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Skeletal

This document discusses several skeletal conditions: 1) Ankylosing spondylitis, which is a chronic inflammatory disease primarily affecting the axial skeleton. It can cause irregularities and erosions along vertebral endplates. 2) Spondylitis and spondylodiskitis, which represent inflammatory lesions of vertebral endplates and disks seen in ankylosing spondylitis. 3) Insufficiency fractures, which are fatigue fractures that can occur in bones weakened by conditions like ankylosing spondylitis.

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Richard S. Roxas
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29 views27 pages

Skeletal

This document discusses several skeletal conditions: 1) Ankylosing spondylitis, which is a chronic inflammatory disease primarily affecting the axial skeleton. It can cause irregularities and erosions along vertebral endplates. 2) Spondylitis and spondylodiskitis, which represent inflammatory lesions of vertebral endplates and disks seen in ankylosing spondylitis. 3) Insufficiency fractures, which are fatigue fractures that can occur in bones weakened by conditions like ankylosing spondylitis.

Uploaded by

Richard S. Roxas
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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SKELETAL SYSTEM

ANKYLOSING SPONDYLITIS
IT REPRESENTS A CHRONIC INFLAMMATORY DISEASE, PRIMARILY AFFECTING THE AXIAL SKELETON AND SECONDARILY AFFECTING THE APPENDICULAR SKELETON.

ROMANUS LESIONS
THE IRREGULARITIES AND EROSIONS INVOLVING THE ANTERIOR AND POSTERIOR EDGES OF THE VERTEBRAL ENDPLATES

SPONDYLITIS (INACTIVE ROMANUS LESIONS) IN A 39-YEAR-OLD PATIENT WITH ANKYLOSING SPONDYLITIS A. LATERAL RADIOGRAPH OF THE LUMBAR REGION SHOWS SYNDESMOPHYTES (ARROWS) AT L3 TO S1 AND A SHINY CORNER AT THE SUPERIOR ENDPLATE OF L5. B. ON THE CORRESPONDING T1-WEIGHTED FAST SPIN-ECHO IMAGE, THE SYNDESMOPHYTE AT L5 (LOWER LONG ARROW) IS BARELY VISIBLE. POSTINFLAMMATORY FATTY BONE MARROW DEGENERATION OF ANTERIOR VERTEBRAL EDGES IS SEEN (SHORT ARROWS), FINDING COMPATIBLE WITH INACTIVE ROMANUS LESIONS.

SPONDYLODISKITIS
INFLAMMATORY INVOLVEMENT OF THE INVERTEBRAL DISKS BY SPONDYLOARTHRITIS ALSO CALLED AS ANDERSSON LESION

SPONDYLODISKITIS (INFLAMMATORY ANDERSSON LESION) IN A 24-YEARS-OLD PATIENT WITH ANKYLOSIS SPONDYLITIS A. LATERAL RADIOGRAPH OF THE LUMBAR SPINE SHOWS HEIGHT REDUCTION OF INVERTEBRAL DISK SPACE, SCLEROSIS AT THE ENDPLATES AT L4-5, EROSION (ARROW) OF THE SUPERIOR ENDPLATE OF L5 (ANDERSSON LESION), AND A SYNDESMOPHYTE AT L4 (ARROWHEAD) B. SAGITTAL T1-WEIGHTED FAST SPIN-ECHO IMAGE REVEALS EROSIVE DEFECTS OF THE INFERIOR ENDPLATE (ARROW) AND SUPERIOR ENDPLATE OF L5,AS WELL IN SIGNAL LOSS IN THE SURROUNDING BONE MARROW

INSUFFICIENCY FRACTURE
IT OCCUR AS FATIGUE FRACTURES AT THE LEVEL OF THE DISK (TRANSDISKAL) OR AT THE LEVEL OF THE VERTEBRAL BODY (TRANSVERTEBRAL)

INSUFFICIENCY FRACTURE (NONINFLAMMATORY ANDERSSON LESION) IN A 60-YEARS-OLD PATIENT WITH ALONG HISTORY OF ANKYLOSING SPONDYLITIS. A. LATERAL RADIOGRAPH OF THE LUMBAR SPINE SHOWS GROSS BONY DESTRUCTION OF T12-L1 DISKS WITH IRREGULAR CONTOURS OF THE ENDLATES AND INCREASED SCLEROSIS OF ADJACENT VERTEBRAL BODIES (LONG ARROW). ANKYLOSIS OF INFERIOR ARTICULAR SEGMENTS (SMALL ARROW) ARE BARELLING OF L3 THROUGH L5 ARE SEEN. B. SAGITTAL CONTRAST ENHANCE T1-WEIGHTED FAST SPIN-ECHO IMAGE SHOWS SUBACUTE HEMATOMA WITH LOW SIGNAL INTENSITY AND MARGINAL CONTRAST ENHANCEMENT (ARROWHEADS),INDICATIVE OF PERIPHERAL REVASCULARIZATION OF T12-L1(LARGE ARROW). ANKYLOSIS OF THE SUPERIOR AND INFERIOR SEGMENTS IS SEEN (SMALL ARROWS). THE FRACTURE EXTENDS TO THE POSTERIOR ELEMENTS.

BROKEN COLLARBONE CAUSE OF LOUSY MOUNTAINBIKE CRASH

BROKEN CLAVICLE

HIP JOINT LUXATION

MALE 57-YEARS-OLD. WORSENING BACK PAIN 2 MONTHS. TWO SERIES OF FILMS.THESE EARLIER FILMS SHOW SUBTLE BLURRING AND SCLEROSIS IN THE SUPERIOR END PLATE OF L2, AND SLIGHT LOSS OF ANTERIOR BODY HEIGHT .

ARTHRITIS OF THE SYNOVIAL JOINT OF THE VERTEBRAL COLUMN

ARTHRITIS OF THE ZYGOPOPHYSEAL JOINTS IN A 32-YEARS-OLD PATIENT WITH ANKYLOSING SPONDYLITIS A. LATERAL RADIOGRAPH OF THE THORACIC SPINE SHOWS A POSTERIOR SHINY CORNER AT T9-10 B. SAGITTAL T1-WEIGHTED FAST SPIN-ECHO IMAGE SHOWS CIRCUMSCRIBED LOSS OF SIGNAL INTENSITY IN THE AREA OF THE VERTEBRAL ARCH (ARROWS) AND THE ZYGOPOPHYSEAL JOINTS C. SAGITTAL CONTRAST ENHANVE FAT-SATURATED T1-WEIGHTED SHOWS PRONOUNCED ENHANCEMENT OF TH VERTEBRAL ARCH, ARTICULAR PROCESS AND ADJACENT SOFT TISSUES (ARROWS), FINDINGS OF SUGGESTIVE OF ARTHRITIS OF APOPHYSEAL JOINT. MARGINAL SPONDYLITIS IS SEEN (ARROWHEAD) D. TYRANSVERSE-CONTRAST ENHANCE FATSATURATED T1-WEIGHTED TURBO SPIN-ECHO IMAGE SHOWS ENHANCEMENT NERA THE COSTOVERTEBRAL JOINT (ARROW), FINDING INDICATIVE OF SYNOVITIS WITH CONCOMINANT OSTEITIS OF THE ADJACENT RIB AND VERTEBRAL PORTIONS (ARROWHEADS)

BUNION
ALSO CALEED AS HALLUX VALGUS A SOMETIMES PAINFUL STRUCTURAL DEFORMITY OF THE BONES AND THE JOINTS BETWEEN THE FOOT AND BIG TOE IT IS AN ENLARGEMENT OF BONE OR TISSUE AROUND THE JOINT AT THE BASE OF THE BIG TOE (METATARSOPHALANGEAL JOINT). THE BIG TOE MAY TURN IN TOWARD THE SECOND DISPLACEMENT, AND THE TISSUE SURROUNDING THE JOINT MAYBE SWOLLEN AND TENDER TODAY THE TERM USUALLY IS USED TO REFER TO THE PATHOLOGICAL BUMP ON THE SIDE OF THE GREAT TOE JOINT. THE BUMP IS THE SWOLLEN BURSAL SAC AND/OR AN OSSEOUS (BONY) DEFORMITY THAT HAS GROWN ON THE MESOPHALANGEAL JOINT (WHERE THE FIRST METATARSAL BONE AND HALLUX MEET)

A 70-YEARS-OLD WOMAN WITH RHEUMATOID ARTHRITIS AND SEVERE BUNION DEFORMITY. FIRSTTOE METATARSOPHALAGEAL FUSION PRE-OPERATIVE IMAGE (TOP) AND 2 YEARS POST-OPERATIVE IMAGE (BOTTOM).

A 22-YEARS-OLD WOMAN WITH HYPERMOBILE FIRST RAY, FIRST AND SECOND INTERMETATARSAL ANGLE OF 18. LAPIDUS PROCEDURE PRE-OPERATIVE IMAGE (LEFT) AND 6 MONTHS POST-OPERATIVE IMAGE (RIGHT)

PAGETS DISEASE
PAGETS DISEASE OF THE BONE (OSTEITIS DEFORMANS) IS A METABOLIC DISORDER CHARACTERIZED BY ABNORMAL OSSEOUS REMODELING WITH INCREASED RESTORTION AND BONE FORMATION. THE NEWLY FORMED BONE IS ABNORMALLY SOFT WITH A DISORGANIZED TRABECULAR PATTERN. CLASSICALY, IT CAUSE BONY ENLARGEMENT AND OCCURS MOST COMMONLY WITH PELVIS. IT HAS THREE DISTINCT PHASES THAT ARE VISIBLE RADIOGRAPHICALLY: A LYTIC PHASE, A SCLEROTICPHASE AND A MIXED LYTIC-SCLEROTIC PHASE.

THE PATIENT HAS PAGET DISEASE OF THE RIGHT CLAVICLE, WHICH IS LARGER AND MARKEDLY DENSE (SCLEROTIC) COMPARED TO THE LEFT CLAVICLE.

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