Common radiographic findings of Rheumatoid 1. Periarticular STS 2. Juxtaarticular osteoporosis progressing to generalized osteoporosis 3.

Uniform loss of joint space 4. Lack of bone formation 5. Marginal erosions progressing to severe erosions of subchondral bone 6. Synvovial cyst formation 7. Subluxations 8. Bilateral symmetrical distribution 9. Distribution in hands, feet, knee, hips, cspine, shoulders, and elbow in decreasing frequency Common radiographic findings of Psoriatic arthritis 1. Fusiform STS 2. Maintaienance of normal mineralization 3. Dramatic joint space loss 4. Bone proliferation 5. "penicil in cup" 6. Bilateral aymmetrical distribution 7. Distribution primarily in hands, feet, SI joints, and spine, in decreasing freqency Common radiographic findings of Reiters disease 1. Fusiform STS 2. Early juxtarticular osteoporosis, reestablishment of normal mineralization 3. Uniform joint space loss 4. Bone proliferation 5. Ill defined erosions 6. Bilateral asymmetrical distribution 7. Distribution in feet, ankles, knees, and SI joints; hands, hips, and spine less frequently involved Common radiographic findings of Ankylosing spondylitis 1. Normal mineralization before ankylosis, generalized osteoporosis after 2. Subchonral bone formation present before ankylosis 3. Erosions- small, localized, and not a prominent part of the picture 4. Absence of subluxations 5. absence of cysts 6. Ankylosis 7. Bilateral symmetrical distribution 8. Distribution in SI joints and the spine(ascending from L to C spine); then hips shoulders, knees, hands, and feet in decreasing frequency

Common radiographic features of osteoarthritis 1. Normal mineralization 2. Nonumiform loss of joint space 3. Abscence of erosions 4. Subchondral new bone formation 5. Osteophyte formation 6. Cysts 7. Subluxations 8. Unilatera and or bilateral aymmetrical distribution 9. Distribution in hands, feet, knees, and hips; sparing shoulders and elbows Common radiogrpahic features of neuropathic osteoarthropathy 1. Dissolution of normal joint articulation 2. Sever subluxation and or dislocation 3. Excessive juxtaarticular new bone formation 4. Mammoth osteophytes 5. Fragmentation and osseous debris 6. Pathological fractures 7. Unilateral or bilateral aysemmtrical involvement 8. Distribution in weight bearing joints(foot, ankle, knee, hip, spine) Common radiographic features of DISH 1. Normal mineralization 2. FLowing ossification of at least four contiguous vertebral bodies 3. Preservation of disc spaces 4. Ossification of multiple tendinous and ligamentous sites in the apendicular skeleton 5. Abscence of joint abnormality 6. Sporadic distribution 7. Distribution primarilary in the spine Common radiographic features of Gout 1. Tophi 2. Normal mineraliztion 3. Joint space preservation 4. Punched out erosions with sclerotic borders 5. Overhanging edge of cortex 6. Asymmetrical polyarticular distribution 7. Distribution in feet, ankles, knees, hands, and elbow, in decreasing frequency Common radigraphic features of CPPD 1. Chondrocalcinosis 2. Normal mineralization

3. Uniform joint space loss 4. subchondral new bone formation 5. variable osteophyte formation 6. Cysts- more prominent than in osteoarthritis 7. Occasional neuropathic changes 8. Bilateral distribution 9. Distribution in knees, hands, and hips, in decreasing order (unlike osteoarthritis the shoulder and elbow are involved)

Common radiographic features of Hydroxyapatite deposition disease 1. Periarticular calcifications ( early deposition is linear and poorly defined, with time becomes denser, homogeneous, well delineated and circular) 2. STS 3. Normal adjacent bone 4. Occasional joint effusion 5. Occasional osteporosis or reactive sclerosis 6. Single joint distribution; occasionaly multiple joints may be involved at same time or successively 7. Distribution in shoulder, hip, wrist, elbow, and neck in decreasing order Common radiographic features in hemochromatosis 1. Osteoporosis 2. Chondroclacinosis- there appears to be more calcification when compared to cppd arthropathy 3. Uniform joint loss 4. Subchondral sclerosis 5. Subchondral cyst formation 6. Beak like osteophytes 7. Slow progression of disease - no excessive neuropathic changes as seen in cppd 8. Bilateral symmetrical distribution 9. Distribution in hand and wrist initially and most frequently, then knee and hip; late widespread involvement throughout the skeleton Common radiographic features of ochronosis 1. Osteoporosis- diffuse 2. Disc degeneration at multiple levels, with calcifications or vacuum phenomenon present 3. Uniform joint space loss 4. Extensive subchondral sclerosis 5. Relative absence of osteophytes 6. Intrarticular loose bodies 7. Bilateral symmetrical distribution

8. Distribution in spine, SI joints, knee, hip, and shoulder, in decreasing order of frequency

Common radiographic features of collagen vascular disease 1. Soft tissue swelling 2. Juxtaarticular osteoporosis 3. Subluxation and dislocations 4. Absence of erosions 5. Absence of joint space loss 6. Calcification 7. Osteonecrosis 8. Bilateral and symmetrical distribution 9. Distribution in hand and wrist, hip, knee, and shoulder Common radiographic features of juvenille chronic arthritis 1. Periarticular STS 2. Osteoporosis- juxtaarticular, metaphyseal lucent bands, and or diffuse 3. Periostitis 4. Overgrown or ballooned epiphysis 5. Advanced skeletal maturation- premature fusion leading to decreased bone length 6. Late joint space loss 7. Late erosive disease 8. Ankylosis 9. Bilateral and symmetrical distribution in polyarticular disease; sporadic distribution in pauciarticular or monarticular disease 10. Distribution in hand and wrist, foot, knee, ankle, hip, c spine, and mandible in decreasing order, inpolyarticular disease; distribution in knee, ankle, elbow, and wrist in pauciarticular or monoarticular Common radiographic features of hemophilia 1. Radiodense soft tissue swelling 2. Ostoporosis- juxtaarticular or diffuse 3. Overgrown or ballooned epiphysis 4. subchondral cysts 5. Late unifrom joint space loss 6. Late secondary osteoarthritis changes 7. Asymmetrical sporadic distribution 8. Distribution in knee, elbow, ankle, hip, and shoulder, in decreasing order; changes distal to the elbow or ankle are rare