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The development of a preliminary ultrasonographic scoring system for features of hand osteoarthritis.Keen, H I; Lavie, F; Wakefield, R J; D'Agostino, M-A; Hammer, H Berner; Hensor, E; Pendleton, A; Kane, D; Guerini, H; Schueller-Weidekamm, C; et al. (Annals of the rheumatic diseases, 2008-05)Painful osteoarthritis (OA) of the hand is common and a validated ultrasound (US) scoring system would be valuable for epidemiological and therapeutic outcome studies. US is increasingly used to assess peripheral joints, though most of the US focus in rheumatic diseases has been on rheumatoid arthritis. We aimed to develop a preliminary US hand OA scoring system, initially focusing on relevant pathological features with potentially high reliability.