Rheumatoid arthritis x ray
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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
X Ray
Hallmark of rheumatoid arthritis are:[1]
- 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
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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[4]
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
References
- ↑ Devauchelle-Pensec V, Saraux A, Alapetite S, Colin D, Le Goff P (October 2002). "Diagnostic value of radiographs of the hands and feet in early rheumatoid arthritis". Joint Bone Spine. 69 (5): 434–41. PMID 12477226.
- ↑ van der Heijde DM, van Leeuwen MA, van Riel PL, Koster AM, van 't Hof MA, van Rijswijk MH, van de Putte LB (January 1992). "Biannual radiographic assessments of hands and feet in a three-year prospective followup of patients with early rheumatoid arthritis". Arthritis Rheum. 35 (1): 26–34. PMID 1731813.
- ↑ Koh JH, Jung SM, Lee JJ, Kang KY, Kwok SK, Park SH, Ju JH (2015). "Radiographic Structural Damage Is Worse in the Dominant than the Non-Dominant Hand in Individuals with Early Rheumatoid Arthritis". PLoS ONE. 10 (8): e0135409. doi:10.1371/journal.pone.0135409. PMC 4527732. PMID 26247204.
- ↑ Fuchs HA, Kaye JJ, Callahan LF, Nance EP, Pincus T (May 1989). "Evidence of significant radiographic damage in rheumatoid arthritis within the first 2 years of disease". J. Rheumatol. 16 (5): 585–91. PMID 2754663.