Pressure erosions: A pattern of bone resorption in rheumatoid arthritis

Monsees, Barbara; Murphy, William A.

doi:10.1002/art.1780280714

Cited by 11 publications

(3 citation statements)

References 8 publications

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“…In addition to erosive changes, we were able to visualize other distinct changes of cortical bone. This finding revitalizes old observations, which suggested that bone damage in RA not only comprises subchondral bone erosion, but also includes other forms of cortical bone damage (40–42). In fact, 3‐D reconstruction of the metacarpal heads revealed areas in which the cortical bone surface had an irregular shape.…”

Section: Discussionsupporting

confidence: 83%

Periarticular bone structure in rheumatoid arthritis patients and healthy individuals assessed by high‐resolution computed tomography

Stach

Bäuerle

Englbrecht

et al. 2010

Arthritis & Rheumatism

174

231

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Objective. To define the nature of structural bone changes in patients with rheumatoid arthritis (RA) compared with those in healthy individuals by using the novel technique of high-resolution microfocal computed tomography (micro-CT).Methods. Fifty-eight RA patients and 30 healthy individuals underwent a micro-CT scan of the proximal wrist and metacarpophalangeal joints. Bone lesions such as cortical breaks, osteophytes, and surface changes were quantified on 2-dimensional (2-D) slices as well as by using 3-D reconstruction images, and exact localization of lesions was recorded.Results. Micro-CT scans could detect bone lesions <0.5 mm in width or depth. Small erosions could be observed in healthy individuals and RA patients, whereas lesions >1.9 mm in diameter were highly specific for RA. Cortical breaks were mostly found along the radial sites of the metacarpal heads. No significant difference in the presence of osteophytes between healthy individuals and RA patients was found. Cortical surface changes, presumably cortical thinning and fenestration, became evident from 3-D reconstructions and were more pronounced in RA patients.Conclusion. Micro-CT allows exact detection of morphologic changes of juxtaarticular bone in healthy individuals and RA patients. Even healthy individuals occasionally show bone changes, but the severity of these lesions, with the exception of osteophytes, is greater in RA patients. Thus, micro-CT allows accurate differentiation among physiologic bone changes in joints and among types of pathologic bone damage resulting from RA.

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Section: Discussionsupporting

confidence: 83%

Periarticular bone structure in rheumatoid arthritis patients and healthy individuals assessed by high‐resolution computed tomography

Stach

Bäuerle

Englbrecht

et al. 2010

Arthritis & Rheumatism

174

231

View full text Add to dashboard Cite

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“…This came as a result of the identification of a common chromosomal abnormality in some of the tumor cells which leads to an over expression of colony-stimulating factor 1. Other adjuncts to operative intervention include external beam radiation therapy [ 9 ] and isotopic synovectomy [ 10 , 11 , 12 ]. At present, such a combined treatment, regime is mainly implemented in short-term recurrent disease [ 12 ] and its efficacy is yet to be validated [ 2 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Diffuse Tenosynovial Giant Cell Tumor Encircling the First Metatarsal Bone Remodeling after Resection. A Case Report

Symeonidis¹,

Tsatlidou²,

Spanos³

et al. 2023

JOCR

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Introduction: The term tenosynovial giant cell tumor encompasses a group of rare soft-tissue tumors. A new classification divides the group in localized and diffuse type, depending on the involvement of the surrounding tissues. Due to the unclear origin and heterogeneity in extend of the diffuse-type giant cell tumors, there is only limited evidence on the tumor-specific treatment. Thus, every case report has an added value toward setting disease-specific guidelines. Case Report: Presentation of a diffuse type tenosynovial giant cell tumor encircling the first metatarsal. The tumor had mechanically eroded the plantar aspect of the distal metaphysis, with no signs of tumor spread. After an open biopsy, resection of the mass was performed without debriding or resecting the first metatarsal. Repeat imaging postoperatively showed no recurrence at 4-year follow-up and a bony remodeling of the lesion. Conclusion: Bone remodeling is possible after complete resection of diffuse tenosynovial giant cell tumor when the erosion is caused by mechanical pressure and no intraosseous expansion of the tumor is present. Keywords: Diffuse-type tenosynovial giant cell tumor, first metatarsal, bony erosion, bone remodeling.

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“…Moreover, disruption of blood flow by the cuff may have led to ischemic necrosis and chronic resorption of the vertebral bodies, additionally contributing to loss of bone volume. Resorptive deformation of the bone secondary to chronic compression is classically accompanied by sclerotic changes 7,14 , commensurate with Wolff's law 15 . Although this is somewhat discernible on the anterior margin of the remaining T2 vertebral body, interference by metal artifact makes definitive interpretation of such remodeling difficult (Fig.…”

Section: Discussionmentioning

confidence: 99%

Exposure of Pedicle Screws due to Chronic Vertebral Erosion by Tracheostomy Tube Cuff Balloon

Gupta

Harbison

Sponseller

2022

JBJS Case Connector

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Case: We report a patient with permanent tracheostomy in the context of muscular dystrophy presented for pneumonia.On bronchoscopy, a pedicle screw was seen penetrating the trachea. Computed tomography revealed significant anterior erosion of the T1-T3 vertebrae due to chronic pressure injury from the tracheostomy cuff, exposing pedicle screws implanted >10 years earlier. The patient was fitted for a custom low-pressure cuff. No further sequelae developed for 4 months.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B902).

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Pressure erosions: A pattern of bone resorption in rheumatoid arthritis

Cited by 11 publications

References 8 publications

Periarticular bone structure in rheumatoid arthritis patients and healthy individuals assessed by high‐resolution computed tomography

Periarticular bone structure in rheumatoid arthritis patients and healthy individuals assessed by high‐resolution computed tomography

Diffuse Tenosynovial Giant Cell Tumor Encircling the First Metatarsal Bone Remodeling after Resection. A Case Report

Exposure of Pedicle Screws due to Chronic Vertebral Erosion by Tracheostomy Tube Cuff Balloon

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