Osteoporosis -...
Transcript of Osteoporosis -...
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Osteoporosis
Loss of Bone Mass
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Osteoporosis A systemic disease characterized by
low bone mass and microarchitectural
deterioration with a consequent
increase in bone fragility and
susceptibility to fracture
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Risk factors
• Female Gender
• Caucasian & Asian Races
• Thin Body Build
• Late Onset of Menses
• Early Menopause
• Caffeine, Smoking, Alcohol
• Family History
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Risk Factors
• Endrocine
• Rheumatologic Disease
• Hematologic Disease
• Drugs
• GI Disease
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Osteopenia
• Nonspecific term = "poverty of bone"
• Increased radiolucency of bone
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DEXA SCAN
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Osteoporosis
A bone mineral
density ( T Score) that
is 2.5 SD below the
mean peak value in
younger adults
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Z Score Comparison with mean
value in normal subjects
of same age and sex
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Bone Values
• -1.0 to -2.0 mild
• -2.0 to -3.0 moderate
• -3.0 to -4.0 marked
• -4.0 to -5.0 severe
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Tumors
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Would you send this lesion for bx?
1) No
2) Yes
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Osteomyelitis
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Arthritis
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Joint Changes on X-Ray
• Soft tissue swelling - symmetrical vs.
asymmetrical
• Lumps & Bumps
• Mineralization - diffuse or juxta-articular
• Erosions - bare areas, pencil & cup etc.
aggressive - no reparative bone, vs. non-
aggressive - sclerotic borders
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Joint Changes on X-Ray
• Joint space narrowing - uniform vs. non-uniform
• Subluxation
• Calcification - cartilage, soft tissue and tendinous
• Bone production - Periosteal new bone, osteophytes, overhanging edges, subchondral bone, ankylosis
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Distribution
• DIP & PIP - osteoarthritis, erosive
osteoarthritis, psoriatic arthritis
• MCP, PIP - rheumatoid
• Random - gout
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Rheumatoid Arthritis
• Periarticular soft tissue swelling
• Juxta-articular osteoporosis progressing to
generalized osteoporosis
• Uniform loss of joint space
• Lack of bone formation
• Marginal erosions progressing to severe
erosions of subchondral bone
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Rheumatoid Arthritis
• Synovial cyst formation
• Subluxations
• Bilateral symmetrical distribution
• Hands, feet, knees, hips, spine, shoulders,
elbows
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Psoriatic Arthritis
• Fusiform soft tissue swelling
• Normal mineralization
• Marked joint space loss
• Bone proliferation
• Pencil-in-cup erosions
• Bilateral asymmetrical distribution
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Psoriatic Arthritis
• Distribution in hands, feet, SI joints,
and spine in decreasing order of
frequency
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Reiter’s
• Arthritis
• Conjunctivitis
• Urethritis
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Reiter’s Disease
• Fusiform soft tissue swelling
• Early juxta-articular osteoporosis goes to
normal mineralization
• Uniform joint loss
• Bone proliferation
• Ill defined erosions
• Bilateral asymmetrical distribution
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Reiter’s Disease
Distribution primarily in feet, ankles,
knees, and SI joints, hands, hips, and
spine less frequently
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What is the dx?
1) Reiter’s
2) AS
3) RA
4) Gout
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Gout
• Tophi
• Normal mineralization
• Joint space preserved
• Punched-out erosions, sclerotic borders
• Overhanging spicule of bone
• Asymmetrical distribution, polyarticular,
foot most common
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CPPD
Calcium Pyrophosphate Dihydrate
Crystal Deposition Disease
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CPPD
• Chondrocalcinosis
• Normal mineralization
• Uniform joint space loss
• Subchondral new bone formation
• Variable osteophyte formation
• Cysts
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CPPD
• Bilateral distribution
• Distribution in knees, hands, and hips in
decreasing order and unlike osteoarthritis
may involve shoulder and elbow
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Osteoarthritis
• Normal mineralization
• Nonuniform loss of joint space
• Absence of erosions
• Subchondral new bone formation
• Osteophyte formation
• Cysts
• Subluxations
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Osteoarthritis
• Unilateral and/or bilateral asymmetrical
distribution
• Distribution in hands (DIP), feet, hips,
knees; sparing of shoulders and elbows
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Neurotopic Osteoarthropathy
• Dislocation of normal articuation
• Severe subluxation and/or dislocation
• Marked juxta-articular new bone
• Huge osteophytes
• Fragmentation and osseous debris
• Pathologic fractures
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Neurotopic Osteoarthropathy
• Unilateral or bilateral asymmetrical
involvement
• Distribution in weight-bearing joints (feet,
ankle, knee, hip, spine)
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“CHARCOT JOINT-ANKLE”
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Ankylosing Spondylitis
• Normal mineralization before ankylosis
• Generalized osteoporosis after ankylosis
• Erosions - small, localized
• Absence of subluxation and cysts
• Syndesmophytes progress to bamboo spine
• Squared vertebra
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Ankylosing Spondylitis
• Disc spaces preserved
• Erosion of odontoid
• Ankylosis
• Bilateral symmetrical distribution
• SI Joints and spine (ascends from lumbar to
cervical); hips, shoulders, knees, hands, and
feet less common
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