11-03-2012 Artrit & Artrose

Radiologi

Artrit & Artrose

11-03-2012 Artrit & Artrose

Hjemmeside

http://www.mrprofessor.dk/

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Ægte led =

diartrodialt led

1. Synovialis

2. Kapsel

3. Brusk

4. Ledvæske

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Artrose

1. Ledvæske

2. Brusk tab

3. Osteofyt

4. Cyste

5. Sklerosering

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Eksostose

Hallux rigidus - 33 årig mand

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Artrose

1. Rodled

2. Heberden’sknuder

3. Buchardsknuder

Osteoartrose – 86 årig kvinde

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1. Heberden’sknuder

2. Buchardsknuder

>40 år

Mænd/kvinder= 1/10

Familiær påkvindernes side

1

2

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Ring osteofyt – 72 årig kvinde

?

C

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MR T1W

Normal

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MR T1W

Hø hofte

1. Nekrose & remoduleringszone

2. Ødem i acetabulum

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Degenerative ryglidelser

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Spondylosis deformans

54 årig kvinde

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Spondylosis deformans

Torsio skoliosis

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Recommended insertions for radiology reports on spinal radiographs

More than 40% of patients with this finding donot have back pain, so finding may be unrelated

Scheuermann’s disease

Almost half of patients with this finding do nothave back pain, so finding may be unrelated

Transitional vertebrae

Almost half of patients with this finding do nothave back pain, so finding may be unrelated

Spina bifida

Roughly half of patients with this finding do nothave back pain, so finding may be unrelated

Spondylolisthesis

Roughly half of patients with this finding do nothave back pain, so finding may be unrelated

Spondylosis

Roughly 40% of patients with his finding do nothave back pain, so finding may be unrelated

Advanced disc degeneration

Almost half of patients with this finding onradiography do not have back pain, so findingmay not be related to patient’s pain

Slight degeneration

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Kontrol personer

50%Disk degeneration(højde)

26%Nerverods påvirkning

74%Disk herniering/

prolaps

AndelDisk forandringer

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Low back pain

• Job med ryg belastning

• Utilfredshed med job

• Skifteholdsarbejde

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Mb. Forestier = Diffus idiopatisk skeletal hyperostosis

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Artrit

• Subkutan nodulus

• Pannus

• Synovialis

• Brusk

• Enthesophati

• Muskel hæfte

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RA = Reumatoid arthritis – 50 årig kvinde

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Reiters sygdom

40 årig mand

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Reiters sygdom

40 årig mand

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Becterew

53 årig mand

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Charcot’s led 1 år senere

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Neuropatiske artropatier

• Syfilis (Tabiske artropatier)

• Diabetes

• B12 mangel

• Rygmarvs traume