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Radiographic evaluation of arthritis: inflammatory conditions Jon A. Jacobson, Gandikota Girish, Yebin Jiang, and Donald Resnick Radiology 2008 248:2, 378-389
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Hypertrophic/proliferative Degenerative: primary or secondary Secondary AKA atypical OA Hemophilia Gout trauma Erosive Rheumatoid + variants Infectious TB Pyogenic/bacterial
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Synovial proliferation Pannus Inflammatory erosions Uniform joint space narrowing Soft-tissue swelling RA + seronegative variants Reiters Ankylosing spondylitis Enteric arthropathy Psoriatic arthropathy
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Multiple joints: systemic Periarticular osteopenia Juxtaarticular bony erosions (non-cartilage non-protected bone) Subluxation and gross deformity Periarticular soft tissue swelling
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Younes, Mohamed, et al. "Compared imaging of the rheumatoid cervical spine: prevalence study and associated factors." Joint Bone Spine 76.4 (2009): 361-368. The prevalence of rheumatoid cervical spine involvement was 47.5% by standard radiography, 28.2% by CT, and 70% by MRI. Rheum involvement with high Sharp score and elevated CRP 17.5% of those with Cspine abn were w/o sx. Overall rheumatoid involvement of the cervical spine was not significantly associated with any of the epidemiological, clinical, laboratory, imaging, or therapeutic factors evaluated in the study.
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Criteria: SI and facet joints normal 4 contiguous vertebrae No disc space narrowing
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Subchondral sclerosis, osteophytes No erosions Asymmetric joint space Nearly all arthritides can lead to DJD *Weight-bearing radiograph for early detection Mobius battle
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Microtrauma – not just body habitus but body habits AKA repeated use
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Monu, Johnny UV, and Thomas L. Pope Jr. "Gout: a clinical and radiologic review." Radiologic Clinics of North America 42.1 (2004): 169-184.
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