Validation of new clinical bedside test 'Babur sign' for identification of wrist joint synovitis in patients with inflammatory arthritis | [Rawal Medical Journal • 2023]

Author(s):

1. Saba Samreen: Department of Rheumatology, Fauji Foundation Hospital,Rawalpindi,Pakistan

2. Babur Salim: Department of Rheumatology, Fauji Foundation Hospital,Rawalpindi,Pakistan

3. Haris Gul: Department of Rheumatology, Fauji Foundation Hospital,Rawalpindi,Pakistan

4. Amjad Nasim: Department of Rheumatology, Fauji Foundation Hospital,Rawalpindi,Pakistan

Abstract:

Objective: To demonstrate a new clinical test (Babur sign) in patients presenting with inflammatory arthritis involving wrist joint keeping musculoskeletal ultrasound as gold standard. Methodology: This study was conducted at Rheumatology department, Fauji Foundation Hospital, Rawalpindi from June to December 2021 and included 196 patients. All patients had musculoskeletal ultrasound. Babur sign was performed when wrist hyperflexion performed by the clinician results in immediate shoulder abduction along with elevation of the elbow in patients with active synovitis. Data were analyzed using SPSS 22. Results: Out of 196 patients, 98% were female. Mean age was 33 ± 6.7 years. 122 (61.6%) patients had Rheumatoid arthritis, 28 (14.1%) had psoriatic arthritis and 29 (14.6%) had Juvenile idiopathic arthritis. Systemic lupus erythematosus was found in 18 (9.09%) patients and Stills disease was diagnosed in only one patient. Babur sign was performed synovitis was seen in 157 (79.2%) patients. Conclusion: New clinical sign (Babur sign) is a reliable tool to pick up synovitis in patients with inflammatory arthritis.

Page(s): 595-598

DOI: DOI not available

Published: Journal: Rawal Medical Journal, Volume: 48, Issue: 3, Year: 2023

Keywords:

Systemic lupus erythematosus SLE , Babur sign , wrist joint synovitis

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