Oesteoarthritis: An Atlas of Investigation and Diagnosis by Adrian Jones, Michael Doherty

By Adrian Jones, Michael Doherty

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Note swelling and a degree of erythema. General features of osteoarthritis 33 Muscle wasting may be a prominent feature of osteoarthritis. Although general immobility may produce generalized wasting, the most marked wasting is seen in the muscles that act across the affected joint. 4). Although atrophy may be hard to appreciate, the consequence of this may be more easily observed in terms of reduced strength and function. 4 Global wasting of muscles – especially visible for deltoid, supraspinatus, infraspinatus, and teres minor – in association with right glenohumeral osteoarthritis.

On the skyline view, there is marked narrowing of the medial aspect of the patellofemoral joint (arrowhead) that is not apparent on the lateral view. The lateral view, however, demonstrates superior patellar osteophyte (arrow) though no osteophyte is seen on the skyline view. 56 Features of osteoarthritis at specific sites Using sensitive imaging techniques, it is apparent that most cases of knee osteoarthritis involve all three compartments to some extent, but cartilage narrowing usually predominates in just one or two compartments.

This manoeuvre also allows detection of quadriceps wasting, which is common and often exaggerated by the extent of the bony swelling. 3 Gross right valgus and mild left varus deformity in a patient with osteoarthritis. This asymmetrical combination is sometimes called ‘windswept’ or ‘skier’s’ knees. Features of osteoarthritis at specific sites 55 years, been masked by the limited extent to which structural involvement was determined by radiology. Many early studies employed only a single anteroposterior, non-weightbearing view which often underestimates the degree of tibiofemoral involvement and completely ignores the patellofemoral joint.

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