Joint Space Narrowing Assessment - Sharp/Van der Heijde
Joint Space Narrowing Assessment - Sharp/Van der Heijde
Date of Collection
01 Jan 2000
Method used to assess Joint Space Narrowing
Scoring Method Used
Laterality
Right
Left
Joint Space Narrowing Assessment - VH HAND/WRIST
Anatomical Site
Joint Space Narrowing Score
Not Done
Reason Not Done
Specify
IP 1
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
PIP II
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
PIP III
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
PIP IV
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
PIP V
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
MCP I
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
MCP II
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
MCP III
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
MCP IV
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
MCP V
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
CMC III
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
CMC IV
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
CMC V
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
SCAPHOID - TRAPEZIUM
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
SCAPHOID - CAPITATE
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
RADIOCARPAL
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
Joint Space Narrowing Assessment - VH FOOT
Anatomical Site
Joint Space Narrowing Score
Not Done
Reason Not Done
Specify
IP I
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
MTP I
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
MTP II
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
MTP III
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
MTP IV
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
MTP V
Choose
0 = Normal
1 = Small discrete erosion
2 = Large erosion that does not cross joint mid-line
3 = Large erosion that crosses joint mid-line
4 = Combination of erosions summing to 4
5 = Combination of erosions summing to 5 or more
Inadequate Image Quality
Amputation/Missing anatomy/Joint replacement/Surgical alteration
Other
*
Mandatory field