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Degenerative Disease of the Hand and Wrist

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Fundamentals of Hand and Wrist Imaging

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Abstract

Since the early descriptions of osteoarthritis (OA), conventional radiography has been the primary imaging modality used in the confirmation and monitoring of the disease. In general, the radiographic abnormalities reflect different phases of the disease process which can be considered to have a destructive (regressive) component and a productive phase (progressive remodeling) [1]. The destructive phase is characterized by joint space narrowing, cyst formation, flattening and deformity (Fig. 12.1), whereas osteophyte formation and sclerosis are evident in the productive phase (Fig. 12.2). The two phases coexist in time although different segments of the joint may be affected. Conventional radiographs demonstrate primarily the subchondral effects of osteoarthritis, and any damage to cartilaginous surfaces must therefore be inferred from joint space narrowing. Despite this limitation, conventional radiography remains the most important imaging tool in the study of this disease, being readily available, inexpensive and reproducible.

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Authors
  1. J. M. Elliott
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  2. A. J. Grainger
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  3. H. K. Genant
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Editor information

Editors and Affiliations

  1. IRCCS Hospital “Casa Sollievo della Sofferenza”, Viale Cappuccini, 71013, San Giovanni Rotondo, Italy

    Giuseppe Guglielmi MD

  2. Academic Medical Center, Department of Radiology, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands

    Cornelis van Kuijk MD, PhD

  3. Department of Radiology, University of California at San Francisco, CA, 94143-0628, San Francisco, USA

    Harry K. Genant MD

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© 2001 Springer-Verlag Berlin Heidelberg

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Elliott, J.M., Grainger, A.J., Genant, H.K. (2001). Degenerative Disease of the Hand and Wrist. In: Guglielmi, G., van Kuijk, C., Genant, H.K. (eds) Fundamentals of Hand and Wrist Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56917-3_12

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  • DOI: https://doi.org/10.1007/978-3-642-56917-3_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63225-9

  • Online ISBN: 978-3-642-56917-3

  • eBook Packages: Springer Book Archive

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