Keywords:
Outcomes, Education and training, Imaging sequences, Education, MR, Conventional radiography, Musculoskeletal system, Musculoskeletal spine, Musculoskeletal joint
Authors:
M. Haris1, H. Gupta2; 1Halifax/UK, 2Leeds/UK
DOI:
10.26044/essr2019/P-0080
Learning objectives
The characteristic feature of axial spondyloarthropathy is inflammatory back pain due to sacroiliitis.
However,
there are other presentations including enthesitis,
anterior chest wall,
shoulder and hip involvement and non sacroiliac joint spinal pain which can be the presenting feature for the disease.
In this poster,
we show pictorial examples of non-characteristic first presentations of spondyloarthropathy to help the radiologist recognise the wide spectrum of imaging features which exist in spondyloarthropathy and allow them to raise the possibility of the diagnosis and possible need for further dedicated imaging even in the absence of typical low back pain signs and symptoms.
MRI of the spine and large joints forms the bulk of work in musuloskeletal radiology and we want to highlight the importance of recognising changes to help with the early diagnosis of spondyloarthropathy.
In all the examples provided the diagnosis was established for the first time by the radiologist raising the posibbility of diagnosis and performing further conclusive imaging.