Periosteal Reaction: Causes & Reasons

Possible Causes for Periosteal Reaction

Some patients manifest recurrent, transient, painful swellings of the long bones associated with the radiographic findings of periosteal reaction and cortical hyperostosis [genecards.org]

reaction and cortical hyperostosis. [link.springer.com]

[…] recessive metabolic disorder characterized by elevated serum phosphate levels and repeated attacks of acute, painful swellings of the long bones with radiological evidence of periosteal [link.springer.com]

Periostitis

Periosteal reaction, also known as periostitis or periosteitis, is a non specific radiographic finding that occurs with periosteal irritation. [radiopaedia.org]

[…] the distal phalanx, and a periosteal reaction. [ncbi.nlm.nih.gov]

Isolated periostitis is a rare skeletal manifestation of systemic vasculitis that could be misdiagnosed as neoplastic or traumatic periosteal reaction. [ncbi.nlm.nih.gov]

Malignant Neoplasm of the Bone

LACK OF PERIOSTEAL REACTION [slideshare.net]

[…] a benign periosteal reaction. [radiologyassistant.nl]

[…] or onion skin periosteal reaction, demonstrates multiple concentric parallel layers of new bone adjacent to the cortex, reminiscent of the layers on an onion. [slideshare.net]

Bone Lymphoma

No periosteal reactions or sequesters were observed. Two patients were treated surgically by radical resection and implantation of a prosthesis. [ncbi.nlm.nih.gov]

Radiological imaging revealed a lytic destruction, periosteal reaction, and pathological fracture of radius and tibia with soft tissue mass. [ncbi.nlm.nih.gov]

There is an aggressive periosteal reaction and a soft tissue mass. [radiologyassistant.nl]

Chondroblastoma

Magnetic resonance imaging demonstrated a marrow-infiltrative lesion with periosteal reaction and thickened enhancing periosteum. [ncbi.nlm.nih.gov]

Chondroblastomas are typically associated with bone marrow edema, periosteal reaction and soft tissue reaction. [ncbi.nlm.nih.gov]

Computed tomography scan clearly demonstrated a tumoral lesion of the left femoral neck and a periosteal reaction along the anterior cortex of the femur, distal to the legion [ncbi.nlm.nih.gov]

Chronic Pyogenic Osteomyelitis

After about 10 days signs such as a periosteal reaction will appear. [www0.sun.ac.za]

[…] ossificans ( J Craniofac Surg 2002;13:765 ) Brodie abscess : Small intraosseous abscess in cortex, walled off by reactive bone with no periosteal reaction Cavity may contain [pathologyoutlines.com]

reactions MRI : the most sensitive diagnostic study ; shows signs of inflammation ≤ 5 days after onset of infection → cortical destruction, bone marrow inflammation, soft [amboss.com]

Bone Cyst

Figure A T2 weighted images (WI) showed a cortical bone defect and an interrupted shell-like periosteal reaction (Fig. [jbsr.be]

reaction (continuous periosteal reaction) Fig 1a. [tumorsurgery.org]

The initial radiograph showed a discrete periostic reaction and acetabulum effacement. [ncbi.nlm.nih.gov]

Osteomyelitis of the Tibia

(A) Radiograph in anteroposterior view showing periosteal reaction in the femur. (B) Radiograph in lateral view showing periosteal reaction in the tibia. [ncbi.nlm.nih.gov]

A facial CT scan showed mainly periosteal reaction at the right mandibular angle with mild bone sclerosis ( Figure 2 ). [scielo.br]

[…] elevation Small single / multiple osteolytic areas in metaphysis Extensive periosteal reaction parallel to shaft (after 3-6 weeks) Shortening of bone with destruction of [learningradiology.com]

Juxtacortical Osteosarcoma

[…] chondroma that is usually No hair on end periosteal reaction (vs. chondroblastic osteosarcoma) Intramedullary canal is spared Differential Diagnosis Periosteal Chondroma [tumorsurgery.org]

periosteal OS may be difficult at imaging, as both can occur in diaphyses and cause periosteal reaction and bone destruction. [posterng.netkey.at]

[…] a benign periosteal reaction. [radiologyassistant.nl]

Brodie Abscess

One third of the lesions were diaphyseal in location, and 50% had associated cortical thickening, while 40% showed a stimulated periosteal reaction, and 20% contained sequestra [ncbi.nlm.nih.gov]

The classic appearance on X-ray is a small walled-off cavity in the bone with little or no periosteal reaction. Treatment is by surgical drainage and antibiotics. Sir B. [oxfordreference.com]

reaction and bone sclerosis around the lesion could be seen MRI The “ penumbra sign ” on magnetic resonance (MR) imaging is useful for discriminating subacute osteomyelitis [radiopaedia.org]

Infantile Cortical Hyperostosis

Newborn periosteal reaction can result from a host of underlying entities, which are included in the following table: Etiologies for Periosteal Reaction in the Newborn Physiologic [med-ed.virginia.edu]

Thus, periosteal reaction can occur earlier and appear more aggressive in children than in adults. [1] In evaluating periosteal reaction, it is important to recognize its [wajradiology.org]

The only periosteal reaction is along the right tibia. E Another child with periosteal reaction along the femur, tibia, and fibula. [isradiology.org]

Primary Hypertrophic Osteoarthropathy

Periosteal reaction. AJR Am J Roentgenol. 2009; 193 (4):W259-W272. doi:10.2214/AJR.09.3300. [CrossRef] [PubMed] [jaoa.org]

Hypertrophic osteoarthropathy is characterized by digital clubbing and periosteal reaction of long bones. [ncbi.nlm.nih.gov]

Frontal and lateral radiograph of the distal femur shows a thick, wavy periosteal reaction that involves the diaphysis but spares the epiphysis For more information, click [learningradiology.com]

Synovial Hemangioma

There is no periosteal reaction or phleboliths. [ncbi.nlm.nih.gov]

A periosteal reaction, phelobolits, and bone erosions are also identified with plain radiographs. [ncbi.nlm.nih.gov]

AP and lateral X-rays were normal with no erosion of the femoral cortex, periosteal reactions, indirect signs of effusion or microcalcifications. [em-consulte.com]

Bone Fibroma

Like fibrous dysplasia, NOF is not associated with periosteal reaction and is not painful unless complicated by trauma. [jaocr.org]

There is cortical thickening, sclerosis and a layered periosteal reaction. [radiologyassistant.nl]

Aneurysmal bone cysts, for example, often cause such thinning of the cortex as to make it undetectable radiographically Periosteal reaction Periosteal reaction will occur [imageinterpretation.co.uk]

Chronic Recurrent Multifocal Osteomyelitis

We describe the case of a female patient, aged 2 years and 5 months, with involvement of the left ulna, right jaw and left tibia, showing a predominance of periosteal reaction [ncbi.nlm.nih.gov]

reaction. [consultant360.com]

The initial lesions are typically found in the metaphyses, generally without periosteal reaction. [ncbi.nlm.nih.gov]

Chondromyxoid Fibroma

Periosteal reaction was observed in 11 (58%) of 19 cases. [ncbi.nlm.nih.gov]

There was possibility of cortical breach medially and periosteal reaction was seen laterally. [ijri.org]

We report 20 cases of a poorly recognized subtype which arises on the surface of long bones and erodes the cortical surface causing a periosteal reaction. [ncbi.nlm.nih.gov]

Adamantinoma

Plain X-ray showed an expansile multicystic lesion at the diaphysis of the left tibia anterior cortex with periosteal reaction. [ideas.repec.org]

Plain radiograph revealed an ill-defined, lytic-sclerotic lesion without significant periosteal reaction in her left calcaneus. [inis.iaea.org]

In this case, radiologic imaging showed a poorly defined lytic lesion within the distal, lateral tibia extending to the joint with central necrosis, overlying periosteal reaction [ncbi.nlm.nih.gov]

Neoplasm of the Bone

reaction • None, solid, lamellated, onion- skinning, Codman’s triangle • Soft tissue extension [learningradiology.com]

[…] a benign periosteal reaction. [radiologyassistant.nl]

Spiculated periosteal reaction. [slideshare.net]

Tuberculosis of the Pelvic Bone

Pott's Disease of the Thoracic Spine - appendicular involvement: - look for metaphyseal lytic lesions with little or no sclerosis, and no periosteal reaction; - juxta-articular [wheelessonline.com]

reaction and sequestra are uncommon. Healing is gradual by sclerosis.Differential diagnosis – Syphilitic dactylitis – bilateral and symmetricinvolvement, more periostitis [slideshare.net]

reaction, unless secondary infection through a sinus supervenes. [ijri.org]

Osteoid Osteoma

reaction. [ncbi.nlm.nih.gov]

MRI showed lesion of the right scapular spine in hypersignal T1 and T2 without cortical rupture or periosteal reaction suggestive of a benign lesion such as osteoid osteoma [panafrican-med-journal.com]

Computed tomography scan showed 4 round bony masses centered on the buccal cortex and bone marrow space, sclerosis of the adjacent bone and periosteal reaction. [ncbi.nlm.nih.gov]

Osteomyelitis

Chronic osteomyelitis with proliferative periostitis is a rare form of osteomyelitis that is characterised by new bone formation with periosteal reaction. [ncbi.nlm.nih.gov]

Radiography can reveal bone lysis, sequestration, irregular periosteal reaction, loosening of implants, and fistulous tracts. [merckvetmanual.com]

Fungal Osteomyelitis

[…] in spite of the diffuse periosteal reaction. [isradiology.org]

After this time a number of changes may be noted: regional osteopenia periosteal reaction /thickening (periostitis): variable, and may appear aggressive including the formation [radiopaedia.org]

reaction, and lysis around hardware sensitivity and specificity is variable CT indications assist in diagnosis and surgical planning by identifying necrotic bone sensitivity [orthobullets.com]

Osteoclastoma

Mild periosteal reaction along the lateral margin of the lesion is present. Overlying cortex appears thinned. Loading images... [radiopaedia.org]

The tumour does not show any periosteal reaction. [ncbi.nlm.nih.gov]

Pre-operative radiograph showing a osteolytic expansile lesion in the metaphysic extending up to subchondral bone and periosteal reaction. Figure 2. [file.scirp.org]

Osteoblastoma

As may be expected from their highly vascular nature and periosteal reaction, bone scans demonstrate marked uptake. [roentgenrayreader.blogspot.com]

“Aggressive osteoblastoma” has similarities to osteosarcoma, radiographically demonstrating cortical destruction and a more prominent periosteal reaction with occasional soft-tissue [imaios.com]

Various degrees of mineralization may be present, and an agrressive lamellated or spiculated periosteal reaction may be present. [roentgenrayreader.blogspot.com]

Vertebral Osteomyelitis due to Salmonella

reactions MRI : the most sensitive diagnostic study ; shows signs of inflammation ≤ 5 days after onset of infection → cortical destruction, bone marrow inflammation, soft [amboss.com]

After this time a number of changes may be noted: regional osteopenia periosteal reaction /thickening (periostitis): variable, and may appear aggressive including formation [radiopaedia.org]

Osteomyelitis of the Foot

Periosteal reaction, lucent changes are seen later1, approximately 10-21 days after onset of symptoms. [epos.myesr.org]

At the stage of chronic inactive Charcot osteoarthropathy, bone healing and change of active periosteal reaction will proceed into inactive periosteal reaction and sclerotic [radiologyassistant.nl]

reaction and sclerosis of the right ilium Diagnosis: Right sacroiliac joint septic arthritis with osteomyelitis in the ilium --------------------------------------------- [epos.myesr.org]

Metatarsal Fracture

Type II includes fractures with widening, periosteal reaction, sclerosis, or both. [emedicine.medscape.com]

Stress fractures are often associated with intramedullary sclerosis, cortical hypertrophy and periosteal reaction. [symptoma.com]

Type III fractures involve widening, periosteal reaction, or complete sclerosis at the fracture line. [emedicine.medscape.com]

Mazabraud Syndrome

The epiphyses are spared, and no periosteal reaction or associated soft-tissue mass are present. [radiopaedia.org]

Associated endosteal scalloping and focal areas of bone expansion without periosteal reaction are evident. [ajronline.org]

There is no associated periosteal reaction or definitive soft-tissue mass. The proximal epiphysis of the right femur is spared. [radiopaedia.org]

Familial Ossifying Fibroma

reaction is seen unless there has been a frx; - Histology: - look for whorled fibrous tissue, foam cells, & occasionally, small elongated giant cells; - diff dx: - malignant [wheelessonline.com]

They have no associated periosteal reaction, cortical breach or associated soft tissue mass. [radiopaedia.org]

reaction or surrounding soft tissue involvement. [benthamopen.com]

Ewing Sarcoma

[…] a benign periosteal reaction. [radiologyassistant.nl]

CT showed that there was osteolytic mass with extensive bone destruction and soft tissue infiltration, but no periosteal reactions were observed. [ncbi.nlm.nih.gov]

[…] triangles, spiculated ( sunburst ) or thick periosteal reaction and even bone expansion or cystic components. [radiopaedia.org]