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Geriatric radiologi
FK-UNMUH Jakarta
2011
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CV Suryoseto S1 : FK UGM 1 !1 "KS # : Kutaca$e %ce& te$ggara S2-S' # : (adiologi (SCM FKU# 1 ) "KS ## : Meula*o& %ce& +arat
S'## : (adiotera'i (SCM FKU# 2002 SMF : (adiotera'i (S ,ersa&a*ata$
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%lat 'e$citraa$ ,lai$ l. radiology: trau.a/art&ritis/tu.or
C : co.'le r/ Matrik tu3/ guides *io'si3
M(# :te$do$/ liga.e$/ cartilage/ so t tissue3
+o$e sca$: steo.yelitis/ .etastase/ tu.or3
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4u.*ar S'i$e -- %$tero'osterior 5%,6 Vie7/U$la*elled
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4u.*ar S'i$e -- %, Vie7/ 4a*elled
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4u.*ar S'i$e -- 4ateral Vie7/ U$la*elled
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4u.*ar S'i$e -- 4ateral Vie7/ 4a*elled
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Spondylolisthesis
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K$ee -- %$tero'osterior 5%,6 Vie7/ 4a*elled
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K$ee -- %$tero'osterior 5%,6 Vie7/ U$la*elled
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K$ee -- 4ateral Vie7/ U$la*elled
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K$ee -- 4ateral Vie7/ 4a*elled
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,el8is -- %$tero,osterior 5%,6 Vie7/ U$la*elled
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Hi' -- %$tero'osterior 5%,6 Vie7/ 4a*elled
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Pendekatan radiologiarthritis
ABCDES %lig.e$t : su* lu atio$ +o$e 'roli eratio$: 'eriosteal
reactio$/ so t tissue calci catio$3 Cartilage: 9oi$t s'ace $arro7i$g e$sity : *o$e .i$eral
;rosio$s3 So t tissue3
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ela'a$ se$di seri$g terke$aosteoart&ritis
istal i$ter'&la$geal 9oi$t ,roksi.al i$ter'&ala$geal 9oi$t Car'o .etacar'al 9oi$t Metatarso '&ala$geal 9oi$t K$ee Joi$t
Hi' 9oi$t S'i$al 9oi$t %$kle 9oi$t
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;.'at ga.*ara$ klasikradiologi osteoart&ritis
#rregular $arro7i$g o t&e 9oi$t s'ace3
Su* c&o$dral sclerosis
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Osteoarthritis
History: =2 year old .ale 7it& *ilateral &i' 'ai$ a$d decreased
ra$ge o .otio$3 No e8ers/ $o ras&es/ $o sig$i ca$t a.ily &istory oill$ess3X-Ray 1 ::%ssy.etric aceta*ular sclerosis a$d 9oi$t s'ace $arro7i$g 7it&su*c&o$dral cyst or.atio$3
Disc ssion:
&e 'lai$ radiogra'&ic s&o7s 9oi$t s'ace $arro7i$g/ sclerosis/ a$dsu*c&o$dral cyst or.atio$3 &e &ig&-'ressure areas or t&e su'erioraceta*ulu. are .ost a>ected/ suggesti8e o osteoart&ritis 5c&ro$ic7ear a$d tear6 rat&er t&a$ a$ i$?a..atory art&ro'at&y 5liker&eu.atoid art&ritis6 7&ic& 7ould s&o7 .ore &e.i-circu. ere$tial
9oi$t i$8ol8.e$t i$cludi$g areas t&at do $ot &a8e &ea8y 7eig&t-
*eari$g res'o$si*ility3Di!erential diagnosis: &e di>ere$tial diag$osis or su*c&o$dralcysts is lo$g *ut 7ould i$clude: C,, /
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%ssy.etric aceta*ular sclerosis a$d 9oi$t s'ace$arro7i$g 7it& su*c&o$dral cyst or.atio$3
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Ga.*ara$ osteo'orosis 'adaoto 'olos
,icture ra.i$g : corte .e$i'is/tra*eculae turu$
;.'ty *o sig$ : relati8e i$creasedde$sity o 8erte*ral e$d 'lates 7it&resor'tio$ o ce$tral s'o$gy *o$e
Cod s& 8erte*ra : *ico$ca8ity o8erte*ra *odies
Co.'resio$ racture o 8erte*ra3
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Ko$disi ya$g .e$ye*a*ka$raktur i$su e$si
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&e ost co o$ areas o
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&e .ost co..o$ areas oractures related to
osteo'orosis t&e s'i$e/
t&e e.ur3
t&e 7rist3
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$ract res o% the Pro&i#al $e# r
http://www.learningradiology.com/caseofweek/caseoftheweekpix2006/cow213arr.jpg -
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Gout
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Gout .ulti'le 'u$c&ed-out 3 sclerotic erosio$ 5arro76/ 7it& so t-
tissue s7elli$g a$d 7ide 9oi$t s'ace3
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eri.a kasi&
