Imaging spectrum of periosteal lesions – Pictorial essay

Kakarla S

Pdf Page Numbers :- 121-138

Subbarao Kakarla^1,2,*

¹KIMS Foundation and Research Centre, Minister Road, Secunderabad - 500003, Telangana, India

²Kakarla Subba Rao Radiological and Imaging Educational Sciences Trust (KREST), ShaikpetNala, Hyderabad - 500008, Telangana, India

*Corresponding author: Prof. Kakarla Subbarao, MS, D.Sc. (HON), FRCR, FACR, FICP, FSASMA, FCCP, FICR, FCGP, Chairman - KREST, 8-1-300/2, ShaikpetNala, Hyderabad, 500008, Telangana, India. Email: subbaraokakarla25@gmail.com.

Received 15 April 2019; Revised 1 June 2020; Accepted 10 June 2020; Published 19 June 2020

Citation: Kakarla S. Imaging spectrum of periosteal lesions – Pictorial essay. J Med Sci Res. 2020; 8(3):121-138. DOI: http://dx.doi.org/10.17727/JMSR.2020/8-17

Copyright: © 2020 Kakarla S. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Periosteum is a multipotential membrane giving rise to variety of reactions when mineralized. Any stimulus mechanical, physiological, biological and pathological stimulus can produce periosteal reaction and is best seen on conventional films. However, in order to detect early periosteal reaction, Ultrasonography is the mode of choice of investigation. There is a spectrum of imaging findings but no one really is specific. The number of etiological factors as well as the number of imaging features are listed and described. The message is that periosteal reaction is a radiological sign and not a disease, although is encountered in many focal, multifocal and systemic disorders.

Keywords: Periosteum; infections; trauma; neoplastic; malignancies; systemic causes