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Osteoarthritis Imaging

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Osteoarthritis Imaging, Osteoarthritis XRay, Joint Imaging in Osteoarthritis

  • Efficacy
  1. XRay evidence found in 15% asymptomatic patients
  2. Correlation between XRay and Symptoms is variable
    1. Knee XRay correlates with symptoms in 85% of cases
    2. Hand and Wrist XRays correlate in 80% of cases
    3. Hip XRay correlates with symptoms in 75% of cases
  • Imaging Modalities
  1. Joint XRay
    1. Initial Osteoarthritis evaluation
    2. Follow-up evaluations
  2. Joint CT
    1. Lumbar Spine evaluation for facet hypertrophy
  3. Joint MRI
    1. Post-Traumatic Injury evaluation
    2. Suspected malignancy or infection
    3. Neural foraminal impingement
  4. Joint Ultrasound
    1. Soft tissue cyst evaluation
  • XRay Findings
  1. Non-uniform narrowing of joint space
  2. Subchondral bony sclerosis
  3. Marginal osteophyte formation
  4. Subchondral Cyst formation
  5. Gross deformity in advanced cases
  • References
  1. Brower (1998) Arthritis Black and White, Saunders
  2. Klippel (1997) Primer Rheumatic Diseases, AF
  3. Swagerty (2001) Am Fam Physician 64(2):279-86 [PubMed]