Meythaler K
MMW Munch Med Wochenschr. 1977 Jun 3;119(22):761-6.
The assessment of roentgenograms in rheumatology is frequently complicated because all forms of the disease have lesions of connective tissue structures in common. A reliable classification of a particular rheumatic disease is sometimes only possible on the basis of repeated examination during the course of the disease. Certain cardinal radiological signs are useful aids to diagnosis. Thus arthritis is characterized by concentric reductions in the height of the joint cavity and the bone lesion, arthrosis by excentric reduction of height and osteophytes. Special pointers to rheumatoid arthritis, psoriatic arthritis, the degenerative diseases, ankylosing spondylitis and related diseases are given.
在风湿病学中,X线片评估常常很复杂,因为该疾病的所有形式都有共同的结缔组织结构病变。有时,只有在疾病过程中进行反复检查的基础上,才能对特定的风湿性疾病进行可靠分类。某些主要的放射学征象有助于诊断。因此,关节炎的特征是关节腔高度和骨质病变呈同心性缩小,骨关节炎则是高度偏心性缩小和骨赘形成。文中还给出了类风湿关节炎、银屑病关节炎、退行性疾病、强直性脊柱炎及相关疾病的特殊诊断要点。