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A '''Romanus lesion''' is a [[radiologic]] term used to describe the erosion of the anterior and posterior vertebral endplates in patients with an inflammatory [[spondyloarthropathy]] – such as [[ankylosing spondylitis]] or an [[enteropathic arthropathy]].<ref name="Yochum">{{cite book |last1=Yochum |first1=Terry R. |last2=Rowe |first2=Lindsay J. |title=Essentials of Skeletal Radiology |date=2015 |publisher=Wolters Kluwer Health |isbn=9781451166484 |pages=1039-1040 |url=https://books.google.com/books?id=6v-JAQAACAAJ&dq=romanus%20lesion%20yochum&source=gbs_book_other_versions |accessdate=16 October 2018 |language=en}}</ref><ref name="Hermann">{{cite journal |last1=Hermann |first1=Kay-Geert A. |last2=Althoff |first2=Christian E. |last3=Schneider |first3=Udo |last4=Zühlsdorf |first4=Svenda |last5=Lembcke |first5=Alexander |last6=Hamm |first6=Bernd |last7=Bollow |first7=Matthias |title=Spinal Changes in Patients with Spondyloarthritis: Comparison of MR Imaging and Radiographic Appearances |journal=RadioGraphics |date=May 2005 |volume=25 |issue=3 |pages=559–569 |doi=10.1148/rg.253045117 |url=https://pubs.rsna.org/doi/10.1148/rg.253045117 |accessdate=16 October 2018 |language=en |issn=0271-5333}}</ref> The anterior erosion in particular causes a loss of anterior vertebral body concavity, causing the vertebra to display a squared contour or even a barrel-shape.<ref name="Yochum" /> Healing of the erosion results in a [[Sclerosis (medicine)|sclerotic]] increase in density causing what is known as a '''shiny corner sign'''.<ref name="Yochum" /><ref>{{cite journal |last1=Bennett |first1=AN |last2=Rehman |first2=A |last3=Hensor |first3=EM |last4=Marzo-Ortega |first4=H |last5=Emery |first5=P |last6=McGonagle |first6=D |title=The fatty Romanus lesion: a non-inflammatory spinal MRI lesion specific for axial spondyloarthropathy. |journal=Annals of the rheumatic diseases |date=May 2010 |volume=69 |issue=5 |pages=891-4 |doi=10.1136/ard.2009.112094 |pmid=19666937 |url=https://www.ncbi.nlm.nih.gov/pubmed/19666937 |accessdate=16 October 2018}}</ref> It is most easily diagnosed using [[MRI]], compared to conventional radiography.<ref name="Hermann" />
A '''Romanus lesion''' is a [[radiologic]] term used to describe the erosion of the anterior and posterior vertebral endplates in patients with an inflammatory [[spondyloarthropathy]] – such as [[ankylosing spondylitis]] or an [[enteropathic arthropathy]].<ref name="Yochum">{{cite book |last1=Yochum |first1=Terry R. |last2=Rowe |first2=Lindsay J. |title=Essentials of Skeletal Radiology |date=2015 |publisher=Wolters Kluwer Health |isbn=9781451166484 |pages=1039-1040 |url=https://books.google.com/books?id=6v-JAQAACAAJ&dq=romanus%20lesion%20yochum&source=gbs_book_other_versions |accessdate=16 October 2018 |language=en}}</ref><ref name="Hermann">{{cite journal |last1=Hermann |first1=Kay-Geert A. |last2=Althoff |first2=Christian E. |last3=Schneider |first3=Udo |last4=Zühlsdorf |first4=Svenda |last5=Lembcke |first5=Alexander |last6=Hamm |first6=Bernd |last7=Bollow |first7=Matthias |title=Spinal Changes in Patients with Spondyloarthritis: Comparison of MR Imaging and Radiographic Appearances |journal=RadioGraphics |date=May 2005 |volume=25 |issue=3 |pages=559–569 |doi=10.1148/rg.253045117 |url=https://pubs.rsna.org/doi/10.1148/rg.253045117 |accessdate=16 October 2018 |language=en |issn=0271-5333}}</ref> The anterior erosion in particular causes a loss of anterior vertebral body concavity, causing the vertebra to display a squared contour or even a barrel-shape.<ref name="Yochum" /> Healing of the erosion results in a [[Sclerosis (medicine)|sclerotic]] increase in density causing what is known as a '''shiny corner sign''',<ref name="Yochum" /><ref>{{cite journal |last1=Bennett |first1=AN |last2=Rehman |first2=A |last3=Hensor |first3=EM |last4=Marzo-Ortega |first4=H |last5=Emery |first5=P |last6=McGonagle |first6=D |title=The fatty Romanus lesion: a non-inflammatory spinal MRI lesion specific for axial spondyloarthropathy. |journal=Annals of the rheumatic diseases |date=May 2010 |volume=69 |issue=5 |pages=891-4 |doi=10.1136/ard.2009.112094 |pmid=19666937 |url=https://www.ncbi.nlm.nih.gov/pubmed/19666937 |accessdate=16 October 2018}}</ref> which can later result in syndesmophyte formation.<ref>{{cite book |last1=Schulthess |first1=Gustav K. |last2=Zollikofer |first2=Christoph L. |title=Musculoskeletal Diseases 2009-2012: Diagnostic Imaging |date=2010 |publisher=Springer Science & Business Media |isbn=9788847013780 |page=121 |url=https://books.google.com/books?id=eAWiGkyb-pwC&dq=romanus+lesion&source=gbs_navlinks_s |accessdate=16 October 2018 |language=en}}</ref> It is most easily diagnosed using [[MRI]], compared to conventional radiography.<ref name="Hermann" />


This type of erosion was initially described by Ragnar Romanus & Sven Ydén in a paper published in 1952.<ref>{{cite journal |last1=Romanus |first1=Ragnar |last2=Ydén |first2=Sven |title=Destructive and Ossifying Spondylitic Changes in Rheumatoid Ankylosing Spondylitis |journal=Acta Orthopaedica Scandinavica |date=8 July 2009 |volume=22 |issue=1-4 |pages=88–99 |doi=10.3109/17453675208988998 |url=https://www.tandfonline.com/doi/abs/10.3109/17453675208988998#aHR0cHM6Ly93d3cudGFuZGZvbmxpbmUuY29tL2RvaS9wZGYvMTAuMzEwOS8xNzQ1MzY3NTIwODk4ODk5OD9uZWVkQWNjZXNzPXRydWVAQEAw |accessdate=16 October 2018}}</ref>
This type of erosion was initially described by Ragnar Romanus & Sven Ydén in a paper published in 1952.<ref>{{cite journal |last1=Romanus |first1=Ragnar |last2=Ydén |first2=Sven |title=Destructive and Ossifying Spondylitic Changes in Rheumatoid Ankylosing Spondylitis |journal=Acta Orthopaedica Scandinavica |date=8 July 2009 |volume=22 |issue=1-4 |pages=88–99 |doi=10.3109/17453675208988998 |url=https://www.tandfonline.com/doi/abs/10.3109/17453675208988998#aHR0cHM6Ly93d3cudGFuZGZvbmxpbmUuY29tL2RvaS9wZGYvMTAuMzEwOS8xNzQ1MzY3NTIwODk4ODk5OD9uZWVkQWNjZXNzPXRydWVAQEAw |accessdate=16 October 2018}}</ref>

Revision as of 02:11, 16 October 2018

A Romanus lesion is a radiologic term used to describe the erosion of the anterior and posterior vertebral endplates in patients with an inflammatory spondyloarthropathy – such as ankylosing spondylitis or an enteropathic arthropathy.[1][2] The anterior erosion in particular causes a loss of anterior vertebral body concavity, causing the vertebra to display a squared contour or even a barrel-shape.[1] Healing of the erosion results in a sclerotic increase in density causing what is known as a shiny corner sign,[1][3] which can later result in syndesmophyte formation.[4] It is most easily diagnosed using MRI, compared to conventional radiography.[2]

This type of erosion was initially described by Ragnar Romanus & Sven Ydén in a paper published in 1952.[5]

References

  1. ^ a b c Yochum, Terry R.; Rowe, Lindsay J. (2015). Essentials of Skeletal Radiology. Wolters Kluwer Health. pp. 1039–1040. ISBN 9781451166484. Retrieved 16 October 2018.
  2. ^ a b Hermann, Kay-Geert A.; Althoff, Christian E.; Schneider, Udo; Zühlsdorf, Svenda; Lembcke, Alexander; Hamm, Bernd; Bollow, Matthias (May 2005). "Spinal Changes in Patients with Spondyloarthritis: Comparison of MR Imaging and Radiographic Appearances". RadioGraphics. 25 (3): 559–569. doi:10.1148/rg.253045117. ISSN 0271-5333. Retrieved 16 October 2018.
  3. ^ Bennett, AN; Rehman, A; Hensor, EM; Marzo-Ortega, H; Emery, P; McGonagle, D (May 2010). "The fatty Romanus lesion: a non-inflammatory spinal MRI lesion specific for axial spondyloarthropathy". Annals of the rheumatic diseases. 69 (5): 891–4. doi:10.1136/ard.2009.112094. PMID 19666937. Retrieved 16 October 2018.
  4. ^ Schulthess, Gustav K.; Zollikofer, Christoph L. (2010). Musculoskeletal Diseases 2009-2012: Diagnostic Imaging. Springer Science & Business Media. p. 121. ISBN 9788847013780. Retrieved 16 October 2018.
  5. ^ Romanus, Ragnar; Ydén, Sven (8 July 2009). "Destructive and Ossifying Spondylitic Changes in Rheumatoid Ankylosing Spondylitis". Acta Orthopaedica Scandinavica. 22 (1–4): 88–99. doi:10.3109/17453675208988998. Retrieved 16 October 2018.

External links

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