Bony Swelling: Causes & Reasons

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Possible Causes for Bony Swelling

Fibrodysplasia Ossificans Progressiva

He re-presented at the age of nine with neck swelling, stiffness, pain and numerous bony swellings over the occiput, the posterior neck, parascapular and thoraco-lumbar paraspinal [ncbi.nlm.nih.gov]

[…] occur which progress to become the hard, bony lesions that characterize the disease. [ncbi.nlm.nih.gov]

[…] skeletal ossification of the soft tissues of the posterior neck, para scapular-thoracolumbar regions and confirmed bilateral hallux valgus deformities.( Figures 2 and 4 ) Bony [ncbi.nlm.nih.gov]

Hereditary Multiple Exostoses

The main presenting features were painless progressively increasing bony swellings in both upper and lower limbs, with forearm deformity and ulnar deviation of the wrist. [ncbi.nlm.nih.gov]

The main presenting features were painless progressively increasing bony swellings in both upper and lower limbs. [jmscr.igmpublication.org]

She presented with afebrile seizures, learning impairment, stunted growth, macrocephaly and multiple bony swellings. [panafrican-med-journal.com]

Periostitis

Periostitis deformans is an uncommon condition of the skeletal system, mainly manifested as bone pain with or without bony swellings. [ncbi.nlm.nih.gov]

Second metacarpal bone bears more weight than fourth metacarpal/metatarsal bone and is more prone to the formation of bony swellings or splints. [vetstream.com]

Two male children 11 years of age reported to the Department of Oral Medicine with a painless and persistent bony hard swelling in the mandible, with a short duration (Figs [ncbi.nlm.nih.gov]

Adamantinoma

Clinically they appear as bony swellings without many symptoms. The radiographic appearances of ameloblastoma are variable. [screening.iarc.fr]

Clinical examination revealed an irregular bony swelling with no ulceration or sinuses over the skin surface. [ijri.org]

A painless swelling or bony expansion is the most conspicuous clinical manifestation in most of the cases consistent with this case report. [jiaomr.in]

Osteoclastoma

Examination revealed a swelling 12×10 cm, immobile, bony hard in consistency, on anteromedial aspect of proximal thigh [Figure 1]. [jscisociety.com]

On extraoral examination, there was a diffuse bony swelling of the left maxilla which was slightly tender on palpation. [hindawi.com]

Investigations and clinical examinations were done that revealed the swelling to be a bony tumor. [mjdrdypu.org]

Osteoma

[…] hard swellings on forehead Gross description Sessile, polypoid shape Median size 3.0 cm (range 0.5 - 8 cm) Smooth, bosselated surface Cut surface with dense compact bone [pathologyoutlines.com]

Ocular examination was suggestive of nontender, bony hard, noncompressible, nonfluctuant, and nonpulsatile swelling on the left upper lid (see Figure 1A and B). [touchophthalmology.com]

It was about 1 x 1 cm, smooth, bony hard, non-tender swelling fixed to underlying bone. [ispub.com]

Fracture

For delayed hypoglossal nerve paralysis due to swelling within the canal, methylprednisolone was started, and a complete cure was attained in about 10 days. [ncbi.nlm.nih.gov]

There will be considerable swelling and bruising. What is a Pott's fracture? [sportsinjuryclinic.net]

Chondroma

On palpation, there was a 3.5cm x 2cm nontender, firm, bony hard swelling with well defined margins in the proximal fourth of medial thigh. [ijri.org]

The larger exophytic component consists of a bony protuberance with adjacent soft tissue swelling (arrowhead in b). [jbsr.be]

Maxillofacial examination revealed bony hard right preauricular swelling that moved with condylar translation. [ncbi.nlm.nih.gov]

Chondroblastoma

A non-tender, bony hard swelling was palpable in the left temporal region with intact skin over it. There was no bruit. There was no regional lymph node enlargement. [neurologyindia.com]

The physical examination revieled swelling tenderness and a well-defined tumor with bony hard consistence in the right thenar region of the right hand. [physio-pedia.com]

swelling with no aural symptoms. [neurologyindia.com]

Cartilaginous Exostosis

The swelling was lobulated, having smooth surface, bony hard in consistency and fixed to the bone. The skin above was free and movable. [jocr.co.in]

A painless skeletal swelling or a slowly growing mass is the usual mode of presentation. [emedicine.medscape.com]

Case Report : 9 yr old boy presented to OPD with swelling over right chest. Radiograph showed bony outgrowth on the lateral aspect of the 6th rib. [jocr.co.in]

Polyarticular Juvenile Idiopathic Arthritis

This can cause swelling and the formation of bony spurs, called osteophytes. [nhs.uk]

Basic radiographic changes in JIA include the following: Soft tissue swelling Osteopenia or osteoporosis Joint-space narrowing Bony erosions Intra-articular bony ankylosis [emedicine.medscape.com]

Secondary Syphilis of Skin

Neurogenic arthropathy (Charcot joints), a painless joint degeneration with bony swelling and abnormal range of movement, is a classic manifestation of neuropathy. [msdmanuals.com]

• C/Fs- pain (especially nocturnal), tenderness, swelling, bony tumor, stiffness and limited motion • Upper respiratory tract, mouth, and tongue- Gummatous osteitis of the [slideshare.net]

Synovial Chondrosarcoma

The bony mass in the Hoffa’s body was evident on the X-ray. MRI showed synovial affectation. [omicsonline.org]

No soft tissue swelling, edema, or bony involvement was identified. [jocr.co.in]

The joint lines were preserved and he had no bony erosions ( Figure 1 ). Figure 1. Postero-anterior radiograph centered on the right hallux. [em-consulte.com]

Acromegaly

[…] of the bony areas around a joint Large bones of the face, large jaw and tongue, widely spaced teeth Large feet (change in shoe size), large hands (change in ring or glove [nlm.nih.gov]

[…] excess GH production begins in childhood) Excessive sweating Headache Heart enlargement, which can cause fainting Hoarseness Jaw pain Joint pain, limited joint movement, swelling [medlineplus.gov]

[…] of the bony areas around a joint Additional symptoms that may be associated with this disease: Weight gain (unintentional) Hair, excessive on females Signs and tests: The [uclahealth.org]

Bone Callus

During this preliminary stage of repair, pain and swelling subside and bony fragments become united by fibrous and cartilagenous tissue. Woven bone is formed. [meds.queensu.ca]

It acts to splint the broken bone A bony callus forms, replacing the cartilage with a callus made of spongy bone The bony callus remodels in response to stress placed on it [bbc.co.uk]

[…] can occur as a complication of fractures, especially in supracondylar fractures of the humerus. [ 7 ] The condition tends to present with pain, tenderness, focal swelling [patient.info]

Lipoma

Fibrosarcoma More chance of Hematoma devpg liposarcomaParosteal Feels hard Bony tumor Very, very rare 6. [slideshare.net]

SignificanceSubmucus Asymptomatic/ Intestinal/laryngea Intussusception stridor l tumorSubserosal Retroperitoneal Hydronephrosis, Liposarcoma swelling retroperitoneal cystExtradural [slideshare.net]

Implantation In scalp- erodes edge & lobulation dermoid, bone TbtenosynovitisSubsynovial, Knee/elbow Bursa, Intra-articular is sweling Baker’s cyst rareintra-articularIntermuscular Swelling [slideshare.net]

Osteomyelitis

Nonspecific soft tissue swelling may be seen. [jbsr.be]

Typically seen are soft tissue swelling, osteopenia, osteolysis, bony destruction, and nonspecific periosteal reaction. [ncbi.nlm.nih.gov]

The physical examination should focus on identifying common findings, such as erythema, soft tissue swelling or joint effusion, decreased joint range of motion, and bony tenderness [aafp.org]

Osteosarcoma

A doctor should be consulted if any of the following problems occur: Swelling over a bone or bony part of the body. Pain in a bone or joint. [sppirx.com]

Symptoms The most frequent symptoms of osteosarcoma are pain in a bone or joint and/or a swelling over a bone or bony part of the body. [kinderkrebsinfo.de]

Radiography revealed bony changes of the upper left suprapubic branch, ischium and acetabulum (Fig. 1A). [spandidos-publications.com]

Chondrosarcoma

Symptoms of chondrosarcoma are generally limited to the affected area and include the following: A bony lump or mass Tenderness or stiffness Pain or swelling, especially at [stjude.org]

Multiple Myeloma

Trauma, new bony pain, or change in bony pain warrants repeat imaging with X-rays. [clinicaladvisor.com]

Asymmetric or symmetric lower extremity swelling warrants venous duplex to rule out venous thrombosis. F. [clinicaladvisor.com]

Hematoma

An X-ray and biochemical tests are always essential to rule out any fracture or bony mass, but MRI13,14 is the gold standard when evaluating these swellings. [ncbi.nlm.nih.gov]

Paget Disease of the Bone

May have gross bony deformity; may be only physical finding Rapid onset of pain and swelling suggests malignant degeneration (rare; less than 1% chance of malignant degeneration [orthopaedicsone.com]

On palpation, enlarged maxilla was bony hard and nontender. Rise in temperature over the swelling was felt, but overlying skin and mucosa appeared normal. [amsjournal.com]

Osteitis

Typical clinical findings include bony pain with or without localised swelling and absence of significant local or systemic features of inflammation or infection. [ped-rheum.biomedcentral.com]

Battered Child Syndrome

Soft tissue swelling (yellow arrows), chondral part of rib (red arrow) disrupted from bony part (orange arrow) of rib.RIGHT:Initial chest film was negative. [radiologyassistant.nl]

Fibrosarcoma

Mol Cell Biochem. 2017 Jul;431(1-2):29-35. doi: 10.1007/s11010-017-2971-7. Epub 2017 Feb 15. Author information 1 Division of Cancer Biology and Bioinformatics, Department of Life Science, Faculty of Science and Engineering, Kindai University, 3-4-1, Kowakae, Higashiōsaka, Osaka, 577-8502, Japan. 2 Division of Molecular[…] [ncbi.nlm.nih.gov]

Ewing Sarcoma

Atlas of Genetics and Cytogenetics in Oncology and Haematology Home Genes Leukemias Solid Tumours Cancer-Prone Deep Insight Case Reports Journals Portal Teaching X Y 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 NA Phylum Soft Tissue Tumors:Uncertain differentiation:Ewing sarcoma / Primitive[…] [web.archive.org]

Ewing Family of Tumors

BACKGROUND: Deregulation of tumor suppressor gene function and abrogation of cell cycle control are common features of malignant neoplasms, but corresponding data on Ewing sarcomas and primitive neuroectodermal tumors are relatively scarce. We studied the expression of 4 tumor suppressor proteins in the Ewing[…] [ncbi.nlm.nih.gov]

Familial Paget Disease of Bone

Mutations in Sequestosome 1 (SQSTM1) have been shown to segregate with familial Paget's disease of bone (PDB). We examined the coding sequence of SQSTM1 in five PDB pedigrees and found three novel mutations clustered around the C-terminal ubiquitin associated domain. Disruptions of the C-terminal domain of SQSTM1[…] [ncbi.nlm.nih.gov]

Sarcoma

Radiotherapy is an integral component of management of high-grade soft tissue sarcomas. Interstitial brachytherapy is used to deliver a boost or radical dose with several advantages over external beam radiotherapy. There has always been a concern to use brachytherapy with flap reconstruction of skin defects[…] [ncbi.nlm.nih.gov]

Healing Fracture

[…] can occur as a complication of fractures, especially in supracondylar fractures of the humerus. [ 7 ] The condition tends to present with pain, tenderness, focal swelling [patient.info]

Depending on the type of non-union, any combination of the above Myositis ossificans Myositis ossificans occurs when calcifications and bony masses develop within muscle and [patient.info]