By Francis Burgener
The traditional x-ray is still a cheap, first-line modality for the diagnostic imaging of the bones and joints. during this re-creation of this vintage, crucial assistance is supplied to make initial diagnoses of an unlimited variety of stipulations effecting the musculoskeletal process. The differential diagnostic info is equipped in tables, prepared by means of sessions of findings, and illustrated via greater than a thousand remarkable radiographs and, the place beneficial, schematic diagrams. Read more...
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Extra info for Bone and joint disorders: differential diagnosis in conventional radiology
20) Long bones, ribs Multiple Solid thin or laminated. Perpendicular in skull. Rarely solid thick. , leukemia and metastases from neuroblastomas). Solid periosteal reaction or localized cortical thickening is associated with metastases from prostatic and breast carcinomas. Osteoid osteoma (Fig. 21) Femur, tibia, fibula, humerus, vertebral arch Localized Elliptical and dense. Rarely solid thin. Radiolucent intracortical nidus with or without central calcification is classical, but not always demonstrated.
A slightly thickened and uniformly sclerotic clavicle is seen. Fig. 30 Mastocytosis. Multiple sclerotic foci are evident. ) Solitary or Multiple Scattered Osteosclerotic Lesions Disease Radiographic Findings Comments Tuberous sclerosis (Fig. 31) Often presenting with scattered intracerebral calcifications, renal hamartomas, and bone lesions. Characteristic skeletal changes are patches of osteosclerosis ranging from a few millimeters to several centimeters in diameter. The lesions are not associated with any bone enlargement, and are most commonly found in skull, lumbar spine (especially pedicles), and pelvis, although all bones may be involved.
The radiologic hallmark of the tertiary stage of the disease consists of dense bony sclerosis with areas of destruction (gumma formation). Yaws Long and short tubular bones, skull Localized or generalized Solid thin or thick, often undulating and with squat spicules, or laminated. Occurs in tropical climates, and is usually acquired before puberty. Radiographic features similar to syphilis and bejel (prevalent in the Middle East). The causative organisms of these three spirochetal diseases are morphologically indistinguishable.