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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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fibrous cortical defect and simple bone cyst LSBU

Location: http://myweb.lsbu.ac.uk/dirt/museum/461-3131.html

Radiology Case 461-3131 Young adolescent male with pain in heel.
The skeleton is maturing; note the fusing epiphyses. There is a thick dense margin around an eccentric lesion in the tibial diaphysis. It is not projected in-profile in either view, but seems well-defined with an intact sclerotic margin. There is no...
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View Details Visit Resource Review It Rate It Bookmark It Added: Thu Jan 31 2002

Fibrous cortical defect LSBU

Location: http://myweb.lsbu.ac.uk/dirt/museum/451-3131.html

Radiology case 451-3131 Clinical presentation: Incidental finding in a 15 year old girl. There is a lobulated peripheral zone of increased density in the diaphysis of the femur. It has a sclerotic well-defined endosteal margin. The long axis is parallel to the bone and there is no cortical reaction. There is no...
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Fibrous cortical defect LSBU

Location: http://myweb.lsbu.ac.uk/dirt/museum/454-3131.html

Radiology case 454-3131 Incidental finding in a 15 year old boy, trauma case.
The skeleton is immature. There is a peripheral metaphyseal 'lucency' with a well defined endosteal margin. The long axis is parallel to the bone implying a longevity without significant damage. The lesion has a superficial location, but the...
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fibrous dysplasia CHORUS

Location: http://chorus.rad.mcw.edu/doc/00157.html

* xray: "ground glass" lesion with sclerotic rim
* may be expansile, predominantly metaphysis to diaphysis
* labs: increased alk phos, o/w normal
* monostotic form
o any bone (ribs, femur, tibia most common)
o...
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fluorosis CHORUS

Location: http://chorus.rad.mcw.edu/doc/01188.html

xray findings:
* thickening of bony trabecular pattern
o best seen in vertebral bodies
o progresses to dense uniform symmetrical sclerosis that obliterates bony architectural landmarks
* marked periosteal proliferation
* ligamentous calcification (esp....
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fractured coronoid of ulna LSBU

Location: http://myweb.lsbu.ac.uk/dirt/museum/423-422.html

Radiology case 423-422 33 year old woman who had a fall involving forced dislocation of her right elbow.
The view shows a subtle triangular chip at the tip of the coronoid process of the ulna. Normally in elbow trauma, there is a visibly displaced fat-pad from the joint effusion or haematoma.
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fractured radial head LSBU

Location: http://myweb.lsbu.ac.uk/dirt/museum/424-411.html

Radiology case 424-411 18 year old woman with pain and swelling of the right elbow, following a fall.
There is displacement of the anterior fat-pad to the right elbow. The posterior fat-pad is not only visible, but displaced and convex. The head of the radius is tilted and it is crossed...
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Fractures of the Proximal Femur

Location: http://www.learningradiology.com/archives06/COW%20213-Hip%20fracture-intertrochanteric/hipfxtrochcor ...

Radiology Teaching site.
Hip fractures are associated with a substantial mortality, as many as 15-20% dying within one year of the fracture
· Conditions that predispose to hip fractures include aging, osteoporosis and osteomalacia
o Most hip fractures in...
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Freiberg infraction CHORUS

Location: http://chorus.rad.mcw.edu/doc/00803.html

osteochondrosis of the metatarsal head
* usually 2nd, less commonly in the 1st and 3rd
* originally thought to be a form of aseptic necrosis
* now thought to be an infarction or a stress fracture
* late...
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gamekeeper's thumb

Location: http://chorus.rad.mcw.edu/doc/00581.html

* dislocation of 1st MCP joint
o +/- avulsion fx
* rupture of ulnar collateral ligament
* gamekeeper twists + pulls off head of cute little animals
* now seen d/t ski-pole injuries
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giant cell tumor CHORUS

Location: http://chorus.rad.mcw.edu/doc/00172.html

osteoclastoma, GCT
* any age, typically 20-35
* site:
o metaphysis into epiphysis
o 50% at knee (distal femur, proximal tibia)
o long bones, patella,...
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Gorham's vanishing bone disease CHORUS

Location: http://chorus.rad.mcw.edu/doc/00176.html

"massive osteolysis of Gorham"
* painless
* occurs in kids + young adults
* not life-threatening unless vital structures are encroached upon
* some recover spontaneously, +/- residual deformity
* complete destruction of part or all of bone by angiomatous tissue
o usually unifocal
...
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