Ankylosing spondylitis x ray: Difference between revisions
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{{Ankylosing spondylitis}} | {{Ankylosing spondylitis}} | ||
{{CMG}} | {{CMG}} ; {{AE}} {{MKK}} | ||
==Overview== | ==Overview== | ||
An [[x-ray]] may be helpful in the diagnosis of [[ankylosing spondylitis]] (AS). Findings on an x-ray suggestive of ankylosing spondylitis (AS) include [[Erosion (dental)|erosion]] and [[ankylosis]] of the [[Sacroiliac joint|sacroiliac joints]]. | |||
[[ | |||
A | ==X Ray== | ||
* A standard [[anteroposterior]] (AP) plain [[x-ray]] of the [[pelvis]] helps in recognizing the AS. | |||
* Findings on an x-ray suggestive of/diagnostic of [[ankylosing spondylitis]](AS) include<ref name="pmid20971774">{{cite journal |vauthors=Jang JH, Ward MM, Rucker AN, Reveille JD, Davis JC, Weisman MH, Learch TJ |title=Ankylosing spondylitis: patterns of radiographic involvement--a re-examination of accepted principles in a cohort of 769 patients |journal=Radiology |volume=258 |issue=1 |pages=192–8 |date=January 2011 |pmid=20971774 |pmc=3009382 |doi=10.1148/radiol.10100426 |url=}}</ref><ref name="pmid22915622">{{cite journal |vauthors=Poddubnyy D, Brandt H, Vahldiek J, Spiller I, Song IH, Rudwaleit M, Sieper J |title=The frequency of non-radiographic axial spondyloarthritis in relation to symptom duration in patients referred because of chronic back pain: results from the Berlin early spondyloarthritis clinic |journal=Ann. Rheum. Dis. |volume=71 |issue=12 |pages=1998–2001 |date=December 2012 |pmid=22915622 |doi=10.1136/annrheumdis-2012-201945 |url=}}</ref><ref name="pmid22859929">{{cite journal |vauthors=Ostergaard M, Lambert RG |title=Imaging in ankylosing spondylitis |journal=Ther Adv Musculoskelet Dis |volume=4 |issue=4 |pages=301–11 |date=August 2012 |pmid=22859929 |pmc=3403247 |doi=10.1177/1759720X11436240 |url=}}</ref> | |||
** [[Erosions]] | |||
** [[Ankylosis]] | |||
** Changes in [[joint]] width | |||
** [[Sclerosis]] | |||
* Fusion and large erosions more obvious as the disease becomes more advanced. | |||
* With the severity in [[x-ray]] [[Hip (anatomy)|hip]] involvement we can correlates the severity of the [[Spine|spinal]] disease.<ref name="pmid19755506">{{cite journal |vauthors=Baraliakos X, Braun J |title=Hip involvement in ankylosing spondylitis: what is the verdict? |journal=Rheumatology (Oxford) |volume=49 |issue=1 |pages=3–4 |date=January 2010 |pmid=19755506 |doi=10.1093/rheumatology/kep298 |url=}}</ref> | |||
[[File:Ankylosing spondylitis Bamboo spine.jpg|center|thumb|Lateral Xray of neck showing complete fusion of anterior and posterior elements in ankylosing spondylitis, so called bamboo spine. | |||
Source: Case courtesy of A.Prof Frank Gaillard, From the case <a href="https://radiopaedia.org/cases/2912">rID: 2912</a> | |||
]]'''''Ankylosing spondylitis DAGGER SPINE''''' | |||
[[File:Ankylosing spondylitis DAGGER SPINE.jpg|center|thumb|X-ray Ap view of spine showing fusion of the spinous processes, so called dagger sign in AS | |||
< | Case courtesy of A.Prof Frank Gaillard, From the case <a href="https://radiopaedia.org/cases/3382">rID: 3382</a> | ||
]] | |||
< | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Arthritis]] | |||
[[Category:Autoimmune diseases]] | |||
Latest revision as of 03:14, 30 July 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
An x-ray may be helpful in the diagnosis of ankylosing spondylitis (AS). Findings on an x-ray suggestive of ankylosing spondylitis (AS) include erosion and ankylosis of the sacroiliac joints.
X Ray
- A standard anteroposterior (AP) plain x-ray of the pelvis helps in recognizing the AS.
- Findings on an x-ray suggestive of/diagnostic of ankylosing spondylitis(AS) include[1][2][3]
- Fusion and large erosions more obvious as the disease becomes more advanced.
- With the severity in x-ray hip involvement we can correlates the severity of the spinal disease.[4]
Ankylosing spondylitis DAGGER SPINE
References
- ↑ Jang JH, Ward MM, Rucker AN, Reveille JD, Davis JC, Weisman MH, Learch TJ (January 2011). "Ankylosing spondylitis: patterns of radiographic involvement--a re-examination of accepted principles in a cohort of 769 patients". Radiology. 258 (1): 192–8. doi:10.1148/radiol.10100426. PMC 3009382. PMID 20971774.
- ↑ Poddubnyy D, Brandt H, Vahldiek J, Spiller I, Song IH, Rudwaleit M, Sieper J (December 2012). "The frequency of non-radiographic axial spondyloarthritis in relation to symptom duration in patients referred because of chronic back pain: results from the Berlin early spondyloarthritis clinic". Ann. Rheum. Dis. 71 (12): 1998–2001. doi:10.1136/annrheumdis-2012-201945. PMID 22915622.
- ↑ Ostergaard M, Lambert RG (August 2012). "Imaging in ankylosing spondylitis". Ther Adv Musculoskelet Dis. 4 (4): 301–11. doi:10.1177/1759720X11436240. PMC 3403247. PMID 22859929.
- ↑ Baraliakos X, Braun J (January 2010). "Hip involvement in ankylosing spondylitis: what is the verdict?". Rheumatology (Oxford). 49 (1): 3–4. doi:10.1093/rheumatology/kep298. PMID 19755506.