Clinical and Roentgenologic Semiotics of Long Bone Pathologic Fractures

2004 ◽  
Vol 11 (4) ◽  
pp. 79-84
Author(s):  
N P Demichev ◽  
A N Tarasov ◽  
N P Demichev ◽  
A N Tarasov

During 1965-2002 one thousand two hundred thirty patients with bone tumors and tumor-like diseases were treated at Astrakhan Medical Academy, Clinic of Traumatology and Orthopaedics. Out of them 163 (13.3%) patients had pathologic fractures. One hundred eight fractures were localized within long bones: humerus (61), femur (37), tibia (29), fibula (6), radius (5). Long bones fractures were commonly resulted from destructive lesions: solitary bone cyst - 48 cases, fibrous dysplasia - 26, giant cell tumor - 24, aneurismal bone cyst - 18, metaphyseal fibrous defect -11. Clinical and roentgenologic semiotics was studied and complex of roentgenologic signs of long bone pathologic fractures was systematized. Peculiarities of fractures (injury mechanism, typical localization of pathologic process, pattern of destruction focus) in various nosologic forms of primary disease were detected. The data obtained simplify diagnosis and allow trustworthy making prehistologic diagnosis as well as to choose optimum treatment tactics.

2014 ◽  
Vol 3 (1) ◽  
pp. 53-56 ◽  
Author(s):  
Yavuz Findik ◽  
Timuçin Baykul ◽  
Mert Bülte

ABSTRACT The term ‘solitary bone cyst’ defines several lesions such as simple bone cyst, hemorrhagic cyst, traumatic bone cyst, and idiopathic bone cavity. Solitary bone cysts are not true cysts, they lack an epithelial lining and their etiology is uncertain. Solitary bone cysts are common lesions affecting long bones and less frequently, the jaws, especially the mandible. Lesions usually presents a typical radiographic appearance. The goal of this paper is to report a case of a solitary bone cyst in a 19-yearold female mimicking multiloculer benign neoplasm and review the literature. The lesion was treated by surgical curettage. No additional treatment, such as a surgical reconstruction or bone graft was needed. How to cite this article Fındık Y, Baykul T, Bülte M. Huge Solitary Bone Cyst located in Posterior Mandible. Int J Experiment Dent Sci 2014;3(1):53-56.


2010 ◽  
Author(s):  
Brenda L. Nelson
Keyword(s):  

1934 ◽  
Vol 99 (3) ◽  
pp. 432-448 ◽  
Author(s):  
BRADLEY L. COLEY ◽  
NORMAN L. HIGIBOTHAM
Keyword(s):  

2001 ◽  
Vol 39 (3) ◽  
pp. 221-223 ◽  
Author(s):  
M. Peñarrocha-Diago ◽  
J.M. Sanchis-Bielsa ◽  
J. Bonet-Marco ◽  
J.M. Minguez-Sanz

1972 ◽  
Vol 127 (4) ◽  
pp. 715-720 ◽  
Author(s):  
Bryan P. Toole ◽  
Andrew H. Kang ◽  
Robert L. Trelstad ◽  
Jerome Gross

The different anatomical regions involved in osteogenesis in the chick long bone have been examined for heterogeneities in collagen structure that might relate to the mechanism of ossification. Experimentally induced lathyrism was employed to enhance collagen solubility, and vitamin D deficiency to allow accumulation of osteoid, the precursor of bone matrix. The extractable lathyritic collagens of the cartilaginous and osseous regions of growing long bones from rachitic and non-rachitic chicks were examined for α-chain type and amino acid composition. In both groups of animals the growth plate and cartilaginous regions of the epiphysis gave collagen molecules of the constitution [α1(II)]3, whereas the ossifying regions contained [α1(I)]2 α2. The degree of hydroxylation of the lysine moieties was increased by approximately 50% in the α1(I)-chain and α2-chain of rachitic bone collagen. Since uncalcified osteoid is greatly enriched in rachitic bone, it is concluded that the collagen of osteoid has the configuration [α1(I)]2 α2, similar to that of bone matrix, but has an elevated hydroxylysine content. The possible relationship of this difference to the mechanism of calcification is discussed.


2008 ◽  
Vol 43 (5) ◽  
pp. 539 ◽  
Author(s):  
Sung-Taek Jung ◽  
Kwang-Cheul Jeong ◽  
Hyun-Jong Kim ◽  
Jin-Ho Lee

1992 ◽  
Vol 5 (2) ◽  
pp. 394
Author(s):  
Sang Ho Ha ◽  
Sang Hong Lee ◽  
Byoung Ho Lee
Keyword(s):  

1991 ◽  
Vol 124 (5) ◽  
pp. 602-607 ◽  
Author(s):  
Ben A. A. Scheven ◽  
Nicola J. Hamilton

Abstract. Longitudinal growth was studied using an in vitro model system of intact rat long bones. Metatarsal bones from 18- and 19-day-old rat fetuses, entirely (18 days) or mainly (19 days) composed of chondrocytes, showed a steady rate of growth and radiolabelled thymidine incorporation for at least 7 days in serum-free media. Addition of recombinant human insulin-like growth factor-I to the culture media resulted in a direct stimulation of the longitudinal growth. Recombinant human growth hormone was also able to stimulate bone growth, although this was generally accomplished after a time lag of more than 2 days. A monoclonal antibody to IGF-I abolished both the IGF-I and GH-stimulated growth. However, the antibody had no effect on the growth of the bone explants in control, serum-free medium. Unlike the fetal long bones, bones from 2-day-old neonatal rats were arrested in their growth after 1-2 days in vitro. The neonatal bones responded to IGF-I and GH in a similar fashion as the fetal bones. Thus in this study in vitro evidence of a direct effect of GH on long bone growth via stimulating local production of IGF by the growth plate chondrocytes is presented. Furthermore, endogenous growth factors, others than IGFs, appear to play a crucial role in the regulation of fetal long bone growth.


2003 ◽  
Vol 16 (02) ◽  
pp. 116-121 ◽  
Author(s):  
S.M. Dowdle ◽  
N.E. Lambrechts ◽  
N.M. Duncan ◽  
T.C. Spotswood

SummaryAn 11 month old, female Golden Retriever was examined for chronic right thoracic limb lameness and progressive swelling of the distal radius. Survey radiographs revealed an expansile, osteolytic lesion in the distal metaphyseal region of the radius consistent with an aneurismal bone cyst. Diagnostic imaging, biopsy, angiography and histopathology supported this diagnosis. The condition was treated by segmental osteotomy of the affected radius, placement of a vascularized autogenous bone graft harvested from the contralateral ulna, and stabilized using a plate that incorporated the carpal joint. The pathogenesis, diagnostic dilemmas and treatment options in dogs and human patients is discussed.


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