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Internet Resources relating to the radiological investigation of orthopaedic conditions
[OCOSH Code: D011871 118247008 INV_RAD_CON]

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Enchondromatosis LSBU

Location: http://myweb.lsbu.ac.uk/dirt/museum/438-3114.html

There is expansion and replacement of the bone of the middle metaphysis of the right hand. A smaller lytic lesion is seen in the right 5th metacarpal with some minimal expansion. The cortex of metacarpals is intact. There are defects in the phalanges, particularly right middle and left ring fingers...
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eosinophilic granuloma

Location: http://chorus.rad.mcw.edu/doc/00142.html

# 60-80% of histiocytosis X
# age 5 - 10 yrs
# presentation: bone pain, local swelling, irritability
# bones
* 50 - 75% solitary / monostotic
* skull/mandible (50%): "punched-out" lucencies, "hole within a hole", "button sequestrum", "floating teeth"
* spine/pelvis (25%): vertebra...
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Epidermoid inclusion cyst

Location: http://myweb.lsbu.ac.uk/dirt/museum/436-369.html

Adult male, whose finger was X-rayed after a laceration. We don't know his job, but assume it was as a tailor.
There is a central very well defined, cyst-like lesion with some expansion of the terminal phalanx of the left index finger.
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epidermoid inclusion cyst CHORUS

Location: http://chorus.rad.mcw.edu/doc/01051.html

well-circumscribed radiolucent lesion showing a thin cortical margin that may not be visible in its entirety
* frequently in the terminal phalanx
* history of penetrating trauma is often elicited
DDx:
* ABC
* enchondroma
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Erdheim-Chester disease CHORUS

Location: http://chorus.rad.mcw.edu/doc/01067.html

rare lipidosis
* age: 50-70y
* long bones invariably affected in the diaphysis and metaphysis with:
o patchy or diffuse increase in density
o coarsened trabecular...
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Ewing sarcoma CHORUS

Location: http://chorus.rad.mcw.edu/doc/00656.html

small, round-cell sarcoma of mesenchyme of medullary bone
* age 5 - 14 yrs
* most lethal of all 1' bone tumors
* any bone
o <20 y/o: long bones
...
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Ewings Sarcoma Wikibooks

Location: http://en.wikibooks.org/wiki/Diagnostic_Radiology/Musculoskeletal_Imaging/Tumors_Basic/Ewing_sarcoma ...

Ewing's sarcoma is a malignant tumor that belongs to a broader family of tumors that includes PNET (primitive neuroectodermal tumors). In simple terms, these tumors are all pathologically characterized by the so-called "small round blue cells." Ewing's sarcoma almost always occurs in bone, although other members of the PNET family...
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Ewings tumour LBSU

Location: http://myweb.lsbu.ac.uk/dirt/museum/44133281.html

16 year old girl had a 6 month history of pain in the left leg, particularly when playing tennis. There is slight irregularity and thickening of the pectineal line and a subtle soft tissue mass on the left side of the pelvis with its centre of radius roughly over the left...
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Ewings tumour LSBU

Location: http://myweb.lsbu.ac.uk/dirt/museum/444-3281.html

There is a fracture of the diaphysis of the femur through a central lytic area. The process involves patchy bone destruction with irregular undermining of the bone cortex. The endosteal margin of the lesion is ill-defined with a wide margin of transition between normal and abnormal bone. There are islands...
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Ewings Tumour LSBU

Location: http://myweb.lsbu.ac.uk/dirt/museum/456-3281.html

Boy aged 7 years with pain and swelling in his right leg. There is a patchy lytic lesion with some expansion of the lower section of the diaphysis of the left tibia. The endosteal margins of the lesion are ill-defined, having a wide zone of transition between normal and abnormal bone....
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extra-dural metastasis LSBU

Location: http://myweb.lsbu.ac.uk/dirt/museum/363-373.html

Mature adult male with weakness in both legs. The view shows a myelogram after cervical injection of contrast, probably iodinated oil. This undocumented case in our museum dates from before the days of CT scanning. The contrast was introduced by insertion of a needle under fluoscopic control into the cervical theca...
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fibrodysplasia ossificans progressiva CHORUS

Location: http://chorus.rad.mcw.edu/doc/00533.html

* autosomal dominant
* progressive ossification of muscle and conective tissue
* ossification of ligaments and tendons
o nuchal ligament
o upper extremities and neck==>shoulders, back, and spine==>chest
...
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Fibrosarcoma Humerus LSBU

Location: http://myweb.lsbu.ac.uk/dirt/museum/415-3231.html

40 year old, painful shoulder with axillary swelling. There is a purely destructive lesion of the medial side of the proximal metaphysis of the right humerus and involving the inferior portion of the articular surface of the upper humerus. It is associated with a visible medial soft tissue mass. The endosteal...
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Fibrosarcoma soft tissue LSBU

Location: http://myweb.lsbu.ac.uk/dirt/museum/439-372.html

Radiology case 439-372 Woman aged 50 years with swelling of the left hand.
There is separation of the heads of the metacarpals of index and middle fingers. The soft-tissue is thus expanded. There is irregular periosteal thickening of the cortex of the 2nd and 3rd metacarpals, implying a perisoteal reaction.
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