Abstract：
OBJECTIVE: Recently, the HAND osteoarthritis (OA) ULTRASOUND (US) Examination (HOUSE) inflammatory and structural damage scores were developed by the OMERACT US working group. However, the thumb base was not or only partly included. This systematic review examines US scoring methods and scanning techniques assessing thumb base OA, alongside existing evidence on validity, reliability, and responsiveness.
METHODS: A comprehensive search strategy in three different databases identified 30 eligible studies.
RESULTS: In general, studies predominantly focused on US assessment of the carpometacarpal (CMC) 1 joint, with fewer investigating the scaphotrapeziotrapezoid (STT) joint. Most studies utilized a semiquantitative scale for scoring structural and inflammatory features, aligning with the HOUSE scoring system. Validity was supported by a limited number of studies, with one demonstrating a positive association between US structural damage and radiographic damage, and another showing a similar association with function. Associations between US inflammatory features and pain were observed, albeit with some variability. Reliability was from moderate to good for the CMC1 joint but limited for STT joint. Responsiveness varied across studies. The methodological quality of included studies varied, indicating areas for future research improvement.
CONCLUSIONS: While promising, additional research is necessary to validate the HOUSE scoring system and improve its clinical utility for thumb base OA assessment. Future research should concentrate on optimal scanning positions and on the reliability and responsiveness of the HOUSE scoring system.
METHODS: A comprehensive search strategy in three different databases identified 30 eligible studies.
RESULTS: In general, studies predominantly focused on US assessment of the carpometacarpal (CMC) 1 joint, with fewer investigating the scaphotrapeziotrapezoid (STT) joint. Most studies utilized a semiquantitative scale for scoring structural and inflammatory features, aligning with the HOUSE scoring system. Validity was supported by a limited number of studies, with one demonstrating a positive association between US structural damage and radiographic damage, and another showing a similar association with function. Associations between US inflammatory features and pain were observed, albeit with some variability. Reliability was from moderate to good for the CMC1 joint but limited for STT joint. Responsiveness varied across studies. The methodological quality of included studies varied, indicating areas for future research improvement.
CONCLUSIONS: While promising, additional research is necessary to validate the HOUSE scoring system and improve its clinical utility for thumb base OA assessment. Future research should concentrate on optimal scanning positions and on the reliability and responsiveness of the HOUSE scoring system.
摘要：
目标：最近，手部骨关节炎(OA)超声(US)检查(HOUSE)炎症和结构损伤评分由OMERACTUS工作组制定.然而,拇指基部不包括或仅包括一部分。本系统综述检查了美国评分方法和扫描技术，评估拇指基础OA，除了现有的有效性证据，可靠性,和响应性。
方法：在三个不同数据库中的综合检索策略确定了30个符合条件的研究。
结果：一般来说，研究主要集中在美国评估腕掌（CMC）1关节，较少研究肩胛骨梯形（STT）关节。大多数研究使用半定量量表对结构和炎症特征进行评分，与HOUSE评分系统保持一致。有效性得到了数量有限的研究的支持，其中一个证明了美国结构损伤和射线照相损伤之间的正相关，和另一个显示与功能类似的关联。观察到美国炎症特征和疼痛之间的关联，尽管有一些可变性。CMC1关节的可靠性从中等到良好，但STT关节的可靠性有限。响应能力因研究而异。纳入研究的方法学质量各不相同，指出未来研究改进的领域。
结论：虽然很有希望，需要进一步的研究来验证HOUSE评分系统并提高其在拇指基础OA评估中的临床实用性.未来的研究应集中在最佳扫描位置以及HOUSE评分系统的可靠性和响应性。
方法：在三个不同数据库中的综合检索策略确定了30个符合条件的研究。
结果：一般来说，研究主要集中在美国评估腕掌（CMC）1关节，较少研究肩胛骨梯形（STT）关节。大多数研究使用半定量量表对结构和炎症特征进行评分，与HOUSE评分系统保持一致。有效性得到了数量有限的研究的支持，其中一个证明了美国结构损伤和射线照相损伤之间的正相关，和另一个显示与功能类似的关联。观察到美国炎症特征和疼痛之间的关联，尽管有一些可变性。CMC1关节的可靠性从中等到良好，但STT关节的可靠性有限。响应能力因研究而异。纳入研究的方法学质量各不相同，指出未来研究改进的领域。
结论：虽然很有希望，需要进一步的研究来验证HOUSE评分系统并提高其在拇指基础OA评估中的临床实用性.未来的研究应集中在最佳扫描位置以及HOUSE评分系统的可靠性和响应性。
