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Degenerative Diseases of Extraspinal Locations

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Degenerative joint disease is widespread and common. In synovial joints, the process is termed osteoarthritis. At these sites, abnormalities predominate in the cartilaginous and osseous tissues, whereas alterations in the synovial membrane generally are mild. Typical findings include joint space loss, eburnation, cyst formation, and osteophytosis. Subluxation, malalignment, fibrous ankylosis, and intra-articular osseous and cartilaginous bodies may complicate osteoarthritis. The most common sites of extraspinal osteoarthritis are the interphalangeal and metacarpophalangeal joints of the hand, first carpometacarpal and trapezioscaphoid areas of the wrist, acromioclavicular and sternoclavicular articulations, hip, knee, and tarsometatarsal and metatarsophalangeal joints of the great toe. At each of these sites, radiographic features of the disease are sufficiently characteristic to allow their differentiation from the features of other articular disorders. Two special varieties of osteoarthritis have been described, although their existence as discrete entities is not universally accepted. Generalized osteoarthritis may be a particular form of degenerative joint disease in which multiple articulations are affected. Inflammatory (erosive) osteoarthritis is associated with clinical and pathologic features of joint inflammation. Although its distribution is virtually identical to that of noninflammatory digital osteoarthritis, certain radiographic features, such as erosions and intra-articular bony ankylosis, appear to be more typical of inflammatory osteoarthritis.
The candidate will learn the mechanics of putting together an electronic poster presentation in lecture type format.
This will be an official peer-reviewed publication.
The publication will be a favorable addition to the candidate's CV.
The candidate will be the first author, and I am the second author.
A candidate is not limited to completing one project. He/she can do as many as they like! (There are always topics to teach about)
The candidate, myself, King's College Hospital Department of Radiology and King's College all benefit from this publication.
Dennis K. Bielecki, MD
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