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Osteoid Osteoma confirmed by radiographic appearance and clinical history

Palacios III, MD RGPIM - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Osteoid Osteoma confirmed by radiographic appearance and clinical history

History: 15 year old white male presents with three month history of right upper leg pain that is unrelieved by rest. Pain reportedly is worse at night and is somewhat relieved by NSAIDs. There is no history of trauma or potential for overuse injury.

Findings: Plain film x-rays demonstrate an oval area of lucency within the right femoral cortex surrounded by an increased periosteal reaction. CT of the right lower extremity demonstrates a cortically based oval lucency (nidus) surrounded by sclerotic bone.

Ddx: Osteoid Osteoma Sclerosing Osteomyelitis Brodie abscess Eosinophilic Granuloma

Exam: Well developed, well nourished adolescent male in no acute distress. Can bear full weight with both lower extremities despite visible pain. Palpation and manipulation does not localized pain in right upper leg on exam. No labs.

No MeSH data available.


Frog leg view of the right femur demonstrates an oval cortical lucency with surrounding periosteal reaction in the lateral proximal aspect of metaphysis.
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MPX2572_synpic17800: Frog leg view of the right femur demonstrates an oval cortical lucency with surrounding periosteal reaction in the lateral proximal aspect of metaphysis.


Osteoid Osteoma confirmed by radiographic appearance and clinical history

Palacios III, MD RGPIM - MedPix

Frog leg view of the right femur demonstrates an oval cortical lucency with surrounding periosteal reaction in the lateral proximal aspect of metaphysis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2572&req=5

MPX2572_synpic17800: Frog leg view of the right femur demonstrates an oval cortical lucency with surrounding periosteal reaction in the lateral proximal aspect of metaphysis.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Osteoid Osteoma confirmed by radiographic appearance and clinical history

History: 15 year old white male presents with three month history of right upper leg pain that is unrelieved by rest. Pain reportedly is worse at night and is somewhat relieved by NSAIDs. There is no history of trauma or potential for overuse injury.

Findings: Plain film x-rays demonstrate an oval area of lucency within the right femoral cortex surrounded by an increased periosteal reaction. CT of the right lower extremity demonstrates a cortically based oval lucency (nidus) surrounded by sclerotic bone.

Ddx: Osteoid Osteoma Sclerosing Osteomyelitis Brodie abscess Eosinophilic Granuloma

Exam: Well developed, well nourished adolescent male in no acute distress. Can bear full weight with both lower extremities despite visible pain. Palpation and manipulation does not localized pain in right upper leg on exam. No labs.

No MeSH data available.