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Arthrographic Appearance of Arthritides
Julia R. Crim, MD
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KEY FACTS

  • Terminology

    • Imaging

      TERMINOLOGY

      • Definitions

        • Arthritis (arthropathy): Joint inflammation or degeneration of any cause
          • May affect hyaline cartilage, fibrocartilage, synovium, &/or periarticular soft tissues
        • Degenerative arthritis: Osteoarthritis (OA)
        • Inflammatory arthritis
          • Rheumatoid arthritis (RA): Polyarticular inflammatory arthritis, usually positive for rheumatoid factor
          • Seronegative spondyloarthropathy (SSA): Grouping of similar arthritides involving spine, including ankylosing spondylitis, reactive arthropathy (formerly called Reiter syndrome), psoriatic arthritis, arthritis of inflammatory bowel disease
          • Juvenile idiopathic arthritis: Grouping of different patterns of juvenile-onset inflammatory arthritides; formerly called juvenile RA or juvenile chronic arthritis
          • Infectious: Due to pyogenic bacteria, acid-fast bacilli, fungi
        • Crystalline arthritis: Gout, calcium pyrophosphate deposition disease (CPPD), hydroxyapatite deposition disease (HADD)
        • Related to systemic disease: Hemochromatosis, hemophilia, connective tissue disorders, hemodialysis arthropathy, hyperparathyroidism, paraneoplastic
        • Miscellaneous: Avascular necrosis (AVN), synovial chondromatosis, pigmented villonodular synovitis (PVNS), neuropathic, hemosiderotic synovitis

      IMAGING

      • General Features

        • MR Findings

          DIFFERENTIAL DIAGNOSIS

            Selected References

            1. Hügle T et al: What drives osteoarthritis?-synovial versus subchondral bone pathology. Rheumatology (Oxford). 56(9):1461-1471, 2017
            2. Tamai M et al: Baseline MRI bone erosion predicts the subsequent radiographic progression in early rheumatoid arthritis patients who achieved sustained good clinical response. Mod Rheumatol. 1-6, 2017
            3. Krabben A et al: MRI-detected subclinical joint inflammation is associated with radiographic progression. Ann Rheum Dis. 73(11):2034-7, 2014
            Related Anatomy
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            Related Differential Diagnoses
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            References
            Tables

            Tables

            KEY FACTS

            • Terminology

              • Imaging

                TERMINOLOGY

                • Definitions

                  • Arthritis (arthropathy): Joint inflammation or degeneration of any cause
                    • May affect hyaline cartilage, fibrocartilage, synovium, &/or periarticular soft tissues
                  • Degenerative arthritis: Osteoarthritis (OA)
                  • Inflammatory arthritis
                    • Rheumatoid arthritis (RA): Polyarticular inflammatory arthritis, usually positive for rheumatoid factor
                    • Seronegative spondyloarthropathy (SSA): Grouping of similar arthritides involving spine, including ankylosing spondylitis, reactive arthropathy (formerly called Reiter syndrome), psoriatic arthritis, arthritis of inflammatory bowel disease
                    • Juvenile idiopathic arthritis: Grouping of different patterns of juvenile-onset inflammatory arthritides; formerly called juvenile RA or juvenile chronic arthritis
                    • Infectious: Due to pyogenic bacteria, acid-fast bacilli, fungi
                  • Crystalline arthritis: Gout, calcium pyrophosphate deposition disease (CPPD), hydroxyapatite deposition disease (HADD)
                  • Related to systemic disease: Hemochromatosis, hemophilia, connective tissue disorders, hemodialysis arthropathy, hyperparathyroidism, paraneoplastic
                  • Miscellaneous: Avascular necrosis (AVN), synovial chondromatosis, pigmented villonodular synovitis (PVNS), neuropathic, hemosiderotic synovitis

                IMAGING

                • General Features

                  • MR Findings

                    DIFFERENTIAL DIAGNOSIS

                      Selected References

                      1. Hügle T et al: What drives osteoarthritis?-synovial versus subchondral bone pathology. Rheumatology (Oxford). 56(9):1461-1471, 2017
                      2. Tamai M et al: Baseline MRI bone erosion predicts the subsequent radiographic progression in early rheumatoid arthritis patients who achieved sustained good clinical response. Mod Rheumatol. 1-6, 2017
                      3. Krabben A et al: MRI-detected subclinical joint inflammation is associated with radiographic progression. Ann Rheum Dis. 73(11):2034-7, 2014