X-ray demonstrating hip involvement in ankylosing spondylitis, highlighting peripheral joint inflammation and structural changes.

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ANKYLOSING SPONDYLITIS PERIPHERAL JOINT HIP INVOLVEMENT X-RAY

ANKYLOSING SPONDYLITIS HIP PERIPHERAL JOINT INVOLVEMENT: WHAT DOES IT LOOK LIKE

ANKYLOSING SPONDYLITIS & THE HIP: WHAT HAPPENS

Hip involvement in Ankylosing spondylitis has been reported in up to a 1/3rd of patients and is usually bilateral.
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  • It’s primarily an inflammatory process. This results in cartilage destruction and loss of joint space.

  • Eventually it can result in joint fibrosis and ankylosis.

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  • The younger the age of onset of AS, the more likely hip involvement is.

  • Peripheral joint involvement increases with increasing duration of AS.

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THR can result in in improved hip function and mobility.
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On the AP X-ray for anyone with an axial Spondyloarthropathy, don’t forget to assess and comment on the hip joints.
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Read article: “A Comprehensive Assessment of Hip Damage in Ankylosing Spondylitis, Especially Early Features”, Read HERE

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This post has been made in conjunction with Dr Joe Thomas, a Senior Consultant Rheumatologist at Aster Hospital in Kochi India,  who has a vast amount of clinical experience. He also has a very strong interest in Imaging of Arthropathies and has joined us to bring a clinical perspective to the imaging and to advise on what rheumatologists want when we report their referrals.

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