Atlas of individual radiographic features in osteoarthritis, revised

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Presentation transcript:

Atlas of individual radiographic features in osteoarthritis, revised R.D. Altman, M.D., G.E. Gold, M.D. Osteoarthritis and Cartilage Volume 15, Pages A1-A56 (January 2007) DOI: 10.1016/j.joca.2006.11.009 Copyright © 2007 Terms and Conditions

Fig. 1 Hand DIP: (A) grade 0 normal, (B) grade 1 marginal osteophyte, (C) grade 2 marginal osteophyte, and (D) grade 3 marginal osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 1 Hand DIP: (A) grade 0 normal, (B) grade 1 marginal osteophyte, (C) grade 2 marginal osteophyte, and (D) grade 3 marginal osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 2 Hand PIP: (A) grade 0 normal, (B) grade 1 marginal osteophyte, (C) grade 2 marginal osteophyte, and (D) grade 3 marginal osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 2 Hand PIP: (A) grade 0 normal, (B) grade 1 marginal osteophyte, (C) grade 2 marginal osteophyte, and (D) grade 3 marginal osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 3 Hand trapeziometacarpal joint: (A) grade 0 normal, (B) grade 1 marginal osteophyte, (C) grade 2 marginal osteophyte, and (D) grade 3 marginal osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 3 Hand trapeziometacarpal joint: (A) grade 0 normal, (B) grade 1 marginal osteophyte, (C) grade 2 marginal osteophyte, and (D) grade 3 marginal osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 4 Hand DIP: (A) grade 0 normal, (B) grade 1 joint space narrowing, (C) grade 2 joint space narrowing, and (D) grade 3 joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 4 Hand DIP: (A) grade 0 normal, (B) grade 1 joint space narrowing, (C) grade 2 joint space narrowing, and (D) grade 3 joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 5 Hand PIP: (A) grade 0 normal, (B) grade 1 joint space narrowing, (C) grade 2 joint space narrowing, and (D) grade 3 joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 5 Hand PIP: (A) grade 0 normal, (B) grade 1 joint space narrowing, (C) grade 2 joint space narrowing, and (D) grade 3 joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 6 Hand trapeziometacarpal joint: (A) grade 0 normal, (B) grade 1 joint space narrowing, (C) grade 2 joint space narrowing, and (D) grade 3 joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 6 Hand trapeziometacarpal joint: (A) grade 0 normal, (B) grade 1 joint space narrowing, (C) grade 2 joint space narrowing, and (D) grade 3 joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 7 Hand IP of the thumb: (A) normal, (B) marginal osteophyte, and (C) joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 7 Hand IP of the thumb: (A) normal, (B) marginal osteophyte, and (C) joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 8 Hand trapezionavicular joint: (A) normal, (B) marginal osteophyte, and (C) joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 8 Hand trapezionavicular joint: (A) normal, (B) marginal osteophyte, and (C) joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 9 Hand malalignment of the (A) DIP, (B) PIP, and (C) (subluxation) trapeziometacarpal joint. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 9 Hand malalignment of the (A) DIP, (B) PIP, and (C) (subluxation) trapeziometacarpal joint. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 10 Hand DIP: (A) erosion, (B) central erosion, (C) pseudowidening, and (D) subchondral sclerosis. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 10 Hand DIP: (A) erosion, (B) central erosion, (C) pseudowidening, and (D) subchondral sclerosis. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 11 Hand PIP: (A) erosion, (B) subchondral cyst, and (C) subchondral sclerosis. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 11 Hand PIP: (A) erosion, (B) subchondral cyst, and (C) subchondral sclerosis. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 12 Hand trapeziometacarpal joint: (A) erosion, (B) subchondral cyst, and (C) subchondral sclerosis. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 12 Hand trapeziometacarpal joint: (A) erosion, (B) subchondral cyst, and (C) subchondral sclerosis. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 13 Hip: (A) grade 0 normal, (B) grade 1 superior acetabular osteophyte, (C) grade 2 superior acetabular osteophyte, and (D) grade 3 superior acetabular osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 13 Hip: (A) grade 0 normal, (B) grade 1 superior acetabular osteophyte, (C) grade 2 superior acetabular osteophyte, and (D) grade 3 superior acetabular osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 14 Hip: (A) grade 0 normal, (B) grade 1 superior femoral osteophyte, (C) grade 2 superior femoral osteophyte, and (D) grade 3 superior femoral osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 14 Hip: (A) grade 0 normal, (B) grade 1 superior femoral osteophyte, (C) grade 2 superior femoral osteophyte, and (D) grade 3 superior femoral osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 15 Hip: (A) grade 0 normal, (B) grade 1 inferior femoral osteophyte, (C) grade 2 inferior femoral osteophyte, and (D) grade 3 inferior femoral osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 15 Hip: (A) grade 0 normal, (B) grade 1 inferior femoral osteophyte, (C) grade 2 inferior femoral osteophyte, and (D) grade 3 inferior femoral osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 16 Hip: (A) grade 0 normal, (B) grade 1 superior joint space narrowing, (C) grade 2 superior joint space narrowing, and (D) grade 3 superior joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 16 Hip: (A) grade 0 normal, (B) grade 1 superior joint space narrowing, (C) grade 2 superior joint space narrowing, and (D) grade 3 superior joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 17 Hip: (A) grade 0 normal, (B) grade 1 medial joint space narrowing, (C) grade 2 medial joint space narrowing, and (D) grade 3 medial joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 17 Hip: (A) grade 0 normal, (B) grade 1 medial joint space narrowing, (C) grade 2 medial joint space narrowing, and (D) grade 3 medial joint space narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 18 Hip: (A) normal, (B) inferior acetabular osteophyte, (C) acetabular subchondral cyst, and (D) acetabular subchondral sclerosis. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 18 Hip: (A) normal, (B) inferior acetabular osteophyte, (C) acetabular subchondral cyst, and (D) acetabular subchondral sclerosis. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 19 Hip: (A) normal, (B) subchondral femoral sclerosis, (C) flattening of the femoral head, and (D) thickening of the femoral medial calcar (buttressing). Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 19 Hip: (A) normal, (B) subchondral femoral sclerosis, (C) flattening of the femoral head, and (D) thickening of the femoral medial calcar (buttressing). Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 20 Knee: (A) grade 0 normal, (B) grade 1 medial femoral osteophyte, (C) grade 2 medial femoral osteophyte, and (D) grade 3 medial femoral osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 20 Knee: (A) grade 0 normal, (B) grade 1 medial femoral osteophyte, (C) grade 2 medial femoral osteophyte, and (D) grade 3 medial femoral osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 21 Knee: (A) grade 0 normal, (B) grade 1 medial tibial osteophyte, (C) grade 2 medial tibial osteophyte, and (D) grade 3 medial tibial osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 21 Knee: (A) grade 0 normal, (B) grade 1 medial tibial osteophyte, (C) grade 2 medial tibial osteophyte, and (D) grade 3 medial tibial osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 22 Knee: (A) grade 0 normal, (B) grade 1 lateral femoral osteophyte, (C) grade 2 lateral femoral osteophyte, and (D) grade 3 lateral femoral osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 22 Knee: (A) grade 0 normal, (B) grade 1 lateral femoral osteophyte, (C) grade 2 lateral femoral osteophyte, and (D) grade 3 lateral femoral osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 23 Knee (A) grade 0 normal, (B) grade 1 lateral tibial osteophyte, (C) grade 2 lateral tibial osteophyte, and (D) grade 3 lateral tibial osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 23 Knee (A) grade 0 normal, (B) grade 1 lateral tibial osteophyte, (C) grade 2 lateral tibial osteophyte, and (D) grade 3 lateral tibial osteophyte. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 24 Knee: (A) grade 0 normal, (B) grade 1 medial tibiofemoral narrowing, (C) grade 2 medial tibiofemoral narrowing, and (D) grade 3 medial tibiofemoral narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 24 Knee: (A) grade 0 normal, (B) grade 1 medial tibiofemoral narrowing, (C) grade 2 medial tibiofemoral narrowing, and (D) grade 3 medial tibiofemoral narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 25 Knee: (A) grade 0 normal, (B) grade 1 lateral tibiofemoral narrowing, (C) grade 3 lateral tibiofemoral narrowing, and (D) grade 3 lateral tibiofemoral narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 25 Knee: (A) grade 0 normal, (B) grade 1 lateral tibiofemoral narrowing, (C) grade 3 lateral tibiofemoral narrowing, and (D) grade 3 lateral tibiofemoral narrowing. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 26 Knee: (A) normal, (B) medial tibial attrition, (C) medial tibial sclerosis, and (D) lateral femoral sclerosis. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions

Fig. 26 Knee: (A) normal, (B) medial tibial attrition, (C) medial tibial sclerosis, and (D) lateral femoral sclerosis. Osteoarthritis and Cartilage 2007 15, A1-A56DOI: (10.1016/j.joca.2006.11.009) Copyright © 2007 Terms and Conditions