Table 3.
Modified classification criteria for PMR incorporating US findings in shoulder and knee
| Criteria | 2012 ACR/EULAR clinical classification criteria without USa | 2012 ACR/EULAR classification criteria including shoulder and knee USb |
|---|---|---|
| Morning stiffness duration >45 min | 2 | 2 |
| Hip pain or limited range of motion | 1 | 1 |
| Absence of RF or ACPA | 2 | 2 |
| Absence of other joint involvement | 1 | 1 |
| Bilateral shoulder involvement (biceps tenosynovitisc, supraspinatus or subscapularis tendinitisd in each shoulder) | 1 | |
| Bilateral knee involvement (popliteus tenosynovitisc, medial or lateral collateral ligament inflammationd in each knee) | 1 |
The optimal cut point is 4. A patient with a score of ≥4 is categorized as having PMR.
The optimal cut point is 5. A patient with a score of ≥5 is categorized as having PMR.
Moderate or severe greyscale tenosynovitis and/or any tenosynovial Doppler signals.
Any Doppler signals in the tendon or ligament.