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Plain x-ray films of the hands of 36 RA patients were selected as a representative sub-set of a group of 235 patients who had taken part in a clinical study involving an examination of hand function.
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Clinical disease activity measures were collected at baseline, 2, 4, 6, 9 and 12 months, and US examination of hands was performed at baseline, 6 and 12 months.
At baseline assessment, radiographs were not taken, thus the tree format was applied; at 5 years all patients underwent radiographic examination of hands and feet and patients were said to have met the 1987 criteria if they satisfied the tree or list format.
In comparison to clinical examination of the hand and the feet (hand and foot joint count), twelve patients with remarkable improvement in the joint counts after six months were uncovered by worsening or unchanged HaF-scores in MRI.
Participation involved having a detailed clinical examination of the hands and a hand radiograph taken.
Radiographic examination of his hand revealed a dislocated MCP joint (Figs. 1 and 2).
Physical examination of the hand joints was performed by trained research nurses, using a standardized scoring form.
The aim of this study was to investigate the learning progress for rheumatologists during training of US examination of the hand in patients with rheumatoid arthritis (RA).
To evaluate the predictive value of high survivin levels for the development of destructive joint disease, a logistic regression model was constructed, taking erosive changes at radiological examination of the hand and foot skeletons as a dependent variable.
Two trained and experienced medical students perform the bilateral ultrasound examination of the hand, hip, and knee joints of all participants with supervision from an experienced sonographer/rheumatologist (HBH).
Table 2 shows differences in SNC velocities between the little and index fingers (mean and standard deviation) for different distributions of symptoms, and according to findings on physical examination of the hand.
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