Peripheral Arthritis

  • Charles S. Resnik
  • Anne Cotten


The correct diagnosis of peripheral arthritis is based on numerous factors, including clinical features (age and sex of the patient, duration of symptoms, clinical appearance of involved joint or joints), presence or absence of associated diseases (e.g., skin disease, uveitis, urethritis), laboratory values (e.g., markers for inflammation, serum rheumatoid factor, serum uric acid level), and various imaging features. Radiographs represent the mainstay for diagnosis and follow-up of joint damage, although magnetic resonance imaging (MRI) and sonography can be useful evaluation tools, especially in the early stages of disease. Many imaging features have to be systematically assessed to establish a correct diagnosis:
  1. 1.

    The distribution of joint involvement (monoarticular or polyarticular, symmetrical or asymmetrical, proximal or distal, associated axial involvement, associated enthesis involvement)

  2. 2.

    Soft-tissue swelling (periarticular, fusiform, nodular)

  3. 3.

    Joint-space narrowing (uniform, non-uniform, none)

  4. 4.

    Bone erosion (marginal, central, periarticular, welldefined, none)

  5. 5.

    Bone production (osteophytes, enthesophytes, periosteal new bone)

  6. 6.

    Calcification (periarticular, Chondrocalcinosis)

  7. 7.

    Subchondral cysts

  8. 8.

    Periarticular osteoporosis



Psoriatic Arthritis Serum Uric Acid Level Peripheral Arthritis Villonodular Synovitis Subchondral Cyst 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Suggested Reading

  1. Aliabadi P, Nikpoor N, Alparslan L (2003) Imaging of neuropathic arthropathy. Semin Musculoskelet Radiol 7(3):217–225CrossRefPubMedGoogle Scholar
  2. Bennett DL (2004) Spondyloarthropathies: ankylosing spondylitis and psoriatic arthritis. Radiol Clin North Am 42(1):121–134CrossRefPubMedGoogle Scholar
  3. Bohndorf K, Imhof H, Pope TL (2001) Musculoskeletal Imaging: a concise multimodality approach. Thieme, New York, pp 292–377Google Scholar
  4. Buchmann RF (2004) Imaging of articular disorders in children. Radiol Clin North Am 42:151–168CrossRefPubMedGoogle Scholar
  5. Cotton A (2005) Imagerie musculosquelettique — Pathologies générales. Masson, Paris, p 767Google Scholar
  6. Greenspan A (2003) Erosive osteoarthritis. Semin Musculoskelet Radiol 7(2):155–159CrossRefPubMedGoogle Scholar
  7. Gupta KB (2004) Radiographic evaluation of osteoarthritis. Radiol Clin North Am 42(1):11–41CrossRefPubMedGoogle Scholar
  8. Klecker RJ, Weissman BN (2003) Imaging features of psoriatic arthritis and Reiter’s syndrome. Semin Musculoskelet Radiol 7(2): 115–126CrossRefPubMedGoogle Scholar
  9. Monu JU (2004) Gout: a clinical and radiologic review. Radiol Clin North Am 42(1):169–184CrossRefPubMedGoogle Scholar
  10. Steinbach LS (2004) Calcium pyrophosphate dihydrate and calcium hydroxyapatite crystal deposition diseases: imaging perspectives. Radiol Clin North Am 42(1): 185–205CrossRefPubMedGoogle Scholar
  11. Tehranzadeh J (2004) Advanced imaging of early rheumatoid arthritis. Radiol Clin North Am 42(1): 89–107CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2009

Authors and Affiliations

  • Charles S. Resnik
    • 1
  • Anne Cotten
    • 2
  1. 1.Department of Diagnostic RadiologyUniversity of Maryland School of MedicineBaltimoreUSA
  2. 2.Service de Radiologie et Imagerie MusculosquelettiqueHôpital R. SalengroLilleFrance

Personalised recommendations