Phemister triad (tuberculosis)
Last revised by Santhosh Jayanti
on 20 Apr 2024
Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Jayanti S, Alabdulkareem O, et al. Phemister triad (tuberculosis). Reference article, Radiopaedia.org (Accessed on 13 Mar 2025) https://doi.org/10.53347/rID-8691
rID:
8691
Article created:
Disclosures:
At the time the article was created Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosures
Last revised:
20 Apr 2024,
Santhosh Jayanti
Disclosures:
At the time the article was last revised Santhosh Jayanti had no financial relationships to ineligible companies to disclose.
View Santhosh Jayanti's current disclosures
Revisions:
10 times, by
10 contributors -
see full revision history and disclosures
Systems:
Sections:
Synonyms:
- Phemister's triad
- Triad of Phemister
- Phemister's triad
The triad of Phemister refers to three radiographic features seen classically with tuberculous arthropathy 4:
juxta-articular osteopenia/osteoporosis
peripheral osseous erosions
gradual narrowing of joint space
History and etymology
Named after Dallas Burton Phemister (1882-1951), American orthopedic surgeon 3.
References
- 1. Mittal R, Gupta V, Rastogi S. Tuberculosis of the foot. J Bone Joint Surg Br. 1999; 81(6): 997-1000. [pubmed citation]
- 2. Jacobson JA, Girish G, Jiang Y, Resnick D. Radiographic evaluation of arthritis: inflammatory conditions. Radiology. 2008; 248(2): 378-89. doi:10.1148/radiol.2482062110 [pubmed citation]
- 3. GILCHRIST RK. Dallas Burton Phemister 1882-1951. (1952) Transactions of the ... Meeting of the American Surgical Association. American Surgical Association. Meeting. 70: 431-2. Pubmed
- 4. Chattopadhyay A, Sharma A, Gupta K, Jain S. The Phemister triad. Lancet. 2018 May 26;391(10135):e20. doi: 10.1016/S0140-6736(18)30986-3. Epub 2018 May 24. PMID: 29856345.
Incoming Links
Articles:
Multiple choice questions:
Related articles: Arthritides
- autoimmune
- degenerative
-
osteoarthritis (mnemonic)
- post-traumatic osteoarthritis
- erosive osteoarthritis
- grading
- Kellgren and Lawrence system
- osteoarthritis of the hip - grading
- osteoarthritis of the knee - grading
- rapidly destructive osteoarthritis of the hip
- osteoarthritis of the hand
- osteoarthritis of the knee
- scaphotrapeziotrapezoidal (STT) arthritis
- osteoarthritis of the vertebral column
- osteoarthritis of the TMJ
- primary cystic arthrosis of the hip
- secondary synovial osteochondromatosis
-
osteoarthritis (mnemonic)
- depositional
- infectious
- miscellaneous disorders
- related articles
Related articles: Infections
- bacterial
- Streptococcus pneumoniae
- Streptococcus anginosus group
- Staphylococcus aureus
- group A Streptococcus
- Klebsiella pneumonia
- Haemophilus influenzae
- Moraxella catarrhalis
- atypical
-
tuberculosis
- causative agent
- tuberculoma (tuberculous granuloma)
- tuberculous abscess
- miliary tuberculosis
- pulmonary tuberculosis
-
extrapulmonary tuberculosis
- intracranial tuberculosis
- tuberculous otomastoiditis
- tuberculous lymphadenopathy
- cardiac tuberculosis
- tuberculous mastitis
-
abdominal tuberculosis
- gastrointestinal tuberculosis
- tuberculous peritonitis
- visceral tuberculosis
- hepatic tuberculosis
- gallbladder tuberculosis
- pancreatic tuberculosis
- splenic tuberculosis
-
genitourinary tuberculosis
- renal tuberculosis
- bladder and ureteric tuberculosis
- prostatic tuberculosis
- scrotal tuberculosis (testes, epididymis, seminal vesicles, vas deferens)
- tuberculous pelvic inflammatory disease (female)
- skeletal tuberculosis
-
tuberculosis
- viral
- fungal
- Aspergillus
-
aspergillosis
- CNS aspergillosis
-
fungal sinusitis
- non-invasive: hyphae do not invade mucosa
- invasive: hyphae seen invading mucosa +/- beyond
- pulmonary aspergillosis