eMedicine Specialties > Radiology > Musculoskeletal

Reactive Arthritis, Musculoskeletal: Multimedia

Author: Anil Kumar Aribandi, MD, MRCP, Registrar, Department of Hematology, Royal Hallamshire Hospital, UK
Coauthor(s): Oludare Adetokunbo Demuren, MD, FRCR, Consulting Staff, Department of Radiology, Colchester General Hospital
Contributor Information and Disclosures

Updated: Feb 21, 2007

Multimedia

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Media file 1: Radiograph of the feet in a 27-year-old man shows erosions in all the left metatarsophalangeal (MTP) joints with subluxation and valgus deformity of most of the toes. Smaller erosions in the four and fifth MTP joints of the right foot are also shown.

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Radiograph of the feet in a 27-year-old man shows erosions in all the left metatarsophalangeal (MTP) joints with subluxation and valgus deformity of most of the toes. Smaller erosions in the four and fifth MTP joints of the right foot are also shown.

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Media file 2: Lateral radiograph of the foot (same patient as in Image 1) reveals a calcaneal spur and enthesitis.

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Lateral radiograph of the foot (same patient as in Image 1) reveals a calcaneal spur and enthesitis.

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Media file 3: Radiograph of both hands shows small erosive changes in both first metacarpal heads associated with minimal subluxation. Bone density is normal.

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Radiograph of both hands shows small erosive changes in both first metacarpal heads associated with minimal subluxation. Bone density is normal.

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Media file 4: Radiography of the pelvis reveals bilateral asymmetric sacroiliitis.

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Radiography of the pelvis reveals bilateral asymmetric sacroiliitis.

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Media file 5: Image in 40-year-old man with nonmarginal syndesmophytes predominantly in the lower thoracic and upper lumbar spine.

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Image in 40-year-old man with nonmarginal syndesmophytes predominantly in the lower thoracic and upper lumbar spine.

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Media file 6: Prone pelvic CT scan shows right unilateral sacroiliitis.

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Prone pelvic CT scan shows right unilateral sacroiliitis.

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Media file 7: This scan was obtained in the same patient as in Image 6 shows a needle introduced into the right sacroiliac joint under CT guidance. An injection of 0.5% bupivacaine hydrochloride 5 mL (Marcaine) and methylprednisolone acetate 40 mg (Depo-Medrol) resulted in permanent relief of the patient's intractable sacroiliac pain.

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This scan was obtained in the same patient as in Image 6 shows a needle introduced into the right sacroiliac joint under CT guidance. An injection of 0.5% bupivacaine hydrochloride 5 mL (Marcaine) and methylprednisolone acetate 40 mg (Depo-Medrol) resulted in permanent relief of the patient's intractable sacroiliac pain.

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Media file 8: Axial T1-weighted spin-echo image in a 47-year-old man shows widening and irregularity of upper right sacroiliac joint suggestive of unilateral sacroiliitis.

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Axial T1-weighted spin-echo image in a 47-year-old man shows widening and irregularity of upper right sacroiliac joint suggestive of unilateral sacroiliitis.

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Media file 9: Coronal oblique short-tau inversion recovery (STIR) image through the sacroiliac (SI) joints in the same patient in Image 8 shows widening of the right SI joint, which contains fluid. These findings confirm right sacroiliitis.

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Coronal oblique short-tau inversion recovery (STIR) image through the sacroiliac (SI) joints in the same patient in Image 8 shows widening of the right SI joint, which contains fluid. These findings confirm right sacroiliitis.

<a name="target10"> </a>Sagittal short-tau i...

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Media file 10: Sagittal short-tau inversion recovery (STIR) image of the foot shows increased thickness of the plantar fascia (<8 mm) with edema in the fascia, surrounding soft tissues, and adjacent marrow. These findings are diagnostic of plantar fasciitis.

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Sagittal short-tau inversion recovery (STIR) image of the foot shows increased thickness of the plantar fascia (<8 mm) with edema in the fascia, surrounding soft tissues, and adjacent marrow. These findings are diagnostic of plantar fasciitis.

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References

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References

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Cardinal E, Chhem RK, Beauregard CG, et al. Plantar fasciitis: sonographic evaluation. Radiology. Oct 1996;201(1):257-9. [Medline].
Conway WF, Totty WG. Synovial arthritis. In: Stark DD, Bradley WG, eds. Magnetic Resonance Imaging. 3rd ed. Vol 2. 1999: 807.
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Keywords

Reiter syndrome, Reiter's syndrome, Reiter disease, Reiter's disease, reactive arthritis, human leukocyte antigen B27, HLA-B27, seronegative spondyloarthropathy

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Contributor Information and Disclosures

Author

Anil Kumar Aribandi, MD, MRCP, Registrar, Department of Hematology, Royal Hallamshire Hospital, UK
Disclosure: Nothing to disclose.

Coauthor(s)

Oludare Adetokunbo Demuren, MD, FRCR, Consulting Staff, Department of Radiology, Colchester General Hospital
Oludare Adetokunbo Demuren, MD, FRCR is a member of the following medical societies: Royal College of Radiologists
Disclosure: Nothing to disclose.

Medical Editor

Amilcare Gentili, MD, Clinical Professor of Radiology, University of California at San Diego; Consulting Staff, Department of Radiology, Thornton Hospital
Amilcare Gentili, MD is a member of the following medical societies: American Roentgen Ray Society, Radiological Society of North America, and Society of Skeletal Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Theodore E Keats, MD, Professor, Departments of Radiology and Orthopedics, University of Virginia School of Medicine
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Felix S Chew, MD, MBA, EdM is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

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eMedicine Specialties > Radiology > Musculoskeletal

Reactive Arthritis, Musculoskeletal: Multimedia

Multimedia

Radiograph of the feet in a 27-year-old man shows erosions in all the left metatarsophalangeal (MTP) joints with subluxation and valgus deformity of most of the toes. Smaller erosions in the four and fifth MTP joints of the right foot are also shown.

Lateral radiograph of the foot (same patient as in Image 1) reveals a calcaneal spur and enthesitis.

Radiograph of both hands shows small erosive changes in both first metacarpal heads associated with minimal subluxation. Bone density is normal.

Radiography of the pelvis reveals bilateral asymmetric sacroiliitis.

Image in 40-year-old man with nonmarginal syndesmophytes predominantly in the lower thoracic and upper lumbar spine.

Prone pelvic CT scan shows right unilateral sacroiliitis.

Axial T1-weighted spin-echo image in a 47-year-old man shows widening and irregularity of upper right sacroiliac joint suggestive of unilateral sacroiliitis.

Coronal oblique short-tau inversion recovery (STIR) image through the sacroiliac (SI) joints in the same patient in Image 8 shows widening of the right SI joint, which contains fluid. These findings confirm right sacroiliitis.

Sagittal short-tau inversion recovery (STIR) image of the foot shows increased thickness of the plantar fascia (<8 mm) with edema in the fascia, surrounding soft tissues, and adjacent marrow. These findings are diagnostic of plantar fasciitis.

More on Reactive Arthritis, Musculoskeletal

References

Further Reading

Keywords

Contributor Information and Disclosures

Author

Coauthor(s)

Medical Editor

Pharmacy Editor

Managing Editor

CME Editor

Chief Editor