Facet Joint Osteoarthritis X-Ray Images Quiz
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Questions and Answers

Which radiological feature is NOT commonly associated with facet joint osteoarthritis?

  • Joint hypertrophy
  • Joint space narrowing
  • Facet joint fusion (correct)
  • Synovial and subchondral bone cysts
  • In which spinal segment is facet joint osteoarthritis less prevalent?

  • L3-L4
  • L2-L3 (correct)
  • L5-S1
  • L4-L5
  • What was the prevalence of facet joint osteoarthritis (FJ OA) in patients with chronic lower back pain as reported by the Australian rheumatology practice study?

  • 55%
  • 25%
  • 40% (correct)
  • 70%
  • Which of the following segments has the highest prevalence of facet joint osteoarthritis?

    <p>L4-L5</p> Signup and view all the answers

    What is a common radiological feature of facet joint osteoarthritis resembling those found in peripheral joint OA conditions?

    <p>Synovial and subchondral bone cysts</p> Signup and view all the answers

    What radiological feature was marked in the black and white x-ray image of the spine?

    <p>Sclerosis at L4-L5</p> Signup and view all the answers

    What could result in severe impingement of the spinal nerve in facet joint arthritis?

    <p>Isolated osteophytes and synovial cysts encroaching the intervertebral foramen</p> Signup and view all the answers

    What could be a consequence of foraminal stenosis in lumbar facet joint arthritis?

    <p>Ischemia of the nerve due to compressed arterioles</p> Signup and view all the answers

    Which movement is likely to aggravate pain in lumbar facet joint arthritis?

    <p>Posterior quadrant rotation</p> Signup and view all the answers

    What characteristic pain pattern is associated with facet joint arthritis?

    <p>Unilateral and paracentral back pain</p> Signup and view all the answers

    Which factor alleviates pain in lumbar facet joint arthritis?

    <p>Changing posture/positions</p> Signup and view all the answers

    What is a common symptom of facet joint arthritis?

    <p>Focal tenderness at inter spinous process</p> Signup and view all the answers

    What is a distinguishing feature of referred pain patterns from facet joints?

    <p>Referred pain can be to the buttock, groin, and thigh regions</p> Signup and view all the answers

    Which type of posture may be observed in patients with facet joint arthritis?

    <p>Increased lordotic or slouched posture</p> Signup and view all the answers

    What is the consequence of hypomobility patterns in facet joint arthritis?

    <p>Restricted spinal movement and referred pain at end-range motion</p> Signup and view all the answers

    What is a common characteristic of hypermobility patterns in lumbar facet joint arthritis?

    <p>Painful hyperextension of the lumbar spine</p> Signup and view all the answers

    Study Notes

    Facet Joint Osteoarthritis

    • Narrowing of the intervertebral disc space is NOT commonly associated with facet joint osteoarthritis.
    • Facet joint osteoarthritis is less prevalent in the thoracic spinal segment.
    • The prevalence of facet joint osteoarthritis in patients with chronic lower back pain is 45% as reported by the Australian rheumatology practice study.
    • The lumbar segment (L4-5) has the highest prevalence of facet joint osteoarthritis.

    Radiological Features

    • Joint space narrowing is a common radiological feature of facet joint osteoarthritis, resembling those found in peripheral joint OA conditions.
    • Osteophytes were marked in the black and white x-ray image of the spine.
    • Enlargement of the facet joint can result in severe impingement of the spinal nerve.
    • Foraminal stenosis can cause compression of the spinal cord and nerve roots.

    Clinical Features

    • Extension and rotation movements are likely to aggravate pain in lumbar facet joint arthritis.
    • The characteristic pain pattern associated with facet joint arthritis is referred pain in the thigh or buttock.
    • Pain in lumbar facet joint arthritis can be alleviated by flexion.
    • A common symptom of facet joint arthritis is pain localized to the lower back or buttock.
    • Referred pain patterns from facet joints are characterized by a non-dermatomal distribution.

    Posture and Movement

    • A flexed posture may be observed in patients with facet joint arthritis.
    • Hypomobility patterns in facet joint arthritis can result in stiffness and limited range of motion.
    • Hypermobility patterns in lumbar facet joint arthritis are characterized by excessive movement and instability.

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    Description

    Test your knowledge on facet joint osteoarthritis by identifying radiological features like hypertrophy, joint space narrowing, osteophytes, joint space vacuum, and facet capsule calcification in x-ray images. Learn about the most common form of painful condition affecting spine facet joints.

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