Description

A patient with rheumatoid arthritis may develop a geode, primarily around large joints.


A geode is a subchondral pseudocyst, typically juxta-articular.

 

Joints most commonly affected:

(1) knee

(2) femur

(3) wrist

(4) shoulder

(5) elbow

(6) hands

 

Rarely the geode may be very large (giant geode).

 

In X-rays it may appear as a region of radiolucency.

 

Complications include pathological fractures and joint destruction.


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