Download - Curs 5 - 1 Osteoarticular
-
7/31/2019 Curs 5 - 1 Osteoarticular
1/30
Catedra de RadiologieUMF Iuliu Hatieganu Cluj-Napoca
Angelica Chiorean
-
7/31/2019 Curs 5 - 1 Osteoarticular
2/30
Morfopatologic Hipertrofie sinoviala papilomatoasa / panus
Distructie cartilaginoasa Distructie osoasa
Luxatii / subluxatii
Anchiloza
Afectare viscerala
-
7/31/2019 Curs 5 - 1 Osteoarticular
3/30
Tesuturi moi
Aspect
Tumefactie simetrica, fisiforma (sinovita, colectie) Tumefactie asimetrica (noduli reumatoizi, bursite)
Tehnici
Rgr standard / rgr in imersie
Ecografie cu 7,5 MHz
IRM SE, STIR, Ga
Scintigrafie
-
7/31/2019 Curs 5 - 1 Osteoarticular
4/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
5/30
Cartilajul
Uniform ingustat (prezent in 20% din cazuri dupa
un an de evolutie) - la inceput prin activitateaenzimatica a sinovialei
Distructii asimetrice
Ingustarea spatiului articular
-
7/31/2019 Curs 5 - 1 Osteoarticular
6/30
Osoase
Osteoporoza juxta-articulara generalizata
Eroziuni marginale (vizibile > 1 an de evolutie) Chiste subcondrale
Osteoliza epifizelor (panusul sinovial) aspectpencil in cup, rar aspect mutilant
-
7/31/2019 Curs 5 - 1 Osteoarticular
7/30
Modificari in alinierea articulara
Luxatii
Subluxatii
Anchiloza Fibroasa
Osoasa in 20% din cazuri (carp, tars)
-
7/31/2019 Curs 5 - 1 Osteoarticular
8/30
Maini Rgr. comparativa de maini cartea devizita in PR Debut
IFP, MCF II si III, intereseaza toate articulatiile, rar IFD
osteoporoza in banda
Evolutie Eroziuni - vizibile mai bine pe fata radiala a capului
metacarpienelor si falangelor, stiloida cubitala Deviere
Cubitala a degetelor 2-5 , in butoniera, gat de lebada
Luxatia medio-palmara a carpului
Anchiloza - carp
-
7/31/2019 Curs 5 - 1 Osteoarticular
9/30
Rolul Rgr.
Diagnostic +
Stadializare
Urmarirea evolutiei
-
7/31/2019 Curs 5 - 1 Osteoarticular
10/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
11/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
12/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
13/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
14/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
15/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
16/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
17/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
18/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
19/30
Stadiu Modificari RxI Tumefiere
Osteoporoza in banda
Microchiste
MicrocalcifieriII I +
Eroziuni subcondrale - osteolize mici
Ingustari de spatiu articularIII II +osteolize >, distructii osoase
Subluxatie, telescopareIV III +
Anchiloza, modificari mutilante
-
7/31/2019 Curs 5 - 1 Osteoarticular
20/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
21/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
22/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
23/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
24/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
25/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
26/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
27/30
-
7/31/2019 Curs 5 - 1 Osteoarticular
28/30
Coloana cervicala Poate ameninta viata bolnavului
Odontoida
subluxatie-luxatie posterioara (rgr in flexie a coloanei cervicale), >2,5 mm intre odontoida si arcul anterior al C1
subluxatie laterala, deplasare craniala
eroziuni, liza
Cervical mediu
artrita interapofizara distructiva
listeza vertebrelor C4 C5 stenoza canal rahidian (IRM, CT)
spondilodiscita
-
7/31/2019 Curs 5 - 1 Osteoarticular
29/30
Rgr. in flexie luxatie C1/C2
-
7/31/2019 Curs 5 - 1 Osteoarticular
30/30