Periostitis

Fett im
Frakturkallus bei distaler Radiusfraktur. Ca. 2 Monate nach der ursprünglichen Fraktur fanden sich in dem Bereich der Periostreaktion regionale, scharf begrenzte Lysezonen. Die zu diesem Zeitpunkt angefertigte MRT zeigte in der periostalen Knochenneubildung an dieser Stelle fetthaltiges Material. Dies ist als seltene, transiente Erscheinung im Rahmen der Frakturheilung (insbesondere bei Kindern und insbesondere am distalen Radius) zu sehen. Röntgenbilder vom Unfalldatum, nach 2 Monaten, nach ca. 1,5 Jahren. MRT T1cor, T2m STIR, T1 FS ax, T1 FS sag.
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Periosteal
reaction by a supracondylar fracture.
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Lesions
involving the outer surface of the bone in children: a pictorial review. Periosteal reaction post trauma. An antero-posterior radiograph of the leg bones a shows a healing fracture at the postero-medial aspect of the tibia. Adjacent cortical thickening and surrounding sclerosis are seen (arrow). Axial T2 b coronal T1 c and coronal T2 d images demonstrate a hypointense healing fracture line with the surrounding bone and soft-tissue edema
insightsimaging.springeropen.com • Open Access
An unusual
cause of bone lesions in paediatric age. Frontal (a) and lateral (b) radiographs show lytic permeative changes in the distal metadiaphysis of the right femur with a lamellated periosteal reaction (arrows).
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Lost bones:
differential diagnosis of acro-osteolysis seen by the pediatric rheumatologist. Frontal (a) and oblique (b) radiographs of the hands in a 14 year old male patient with primary hypertrophic osteoarthropathy demonstrate bilateral and symmetric tuft resorption and remodeling. Smooth periostitis involves the proximal phalangeal shafts (arrows). Frontal radiograph of the feet (c) shows smooth tapering of the distal tufts
ped-rheum.biomedcentral.com • CC-by-4.0
Hypertrophic
osteoarthropathy as the cause of a super scan of the bone in a patient with prostate cancer: a case report. X-ray of the femur showing extensive characteristic periosteal bone apposition.
jmedicalcasereports.biomedcentral.com • CC-by-2.0
Lesions
involving the outer surface of the bone in children: a pictorial review. Diffuse periosteal reaction from postprostaglandin therapy in a 3-month-old infant. An antero-posterior radiograph of the chest shows diffuse periosteal reaction at the medial aspects of both humeri (arrows), along the undersurface of the clavicles and surrounding the ribs. This patient has a complex congenital heart disease for which he received cardiac surgery including a patent ductus arteriosus (PDA) stent
insightsimaging.springeropen.com • Open Access
Infant with
decreased motion of the right arm. AP radiograph of the right humerus at presentation (left) is unremarkable. AP radiograph of the right humerus 1 month later (right) shows destruction and medial displacement of the epiphysis of the humerus and extensive periosteal reaction along the metaphysis and diaphysis of the humerus.The diagnosis was neonatal osteomyelitis due to Staphylococcus that crossed the growth plate.
pediatricimaging.org • CC-by-nc-sa 4.0
Dactylitis
caused by osteoperiostitis due to yaws. For photo, see File:10.1177 0956462414549036-fig6-Secondary yaws- dactylitis
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X-ray of
periosteal reaction in renal osteodystrophy. The subject is a 33-year-old male with end-stage renal disease and tertiary hyperparathyroidism. There is a thin periosteal reaction and cortical tunneling on the femur.
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X-ray of
subtle periosteal raction of tibial fracture. For context, see Occult fracture
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Typical
findings in chronic recurrent osteomyelitis( CRMO).. Posteroanterior chest radiograph showed expansion and periostal reaction on the posterior aspect of the 3rd right rib.
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Periosteal
reaction • Ganzer Fall bei Radiopaedia
Radiopaedia • CC by-nc-sa 3.0 (modified)
Infant with
leg painAP radiograph of the lower extremities shows bucket handle irregularities of the metaphyses of the bilateral distal femurs and bilateral proximal tibiae. There is also periosteal reaction of the distal left femur and bilateral tibiae.The diagnosis was classic metaphyseal lesions (bucket handle fractures) of the bilateral distal femurs and bilateral proximal tibiae in a child abuse patient.
pediatricimaging.org • CC-by-nc-sa 4.0
An unusual
cause of bone lesions in paediatric age. Multiple areas of bone marrow replacement in the distal femoral metadiaphysis (low signal areas), with physeal extension (asterisk). Cortical circumferencial thickening and lamellated periosteal reaction (arrows) is also present.
www.eurorad.org • CC by-nc-sa-4.0
Radiopaedia • CC-by-nc-sa 3.0 • de

Periosteal reaction, also known as periostitis or periosteitis, is a nonspecific radiographic finding that indicates periosteal irritation. Periosteal reactions may be broadly characterized as benign or aggressive, or more specifically categorized by pattern.

Classification

Benign versus aggressive

Periosteal reaction may be classified as benign or aggressive (note: not benign and malignant) based on the time course of the initiating process.

Benign periosteal reaction

Low-grade chronic irritation allows time for the formation of normal or near-normal cortex. The cortex will be thick and dense and have a wavy or uniform appearance.

Benign periosteal reactions can be seen in callus formation in a fracture or with slowly growing tumors.

Aggressive periosteal reaction

Rapid irritative processes do not allow the periosteum time to lay down and consolidate new bone to form normal cortex. The cortex may appear lamellated, amorphous, or sunburst-like.

Aggressive periosteal reactions can not only be seen with malignant tumors, but also with more benign processes like infection, eosinophilic granuloma (Langerhans cell histiocytosis), aneurysmal bone cyst, osteoid osteoma, hemophilia , and trauma.

Morphological classification of periosteal reactions

More specific classification of periosteal reactions can be made to narrow the differential diagnosis.

Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Periostreaktion:
Okkulte
Fraktur
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Osteoid-Osteom
 
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Aneurysmatische
Knochenzyste
www.eurorad.org • CC by-nc-sa-4.0
Osteoperiostitis
 
Wikipedia • CC BY-SA 4.0
Prostaglandin
induzierte Periostreaktion
insightsimaging.springeropen.com • Open Access
posttraumatische
zystische Knochenläsion
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