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Common Radiographic Findings

Common Radiographic Findings

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Published by Naila Afzal

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Published by: Naila Afzal on Jun 10, 2012
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06/10/2012

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 Common radiographic findings of Rheumatoid 1. Periarticular STS 2. Juxtaarticular osteoporosis progressing to generalized osteoporosis 3. Uniform loss of joint space 4. Lack of bone formation 5. Marginal erosions progressing to severe erosions of subchondral bone 6. Synvovial cyst formation 7. Subluxations 8. Bilateral symmetrical distribution 9. Distribution in hands, feet, knee, hips, cspine, shoulders, and elbow in decreasing frequency  Common radiographic findings of Psoriatic arthritis 1. Fusiform STS 2. Maintaienance of normal mineralization 3. Dramatic joint space loss 4. Bone proliferation 5. "penicil in cup" 6. Bilateral aymmetrical distribution 7. Distribution primarily in hands, feet, SI joints, and spine, in decreasing freqency  Common radiographic findings of Reiters disease 1. Fusiform STS 2. Early juxtarticular osteoporosis, reestablishment of normal mineralization 3. Uniform joint space loss 4. Bone proliferation 5. Ill defined erosions 6. Bilateral asymmetrical distribution 7. Distribution in feet, ankles, knees, and SI joints; hands, hips, and spine less frequently involved  Common radiographic findings of Ankylosing spondylitis 1. Normal mineralization before ankylosis, generalized osteoporosis after 2. Subchonral bone formation present before ankylosis 3. Erosions- small, localized, and not a prominent part of the picture 4. Absence of subluxations 5. absence of cysts 6. Ankylosis 7. Bilateral symmetrical distribution 8. Distribution in SI joints and the spine(ascending from L to C spine); then hips shoulders, knees, hands, and feet in decreasing frequency

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Normal mineralization             . knee. Unilateral or bilateral aysemmtrical involvement 8. ankle. hands. FLowing ossification of at least four contiguous vertebral bodies 3. Tophi 2. Asymmetrical polyarticular distribution 7. Distribution in hands. spine)  Common radiographic features of DISH 1. Sporadic distribution 7. Excessive juxtaarticular new bone formation 4. Fragmentation and osseous debris 6. Normal mineralization 2. Cysts 7. Sever subluxation and or dislocation 3. knees. Osteophyte formation 6. ankles. Subchondral new bone formation 5. Chondrocalcinosis 2. Normal mineraliztion 3. Abscence of erosions 4. Distribution in feet. Ossification of multiple tendinous and ligamentous sites in the apendicular skeleton 5. Dissolution of normal joint articulation 2. Normal mineralization 2. Pathological fractures 7. sparing shoulders and elbows  Common radiogrpahic features of neuropathic osteoarthropathy 1. Preservation of disc spaces 4. Distribution primarilary in the spine  Common radiographic features of Gout 1. Mammoth osteophytes 5. Nonumiform loss of joint space 3. and hips. Joint space preservation 4. Distribution in weight bearing joints(foot. Abscence of joint abnormality 6. knees. Unilatera and or bilateral aymmetrical distribution 9.   Common radiographic features of osteoarthritis 1. Overhanging edge of cortex 6. hip. feet. and elbow. in decreasing frequency  Common radigraphic features of CPPD 1. Punched out erosions with sclerotic borders 5. Subluxations 8.

Uniform joint loss 4. Distribution in shoulder. well delineated and circular) 2.no excessive neuropathic changes as seen in cppd 8. Distribution in knees. Periarticular calcifications ( early deposition is linear and poorly defined. Chondroclacinosis.diffuse 2. Bilateral symmetrical distribution 9. Subchondral cyst formation 6.more prominent than in osteoarthritis 7. Bilateral distribution 9. STS 3. Occasional osteporosis or reactive sclerosis 6. Subchondral sclerosis 5. and neck in decreasing order  Common radiographic features in hemochromatosis 1. Osteoporosis 2. with time becomes denser. Normal adjacent bone 4. Single joint distribution. hands. Relative absence of osteophytes 6. wrist. hip. Slow progression of disease . Cysts. in decreasing order (unlike osteoarthritis the shoulder and elbow are involved)     Common radiographic features of Hydroxyapatite deposition disease 1. Bilateral symmetrical distribution       . with calcifications or vacuum phenomenon present 3. Extensive subchondral sclerosis 5. and hips. then knee and hip.there appears to be more calcification when compared to cppd arthropathy 3. Occasional joint effusion 5. late widespread involvement throughout the skeleton  Common radiographic features of ochronosis 1. Disc degeneration at multiple levels. Uniform joint space loss 4.3. occasionaly multiple joints may be involved at same time or successively 7. Beak like osteophytes 7. Occasional neuropathic changes 8. elbow. Uniform joint space loss 4. Distribution in hand and wrist initially and most frequently. Osteoporosis. Intrarticular loose bodies 7. variable osteophyte formation 6. subchondral new bone formation 5. homogeneous.

Late unifrom joint space loss 6.premature fusion leading to decreased bone length 6. Soft tissue swelling 2. and shoulder. Advanced skeletal maturation. and or diffuse 3. c spine. foot. Juxtaarticular osteoporosis 3.8. in decreasing order of frequency     Common radiographic features of collagen vascular disease 1. sporadic distribution in pauciarticular or monarticular disease 10. elbow. Ostoporosis. subchondral cysts 5. Overgrown or ballooned epiphysis 4. knee. Periostitis 4. Calcification 7.juxtaarticular or diffuse 3. metaphyseal lucent bands. Late joint space loss 7. Absence of erosions 5. and wrist in pauciarticular or monoarticular  Common radiographic features of hemophilia 1. Subluxation and dislocations 4. ankle. Periarticular STS 2. ankle. Distribution in knee.juxtaarticular. and mandible in decreasing order. distribution in knee. Late erosive disease 8. Absence of joint space loss 6. hip. Distribution in hand and wrist. Distribution in spine. Asymmetrical sporadic distribution 8. and shoulder  Common radiographic features of juvenille chronic arthritis 1. Bilateral and symmetrical distribution in polyarticular disease. hip. Bilateral and symmetrical distribution 9. ankle. Overgrown or ballooned epiphysis 5. and shoulder. Radiodense soft tissue swelling 2. elbow. changes distal to the elbow or ankle are rare       . Distribution in hand and wrist. inpolyarticular disease. hip. hip. SI joints. Ankylosis 9. Osteoporosis. in decreasing order. Late secondary osteoarthritis changes 7. Osteonecrosis 8. knee. knee.

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