Radiographic Approach to Arthropathy

  • Anupam BasuEmail author


This chapter summarizes a systematic approach to evaluating radiographs in the setting of arthropathies. This approach is divided into four basic categories: joint surface and bone contour changes, bone density, osseous alignment, and soft tissue changes. Radiographs of the hands are used to outline the recommended approach for assessing suspected joint disease, including multiple examples of both inflammatory and degenerative arthritis. This chapter provides a concise systematic overview of how to approach and analyze radiographs in rheumatic disease patients.


Approach Evaluate Radiographs Joint Bone Soft Tissue 

Further Reading

  1. Brower AC, Flemming DJ. Arthritis in black and white. 3rd ed. Philadelphia: Saunders; 2012. p. 226–30.CrossRefGoogle Scholar
  2. Campion EW, Glynn RJ, DeLabry LO. Asymptomatic hyperuricemia: risks and consequences in the Normative Aging Study. Am J Med. 1987;82:421–6.CrossRefGoogle Scholar
  3. Huang M, Schweitzer ME. The role of radiology in the evolution of the understanding of articular disease. Radiology. 2014;273(2):S1–S22.CrossRefGoogle Scholar
  4. Jacobsen JA, Girish G, Jiang Y, et al. Radiographic evaluation of arthritis: inflammatory conditions. Radiology. 2008;248(2):378–89.CrossRefGoogle Scholar
  5. Klippel JH, Crofford LJ, Stone JH, Weyand CM. Primer on rheumatologic diseases. 12th ed. Atlanta: Arthritis Foundation; 2001. p. 307–19.Google Scholar
  6. Layfer L, Petasnick J, Katz RS. Advanced exercises in diagnostic radiology: rheumatologic disorders. Philadelphia: Saunders; 1988. p. 3–48.Google Scholar
  7. Manaster BJ, et al. Diagnostic imaging; musculoskeletal non-traumatic disease. 2nd ed. Philadelphia: Amirsys; 2016.Google Scholar
  8. O’Neill J. Essential imaging in rheumatology. New York: Springer; 2015.CrossRefGoogle Scholar
  9. Resnick D, Kransdorf MJ. Bone and joint imaging. 3rd ed. Philadelphia: Elsevier Saunders; 2005. p. 531–7.Google Scholar
  10. Schumacher HR. The pathogenesis of gout. Cleve Clin J Med. 2008;75(5):S2–4.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Cook County Health, Department of RadiologyChicagoUSA

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