RTG SPREMEMBE PRI DEGENERATIVNI IN VNETNI ARTROZI

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Presentation transcript:

RTG SPREMEMBE PRI DEGENERATIVNI IN VNETNI ARTROZI Boris Kos

ARTROZA Degeneracija sklepnega hrustanca Primarna artroza Sekundarna artroza Pogostejše na obremenjenih sklepih spodnjih ekstremitet (koleno, kolk)

RTG LASTNOSTI Subhondralna skleroza Zožitev sklepne špranje Osteofiti Subhondralne ciste Izguba običajnih kontur sklepnih površin (deformacija) Prosta telesa v sklepu (resna prizadetost)

http://www.emedx.com/emedx/diagnosis_information/knee_disorders/knee_osteoarthritis_xrays.htm

ARTROZA KOLENA

http://www. mdconsult. com/das/stat/images/imng/0c03b3601reduced_us http://www.mdconsult.com/das/stat/images/imng/0c03b3601reduced_us.jpg Osteofiti, subhondralna skleroza, zožena sklepna špranja, subhondralna cista

ARTROZA KOLKA

Assymetric acetabular sclerosis and joint space narrowing with subchondral cyst formation. http://www.radiologyteacher.com/index.cgi?&nav=view&DatID=789

Subhondralna skleroza + zoženje sklepne špranje (črne puščice) Osteofiti (bela puščica) This is an image of DJD or OA of the finger joints. Note the narrowing of the joint spaces and the increased density around the joints due to the subchondral sclerosis (black arrows). There are also a few osteophytes (white arrow).

DEGENERATIVNE SPREMEMBE NA HRBTENICI http://www.corinthchiropractic.com/subluxation.html

http://www.gmhchiro.com/osteoarthritis.html

VNETNA VS DEGENERATIVNA ARTROZA

RTG PRI VNETNEM REVMATIZMU ZGODNJA FAZA: oteklina mehkih delov, obsklepna osteoporoza NAPREDOVALA FAZA: stanjšanje hrustanca, erozije, razraščanje panusa POZNA FAZA: subluksacije, luksacije sklepov, ankiloza, osteoporoza... sek. artroza.

Oteklina mehkih tkiv + erozije Erozije + obsklepna osteoporoza

Subluksacija + ulnarna deviacija

HVALA ZA POZORNOST