Juxta sclerotic changes

A nuclear bone scan visualizes bone metabolism, not bone morphology, and is mainly used to detect bone metastases or infection. Luxations will usually cause capsule and ligament disruption with soft tissue swelling and loss of fat planes.


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While many of the changes are similar to those seen in rheumatoid arthritis, the changes in psoriatic arthritis are not always symmetrical.



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In rib fractures and fractures of the sternum sonography is superior to conventional x-ray.

Degenerative Joint Disease and Traumatic Arthritis

Osteophytes develop at the interface of articular cartilage and synovial membrane Vascularity of the synovial membrane can be seen arrow. Greenstick fractures are seen only in children. Stress films are used to test joint stability in suspected ligament injury.

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Sclerotic bone tumors and tumor-like lesions

In rib fractures and fractures of the sternum sonography is superior to conventional x-ray. Other benign lesions, like solitary bone cyst, fibrous dysplasia, chondroblastoma and other benign bone tumors may become inert and may also become sclerotic. Surrounded by a prominent zone of reactive sclerosis due to a periosteal and endosteal reaction, which may obscure the central nidus.

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