Rheumatoid arthritis

Case contributed by Dr David Cuete


Joint pain.

Patient Data

Age: 26
Gender: Female

The radiograph shows carpal collapse and osteopenia.


CT left wrist

CT shows carpal collapse, decrease of joint spaces and erosions at the distal radius, ulna and the carpal bones.

Case Discussion

The detection of erosions is important because they are a reflection of the aggressiveness of rheumatoid arthritis. CT is acquiring a recent role in this objective since it is the most sensitive and accurate technique to assess bone erosions. 

The CT demonstrates the proper cortical discontinuity of the erosions and can differentiate of a geode. In advanced stages, inactive, a sclerotic rim surrounds the erosions.

PlayAdd to Share

Case information

rID: 22613
Published: 11th Apr 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.