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Agreement between US and CE for detection of active synovitis and tenosynovitis was less than acceptable (k less then 0.4). No correlation was found between any feature of active disease recorded on CE (joint swelling, tenderness/pain on motion and restricted motion) and active synovitis on US in the TTJ, STJ and ITJ. CONCLUSION Coupling CE with US aids to localize correctly pathology. US training of practitioners is recommended to manage ankle disease in JIA. This article is protected by copyright. All rights reserved.AIM Pulmonary a