Sonography of Arthritis: Inflammatory, Infectious, Depositional.

Christopher J Burke, John R Zech, William R Walter

Journal: Seminars in musculoskeletal radiology 2025;29(2):145-155

PMID: 40164073

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Abstract

Ultrasound (US) is a valuable tool in the evaluation of arthritis both for diagnosis and treatment response. Pertinent findings such as joint effusions, synovitis, bursitis, bone erosions, tenosynovitis, and enthesitis can all be readily evaluated sonographically. In this article, we describe specific considerations in the US evaluation of rheumatoid arthritis, psoriatic arthritis, juvenile idiopathic arthritis, crystalline arthritis (gout, calcium pyrophosphate deposition disease, and hydroxyapatite deposition disease), septic arthritis, and osteoarthritis with attention to certain differentiating features. The potential role of US in the diagnosis of specific arthritides is discussed, together with an overview of newer technologies and future directions.

Address: Department of Radiology, Columbia University Irving Medical Center, New York, New York.; Department of Radiology, New York University Langone Health, New York, New York.

DOI: 10.1055/s-0045-1802348

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MeSH Terms: Humans, Ultrasonography, Arthritis, Diagnosis, Differential, Arthritis, Infectious, Joints