Presentation is loading. Please wait.

Presentation is loading. Please wait.

Radiographic evaluation of arthritis: inflammatory conditions Jon A. Jacobson, Gandikota Girish, Yebin Jiang, and Donald Resnick Radiology 2008 248:2,

Similar presentations


Presentation on theme: "Radiographic evaluation of arthritis: inflammatory conditions Jon A. Jacobson, Gandikota Girish, Yebin Jiang, and Donald Resnick Radiology 2008 248:2,"— Presentation transcript:

1

2 Radiographic evaluation of arthritis: inflammatory conditions Jon A. Jacobson, Gandikota Girish, Yebin Jiang, and Donald Resnick Radiology 2008 248:2, 378-389

3  Hypertrophic/proliferative  Degenerative: primary or secondary  Secondary AKA atypical OA Hemophilia Gout trauma  Erosive  Rheumatoid + variants  Infectious  TB  Pyogenic/bacterial

4  Synovial proliferation  Pannus  Inflammatory erosions  Uniform joint space narrowing  Soft-tissue swelling  RA + seronegative variants  Reiters  Ankylosing spondylitis  Enteric arthropathy  Psoriatic arthropathy

5

6  Multiple joints: systemic  Periarticular osteopenia  Juxtaarticular bony erosions (non-cartilage non-protected bone)  Subluxation and gross deformity  Periarticular soft tissue swelling

7

8

9 Younes, Mohamed, et al. "Compared imaging of the rheumatoid cervical spine: prevalence study and associated factors." Joint Bone Spine 76.4 (2009): 361-368. The prevalence of rheumatoid cervical spine involvement was 47.5% by standard radiography, 28.2% by CT, and 70% by MRI.  Rheum involvement with high Sharp score and elevated CRP  17.5% of those with Cspine abn were w/o sx.  Overall rheumatoid involvement of the cervical spine was not significantly associated with any of the epidemiological, clinical, laboratory, imaging, or therapeutic factors evaluated in the study.

10

11

12

13

14

15

16 Criteria: SI and facet joints normal 4 contiguous vertebrae No disc space narrowing

17

18

19

20

21  Subchondral sclerosis, osteophytes  No erosions  Asymmetric joint space  Nearly all arthritides can lead to DJD *Weight-bearing radiograph for early detection Mobius battle

22  Microtrauma – not just body habitus but body habits AKA repeated use

23

24

25

26

27

28

29

30

31

32

33 Monu, Johnny UV, and Thomas L. Pope Jr. "Gout: a clinical and radiologic review." Radiologic Clinics of North America 42.1 (2004): 169-184.

34


Download ppt "Radiographic evaluation of arthritis: inflammatory conditions Jon A. Jacobson, Gandikota Girish, Yebin Jiang, and Donald Resnick Radiology 2008 248:2,"

Similar presentations


Ads by Google