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Arthritis in Black and White E-Book

Arthritis in Black and White E-Book

Anne C. Brower | Donald J. Flemming

(2012)

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Book Details

Abstract

Arthritis in Black and White, by Anne C. Brower, MD and Donald J. Flemming, MD, provides you with a concise, practical introduction to the radiographic diagnosis of arthritic disorders. Completely revised, this popular, easy-to-read resource contains high-quality digital radiographs with correlating MRIs throughout and a practical organization that aids in your recognition, diagnosis, and treatment of common arthritides. It is perfect for residents in training and experienced radiologists wishing to refresh their knowledge. 

  • Easily reference diagnostic guidance by presenting symptom, see what to look for, and understand how to effectively diagnose the patient.

Reference key information quickly and easily thanks to a consistent, user-friendly format and a unique two-part organization (radiologic approaches to specific joints and full description of the individual common arthritides) that facilitates finding the exact information you need for any joint in the body.

  • Improve the accuracy of your diagnoses by interpreting radiographs and comparing them with correlating MRI images.
  • Benefit from the latest advancements and techniques found in completely revised and rewritten chapters.
  • Understand the nuances and subtleties of how arthritides present through over 350 high-quality digital images.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Arthritis in Black and White i
Copyright ii
Dedication iii
Prefaceto the Third Edition v
Preface to the Second Edition vii
Preface to the First Edition ix
Acknowledgments xi
Table of Contents xiii
Chapter 1: Imaging Techniques and Modalities 1
Radiography 1
Hand and Wrist 2
Foot 4
Shoulder 5
Knee 6
Hip 8
Sacroiliac Joints 9
Cervical Spine 10
Diagnostic Radiographic Survey 11
Magnetic resonance imaging 11
MR: Synovium 11
MRI: Bone Marrow 14
MRI: Soft Tissues 17
MR: Cartilage 18
MR: Spine 20
Ultrasonography 21
Computed tomography 23
Bone scintigraphy 24
Suggested readings 26
Part I: Approach to Radiographic Changes Observed in a Specific Joint 27
Chapter 2: Evaluation of the Hand Film 28
Radiographic changes 28
Soft Tissue Swelling 28
Symmetrical Swelling Around an Involved Joint ( Fig. 2-1) 28
Asymmetrical Swelling Around an Involved Joint ( Fig. 2-2) 29
Diffuse Fusiform Swelling of an Entire Digit ( Fig. 2-3) 30
Lumpy, Bumpy Soft Tissue Swelling ( Fig. 2-4) 31
Subluxation 32
Mineralization 33
Normal Mineralization ( see Fig. 2-7) 34
Diffuse Osteoporosis ( see Fig. 2-8) 34
Juxta-Articular Demineralization ( Fig. 2-9) 34
Calcification 35
Soft Tissue Mass Calcification ( Fig. 2-10) 35
Cartilage Calcification (Chondrocalcinosis) ( Fig. 2-11) 36
Tendinous and Soft Tissue Calcification ( Fig. 2-12) 37
Joint Space Narrowing 38
Maintenance of Joint Space 38
Uniform Narrowing ( Fig. 2-15) 39
Nonuniform Narrowing ( Fig. 2-16) 40
Erosion 41
Aggressive Erosions 41
Nonaggressive Erosions 43
Location 44
Bone Production 45
New Bone Production of Enthesopathies 45
Reparative Response 48
Distribution 50
Digit Involvement 50
Carpal Involvement 50
Common arthropathies of the hand—a radiographic summary 54
Suggested readings 61
Chapter 3: Approach to the Foot 62
Forefoot 62
Soft Tissue Swelling 63
Symmetrical Swelling Around a Joint ( Fig. 3-1) 63
Fusiform Swelling of an Entire Digit ( Fig. 3-2) 64
Lumpy, Bumpy Soft Tissue Swelling ( Fig. 3-3) 65
Soft Tissue Calcification 66
Mass ( Fig. 3-4) 66
Tendinous or Ligamentous and Soft Tissue Calcification ( Fig. 3-5) 67
Mineralization 68
Normal 68
Juxta-Articular Osteoporosis ( Fig. 3-6) 68
Diffuse osteoporosis 68
Joint Space Change 69
Widening of Joint Space ( Fig. 3-7) 69
Normal ( Fig. 3-8) 70
Uniform Narrowing 70
Nonuniform Narrowing 70
Ankylosis ( Fig. 3-9) 71
Erosion 71
Aggressive Erosions 71
Nonaggressive Erosions 73
Bone Production 75
New Bone of Enthesopathies 75
Reparative Response 77
Subluxation 80
Distribution of Findings in Toes 81
Metatarsal-Tarsal joint 83
Tarsal joints 87
Calcaneus 90
Suggested readings 92
Chapter 4: Approach to the Hip 93
Joint space 93
Superolateral Migration 94
Medial Migration 95
Axial Migration 96
Rheumatoid Arthritis ( Figs. 4-5 and 4-6) 97
Ankylosing Spondylitis ( Figs. 4-7 and 4-8) 98
Calcium Pyrophosphate Dihydrate Crystal Deposition Disease ( Figs. 4-9 and 4-10) 99
Septic Arthritis ( Figs. 4-11 and 4-12) 101
Secondary Axial Migration 102
Normal joint space 103
Osteonecrosis ( Figs. 4-14 to 4-16) 103
Synovial Chondromatosis ( Figs. 4-17 and 4-18) 105
Pigmented Villonodular Synovitis ( Figs. 4-19 and 4-20) 106
Developmental Dysplasia of the Hip ( Fig. 4-21) 107
Femoroacetabular Impingement ( Fig. 4-22) 108
Suggested readings 108
Chapter 5: Approach to the Knee 109
Total compartment involvement 109
Rheumatoid Arthritis ( Figs. 5-1 and 5-2) 110
Psoriatic Arthritis or Reactive Arthritis ( Fig. 5-3) 112
Ankylosing Spondylitis ( Fig. 5-4) 113
Juvenile Idiopathic Arthritis ( Fig. 5-5) 114
Hemophilia ( Figs. 5-6 and 5-7) 115
Septic Arthritis ( Figs. 5-8 and 5-9) 116
Preferential compartment loss 118
Osteoarthritis ( Fig. 5-10) 118
CPPD Crystal Deposition Disease ( Figs. 5-12 and 5-13) 120
Normal joint space 121
Osteonecrosis ( Figs. 5-14 to 5-16) 122
Osteochondritis Dissecans ( Fig. 5-17) 124
Synovial Osteochondromatosis ( Fig. 5-18) 125
Pigmented Villonodular Synovitis 125
Suggested readings 126
Chapter 6: Approach to the Shoulder 127
Glenohumeral joint involvement 127
CPPD Crystal Deposition Disease ( Fig. 6-2) 128
Subacromial space involvement 128
Chronic Rotator Cuff Tear ( Figs. 6-3 and 6-4) 129
Shoulder Impingement Syndrome ( Figs. 6-5 and 6-6) 130
Acromioclavicular (AC) joint involvement 131
Total compartment involvement 132
Rheumatoid Arthritis ( Fig. 6-8) 132
Psoriatic Arthritis ( Fig. 6-9) 133
Ankylosing Spondylitis ( Fig. 6-10) 134
Bleeding Abnormalities ( Fig. 6-11) 135
Normal joint space 135
Hydroxyapatite Deposition Disease ( Figs. 6-12 and 6-13) 136
Osteonecrosis ( Fig. 6-14) 137
Suggested readings 137
Chapter 7: The Sacroiliac Joint 138
Width of the joint space 140
Presence and types of erosions 140
Presence and type of sclerosis 140
Presence and type of bone bridging 140
Distribution of changes 140
Radiographic changes in sacroiliac joint disorders 140
Generalized Inflammatory Disease 140
Ankylosing Spondylitis ( Figs. 7-8 and 7-9) 143
Psoriatic Arthritis and Reactive Arthritis ( Figs. 7-10 and 7-11) 144
Rheumatoid Arthritis ( Figs. 7-12 through 7-14) 145
Infection ( Figs. 7-15 through 7-17) 147
Gout ( Fig. 7-18) 148
CPPD Crystal Deposition Disease ( Fig. 7-19) 149
Osteoarthritis ( Figs. 7-20 to 7-22) 150
Osteitis Condensans Ilii ( Figs. 7-23 and 7-24) 152
Suggested readings 154
Chapter 8: The “Phytes” of the Spine 155
Syndesmophyte 157
Marginal osteophyte 158
Nonmarginal osteophyte 159
Paraspinal phyte 160
Diseases producing phytes of the spine 161
Degenerative Disc Disease—Primary and Secondary ( Figs. 8-8 to 8-11) 161
Spondylosis Deformans ( Fig. 8-12) 163
Ankylosing Spondylitis ( Fig. 8-13) 164
Psoriatic and Reactive Arthritis ( Fig. 8-14) 165
Diffuse Idiopathic Skeletal Hyperostosis ( Figs. 8-15 to 8-18) 166
Suggested readings 168
Part II: Radiographic Changes Observed in a Specific Articular Disease 169
Chapter 9: Rheumatoid Arthritis 170
The hands and wrists 170
Early Changes 171
Late Changes 174
The feet 178
The hips 181
The knees 183
The ankles 185
The shoulders 187
The elbows 190
The spine 192
The sacroiliac joints 197
The temporomandibular joint 198
Summary 199
Suggested readings 199
Chapter 10: Psoriatic Arthritis 200
The hands 200
The feet 205
Other appendicular sites 209
The sacroiliac joints 211
The spine 212
Summary 214
Suggested readings 214
Chapter 11: Reactive Arthritis 215
The feet 215
The ankles 219
The knees 220
Other appendicular sites 220
The sacroiliac joints 222
The spine 224
Summary 225
Suggested readings 225
Chapter 12: Ankylosing Spondylitis 226
The sacroiliac joints 226
The spine 231
The hip 239
The shoulder 240
Other joints 241
Summary 242
Suggested readings 242
Chapter 13: Osteoarthritis 243
The hand 243
The feet 249
The hips 251
The knees 254
The sacroiliac JOINT (SI) 257
The spine 258
Summary 259
Suggested readings 259
Chapter 14: Neuropathic Osteoarthropathy 261
The hypertrophic joint 261
The Foot and Ankle 261
Knee and Hip 264
The Spine 267
The atrophic joint 269
The Shoulder and Elbow 269
The Hip 272
Combined hypertrophy and atrophy 273
Summary 274
Suggested readings 274
Chapter 15: Diffuse Idiopathic Skeletal Hyperostosis 275
Spinal manifestations 275
The Thoracic Spine 277
The Cervical Spine 281
The Lumbar Spine 283
Extraspinal manifestations 285
The Pelvis 285
The Foot 288
The Knee 289
The Elbow 290
Other Sites 291
Summary 292
Suggested readings 292
Chapter 16: Gout 293
The foot 300
The hand 303
The elbow 305
Other appendicular sites 306
The sacroiliac joint 308
Summary 308
Suggested readings 308
Chapter 17: Calcium Pyrophosphate Dihydrate Crystal Deposition Disease 309
The knee 311
The hand 314
The hip 317
Other appendicular sites 319
The spine 321
Unusual manifestations 323
Summary 324
Suggested readings 324
Chapter 18: Hydroxyapatite Deposition Disease 325
Shoulder 325
Other sites 328
Unusual manifestations 332
Summary 333
Suggested readings 334
Chapter 19: Miscellaneous Deposition Diseases 335
Hemochromatosis 335
Hand and Wrist 335
Other Joints 338
Wilson disease 339
Ochronosis 339
The Spine 340
The Knee 342
The Hip 343
The Shoulder 344
Summary 344
Suggested readings 344
Hemochromatosis 344
Wilson Disease 344
Ochronosis 344
Chapter 20: Collagen Vascular Diseases (Connective Tissue Diseases) 345
Systemic lupus erythematosus 345
Deforming Nonerosive Arthritis 345
Osteonecrosis 348
Calcification 351
Scleroderma 352
Dermatomyositis 354
Polyarteritis nodosa 355
Mixed connective tissue disease 355
Summary 356
Suggested readings 356
Chapter 21: Juvenile Idiopathic Arthritis 357
The hand and wrist 358
The foot and ankle 361
The knee 363
The hip 365
The cervical spine 367
The mandible 368
Summary 369
Suggested readings 369
Chapter 22: Hemophilia 370
The knee 370
The ankle 374
The elbow 376
The shoulder 378
Other appendicular sites 379
Pseudotumors 380
Summary 382
Suggested readings 382
Chapter 23: Mass-Like Arthropathies 383
Pigmented villodular synovitis 383
Synovial chondromatosis 386
Amyloid arthropathy 388
Summary 391
Suggested Readings 391
Index 393