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Periosteal Reaction

Periosteal Reaction refers to new bone formation in response to injury or other stimulation near the periosteum. The document describes and shows images of different subtypes of periosteal reactions that can be non-aggressive or aggressive, including thin, solid, thick irregular, septated, laminated (onionskin), perpendicular/hair-on-end, sunburst, and disorganized reactions. Examples are given of solid periosteal reaction seen with osteoid osteoma and onionskin reaction seen with osteomyelitis.

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478 views9 pages

Periosteal Reaction

Periosteal Reaction refers to new bone formation in response to injury or other stimulation near the periosteum. The document describes and shows images of different subtypes of periosteal reactions that can be non-aggressive or aggressive, including thin, solid, thick irregular, septated, laminated (onionskin), perpendicular/hair-on-end, sunburst, and disorganized reactions. Examples are given of solid periosteal reaction seen with osteoid osteoma and onionskin reaction seen with osteomyelitis.

Uploaded by

Nita Andriyani
Copyright
© Attribution Non-Commercial (BY-NC)
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PERIOSTEAL REACTION Periosteal Reaction adalah pembentukan tulang baru dalam menanggapi injury atau rangsangan lain di sekitar

periosteum.

Gambar. Various subtypes of nonaggressive and aggressive periosteal reaction. AI, Diagrams show thin (A), solid (B), thick irregular (C), septated (D), laminated (onionskin) (E), perpendicular/ hair-on-end (F), sunburst (G), disorganized (H), and Codman triangle (I) periosteal reactions.

GambarSolid periosteal reaction (osteoid osteoma).

A, Lateral radiograph reveals thick, smooth periosteal reaction in anterior cortex of distal femur (arrow). B, Axial CT image shows lucent central nidus (arrow) of osteoid osteoma and thick reactive periosteal reaction (arrowhead).

GambarOnionskin periosteal reaction (osteomyelitis). Frontal radiograph shows localized laminated periosteal reaction (arrow) along lateral cortex of distal femur.

GambarHair-on-end periosteal reaction (Ewings sarcoma). Lateral radiograph of lower leg shows bony spicules emanating perpendicular to cortex (arrows).

GambarHair-on-end periosteal reaction (chronic osteomyelitis). Axial CT image of shoulder shows spiculations (arrows) arising along posterior cortex of scapula.

Daftar Pustaka de Silva P, Evans-Jones G, Wright A, Henderson R. Physiological periostitis: a potential pitfall. Arch Dis Child 2003; 88:11241125 Greenfield GB, Warren DL, Clark RA. MR imaging of periosteal and cortical changes of bone. RadioGraphics 1991; 11:611623; discussion 624 Gross M, Stevens K. Sunburst periosteal reaction in osteogenic sarcoma. Pediatr Radiol 2005; 35:647648 Kwon DS, Spevak MR, Fletcher K, Kleinman PK. Physiologic subperiosteal new bone formation: prevalence, distribution, and thickness in neonates and infants. AJR 2002; 179:985988 Letts M, Pang E, Simons J. Prostaglandin-induced neonatal periostitis. J Pediatr Orthop 1994; 14:809813 Resnick DM, Kransdorf MM. Bone and joint imaging, 3rd ed. Richmond, VA: Elsevier Saunders, 2005:1536 Vanhoenacker FM, Pelckmans MC, De Beuckeleer LH, Colpaert CG, De Schepper AM. Thyroid acropachy: correlation of imaging and pathology. Eur Radiol 2001; 11:10581062 Wenaden AE, Szyszko TA, Saifuddin A. Imaging of periosteal reactions associated with focal lesions of bone. Clin Radiol 2005; 60:439456

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