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Arthritis
Lecture by
Paulus Rahardjo
osteopenia
osteopenia
osteopenia
Joint space
narrowing
Marginal Erosion
(discontinuity of
bony cortex)
Inamatory arthritis
(Rheumatoid)
Degenerative Arthritis
(Osteoarthritis/
Osteoarthrosis)
Typical Osteoarthritis
Osteoarthritis is typically the result of articular
cartilage damage and wear and tear from
repetitive microtrauma that occurs throughout
life,
Genetic, hereditary, nutritional, metabolic,
preexisting articular disease, and body habitus
factors may contribute in some cases.
This process tends to involve specic joints
during specic decades of a persons life and
depends in
part on the patients body habitus and level of
physical activity.
PA
FROG-LEG
osteopenia
Atypical Osteoarthritis
If radiographic ndings of osteoarthritis are identied but
the involved joint is not one commonly affected by osteoarthritis,
the severity of the ndings are excessive or unusual, or
the age of the patient is unusual,
trauma,
crystal deposition disease,
neuropathic joint,
and hemophilia
congenital and developmental anomalies,
such as dysplasia, that disrupt normal biomechanics.
Atypical Osteoarthritis
Traumatic 2O OA
CPPD crystal
deposition
Atypical Osteoarthritis
CPPD crystal
deposition
CPPD crystal
deposition
Still disease
(or seronegative
chronic arthritis) a type of juvenile chronic arthritis (or juvenile RA)
Common radiographic features of arthritis in Still disease include
soft-tissue swelling and osteopenia;
Still disease
(or seronegative
chronic arthritis) a type of juvenile chronic arthritis (or juvenile RA)
osteopenia
Synovium
Rheumatoid Arthritis
Marginal erosion
Marginal erosion +
osteopenia
OA- Asymetric
Gouty arthritis
Caused by monosodium urate crystals
The radiographic features of gout do
not t into the presented algorithm, in
that joint space narrowing occurs late
In addition, the erosions are
characteristic in that they are
frequently near a joint but not specically
marginal
they have sclerotic margins that produce a
punched-out appearance.
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