“ This is an ankylosing disorder of the spine. Symptoms are mild, consisting of restricted motion and tendinitis from enthesopathy. X-RAY SP...
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This is an ankylosing disorder of the spine. Symptoms are mild, consisting of restricted motion and tendinitis from enthesopathy.
X-RAY SPINE/CT
• Undulating soft tissue calcification and hyperostosis along the anterolateral aspect of the spine (‘dripping candle wax’).
• For diagnosis: affects four or more adjacent vertebrae; intervertebral disc height is preserved; the sacroiliac joints and apophyseal joints (spine) are spared.
OTHER X-RAYS
• ‘Whiskering’ of the iliac crest (fluffy calcification representing enthesopathy); may also affect the calcaneum (spurs) and olecranon.
• Ossification of the iliolumbar, sacroiliac and sacrotuberous ligaments and patella tendon.
• Soft tissue calcification adjacent to the lateral epicondyle (tennis elbow).
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