Final Flashcards
3 types of osteoporosis
Generalized - hyperparathyroidism, Osteogenesis Imperfecta
Regional - immobilization, Reflex Sympathetic Dystrophy
Local - infection, arthritis, neoplasm
Rickets (children) and osteomalacia (adults)
Vit D Deficiency
Malabsorption, kidney dz
Widened growth plates, rachitic costal rosary
Osteopenia, trabecular
Scurvy
Vit C deficiency
Osteoporosis
White Line of Frankel, Wimberger’s sign (ring), Pelkin’s spurs, Trummerfeld Zone, subperiosteal hemorrhages
Hyperparathyroidism in spine, skull, hand
Spine - rugger jersey spine
Skull - salt and pepper resorption
Hand - acroosteolysis of distal phalanges, subperiosteal resorption
Acromegaly face, skull, foot
Face - widened mandibular angle
Skull - enlarged sella turcica
Foot - heel pad >20 mm
Long-term corticosteroids
osteoporosis of Cushing’s
osteonecrosis of femoral/humeral heads, distal femora and talus
Ischemic necrosis - intravertebral vacuum cleft sign
H-shaped vertebra
sickle cell anemia
Complications of sickle cell anemia
Osteomyelitis and AVN
Vertebral body collapse
Posterior mediastinal extramedullary hematopoiesis
Honeycomb trabecular patterns
Thalassemia
Hemophilic arthropathy in which 3 joints
ankle, knee, elbow (bilateral)
DDx for hemophilic arthropathy
Juvenile RA
Avascular necrosis/osteonecrosis sites
Femoral/humeral head, epiphyses, knees, neck of talus, waist of scaphoid
5 typical causes of avascular necrosis
Post trauma Corticosteroids Radiation Alcoholism Gout Caisson's disease Pancreatitis Post surgery Collagen disease
DJD (arthritic) characteristics
non-uniform joint space narrowing
osteophytes
subchondral sclerosis
subchondral cysts
Triangular sclerosis at iliac
Osteitis condensans ilii
bilateral
Females
Osteitis pubis medical procedure
Surgery near pubic symphysis
Marginal vs. non-marginal syndesmophytes
Marginal - symmetrical
Non-marginal - discontinuous
Marginal syndesmophyte spinal arthritis
AS
Non-marginal syndesphophyte spinal arthritis
Reiter’s, psoriatic arthritis, DDD, DISH
Systemic condition of DISH (diffuse idiopathic skeletal hyperostosis)
OPLL (ossification of posterior longitudinal ligament)
Dysphagia in which arthritis
DISH dt ossification of anterior longitudinal ligament
6 findings in neurotrophic arthropathy
distended joint dislocation disorganization density increase destruction debris