CPPD- crown dens syndrome

Here is another one to use- hot off the press!

HLA B27- 1st time diagnosis of axial spondyloarthritis

Middle aged female

Avneesh Chhabra, M.D. M.B.A.

Professor Radiology & Orthopedic Surgery

Chief, Division of Musculoskeletal Radiology

UT Southwestern Medical Center, Dallas, Tx

5373 Harry Hines Blvd.

Dallas, Tx-75390-9178

Office: 214-648-2122

avneesh.chhabra@utsouthwestern.edu<mailto:avneesh.chhabra@utsouthwestern.edu>

http://www.utsouthwestern.edu<http://www.utsouthwestern.edu/>​

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Sent: Tuesday, September 13, 2022 10:49 AM

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thanks for that!

straight to resident conference with that one!

(with attribution of course 🙂 )

pete

Peter C. Young, MD
Section Head, Division of Musculoskeletal Radiology
University Hospitals Cleveland Medical Center
Case Western Reserve University
11100 Euclid Avenue Cleveland, OH 44102
(216) 844-1542

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Sent: Tuesday, September 13, 2022 9:38 AM

Hi All- good discussion on cppd. I have never seen or expect cppd in SI joints. We should play Multidisciplinary care and not get bogged down by rad findings. From my perspective leading rheum rounds for so many years- best to do serology status
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Hi All- good discussion on cppd. I have never seen or expect cppd in SI joints. We should play Multidisciplinary care and not get bogged down by rad findings. From my perspective leading rheum rounds for so many years- best to do serology status despite age and r/o axial spondyloarthritis and try to narrow down to a specific cause

But, here are three clinically proven cases- placed on colchicine of crowned dens syndrome

Two from rheumatology and one from my clinic- all from last two weeks!

findings- transverse lig calcification, dens erosion, widened AA joint in one and C3-4 neuropathy in another

Enjoy!

Best!

AC

Avneesh Chhabra, M.D. M.B.A.

Professor Radiology & Orthopedic Surgery

Chief, Division of Musculoskeletal Radiology

UT Southwestern Medical Center, Dallas, Tx

5373 Harry Hines Blvd.

Dallas, Tx-75390-9178

Office: 214-648-2122

avneesh.chhabra@utsouthwestern.edu<mailto:avneesh.chhabra@utsouthwestern.edu>

http://www.utsouthwestern.edu<urldefense.com/v3/__http://www.utsouthwestern.edu/__;!!IuDQRY6mOWG9IIqcpA!Qh1E08g3Utd9RblNTJEeLBEWh_2qJyjJzMVPTta4ZSr0gRA8ha8jdmhCf5-o1jsMFrtGr2WHzd9Dm0iL9-secrRv5pSxJ8R1B-KwmTVntg$>

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