The role of imaging modalities in the diagnosis, differential diagnosis and clinical assessment of peripheral joint osteoarthritis C.Y.J. Wenham, A.J.

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The role of imaging modalities in the diagnosis, differential diagnosis and clinical assessment of peripheral joint osteoarthritis C.Y.J. Wenham, A.J. Grainger, P.G. Conaghan Osteoarthritis and Cartilage Volume 22, Issue 10, Pages 1692-1702 (October 2014) DOI: 10.1016/j.joca.2014.06.005 Copyright © 2014 Osteoarthritis Research Society International Terms and Conditions

Fig. 1 Fat suppressed, proton density MRI of the knee (coronal view) demonstrating bone marrow lesions (arrowed). Note also the macerated medial meniscus and medial osteophytes. Osteoarthritis and Cartilage 2014 22, 1692-1702DOI: (10.1016/j.joca.2014.06.005) Copyright © 2014 Osteoarthritis Research Society International Terms and Conditions

Fig. 2 Contrast enhanced, fat suppressed MRI of the knee (axial view) demonstrating extensive synovitis (solid arrows) and osteophytes (dotted arrows). Osteoarthritis and Cartilage 2014 22, 1692-1702DOI: (10.1016/j.joca.2014.06.005) Copyright © 2014 Osteoarthritis Research Society International Terms and Conditions

Fig. 3 XR of the left shoulder demonstrating AVN of the humeral head. Note the radiolucent crescent parallel to the articular surface (arrowed), secondary to subchondral structural collapse of the necrotic segment. Osteoarthritis and Cartilage 2014 22, 1692-1702DOI: (10.1016/j.joca.2014.06.005) Copyright © 2014 Osteoarthritis Research Society International Terms and Conditions

Fig. 4 AVN of the femoral head. XR image of the pelvis demonstrating AVN of the right femoral head. Note the flattening of the femoral head (dotted arrow), sclerosis of the acetabular margins (solid arrow) and subchondral cysts. Osteoarthritis and Cartilage 2014 22, 1692-1702DOI: (10.1016/j.joca.2014.06.005) Copyright © 2014 Osteoarthritis Research Society International Terms and Conditions

Fig. 5 T1 weighted coronal MRI image demonstrating AVN of the right femoral head. Note the serpentine areas (arrowed) and double line sign. Osteoarthritis and Cartilage 2014 22, 1692-1702DOI: (10.1016/j.joca.2014.06.005) Copyright © 2014 Osteoarthritis Research Society International Terms and Conditions

Fig. 6 SIF of the knee (previously termed “SONK”). MRI (STIR sequence) image of the knee demonstrating widespread bone marrow oedema (black arrow) within the medial femoral condyle and a medial meniscal tear. The subchondral crescent indicates the fracture line (white arrow). Osteoarthritis and Cartilage 2014 22, 1692-1702DOI: (10.1016/j.joca.2014.06.005) Copyright © 2014 Osteoarthritis Research Society International Terms and Conditions

Fig. 7 XR of the knee demonstrating chondrocalcinosis (arrowed) in both lateral and medial tibio-femoral compartments. Osteoarthritis and Cartilage 2014 22, 1692-1702DOI: (10.1016/j.joca.2014.06.005) Copyright © 2014 Osteoarthritis Research Society International Terms and Conditions

Fig. 8 There is chondrocalcinosis within the triangular fibrocartilage bilaterally (solid arrows). Note the atypical pattern of osteoarthritis, with changes affecting the radiocarpal and metacarpal joints (dotted arrows), with relatively less involvement of the thumb bases and interphalangeal joints. This atypical pattern of OA is typical for CPPD disease. Osteoarthritis and Cartilage 2014 22, 1692-1702DOI: (10.1016/j.joca.2014.06.005) Copyright © 2014 Osteoarthritis Research Society International Terms and Conditions

Fig. 9 Transverse view of the distal humerus in a patient presenting with acute gout in the elbow joint. Note the “double-contour sign” (dotted arrow) due to urate crystal deposition on the surface of the articular cartilage. Osteoarthritis and Cartilage 2014 22, 1692-1702DOI: (10.1016/j.joca.2014.06.005) Copyright © 2014 Osteoarthritis Research Society International Terms and Conditions