A number of arthritides can affect the major joints. RA is a major player and can cause synovial destruction with joint-space narrowing. One of the tip-offs to RA is the presence of subchondral cysts just under the bony cortex on both sides of the joint space ( Fig. 8–127 ).
Figure 8-127 Rheumatoid arthritis of the knee. Diffuse joint space narrowing with subchondral cyst formation is present (arrows). A distinguishing feature between this and degenerative arthritis is that in rheumatoid arthritis, degenerative osteophytes or spurs are not usually seen.
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