By Francis Burgener
The traditional x-ray is still a cheap, first-line modality for the diagnostic imaging of the bones and joints. during this re-creation of this vintage, crucial assistance is supplied to make initial diagnoses of an unlimited variety of stipulations effecting the musculoskeletal process. The differential diagnostic details is equipped in tables, geared up by means of periods of findings, and illustrated by means of greater than a thousand terrific radiographs and, the place useful, schematic diagrams. Read more...
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Extra resources for Bone and joint disorders: differential diagnosis in conventional radiology
Chronic fluorine intoxication occurs, when the drinking water contains excessive fluoride concentrations (endemic in certain regions of India) or with chronic fluoride therapy in too high dosages (e. , for osteoporosis). 2 Osteosclerosis 35 Fig. 47 Paget’s disease. Predominantly sclerotic involvement of the right hemipelvis, left ilium (inferior half) and left proximal femur is seen. Fig. 46 Erdheim-Chester disease. Inhomogeneous sclerosis with cortical thickening and relative sparing of the epiphysis is seen in the distal tibia.
49) Features of osteomalacia, hyperparathyroidism, and sclerosis. The latter might be the dominant finding and is often combined with soft tissue calcifications. A “rugger jersey” spine (dense endplates with relatively lucent centers resulting in a striped appearance of the spine) is most characteristic. Represents the skeletal response to chronic renal disease of any origin. In primary hyperparathyroidism, sclerosis is virtually limited to cases that are healing. Oxalosis (Fig. 50) Sclerotic, metaphyseal bands and “woolly” or “Paget-like” sclerosis are combined with features of renal osteodystrophy, including a more generalized form of osteosclerosis.
Deposition of calcium oxalate crystals as a primary hereditary (autosomal-recessive) disorder, or more commonly associated with chronic renal disease. Extensive nephrocalcinosis, nephrolithiasis, and extrarenal soft-tissue deposition of calcium oxalate occur. Hypervitaminosis D, idiopathic hypercalcemia of infancy (Williams syndrome), intoxication with lead, bismuth, or phosphorus (Fig. 51) Present with dense transverse metaphyseal bands and generalized sclerosis. In children. Fluorosis (Fig. 52) Fluorosis progresses from coarsening of the trabecular structures to a dense uniform sclerosis.