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9290

Neuromuscular Ultrasound Versus Electrophysiological Studies in Assessment of Posterior Tibial Nerve Neuropathy in Rheumatoid Arthritis Patient

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Last updated: 24 Dec 2024

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Abstract

Background: Rheumatoid arthritis is a systemic rheumatic disease characterized by symmetrical, often erosive and deforming polyarthritis. Extra-articular manifestations occur in 10ā€“20% of patients, especially those with high titers of rheumatoid factor. Neuromuscular ultrasound is useful for the work up of posterior tibial nerve neuropathy. Diagnosis of posterior tibial neuropathy is based on a combination of characteristic symptoms and electrophysiological abnormalities. Recently, neuromuscular ultrasound has become an attractive complement to electrodiagnostic (EDX) studies in the evaluation of peripheral nerves.
Aim of the Work: To evaluate neuromuscular ultrasound versus electrophysiological studies in assessment of posterior tibial nerve neuropathy in rheumatoid arthritis patients.
Patients and Methods: The subjects included in our study functionally were divided into two groups. Group (A): Thirty Egyptian patients with Rheumatoid Arthritis (RA), all fulfilled the American College of Rheumatology (ACR) 2010 criteria for diagnosis of RA and ACR criteria for classification of rheumatoid arthritis (1987). All were over the age of sixteen at time of diagnosis. They were recruited from Physical Medicine, Rheumatology and Rehabilitation Department at Al-Hussein and Sayed Galal University Hospitals during the period from November 2017 to April 2018. They were complaining of burning pain or paresthesia on the plantar aspect of the foot and toes. Group (B): Thirty healthy individuals, age and sex matched, were used as a control group after an informed consent from all subjects.
Results: Neuromuscular ultrasound had a complementary role in the diagnosis of posterior tibial nerve neuropathy. The combined use of electrophysiology with neuromuscular ultrasonography further confirmed the diagnosis of posterior tibial nerve neuropathy.
Conclusion: Neuromuscular ultrasound became an attractive complement to electrodiagnostic (EDX) studies in the evaluation of posterior tibial nerve neuropathy.

DOI

10.21608/ejhm.2018.9290

Keywords

Rheumatoid Arthritis, neuromuscular ultrasound, Nerve conduction studies

Authors

First Name

Mahmoud I.

Last Name

Risha

MiddleName

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Affiliation

Department of Physical medicine & Rheumatology and Rehabilitation, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

dr.m_risha@yahoo.com

City

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Orcid

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First Name

Mostafa A.

Last Name

Al-Dahan

MiddleName

-

Affiliation

Department of Physical medicine & Rheumatology and Rehabilitation, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

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City

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Orcid

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First Name

Hegazy M.

Last Name

Al-Tamimy

MiddleName

-

Affiliation

Department of Physical medicine & Rheumatology and Rehabilitation, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

-

City

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Orcid

-

First Name

Ahmed M.

Last Name

Fahmy

MiddleName

-

Affiliation

Department of Physical medicine & Rheumatology and Rehabilitation, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

-

City

-

Orcid

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Volume

72

Article Issue

4

Related Issue

1779

Issue Date

2018-07-01

Receive Date

2018-05-19

Publish Date

2018-07-01

Page Start

4,362

Page End

4,367

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 72_Issue 4_Pages 4362-4367.pdf

PDF . 455.0kB

Link

https://ejhm.journals.ekb.eg/article_9290.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=9290

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Neuromuscular Ultrasound Versus Electrophysiological Studies in Assessment of Posterior Tibial Nerve Neuropathy in Rheumatoid Arthritis Patient

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Article

Created At

22 Jan 2023