Hi again,
Extracts of answers on the case:
- seronegative spondyloarthritis with structural changes at entheses.
- signs of growth disturbance, juvenile chronic arthritis
- hx of IBD?
- 2x inflammatory arthritis, DDx psoriasis arthritis
- dysplasia epiphysealis hemimelica (Trevor disease)
- metabolic
- joint dysplasia
I tend to go with RA, DDx psoriasis arthritis. Literature shows that the menisci can be eaten-up, even before significant osteochondral erosions become evident.
https://onlinelibrary.wiley.com/doi/10.1111/os.12389
Thanks to all!
Björn
**EXTERNAL E-MAIL**
Hi Everyone!
31 y/o male, clinically bilat. knee swelling. No further clin. info at this point but X-ray imaging available 2013, 2017 + 2017 showing severe degradation.
Morphologically, osteophytes, absent menisci, synovitis. Cartilage surfaces mainly intact.
Is this a consequence of severe inflammation and meniscal erosion or an anatomical abnormality, with hypoplastic menisci, joint incongruency, etc.?
If there were some erosions, I wouldn’t be so hesitant to call it inflammatory arthropathy.
Psoriasis?
Syndrome?
You can find the full DICOM Study here:
https://www.cmrad.com/cases/1354485523
Help would be very much appreciated!
Happy Friday!
Björn
