文件化脓性骶髂关节炎.pdf

DX : Septic Sacroilitis DDX of sacroilitis: – Uni: septic, OA, RA, HPT – Bil Asymm: Psoriatic, Reiters – Bil Symm: AS, IBD • DX: Hardware failure, cement fx, debonding, wide lucent lines, femur fracture • DDX : None • DX: Paget’sw/ atous degeneration; trabecular and cortical thickening / bony expansion; malignant transformation 1% ( a and MFH) • DDX: Mets, Myeloma, Lymphoma, chondrosacroma, a • DX: Myositis Ossificans • DDX: • extraskeletal a • synovial cell a • dystrophic Ca in lipoma • Dermatomyositis/polymyositis • tumoral calcinosis (if around joint) • DX: Monteggia Fx dislocation – Galeazzi (Radial fx, distal radio-ulnar dislocation) – Monteggia (Ulnar fx, proximal radial dislocation) – Es -Lopressti (comm fx radial head, distal radio-ulnar dislocation) DX: Full thickness Cuff Tear • DDX : None • Pearl: retraction to/beyond glenoid key; unable to repair by arthroscopy, massive cuff tear is complete tears of two or more cuff tendons with retraction/atrophy DX: Engleman’s Disease; diaphyseal dys sia cortical hyperostosis • DDX: – HPO (Hypertrophic pulmonary osteoarthropathy) – Pachydermoperiostitis – Thryroid acropachy – Diaphyseal dys sia DX: RSD; periarticular osteopenia involving multiple joints; no erosions • DDX : – RSD (unila l) – disuse osteopenia (unila l), – RA / Infl tory Arthropathy (bila l, erosions) DX: Charcot-DM: fx’s, destruction, dissolution, dislocation, debris, usually no osteopenia • DDX: – Trauma, Infection, Neuropathic – Neuropathic Causes: • CENTRAL: CNS MS, cord syrinx • PERIPHERAL: Diabetes, ETOH, amyloid DDX: Pa la alta and Pa lar