Internationale Zeitschrift für Physikalische Medizin und Rehabilitation
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Gender Influence on Musculoskeletal Ultrasound (MSUS) Finding among Patients on Maintenance Haemodialysis

Marwa A Besar , Ahmed Abd EL Wahab, Mohammed El Nahhas

Background: Musculoskeletal disorders remain a major problem in long term haemodialysis patients. Musculoskeletal ultrasound (MSUS) represents the gold standard technique for articular and extraarticular assessment.

Objectives: Assessment the difference of MSUS finding among male and female haemodialysis patients.

Methods: Musculoskeletal ultrasound assessment of articular and extra articular tissues. Bone mineral assessment (serum calcium, phosphorus, PTH) and iron profile (Transferrin saturation (Tsat), Ferritin level).

Results: Fifty patients, mean age 52 ± 16 years, 31(62%) male and 19(38%) female, maintained on regular hemodialysis (three times/week) for 4.4 ± 3.8 years. Knee osteophytes with prepatellar effusion was the most common MSUS finding in 15/31 (48.4%) male patients while Sub Acromial Sub Deltoid (SASD) bursa and planter fasciitis were evident in 2/19 (10.5%) female patients, successfully ultrasound guided corticosteroid injection.

Conclusion: Soft tissue affection (SASD bursa, planter fasciitis and prepatellar effusion) more MSUS manifestation in female than male where knee osteophytes with prepatellar effusion is evident. No statistically significant difference of bone mineral assessment in both genders.