Fischer E
Rofo. 1984 May;140(5):566-74. doi: 10.1055/s-2008-1053029.
Arthrosis of the digital joints begins predominantly on the volar joint surface and the volar-proximal margin of the head. Because of this localisation, and in order to obtain adequate contrast and definition, these early changes are best shown by means of low R.V. radiographs in three views. The early changes consist of the following local processes: intrachondral sclerosis, exomarginal and endomarginal subchondral sclerosis, discreet increase in the spongiosa; this leads to disrounding and hooklike form of the head; thickening or disappearance of the sub-marginal spongiosa and marginal defects. Artifacts produced by the projections or local bone variants must be recognised, as well as diffuse idiopathic skeletal hyperostosis.
指关节的关节病主要始于掌侧关节面和头部的掌侧近端边缘。由于这种定位,并且为了获得足够的对比度和清晰度,这些早期变化最好通过低电压X线片的三个视图来显示。早期变化包括以下局部过程:软骨内硬化、边缘外和边缘内软骨下硬化、海绵质轻微增加;这会导致头部变圆和呈钩状;边缘下海绵质增厚或消失以及边缘缺损。必须识别由投影或局部骨变异产生的伪影,以及弥漫性特发性骨肥厚。