Metaphyseal flaring
Growth arrest
lines • Erlenmeyer flask deformity - Ganzer Fall bei Radiopaedia
Toddler who
fell. AP radiograph of the forearm shows metaphyseal widening of the distal radius and ulna.The diagnosis was Menkes disease.
Rickets •
Rickets - Ganzer Fall bei Radiopaedia
Preschooler
with short stature and genu varum. AP radiograph of the lower extremities shows a genu varum deformity and bilateral shortening of the femora and flaring of the proximal tibiae and fibulae.The diagnosis was achondroplasia.
Bone within a
bone appearance • Osteopetrosis - Ganzer Fall bei Radiopaedia
Erlenmeyer
flask deformity • Hereditary multiple exostosis - Ganzer Fall bei Radiopaedia
Erlenmeyer
flask deformity • Erlenmeyer flask deformity - Ganzer Fall bei Radiopaedia
Hereditary
multiple exostoses • Erlenmeyer flask deformity - Ganzer Fall bei Radiopaedia
Sclerosing
bone dysplasia (overview) • Pyle disease - Ganzer Fall bei Radiopaedia
Erlenmeyer
flask deformity • Gaucher disease - Ganzer Fall bei Radiopaedia
Erlenmeyer
flask deformity • Osteopetrosis - Ganzer Fall bei Radiopaedia
Erlenmeyer
flask deformity • Laboratory flasks (photo) - Ganzer Fall bei Radiopaedia
A novel
mutation in TNFRSF11A gene causes pediatric osteopetrosis: case report. a–c The structure of limb bones is deformed. Extreme metaphyseal flaring, reduced bone vascularity and dense bone structure is found. d Skull radiograph showing typical wolf carnival appearance. e, f Front-Lateral Chest radiograph showing diffuse sclerotic vertebra and costochondral junction widening
Osteopetrosis.
ADO: Radiograph of left femur, age 4 years. Note Erlenmeyer flask deformity of distal femur (arrows) and generalised increased bone density.
Preschooler
with short stature. AP radiograph of the hand shows diffuse shortening of the phalanges and metacarpals, giving the hand the appearance of a trident. There is also metaphyseal flaring of the distal radius and ulna.The diagnosis was achondroplasia.
Preschooler
with short stature. AP radiograph of the lower extremities shows bilateral rhizomelic shortening of the femora and flaring of the distal femora and proximal and distal tibiae and fibulae.The diagnosis was achondroplasia.
Some of the causes of an Erlenmeyer flask deformity can be recalled with the following mnemonics:
- AP OF DR GHLN
- CHONG
- Lead GNOME
- APC(de)FGH
Mnemonics
AP OF DR GHLN
- A: achondroplasia
- P: Pyle disease (metaphseal dysplasia) and craniometaphyseal dysplasias
- O: osteopetrosis, osteochondromatosis
- F: fibrous dysplasia
- D: down syndrome
- R: rheumatoid arthritis, rickets
- G: gaucher disease
- H: hypophosphatasia, hemoglobinopathies ( thalassemia, sickle cell disease)
- L: leukemia, lead poisoning
- N: Niemann-Pick disease
CHONG
- C: craniometaphyseal dysplasias
- H: hemoglobinopathies
- O: osteopetrosis, osteochondromatosis
- N: Niemann-Pick disease
- G: Gaucher disease
Lead GNOME
- Lead: lead poisoning
- G: Gaucher disease
- N: Niemann-Pick disease
- O: osteopetrosis, osteochondromatosis
- M: metaphyseal dysplasia (Pyle disease) and craniometaphyseal dysplasia
- E: 'ematological, e.g. thalassemia
APC(de)FGH
- A: achondroplasia
- P: osteoPetrosis
- C: craniometaphyseal dysplasia
- F: fibrous dysplasia
- G: Gaucher disease
- H: haemoglobinopathy (thalassemia and sickle cell disease), hereditary multiple exostosis
See also
Siehe auch:
- Fibröse Dysplasie
- Rheumatoide Arthritis
- Rachitis
- Achondroplasie
- Down-Syndrom
- Sichelzellenanämie
- Ollier-Syndrom
- Osteopetrose
- Thalassämie
- Morbus Gaucher
- Menkes-Syndrom
- Pyle-Syndrom
- Dysosteosklerose
- Erlenmeyerkolben
- Diamond-Blackfan syndrome
- CHONG
- Lead GNOME
und weiter:
Assoziationen und Differentialdiagnosen zu Auftreibung Metaphysen: