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Radiology

Arthritis

Built from Fundamentals of Diagnostic Radiology

The first 25 slides of Arthritis
The first 25 slides, exactly as they appear. The full deck has 148 content slides.

What’s inside

10 sections · 148 slides

  1. 01

    Overview

    • What this topic covers
    • The arthritis family at a glance

    2 slides

  2. 02

    Osteoarthritis

    Degenerative joint disease, DISH, and geodes

    • Osteoarthritis — definition and cause
    • The three hallmarks of DJD
    • Hallmarks of degenerative joint disease
    • Osteoarthritis of the finger joints
    • Sclerosis and osteophytes in DJD
    • Diffuse idiopathic skeletal hyperostosis
    • Diffuse idiopathic skeletal hyperostosis
    • Primary versus secondary osteoarthritis
    • Primary osteoarthritis — distribution
    • Primary osteoarthritis of the hands
    • Erosive osteoarthritis
    • DJD joints that can erode
    • Joints that erode in degenerative joint disease
    • Osteoarthritis of the sacroiliac joint
    • Geodes — what they are
    • Diseases in which geodes are found
    • How geodes form
    • Subchondral cyst (geode) of the shoulder

    18 slides

  3. 03

    Rheumatoid Arthritis

    Hallmarks, large joints, and secondary DJD

    • Rheumatoid arthritis — definition
    • Radiographic hallmarks of RA
    • Hallmarks of rheumatoid arthritis
    • Rheumatoid arthritis of the hands
    • RA in large joints
    • Femoral head migration in hip arthritis
    • Rheumatoid arthritis of the hip
    • High-riding shoulder in RA
    • Causes of a high-riding shoulder
    • Rheumatoid arthritis of the shoulder
    • Secondary DJD in long-standing RA
    • Secondary osteoarthritis in rheumatoid arthritis

    12 slides

  4. 04

    HLA-B27 Spondyloarthropathies

    Spine and sacroiliac patterns

    • The HLA-B27 spondyloarthropathies
    • Syndesmophyte versus osteophyte
    • Syndesmophytes in psoriasis
    • Classifying syndesmophytes
    • Marginal, symmetrical syndesmophytes
    • Bamboo spine — marginal syndesmophytes
    • Nonmarginal, asymmetrical syndesmophytes
    • Bulky nonmarginal syndesmophytes
    • Sacroiliac disease — ankylosing spondylitis and IBD
    • Sacroiliac disease in ankylosing spondylitis
    • Fused sacroiliac joints in ankylosing spondylitis
    • Sacroiliac disease — reactive and psoriatic arthritis
    • Unilateral sacroiliac disease in psoriasis
    • Sacroiliac joint disease patterns
    • Causes of sacroiliac joint disease
    • CT of the sacroiliac joints
    • CT of sacroiliac disease in psoriasis
    • Large joint involvement
    • Ankylosing spondylitis with hip disease
    • Psoriatic arthritis of the hands and feet
    • Psoriatic arthritis of the hands
    • Calcaneal spur in psoriasis and reactive arthritis
    • Reactive arthritis of the calcaneus
    • Reactive arthritis versus psoriasis
    • Reactive arthritis of the great toe

    25 slides

  5. 05

    Crystal-Induced Arthritis

    Gout and calcium pyrophosphate disease (CPPD)

    • Crystal-induced arthritis — scope
    • Gout — mechanism
    • Gout — radiographic hallmarks
    • Hallmarks of gout
    • Gout erosions of the wrist
    • Gout — erosions and typical site
    • Gout of the first metatarsophalangeal joint
    • Gout — timing and advanced disease
    • Advanced gout with tophi
    • CPPD — the classic triad
    • CPPD — pain
    • Chondrocalcinosis — sites
    • Common sites of chondrocalcinosis in CPPD
    • Chondrocalcinosis of the knee
    • Chondrocalcinosis of the wrist
    • Soft tissue calcium and CPPD
    • CPPD arthropathy — location
    • Common sites of arthropathy in CPPD
    • CPPD arthropathy of the elbow
    • CPPD arthropathy of the radiocarpal joint
    • Pseudo-Charcot joint
    • Diseases associated with CPPD
    • Diseases associated with CPPD

    23 slides

  6. 06

    Systemic Arthropathies

    Collagen vascular disease, sarcoid, hemochromatosis

    • Collagen vascular diseases — the hands
    • Lupus and scleroderma specifics
    • Systemic lupus erythematosus of the hand
    • Scleroderma of the hand
    • Sarcoidosis of bone
    • Sarcoidosis of the hand
    • Hemochromatosis arthropathy
    • Hemochromatosis arthropathy of the hand

    8 slides

  7. 07

    Neuropathic Joint and Growth Arthropathies

    Charcot joint, JRA, hemophilia, paralysis

    • Charcot joint — the triad
    • The Charcot joint triad
    • Hallmarks of a neuropathic joint
    • Joint destruction in Charcot
    • Charcot joint of the knee
    • Charcot spine
    • Dislocation and heterotopic new bone
    • Diabetic foot and other causes
    • Lisfranc Charcot joint of the foot
    • JRA, hemophilia, and paralysis
    • Juvenile rheumatoid arthritis of the knee
    • Muscular dystrophy simulating JRA
    • Why they look alike — disuse

    13 slides

  8. 08

    Synovial Lesions

    Synovial chondromatosis and PVNS

    • Synovial chondromatosis
    • Synovial chondromatosis of the hip
    • Noncalcified synovial chondromatosis
    • Synovial chondromatosis without calcification
    • Joint mice and treatment
    • Tumefactive synovial chondromatosis
    • Tumefactive synovial osteochondromatosis
    • Tumefactive synovial osteochondromatosis (alternate view)
    • Pigmented villonodular synovitis
    • Pigmented villonodular synovitis of the hip
    • PVNS versus chondromatosis and MRI
    • Pigmented villonodular synovitis on MRI

    12 slides

  9. 09

    Sudeck Atrophy and Joint Effusions

    Disuse changes and fluid detection

    • Sudeck atrophy
    • Sudeck atrophy of the hand
    • Joint effusions — the elbow
    • Knee effusion — measurement
    • Knee joint effusion
    • Hip and shoulder effusions

    6 slides

  10. 10

    Avascular Necrosis

    Osteonecrosis and osteochondroses

    • Avascular necrosis — what it is
    • Hallmark of AVN
    • Early avascular necrosis of the hip
    • AVN — the sequence of signs
    • Subchondral lucency in avascular necrosis
    • Avascular necrosis of the shoulder
    • The subchondral lucency caveat
    • Collapse and one-sided change
    • AVN on MRI
    • Avascular necrosis of the hip — axial MRI
    • Avascular necrosis of the hip — coronal MRI
    • Osteochondritis dissecans
    • Osteochondritis dissecans of the knee
    • Osteochondritis dissecans of the talus
    • Osteochondritis dissecans of the elbow
    • Geodes in AVN
    • Geode in the hip with avascular necrosis
    • Osteochondroses — named AVN sites
    • Osteochondroses detail
    • Kienböck malacia of the lunate
    • Köhler disease of the tarsal navicular
    • Freiberg infraction of the metatarsal head
    • Scheuermann disease of the spine
    • Kienböck malacia on MRI
    • Takeaways — osteoarthritis and RA
    • Takeaways — crystal and systemic disease
    • Takeaways — destructive and vascular disease
    • References
    • Brant and Helms' Fundamentals of Diagnostic Radiology

    29 slides