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Chiropractic Research Review

The Arthritides: a Radiologic Review

Patients with arthritic conditions are increasingly seen in chiropractic offices, and clinicians must be able to differentiate between the many different types of arthritis, particularly inflammatory vs.

degenerative processes. Diagnostic imaging of the arthritides can be an accurate diagnostic tool when combined with a complete physical examination and other clinical information.

This article "reviews radiological manifestations of degenerative and inflammatory arthritides that are commonly seen in practitioners offices." Included is a discussion of:

* inflammatory vs. degenerative arthritis;

* rheumatoid arthritis;

* ankylosing spondylitis;

* enteropathic arthropathy;

* psoriatic arthritis; and

* Reiters syndrome.

The most common locations of each joint disease are discussed, as well as typical radiographic findings. The author also provides numerous figures and tables illustrating radiographic presentations of the different conditions.

Conclusion: Arthritides account for or contribute to many musculoskeletal complaints and can be caused by a number of factors. Radiographic presentation can vary from condition to condition (or depending on the severity of the disease), emphasizing the need for accurate clinical evaluation and radiographic analysis.

Note: This is an article that you really appreciate seeing periodically. It concisely summarizes the most common arthritides seen in chiropractic clinics and does so from the viewpoint of the clinician. This article is a "must read" if you have not reviewed your plain film joint disease findings recently.

Bassano JM. Radiologic review of the arthritides. Topics in Clinical Chiropractic 2000:7(2), pp17-38. Reprints: (800) 638-8437

Chiropractic Research Review

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