MRI scan demonstrating facet joint inflammation, highlighting areas of bone marrow edema, cartilage loss and effusion. Useful indicator as a pain generator for intervention.

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MRI: CERVICAL SPINE FACET JOINT INFLAMMATION

FROM TODAY'S REPORTING

CERVICAL SPINE FACET JOINT INFLAMMATION

 

Cervical Spine Facet degeneration is common but seeing active inflammatory changes less so.

In this case there is a joint effusion and loss of cartilage (Orange arrow) which may be symptomatic or asymptomatic.

But we also have bone marrow oedema (Blue arrows) on either side of the joint which is uncommon to see. This suggests the presence of inflammation and a likely pain generator which can be useful sign to target for intervention.

Early infection can also produce a similar appearance, so the clinical context is important.

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Key findings include synovial thickening, joint effusion, bone marrow oedema, and capsular distension.
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 T2-weighted fat-saturated and STIR sequences are highly sensitive for detecting edema and effusion.
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Article: “Differential Diagnosis of Facet Joint Disorders” | From RadioGraphics – RSNA Journals, Read HERE

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We look at all of these topics in more detail in our Guided SPINE & SIJ Imaging Mini Fellowships.

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