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115 Possible Causes for Bone Spicules, Knee Pain, Pathological Fracture

  • Malignant Bone Neoplasm

    Sunburst and hair-on-end periosteal formations also are associated with aggressive bone tumors and are radiating spicules of periosteal bone.[podiatrytoday.com] fractures and musculoskeletal and connective tissue malignancy with mcc 543 Pathological fractures and musculoskeletal and connective tissue malignancy with cc 544 Pathological[icd10data.com] Chondroblastoma Rare, normally in epiphysis of long bones - eg, the hip, shoulder and knee.[patient.info]

  • Osteosarcoma

    Osterweil Publish date: February 9, 2017 Pathological fractures are associated with worse survival of adults but not children with osteosarcoma of the extremities.[mdedge.com] A characteristic ‘sun-ray’ effect of bone spicules is often visible on X-ray.[medical-dictionary.thefreedictionary.com] pain.[orthobullets.com]

  • Multiple Myeloma

    This fluid is predominantly blood, but mixed in are bone marrow particles (spicules) which are then spread onto glass slides, stained, and examined by hematologists and pathologists[cancer.ucsf.edu] Bottom Line: Among patients with myeloma, bisphosphonates were associated with lower rates of pathological fractures and skeletal-related events compared with placebo or no[ncbi.nlm.nih.gov] CASE REPORT A 56-year-old man with multiple myeloma presented with chronic polyarticular pain and swelling.[ncbi.nlm.nih.gov]

  • Ewing's Sarcoma

    Uncommon features included epiphyseal involvement (4%), sclerosis (4%), expansion of bone (8%), sunray spiculation (10%), calcification in soft tissue (8%), saucerization[ncbi.nlm.nih.gov] Two cycles of chemotherapy were initiated before he sustained a fall and a resultant pathological patellar fracture.[ncbi.nlm.nih.gov] Patellar tumors occur infrequently and represent an uncommon etiology of anterior knee pain.[ncbi.nlm.nih.gov]

  • Ewing Family of Tumors

    It may be spiculated and interrupted - sometimes there is a Codman's triangle.[radiologyassistant.nl] Broken bone (fracture) resulting from weakening of bone due to a tumour, this is known as a 'pathological fracture.'[web.archive.org] fracture Comprehensive neurologic examination to evaluate asymmetrical weakness, numbness, or pain; tumors close to bone can result in neuropathic pain Skin inspection for[emedicine.com]

  • Bone Tumor

    OSTEOBLASTOMA Definition: - Benign bone forming neoplasm producing woven bone spicules bordered by prominent osteoblasts (osteoid osteoma measuring more than 2.0 cm) Epdemiology[pedorthpath.com] A 14-year-old female presented with progressive kyphoscoliosis and a pathologic fracture of the T9 vertebra with sagittal and coronal deformity due to a destructive primary[ncbi.nlm.nih.gov] Condition Anterior Knee Pain and Runner's Knee Learn about anterior knee pain, or runner's knee.[orthopedics.childrenscolorado.org]

  • Osteomyelitis

    […] detached necrotic cortical bone (develops after 30 days) Cloaca formation space in which dead bone resides MR findings Bone marrow hypointense on T1WI hyperintense on T2WI[learningradiology.com] In the case of a pathological fracture, one should consider the broad differential diagnosis, including osteomyelitis, which should lead to a laboratory work-up and imaging[ncbi.nlm.nih.gov] Ages range from 39 to 64 years, and reasons for amputation included infection, pain, and necrosis.[ncbi.nlm.nih.gov]

  • Osteomyelitis of the Tibia

    […] detached necrotic cortical bone (develops after 30 days) Cloaca formation space in which dead bone resides MR findings Bone marrow hypointense on T1WI hyperintense on T2WI[learningradiology.com] KEYWORDS: Osteomyelitis, Pathological fracture, Sequestrum.[jemds.com] Her knee pain too, did not abate.[ispub.com]

  • Osteoporosis

    The weaker spicules of trabecular bone break ("microcracks"), and are replaced by weaker bone.[en.wikipedia.org] The end-result is a loss of bone mass and fragility that predisposes patients to falls and pathological fractures, the hallmarks of osteoporosis.[symptoma.com] Last year, she had a total knee replacement due to arthritis. She now walks with a cane because of chronic knee and ankle pain, and has experienced a loss of balance.[moveforwardpt.com]

  • Juxtacortical Osteosarcoma

    Periosteal osteosarcoma is also found of the surface of bone, but has a more spiculed appearance and may appear more aggressive.[orthopaedicsone.com] None of the patients had a pathological fracture and none had multifocal or bilateral involvement.[em-consulte.com] Because of the location in the popliteal fossa, the patient may note inability to flex the knee.[musculoskeletalkey.com]

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