Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Rand, T; Breitenseher, M; Haller, J; Graninger, W; Imhof, H; Trattnig, S.
Primary chronic polyarthritis of the knee joint
Radiologe. 1996; 36(8):617-623
Doi: 10.1007/s001170050119
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Graninger Winfried
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- Abstract:
- Rheumatoid arthritis is a chronic, multisystemic disease. The characteristic feature is persistent inflammatory synovitis. The knee joint is commonly involved with synovial hypertrophy, chronic effusion, and frequently ligamentous laxity. Pain and swelling behind the knee may be caused by extension of inflamed synovium into the popliteal space (Baker's cyst). Plain radiographs of the knee joint remain the basic radiological procedure, although early in the disease they might not provide significant changes. Sonography sufficiently reveals synovial fluid and Baker cysts, but cannot be recommended for evaluation of synovial proliferations or pannus formation. Computer tomography has only limited indications and may be used for the evaluation of subtle erosive lesions or the quantitation of osteoporotic changes. Magnetic resonance imaging has shown excellent visualization of cartilage, fluid, synovium and soft tissues and is the method of choice for the demonstration of early affection and the evaluation of pannus activity and therapy control. With administration of contrast agents (gadolinium), dynamic studies may demonstrate inflammatory activity. Modern MR sequences, such as T1 SE "fat sat" or magnetization transfer, further improve the discrimination of cartilage, pannus and synovial fluid.
- Find related publications in this database (using NLM MeSH Indexing)
- Arthritis, Rheumatoid - diagnosis
- Cartilage, Articular - pathology
- Diagnostic Imaging - pathology
- Humans - pathology
- Knee Joint - pathology
- Sensitivity and Specificity - pathology
- Synovial Membrane - pathology
- Synovitis - diagnosis
- Find related publications in this database (Keywords)
- rheumatoid arthritis
- knee