/ Andrzej Urbanik

Abstract The most common type of stroke, i.e. ischemic stroke, is a great challenge for contemporary medicine as it poses both diagnostic and therapeutic difficulties. Atherosclerosis, which is rapidly beginning to affect more and more social groups, is the main cause of cerebrovascular accidents. Atherosclerosis is currently defined as a generalized, dynamic and heterogeneous inflammatory and immune process affecting arterial walls. Atherosclerotic plaque is the emanation of this disease. As th(..)

DOI: 10.15557/JoU.2020.0022

Published Online: 15-June-2020

Gradual diagnosis and clinical importance of prenatally detected persistent left superior vena cava with absent right superior vena cava – a case report and literature review

Oskar Sylwestrzak/ Maria Respondek-Liberska

Abstract Persistent left superior vena cava is a malformation of cardinal veins. We report a case of a secundigravida who had many fetal ultrasound examinations – first performed by an obstetrician (who described fetal mediastinum as “abnormal”), second by other obstetrician, who performed basic fetal echocardiographic examination and diagnosed persistent left superior vena cava. The woman was referred to a tertiary center for detailed fetal echocardiography. The diagnosis of persistent left sup(..)

DOI: 10.15557/JoU.2020.0023

Published Online: 15-June-2020

A case of ultrasound diagnosis of retroperitoneal lesion caused by unnoticed foreign body ingestion

Wojciech Tynecki/ Andrzej Tynecki/ Agata Grobelna/ Tomasz Baranowski/ Grzegorz Siemiaszko/ Tomasz Łapiński/ Julia Wilczek

Abstract We report the case of a 52-year-old patient who was initially admitted to the District Hospital’s Surgery Ward with strong abdominal pain. The patient’s medical history before the hospitalization was unremarkable. The man did not recall any worrisome situations before the onset of pain. During the hospital stay, he underwent an ultrasound scan, computed tomography and magnetic resonance imaging evaluations, and laboratory tests suggesting that paraduodenal abscess or gastrointestinal st(..)

DOI: 10.15557/JoU.2020.0024

Published Online: 15-June-2020

Lung ultrasound in a Singapore COVID-19 intensive care unit patient and a review of its potential clinical utility in pandemic

Wee Ming Peh/ Steffi Kang Ting Chan/ Yi Lin Lee/ Pravin Shivaji Gare/ Vui Kian Ho

Abstract Background: Point-of-care bedside lung ultrasound is a diagnostic adjunct in the management of respiratory diseases. We describe the clinical progress and lung ultrasound findings of a Singaporean COVID-19 intensive care unit patient who was diagnosed with COVID-19 infection. Methods: The clinical course of one COVID-19 patient managed in the intensive care unit was traced. The patient was diagnosed with COVID-19 virus infection and intubated after developing respiratory failure. Serial(..)

DOI: 10.15557/JoU.2020.0025

Published Online: 15-June-2020

Is it safe for patients to apply standardized malignancy risk stratification systems in the management of thyroid nodules?

Zbigniew Adamczewski

DOI: 10.15557/JoU.2020.0026

Published Online: 15-June-2020