Joint Disease

Question 1

What are the 5 things that make up the checklist for evaluating joint disease?

Answer 1

1. Joint Space
2. Subchondral Bone
3. Margins of joint
4. Surrounding Soft Tissue
5. Miscellaneous

Question 2

What is this showing?

Answer 2

Question 3

What is this showing & what condition it associated with?

Answer 3

Ankylosis of intercarpal joints

Uniform loss of radiocarpal joint

(Associated w/ inflammatory arthritis)

Question 4

What two conditions are demonstrated here?

Answer 4

Question 5

Deformities can be seen in what kind of joint disease?

Answer 5

Degenerative, Inflammatory or Deposition

Question 6

What is shown here?

Answer 6

Calcification of fibrocartilage (normally shouldnt be able to see meniscus)

Question 7

What is shown here?

Answer 7

Calcification of hyaline cartilage

Question 8

What is shown here?

Answer 8

Calcification of Intra-Articular Loose Bodies (not associated with any particular type of joint disease)

Question 9

Fibrocartilage or Hyaline Cartilage calcification are associated with what category of joint disease?

Answer 9

Deposition

Question 10

What is shown here?

Answer 10

Joint effusion (increased fluid) - Abnormal fat pads

Anterior sail sign, Posterior fat pad

Question 11

What is shown here?

Answer 11

Joint Effusion in knee

Question 12

What is shown here?

Answer 12

Joint Effusion ankle joint

Question 13

What is shown here?

Answer 13

Abnormal Air in the joint (disc)

Also osteophytes and thickened end plates

Associated with Degenerative joint disease

Question 14

What is shown here?

Answer 14

Normal gas in joint

Question 15

Increased density of subchondral bone =

Answer 15

Subchondral sclerosis; referred to as endplate sclerosis in the spine

Question 16

Decreased density of subchondral bone =

Answer 16

Periarticular osteopenia (aka juxta-articular osteopenia); referred to as endplate destruction in the spine

Question 17

What is shown here?

Answer 17

Subchondral sclerosis (non-uniform with non-uniform loss of joint space)

Question 18

Sclerotic changes (adding bone) is associated with what category of joint disease?

Answer 18

Degenerative

Question 19

Taking away bone (osteopenia) is associated with what category of bone disease?

Answer 19

Inflammatory

Question 20

What is shown here?

Answer 20

Endplate sclerosis

Question 21

What is shown here?

Answer 21

Endplate sclerosis

Question 22

What is shown here?

Answer 22

Periarticular osteopenia

Question 23

What is shown here?

Answer 23

Endplate destruction (periarticular osteopenia in the spine)

Question 24

What is shown here?

Answer 24

Subchondral cysts

Question 25

Subchondral cysts are associated with category of joint disease?

Answer 25

Any of them (degenerative, inflammatory, deposition)

Question 26

What is shown here?

Answer 26

Ill-defined Marginal Erosions (Also subchondral cysts and loss of joint space)

Question 27

Ill-defined marginal erosions are associated with what category of joint disease?

Answer 27

Inflammatory

Question 28

What is shown here?

Answer 28

Well-defined Marginal Erosions

Question 29

What is shown here?

Answer 29

Romanus lesions (marginal erosions in the spine)

Question 30

What is shown here?

Answer 30

Central joint erosions

Question 31

What is shown here?

Answer 31

Osteophytes (traction)

Question 32

What is shown here?

Answer 32

Osteophytes (claw)

Question 33

Syndesmophytes are associated with what joint disease category?

Answer 33

Inflammatory

Question 34

What is shown here?

Answer 34

Marginal Syndesmophytes

Question 35

What is shown here?

Answer 35

Non-Marginal Syndesmophyte

Question 36

What is shown here?

Answer 36

Non-Marginal Syndesmophyte

Question 37

What is category of joint disease would the following condition fall under?

Answer 37

Degenerative

Question 38

Increased soft tissue size/thickness is most often seen in what joint disease category?

Answer 38

Inflammatory (also can be deposition like gout if mass instead of swelling)

Question 39

What is shown here and what joint disease category is it generally associated with?

Answer 39

Generalized increase in soft tissue size/thickness Inflammatory

Question 40

What is shown here?

Answer 40

Calcification in soft tissue (supraspinatus tendon) (Deposition in this case)

Question 41

What category of joint disease would this be associated with?

Answer 41

Inflammatory

Question 42

This case appears to have a _____ distribution Associated with what type of joint disease category?

Answer 42

Unilateral Degenerative

Question 43

This case appears to have ____ distribution Associated with what type of joint disease category?

Answer 43

Bilateral Asymmetric

Question 44

This case appears to have ____ distribution Associated with what type of joint disease category?

Answer 44

Bilateral Symmetric Inflammatory

Question 45

What is shown here?

Answer 45

Enthesophytes

Question 46

What is shown here?

Answer 46

Enthesitis

Question 47

What is shown here?

Answer 47

Non-articular bony erosions Likely depositional disease such as gout

Question 48

What is shown here?

Answer 48

Periostitis of adjacent bone (Associated w/ inflammatory/arthritic changes)

Question 49

Decreased or increased joint space (typically non-uniforrm) Osteophytes Subchondral sclerosis & cysts Enthesophytes Unilateral/asymmetric Joint effusion These are characteristics of what joint disease category?

Answer 49

Degenerative

Question 50

Uniform loss of joint space is associated with what joint disease category?

Answer 50

Inflammatory

Question 51

What joint disease category is this associated with?

Answer 51

Deposition

Question 52

What conditions are associated with deposition category?

Answer 52

Gout CPDD (calcium pyrophasphate dehydrate deposition) HADD (hydroxyapatite deposition disease) Ochronosis