UNC MSK Course Day 9 Lab XR

UNKNOWNS

(for self study)

Pathology?

Pathology?

Inflammation of 1st MTP joint

Pathology?

Inflammation of 1st MTP joint

Gout

Pathology?

Pathology?

Medial joint space narrowing (mild)

Pathology?

Medial joint space narrowing (mild)

“Squaring of condyles” secondary to small osteophytes

Early DJD Osteoarthritis

Pathology?

Medial joint space narrowing (mild)

“Squaring of condyles” secondary to small osteophytes

Early DJD Osteoarthritis

Normal knee for comparison

roundsquare

Pathology?

Medial joint space narrowing (mild)

“Squaring of condyles” secondary to small osteophytes

Early DJD Osteoarthritis

For extra credit note faint calcification of lateral meniscus from CPPD (pseudogout)

Pathology?

Pathology?

Lumps about joints

Erosions over lumps with exposed white material

Pathology?

Lumps about joints (tophi)

Erosions over lumps with exposed white material (sodium urate crystals – tophi)

Gout

Pathology?

Pathology?

Calcification of menisci

Pathology?

Calcification of menisci

CPPD (pseudogout)

Pathology?

Pathology?

Calcification of triangular fibrocartilaginous disc over ulnar head

Pathology?

Calcification of triangular fibrocartilaginous disc over ulnar head

CPPD (pseudogout)

Pathology?

Pathology?

1. Joint space narrowing

Pathology?

1. Joint space narrowing

2. Osteophytes

Pathology?

1. Joint space narrowing

2. Osteophytes

3. Subchondral sclerosis

Pathology?

1. Joint space narrowing

2. Osteophytes

3. Subchondral sclerosis

4. Subchondral cysts

Pathology?

1. Joint space narrowing

2. Osteophytes

3. Subchondral sclerosis

4. Subchondral cysts

These are the four classic radiographic findings in DJD

UNC Hospital at Dawn