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  Medical Imaging  ←  
Presentation


Phoenix Diagnostic Clinic

 • The most rapidly destructive joint disease
 • Hematogeneous spread to synovium (rarely from osteomyelitis)
 • Staphylococcus aureus, Streptococcus, Gram-negatives (diabetes)
 • Loss of joint function in 25% - 50%
DL Goldenberg, Lancet 1998
 • Definitive diagnostic – identification of agent in synovial fluid (aspiration)

Septic Arthritis - Role of MRI


 – Early joint effusion
 – Early cartilage damage
 – Early bone marrow changes
 – Extension of infection into surrounding tissues
 – Dif tuberculous versus pyogenic arthritis

Septic Arthritis - MR Findings


 • Joint effusion
 • Synovial thickening
 • Perisynovial edema
 • Cartilage destruction
 • Bone distruction
 • Bursitis, tenosynovitis

Tuberculous versus pyogenic arthritis
MR Imaging

Septic Arthritis
Septic Arthritis

SH Hong et al, Radiology 2001 – 29 TA, 13 PA

 M, 47 y. Pyogenic arthristis of shoulder with staphycococcus aureus. Osteomyelitis.
Pyogenic arthristis of shoulderPyogenic arthristis of shoulder
Pyogenic arthristis of shoulderPyogenic arthristis of shoulder

M, 57 y. Pyogenic arthritis of both hips (staphiloccoccus).Pyogenic arthritis of both hips
Pyogenic arthritis of both hipsPyogenic arthritis of both hips
 
Pyogenic arthritis and osteomyelitis of the knee

F, 67 y. Pyogenic arthritis and osteomyelitis of the knee after surgery
Pyogenic arthritis and osteomyelitis of the knee
Pyogenic arthritis and osteomyelitis of the kneePyogenic arthritis and osteomyelitis of the knee

F, 68 y. TB tenosynovitis of extensor tendons, with abscess of the forearm and subcutaneous fisula.
TB tenosynovitis of extensor tendons
T2 tse sag
TB tenosynovitis of extensor tendons
STIR ax
TB tenosynovitis of extensor tendons
Post-contrast
TB tenosynovitis of extensor tendons

November 4, 2009


Phoenix Diagnostic Clinic, Bucharest
  

Notice:
This site is primarily intended for use by qualified medical or sport professionals.
If you are a consumer, you should evaluate the information together with your physician or other qualified healthcare professional.
The information provided here is for educational and informational purposes only and should not be considered as a medical advice.
As medical and sport science is permanently changing, we (authors and publishers) use our best efforts to provide accurate information, but we can not warrant that the information in this article and web site is accurate, complete or up-to-date.
This article reflects the opinions and judgments of it's author and may be further updated.
If you have questions regarding this article, please contact the author.
Information belongs to Phoenix Diagnostic Clinic, Bucharest

 
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