Romanus lesion (vertebral bodies)
Citation, DOI, disclosures and article data
At the time the article was created Matt Skalski had no recorded disclosures.View Matt Skalski's current disclosures
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The Romanus lesion represents an early finding in inflammatory spondyloarthropathies, such as ankylosing spondylitis and enteropathic arthritis, and appears as irregularity and erosion involving the anterior and posterior edges of the vertebral endplates 1. Healing response to these inflammatory erosions appears radiographically as reactive sclerosis in the same location, which is known as the shiny corner sign 3.
History and etymology
Ragnar Romanus, a Swedish general surgeon, and Sven Yden, a Swedish radiologist, described this eponymous lesion in a paper in 1955. This paper was also the first to use the term shiny corners 2.
- 1. Hermann KG, Althoff CE, Schneider U et-al. Spinal changes in patients with spondyloarthritis: comparison of MR imaging and radiographic appearances. Radiographics. 2005;25 (3): 559-69. doi:10.1148/rg.253045117 - Pubmed citation
- 2. Romanus R, Yden S. Destructive and ossifying spondylitic changes in rheumatoid ankylosing spondylitis (pelvo-spondylitis ossificans). (1952) Acta orthopaedica Scandinavica. 22 (2): 88-99. doi:10.3109/17453675208988998 - Pubmed
- 3. Reinders A, van Wyk M. Bamboo spine – X-ray findings of ankylosing spondylitis revisited. (2012) South African Journal of Radiology. 16 (3): 111. doi:10.4102/sajr.v16i3.294