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Chapter-06 Skeletal System and Joints

BOOK TITLE: Differential Diagnosis in Radiology

Author
1. Rastogi Rajul
2. Bhatt Shuchi
3. Bhargava Sumeet
4. Bhargava Satish K
5. Sarikwal Anubhav
6. Gupta Pushpender
7. Verma Ashish
8. Rathi Vinita
ISBN
9789351521730
DOI
10.5005/jp/books/12115_6
Edition
2/e
Publishing Year
2014
Pages
160
Author Affiliations
1. University College of Medical Sciences, (University of Delhi) and GTB Hospital, Delhi, Teerthanker Mahaveer (TM) Medical College, Moradabad, Uttar Pradesh, India, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh, India, Yash Diagnostic Center, Yash Hospital & Research Center, Moradabad, Uttar Pradesh, India
2. University College of Medical Sciences (Delhi University) and GTB Hospital, New Delhi, India
3. All India Institute of Medical Sciences, New Delhi, University College of Medical Sciences (Delhi University) and GTB Hospital, Delhi, Subharti Medical College, Meerut, Uttar Pradesh, India, LLR Medical College, Meerut, (UP), Rama Medical College and Superspecialty Hospital, Ghaziabad, Uttar Pradesh, India, MS Medical College, Hapur, Uttar Pradesh, India
4. School of Medical Sciences and Research, Sharda Hospital, Sharda University, Greater Noida, Uttar Pradesh, India; University College of Medical Sciences (University of Delhi) and Guru Teg Bahadur Hospital, New Delhi; JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
5. University College of Medical Sciences (University of Delhi) and Guru Teg Bahadur Hospital, New Delhi, India, University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi, India, University College of Medical Sciences, (University of Delhi) and GTB Hospital, Delhi, University College of Medical Sciences (Delhi University), Delhi, University College of Medical Sciences (Delhi University) and GTB Hospital, Delhi
6. University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi, University College of Medical Sciences (Delhi University) and GTB Hospital, Delhi, India, Wake Forest University Baptist, Medical Center, Medical Center, Boulevard, Winston-Salem, North Carolina, USA, Wake Forest Baptist Medical Center, Bouleward, Winston-Salem, NC27157, USA, University College of Medical Sciences, (University of Delhi) and GTB Hospital, Delhi, Wake Forest University, Baptist Medical Center, Medical Center Boulevard Winston-Salem, North Carolina, USA
7. Sanjay Gandhi Postgraduate Institute of Medical Sciences, Rai Bareli Road, Lucknow (UP), Sanjay Gandhi Postgraduate, Institute of Medical Sciences, Rai Bareilly Road, Lucknow (UP), Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India, Banaras Hindu University (BHU), Varanasi, Uttar Pradesh, India
8. University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi, University College of Medical Sciences (Delhi University) and GTB Hospital, Delhi, India, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India, University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi, India, University College of Medical Sciences, (University of Delhi) and GTB Hospital, Delhi
Chapter keywords
Ewing’s sarcoma, Rhabdomyosarcoma, Chondromyxoid fibroma, Pelken Spur, Seronegative arthropathies, Aneurysmal bone cyst, Scintigraphy

Abstract

Abnormal skeletal maturation disorders include congenital cardiac disorders, chronic renal failure, inflammatory bowel disease, down’s syndrome, Turner’s syndrome. In case of pseudochondroplasia no changes are seen in first year of life and are similar to achondroplasia with platyspondyly and C1 and C2 dislocation. Mucopolysaccharidoses and mucolipidosis are characterized by abnormal bone texture, widening of diaphyses, tilting of distal radius. In case of tuberous sclerosis patchy, sclerotic lesions in skull, vertebrae, pelvis and long bones with irregular periosteal new bone formation is observed. Brodie’s abscess is a metaphyseal lytic lesion with surrounding sclerosis. Ewing’s sarcoma is a permeative destructive lesion that can be ob­served in the diaphysis of the distal ulna in which fracture callus merges with a “sunburst” periosteal reaction.

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