Rheumatoid arthritis x ray: Difference between revisions
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**Soft tissue swelling is [[fusiform]] and periarticular results from of joint effusion, [[edema]], and [[tenosynovitis]]. | **Soft tissue swelling is [[fusiform]] and periarticular results from of joint effusion, [[edema]], and [[tenosynovitis]]. | ||
*[[Joint]] space narrowing can be symmetrical or [[concentric]]. | *[[Joint]] space narrowing can be symmetrical or [[concentric]]. | ||
*Marginal erosions can result from the erosion by [[pannus]] of the | *Marginal erosions can result from the erosion by [[pannus]] of the [[bone]] also called as “bare areas” | ||
'''Hand and wrist findings''' | '''Hand and wrist findings''' | ||
*Common joints involved are: | *Common joints involved are: | ||
**PIP and [[MCP joint|MCP]] joints (especially 2nd and 3rd MCP) | **PIP and [[MCP joint|MCP]] joints (especially 2nd and 3rd [[MCP joint|MCP]]) | ||
**Ulnar styloid | **[[Ulnar]] [[Styloid process|styloid]] | ||
**Triquetrum | **Triquetrum | ||
*Findings seen are: | *Findings seen are: | ||
**Subchondral cysts | **Subchondral [[cysts]] | ||
**Ulnar deviation of the MCP joints | **[[Ulnar]] deviation of the [[MCP joint|MCP]] joints | ||
**Boutonniere and swan neck deformities | **[[Boutonniere deformity|Boutonniere]] and [[Swan neck deformity|swan neck]] deformities | ||
**Hitchhiker’s thumb deformity | **Hitchhiker’s thumb deformity | ||
**Scapholunate dissociation, ulnar translocation | **Scapholunate dissociation, ulnar translocation | ||
**Ankylosis | **[[Ankylosis]] | ||
'''Feet''' | '''Feet''' | ||
*Various radiological findings are: | *Various radiological findings are: | ||
**Subtalar joint involvement | **[[Subtalar joint|Subtalar]] joint involvement | ||
**Posterior calcaneal tubercle erosion | **Posterior [[Calcaneus|calcaneal]] tubercle erosion | ||
** | **Hammer toe deformity | ||
**Hallux valgus | **[[Hallux]] [[valgus]] | ||
'''Shoulder''' | '''Shoulder''' | ||
*Distal clavicle erosions | *Distal [[clavicle]] erosions | ||
*Erosions of the superolateral aspect of the head of the humerus | *Erosions of the superolateral aspect of the head of the [[humerus]] | ||
*High riding shoulder due to subacromial-subdeltoid bursitis | *High riding [[shoulder]] due to subacromial-subdeltoid bursitis | ||
'''Knee''' | '''Knee''' | ||
*Joint effusions | *[[Joint]] effusions | ||
*Loss of joint space | *Loss of joint space | ||
*Prepatellar bursitis | *[[Prepatellar bursitis]] | ||
'''Hip''' | '''Hip''' | ||
*Concentric loss of joint space | *Concentric loss of [[joint]] space | ||
*Acetabular protrusio | *Acetabular protrusio | ||
'''Spine''' | '''Spine''' | ||
*Atlantoaxial subluxation | *[[Atlantoaxial]] subluxation | ||
*Atlantoaxial impaction: cephalad migration of C2 | *Atlantoaxial impaction: cephalad migration of C2 | ||
*Osteoporosis and osteoporotic fractures | *[[Osteoporosis]] and [[Osteoporotic bones|osteoporotic]] fractures | ||
*Erosion of spinous processes | *Erosion of spinous processes | ||
<gallery> | <gallery> |
Revision as of 18:18, 13 April 2018
Rheumatoid arthritis Microchapters | |
Diagnosis | |
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Treatment | |
Case Studies | |
Rheumatoid arthritis x ray On the Web | |
American Roentgen Ray Society Images of Rheumatoid arthritis x ray | |
Risk calculators and risk factors for Rheumatoid arthritis x ray | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
X Ray
Hallmark of rheumatoid arthritis are :
- Soft tissue swelling:
- This is an early finding in the course of rheumatoid arthritis.
- Soft tissue swelling is fusiform and periarticular results from of joint effusion, edema, and tenosynovitis.
- Joint space narrowing can be symmetrical or concentric.
- Marginal erosions can result from the erosion by pannus of the bone also called as “bare areas”
Hand and wrist findings
- Common joints involved are:
- Findings seen are:
Feet
- Various radiological findings are:
Shoulder
- Distal clavicle erosions
- Erosions of the superolateral aspect of the head of the humerus
- High riding shoulder due to subacromial-subdeltoid bursitis
Knee
- Joint effusions
- Loss of joint space
- Prepatellar bursitis
Hip
- Concentric loss of joint space
- Acetabular protrusio
Spine
- Atlantoaxial subluxation
- Atlantoaxial impaction: cephalad migration of C2
- Osteoporosis and osteoporotic fractures
- Erosion of spinous processes
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Distal clavicle erosion