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Arthritis

Arthritis. An algorithm. Radiographic evaluation of arthritis: inflammatory conditions Jon A. Jacobson, Gandikota Girish , Yebin Jiang, and Donald Resnick Radiology 2008 248:2, 378-389. Something different. Hypertrophic/proliferative Degenerative: primary or secondary

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Arthritis

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  1. Arthritis

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

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

  4. Erosive • Synovial proliferation  Pannus • Inflammatory erosions • Uniform joint space narrowing • Soft-tissue swelling • RA + seronegative variants • Reiters • Ankylosingspondylitis • Enteric arthropathy • Psoriatic arthropathy

  5. RA • Multiple joints: systemic • Periarticularosteopenia • Juxtaarticular bony erosions (non-cartilage non-protected bone) • Subluxation and gross deformity • Periarticular soft tissue swelling

  6. RA

  7. RA C-spine

  8. Cervical spine imaging in Ra 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 Cspineabn 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.

  9. The recommendations

  10. Psoriatic

  11. Psoriatic spine

  12. AK- classic

  13. AK

  14. syndesmophytes

  15. DISH Criteria: SI and facet joints normal 4 contiguous vertebrae No disc space narrowing

  16. Reactive Arthropathy

  17. Enteric arthropathy

  18. TB

  19. SI

  20. hyperproliferative • Subchondral sclerosis, osteophytes • No erosions • Asymmetric joint space • Nearly allarthritides can lead to DJD *Weight-bearing radiograph for early detection Mobius battle

  21. Microtrauma – not just body habitus but body habits AKA repeated use

  22. OA- osteophytes

  23. DJD

  24. OA-spine

  25. CPPD

  26. CPPD

  27. hemochromatosis

  28. Neuropathic

  29. Neuropathic spine

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

  31. Gout

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