Orthopedic Care and Consultation
Following xray is of a cystic lesion in neck of femur in 11 years old male child which was later dignosed as aneurysmal bone cyst.
Aneurysmal Bone Cyst In Neck Of Femur – Xray
No other associated information could be found for thr file. Note the multiple septae in the lesion which is one of the features of aneurysmal bone cyst.
Osteopoikilosis is a benign, autosomal dominant skeletal dysplasia that manifests radiographically as multiple bone islands which are especially seen near the joints, epiphyses, metaphyses of long and short tubular bones.
The islands are also seen in in the pelvis and scapulae. The distribution is typically bilateral and symmetrical.
They are rarely seen in ribs, clavicles, spine, and skull.
Males and females are equally affected. [Read more...]
Also called an enostosis.
Bone island, by is a focus of mature cortical bone within the cancellous bone.
Bone island is thought by some to be a tumor-like condition and by others a hamartoma. Most likely, the lesion is congenital or developmental in origin and reflects failure of resorption during endochondral ossification.
Mostly, the bone island is asymptomatic and the lesion is usually an incidental finding.
Pelvis, femur, and other long bones are most common sites though it may be found anywhere in the skeleton. Bone islands usually are 1 mm to 2 cm in diameter. When bone islands are larger than 2 cm, they are classified as giant bone islands. [Read more...]
A hamartoma is a benign tumor like mass composed of of an overgrowth of mature cells and tissues normally present in the affected part, but with disorganization and often with one element predominating.
A bone island is an example of an hamartoma.
It is not a tumor in true sense and is considered a developmental error. It can occur at a number of sites in the body.
Though itself non neoplastic by definition, tissue in the hamartoma have been noticed to show neoplastic changes in some of the cases. [Read more...]
Xray of septate lytic lesion involving proximal phalanx of little finger.
Lytic Lesion of Proximal Phalanx of Little Finger
Associated details were not found with the file. So nature of lytic lesion cannot be said.
Xray and CT of chondrosarcoma of cuboid of the patient whose clinical photograph is here.
Xray first. AP and oblique views were done. Both suggest that lesion is probably coming from cuboid but a better investigation needed to confirm the origin and other details.
AP and Oblique Views of Foot Showing A Bony Lesion Probably From Cuboid
CT scan confirms the origin as cuboid. [Read more...]
Large tumorous growth in lateral aspect of foot.
Tumor In Foot on Lateral aspect - A Clinical Photograph
Cartilage Tumours
Osteochondroma
Chondroma
Chondroblastoma
Chondromyxoid fibroma [Read more...]
After lung and liver, bone is considered to be third m0st common organ involved by metastases. In breast cancer, the bone is second most common site for metastases.
Metastases in bone need early detection and aggressive management.
Aims of the treatment in metastatic bone disease are
The metastatic spread to the bone is hematogenous and therefore affects vascularised parts especially the axial skeleton.
Presentation
The patient with bony metastases may present by any of the following
Evaluation
Special Investigations
Positron emission tomography is helpful in evaluating response to chemotherapy and treatment guidanc
Angiography is used in vascular or very large tumors or aneurysmal bone cysts to identify the feeder vessel or embolize it preoperatively.
Treatment
There are three approaches to metastases and role of each would depend on type of metastatic tumor, location and extent of metastases.
Systemic Therapy
Radiotherapy
Radiotherapy is done for suppression of tumor growth and pain relief.
Surgery
Surgery is done either for removal of tumor or fixation of pathological fractures or to carry out amputaion in case of unsalvageable limbs. In case of joint is destroyed by tumor or needs to be taken out, endoprosthesis or arthrodesis is considered.
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