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Trapezius (TP) ultrasound scan, longitudinal slice on cephalic edge. A hypoechoic mass is observed, homogenous in appearance and completed contained within the thickness of the muscle with no contact with the fascia (F) or subcutaneous cellular tissue (SCCT). The power Doppler signal is essentially concentrated in peripheral regions. (B) NMR of the shoulder, DP/SPIR sequence to remove fatty tissue. Transversal slice of the trapezius (arrow). In its interior a hyperintense structure with well defined edges is enhanced and this occupies almost all of the muscle matter (*). (C) NMR of the shoulder, T1 sequence, sagittal slice. In this projection the longitudinal extension of the trapezius (arrow) is appreciated and the occupation by the same fusiform, hypointense structure, with respect to the adjacent tissues. 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He also presented with pain in his hips, knees, and feet, with no other signs or symptoms of osteoarthritis.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Physical examination of the patient revealed that his movement was limited in all axes and Schöber's test was 3<span class="elsevierStyleHsp" style=""></span>cm.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Our hospital performed X-rays of the cervical, dorsal, lumbar and pelvic spine which showed a calcification of the anterior common vertebral ligament with preservation of the disc spaces (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">In view of these findings the patient was referred to the nuclear medical unit for a bone scan to rule out several causes of osteoarthritis, Forestier's disease among them.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Forestier's disease is related to abnormal bone growth.<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">1–3</span></a> The main disease symptoms is calcification of the longitudinal ligaments of the spine, involving at least 4 contiguous vertebrae. Other criteria are the preservation of intervertebral disc spaces and the absence of inflammatory changes in intrapophysary or sacroiliac joints.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">4–6</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">In the bone scan images there was no sign of articular pathological uptake (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>). Multimodality SPECT/CT tomographic images were then acquired (<a class="elsevierStyleCrossRefs" href="#fig0020">Figs. 4 and 5</a>), which were used both for qualitative visual analysis of the sacroiliac joint, and for quantitative analysis which permitted the obtainment of indicators of the sacroiliac-promontory. In visual analysis calcification of the anterior common vertebral ligament was detected, together with absence of sacroiliac uptake. With this information and inferior promontory-sacroiliac indicators below the established cut-off level for diagnosis of sacroiliitis, diagnosis of ankylosing spondylitis was excluded, with support for the diagnosis of Forestier's disease.</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><elsevierMultimedia ident="fig0025"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical Responsibilities</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of people and animals</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that this research has not been carried out experiments on humans or animals.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Data confidentiality</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that they have adhered to the protocols of their centre of work on the publication of patient data.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflict of interests</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors have no conflict of interests to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical Responsibilities" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of people and animals" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Data confidentiality" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflict of interests" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2017-01-27" "fechaAceptado" => "2017-03-24" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Morales Lozano MI, Ornilla E, Sancho L, Guillén EF. <span class="elsevierStyleItalic">Single-photon emission computed tomography</span> en el diagnóstico de un caso de enfermedad de Forestier. Reumatol Clin. 2019;15:307–308.</p>" ] ] "multimedia" => array:5 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 786 "Ancho" => 500 "Tamanyo" => 38160 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Cervical spine X-ray: the height of the vertebral bodies are preserved. Calcification projected onto the soft tissues in the dorsal section in the occipito-vertebral ligament.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 924 "Ancho" => 500 "Tamanyo" => 44884 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Dorsal spine X-ray: calcification of the common anterior vertebral ligament.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 734 "Ancho" => 1000 "Tamanyo" => 56437 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Bone scan with normal pattern of uptake on the cervico dorsal skeleton and discrete uptake on the right-hand side of the lumbar rachis.</p>" ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Fig. 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 764 "Ancho" => 1000 "Tamanyo" => 73596 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">SPECT/CT slice images in axial, sagittal and coronal planes with low uptake of the radiopharmaceutical in sacroiliac joints. Sacroiliac/promontory values below cut-off level established for diagnosis of sacroiliitis.<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">7,8</span></a></p>" ] ] 4 => array:7 [ "identificador" => "fig0025" "etiqueta" => "Fig. 5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr5.jpeg" "Alto" => 695 "Ancho" => 1000 "Tamanyo" => 66569 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">SPECT/CT: calcification of common anterior vertebral ligament and preservation of intervertebral disc spaces.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0045" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diffuse idiopathic skeletal hyperostosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "D. 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Year/Month | Html | Total | |
---|---|---|---|
2024 November | 6 | 2 | 8 |
2024 October | 32 | 36 | 68 |
2024 September | 54 | 30 | 84 |
2024 August | 51 | 49 | 100 |
2024 July | 39 | 35 | 74 |
2024 June | 50 | 52 | 102 |
2024 May | 53 | 29 | 82 |
2024 April | 56 | 30 | 86 |
2024 March | 56 | 21 | 77 |
2024 February | 40 | 30 | 70 |
2024 January | 59 | 28 | 87 |
2023 December | 34 | 24 | 58 |
2023 November | 46 | 36 | 82 |
2023 October | 58 | 25 | 83 |
2023 September | 113 | 44 | 157 |
2023 August | 50 | 16 | 66 |
2023 July | 63 | 27 | 90 |
2023 June | 51 | 25 | 76 |
2023 May | 51 | 36 | 87 |
2023 April | 37 | 11 | 48 |
2023 March | 53 | 33 | 86 |
2023 February | 68 | 29 | 97 |
2023 January | 41 | 10 | 51 |
2022 December | 53 | 34 | 87 |
2022 November | 50 | 32 | 82 |
2022 October | 65 | 25 | 90 |
2022 September | 39 | 31 | 70 |
2022 August | 37 | 38 | 75 |
2022 July | 42 | 45 | 87 |
2022 June | 31 | 42 | 73 |
2022 May | 25 | 42 | 67 |
2022 April | 46 | 33 | 79 |
2022 March | 44 | 45 | 89 |
2022 February | 35 | 32 | 67 |
2022 January | 61 | 37 | 98 |
2021 December | 26 | 37 | 63 |
2021 November | 21 | 35 | 56 |
2021 October | 54 | 59 | 113 |
2021 September | 35 | 38 | 73 |
2021 August | 33 | 31 | 64 |
2021 July | 20 | 37 | 57 |
2021 June | 25 | 28 | 53 |
2021 May | 32 | 47 | 79 |
2021 April | 76 | 73 | 149 |
2021 March | 50 | 24 | 74 |
2021 February | 42 | 24 | 66 |
2021 January | 29 | 15 | 44 |
2020 December | 42 | 13 | 55 |
2020 November | 14 | 19 | 33 |
2020 October | 26 | 18 | 44 |
2020 September | 46 | 31 | 77 |
2020 August | 28 | 24 | 52 |
2020 July | 16 | 20 | 36 |
2020 June | 38 | 21 | 59 |
2020 May | 23 | 9 | 32 |
2020 April | 25 | 23 | 48 |
2020 March | 12 | 3 | 15 |