Mri Assessment Of Hip Joints Involvement In Early Axial Spondyloarthritis Patients

Background Based on available data from epidemiological studies in Russia different degree of hip involvement was found in 46% of ankylosing spondylitis (AS) patients, but only 7% of all cases resulted in total hip replacement procedures. Objectives To compare the ultrasound (US) manifestations of hip arthritis (coxitis) with the results of magnetic resonance imaging (MRI) of the hip joints (HJ) in patients with early axial spondyloarthritis (AxSpa). Methods We examined 39 patients (mean age 28 ± 5.92 years) with a diagnosis of AxSpa (ASAS criteria 2009), with prescription inflammatory back pain no more than 5 years; age Results All patients in addition to ultrasound signs of coxitis had MRI signs of inflammation of the HJ. Pain in the HJ was determined in 33 (85%) patients. The relationship between the level of pain and the amount of effusion in HJ was not detected. RCC significantly correlated with laboratory parameters of disease activity, such as ESR (r = 0.34) p Conclusion Ultrasound allows you to detect changes in H in the early stages of the disease. It is possible to use ultrasound as a screening method to determine the presence of synovitis in the TBS. MRI HJ with AxSpa, allows to determine whether the patient has inflammatory changes, including in the absence of radiological changes in these joints. In 15% of cases, coxitis is asymptomatic at early stages, which requires a thorough examination of patients with AxSpa. In addition to clinical and radiological examination, all patients were subjected to MRI with T1 and STIR modes. Disclosure of Interests Ekaterina Agafonova: None declared, Tatiana Dubinina: None declared, Daria Rumiantceva: None declared, Anastasiya Demina: None declared, Shandor Erdes Consultant for: Development of studies concepts., Speakers bureau: Educational meetings organized or supported by companies.