tug lesion
Lesions
involving the outer surface of the bone in children: a pictorial review. Cortical desmoid at the postero-medial aspect of the left femoral metaphysis in a 10-year-old girl. Sagittal a and axial b CT images show a scalloped radiolucent lesion with a thin sclerotic rim (arrow) along the posteromedial distal femoral metaphysis. Coronal T1 c and axial T2 fat-suppressed d images demonstrate low signal on T1 and high signal on T2 (white arrows on c and black arrows on d)
Distal
femoral cortical irregularity with diaphysis fracture. Axial CT of the knee demonstrated cortical irregularity on posteromedial aspect of distal femoral metaphysis.
Pitfalls in
the diagnosis of common benign bone tumours in children. Normal variants commonly misinterpreted as bone tumours: a Asymmetric closure of the ischio-pubic synchondrosis, with a pseudotumoral aspect on the left side (arrow). b Supra-condylar process of the humerus (arrowhead). c, d Cortical desmoid of the distal femoral metaphysis (arrows). e Ultrasound: longitudinal scan of the posterior femoral metaphysis demonstrates the bone irregularity of a cortical desmoid (arrowhead) and the insertion of the medial gastrocnemius head (arrow)
Distal
femoral cortical irregularity with diaphysis fracture. Anteroposterior radiography of the leg showed a solid periosteal reaction on the proximal femoral diaphysis.
Cortical
desmoid • Healing fibrous cortical defect and a cortical desmoid tumor - Ganzer Fall bei Radiopaedia
Cortical
desmoid • Cortical desmoid - Ganzer Fall bei Radiopaedia
Cortical
desmoid • Cortical desmoid - Ganzer Fall bei Radiopaedia
Cortical
desmoid • Cortical desmoid - Ganzer Fall bei Radiopaedia
Leave alone
lesions - skeletal • Cortical desmoid - Ganzer Fall bei Radiopaedia
Cortical
desmoid • Cortical desmoid - Ganzer Fall bei Radiopaedia
Cortical
desmoid • Subchondral femoral condyle fracture and lateral cortical desmoid - Ganzer Fall bei Radiopaedia
Cortical
desmoid • Cortical desmoid - Ganzer Fall bei Radiopaedia
Schoolager
with knee pain. AP (left) and lateral (right) radiographs of the knee show an irregularity in the contour of the posteromedial aspect of the distal femoral metaphysis.The diagnosis was cortical desmoid.
A tug lesion in musculoskeletal imaging is a term given to describe a bony traction reaction at a muscle attachment site likened to that of the "tug effect. They are benign and are placed as do not touch lesions.
Notable sites include:
- distal femur: cortical desmoid
- posterior tibia: soleal line
See also
- enthesophyte (can have a similar etiology)
Siehe auch:
- Osteosarkom
- paraossale Tumoren
- Osteoblastom
- desmoplastisches Fibrom
- parossales Osteosarkom
- Desmoid-Tumor - aggressive Fibromatose
- fibröser Kortikalisdefekt
und weiter:
Assoziationen und Differentialdiagnosen zu Tug lesion - bone:
Desmoid-Tumor
- aggressive Fibromatose