Cartilage damage is a key process in rheumatoid arthritis which appears to be more clearly associated with irreversible physical disability than bony damage. While conventional radiography only allows the evaluation of joint space narrowing, a proxy measure of cartilage loss, musculoskeletal ultrasound is a reliable tool for evaluating cartilage damage. The presentation will introduce the pitfalls and challenges associated with visualizing cartilage in rheumatic diseases in general and rheumatoid arthritis in particular. It will also review recent studies in the filed which have validated sonography for both the quantitative measurement of cartilage thickness and for the semiquantitative scoring of cartilage change. A practical demonstration will also be provided.
Disclosure of Interest None declared
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