Children`s Orthopaedics

Approach to benign bone tumours

Characteristic

History

Slow growing
Painless / less pain
No constitutional symptoms
Trivial injury prior to pathological fracture
Small swelling

Radiological Apprearance

Surrounding soft tissue shadow
Soft tissue calcification

Periosteal reaction

Cortical thinning
Cortical expansion / expensile lesion
Cortical erosion
Cortical break / pathological fracture
Sclerotic rim over the cortex
Inner cortex scalopping

Medullary
Lytic lesion / cyctic lesion
Centrally / eccentrically located lesion or cyst
Radiolucent / radiodense
Ground-glass appearance
Any septation - less / many septations
Any fallen leaf/ fragment sign
Well-defined sclerotic rim
Medullary calcification / opacities
Narrow zone of transition
Physis / epiphysis / joint preservation
Juxtaarticular involvement

Monostotic
Polyostotic

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This entry was posted on Saturday, December 22nd, 2007 at 10:12 am and is filed under Benign. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.