Gender influence on Musculoskeletal Ultrasound (MSUS) finding among patients on maintenance haemodialysis. An Egyptian single centre study.

Background: Musculoskeletal disorders remain a major problem in long term hemodialysis patients. Objectives: Assessment the difference of MSUS finding among male and female haemodialysis patients. Methods: Musculoskeletal ultrasound assessment of articular and extraarticular tissues. Result: 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 Subacromial subdeltoid bursa (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.