Final Flashcards
List some radiographic findings of Scurvy
Osteopenia Dense zone of provisional calcification = White Line of Frankel Subperiosteal hemorrhage Ring Epiphysis (Wimberger's Sing) "Scorbutic Rosary"
What condition has the clinical findings of thick skin especially on the heel pad, skull/facial changes, and ADI.
Acromegaly
T or F
PTH is an osteoclastic hormone
True
What type of HPT is the most common cause of hypercalcemia?
Primary
- parathyroid adenoma
T or F
Tertiary HPT is the most common complication of renal disease
False
Secondary
Where do we common see tertiary PTH?
Dialysis Patient
What is a hallmark manifestation radiographically of HPT?
Subperiosteal bone resporption of the outer cortex at the ligament and tendon insertion points
What are brown tumors?
Related to HPT
They are cyst like destructive bone lesions
Osteoclastic giant cells
T or F
Subperiosteal resorption of the Ulnar margins of the middle and proximal phalanges is a common radiographic finding with PTH
False
Radial margin
What digits of the hand do we common see HPT cause subperiosteal resorption?
2nd and 3rd digits
Name some common sites of subperiosteal resorption as related to HPT
Medial metaphysis of the humerus and tibia
Undersurface of the distal clavicle
Trochanters
Tuberosities
Radial margins of the middle and proximal phalanges
2nd and 3rd digit of the hand
Common sites of subarticular bone resorption related to HPT
AC joint
Symphysis pubis
SI joints
Describe the loss of bone density related to HPT
Granular
Salt and pepper skull/pepper-pot skull
Accentuated trabecular pattern of remaining trabeculae
Loss of cortical definition
T or F
The most common target site for HPT is the pelvis
False
Spine - it is called rugger-jersey spine.
Hands, skull, pelvis, and shoulders are also spots.
List some radiographic findings for Hypoparathyroidism
Osteosclerosis
Clavarial thickening
Hypoplastic dentition
Basal Ganglia Calcification
What are the classifications of Arthritic Disorders
Inflammatory
Degenerative
Metabolic
List some of the radiographic findings of Inflammatory Arthritic disorders
Soft tissue swelling Uniform loss of joint space Bone erosions Juxta-articular osteoporosis Monoarticular or polyarticular - symmetrical
Radiographic findings of Degenerative disorders
Non-uniform loss of joint space Osteophytes Subchondral sclerosis Subchondral cysts Asymmetrical
T or F
Gout is an example of a metabolic arthritic disorder
True
T or F
DJD is polyarticular
False
Monoartiular
T or F
Erosions are common with DJD
False
T or F
Osteophytes are not seen with DJD
False
Present
Primary DJD is more common with men or women?
Females 10:1
5th -6th decade
T or F
Primary DJD has a known factor or event is its cause
False
This is secondary
Primary = idiopathic
T or F
Females are affected more with secondary DJD
False
Males = Females
How do subchondral cysts form?
Weakness of joint cartilage and cortical microfractures
Synovial fluid enters subarticular bone
Cysts form
What is the name of the subchondral cysts that form in OA?
Geodes
Where do we typically see non-uniform loss of joint space in OA?
At areas of greatest intra-articular stress where joint space is preserved at areas not exposed to as much stress
Subchondral sclerosis aka ?
Eburnation
Where do we typically see Subchondral sclerosis?
Where greatest cartilage loss
Intra-articular loose bodies aka ?
Joint Mice
Where are joint mice most commonly seen in DJD?
Knee
What are some names of DJD in the hip. The akas
Coxarthrosis
Malum Coxae Senilis
Name the types of margination associated with DJD in the hip
Superior
Medial
Axial
T or F
Medial margination of DJD in the hip is commonly referred to as Waldenstrom sign
False
Superior margination
Protrusio Acetabuli is seen with what type of margination of DJD in the hip?
Medial
What is Buttressing?
Thickening
Medial side
Stress-related
Altered joint mechanics
In what compartment of the knee is DJD the MC?
Medial
What is tell tale sign of DJD in the knee?
Sharpening of tibial eminences
Where is pain most commonly felt in Chondromalacia patellae?
Anteromedial knee
What is a talar beak?
Osteophyte on the talus
Where is the most common site for DJD on the foot?
1st Metatarsophalangeal joint
T or F
Deformity of the foot associated with DJD is a Hallux Varus
False
Hallux Valgus
The most common joint in the shoulder for DJD?
AC joint
If DJD in glenohumeral joint what should we suspect?
Previous trauma or cartilaginous disease
T or F
Loss of joint space in the AC joint is common on the superior aspect of the joint?
False
Inferior
Calcification of tendons and bursa is commonly referred to as?
HADD
Where in the shoulder is HADD the MC?
Supraspinatus tendon at its insertion on greater tuberosity
2nd MC site for HADD in shoulder?
Subacromial bursa - below acromion and above humeral head
MC site for DJD in wrist?
1st metacarpal-trapezium joint
Radiographic signs of DJD in wrist?
Radial Displacement of the 1st metacarpal base
Sclerosis
Osteophytes
Loose bodies
T or F
DJD in the hand is MC in the MP joints
False
IP joints
T or F
DIP = Bouchard's Nodes PIP = Heberden's
False
