The localized focal uptake of the Tc-99m MDP was labeled as stress fracture, whereas uptake in a linear pattern along the periosteum was labeled sub-periosteal reaction or periostitis
. Linear uptake in the posteromedial distal tibial aspects indicated medial tibial stress syndrome or shin splints and radiotracer accumulation at the insertion sites of major lower limb muscles was labeled as activity induced enthesopathy.
The range of musculoskeletal complaint- and injury-related conditions that were treated included abrasion, bursitis, contusion, joint dysfunction, fasciitis, periostitis
, physeal injury, sprain, strain, stress fracture, subluxation, and tendonitis.
' signs and an image of "onion leaves" along with bone sclerosis at the bicipital tuberosity of the radius.
Enostosis, hyperostosis and periostitis
. Diagnosis of Bone and Joint Disorders.
Other organ involvements are: gastrointestinal (hepatitis, gastritis), renal (glomerulonephritis), pulmonary nodular infiltrates, osseous (periostitis
, osteomyelitis, polyarthritis), ophtalmic (optic neuritis, iritis, retinitis), cranial nerve palsies, etc.
Left tibia #63 exhibited healed periostitis
on the medial surface of the midshaft, and tibiae #72 and #74 had healed periostitis
on the medial and lateral surface of the midshaft, respectively (Fig.
Radiographic features of psoriatic arthritis are erosions, asymmetric involvement of the joints of the fingers and toes, resorption and pencil in the cup deformity, joint space narrowing, bony spurs, periostitis
and asymmetrical spinal involvement.
Considering the above mentioned data a diagnosis of secondary syphilis affecting skin, bone (periostitis
), and pulmonary was established.
Some characteristic radiographic markers seen with PsA include "pencil-in-cup" changes of digital joints, especially the distal interphalangeal joint (DIP), periostitis
, joint ankylosis, osteolysis, and sacroiliac changes; however, these are more likely to be seen with advanced disease.