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Dagger sign in ankylosing spondylitis

Case contributed by Wael Nemattalla
Diagnosis certain

Dagger sign (Ankylosing spondylitis)

The dagger sign is a single central radiodense line on frontal radiographs related to ossification of supraspinous and interspinous ligaments.

Note the inflammatory involvement of the right hip as well.

Case Discussion

The dagger sign is a single central radiodense line on frontal radiographs related to ossification of supraspinous and interspinous ligaments.

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