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Diffuse Osteopenia in Adults
- Osteoporosis
- Osteomalacia (Look for Looser�s Fractures- Pelvis, Scapula, Ulna, Concave Side of Long Bones Such as Proximal Femur)
- Hyperparathyroidism
- Steroids (Drugs)
- Myeloma
- Mastocytosis
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Regional or Localized Osteoporosis
- Disuse
- Reflex Sympathetic Dystrophy
- Transient Regional Osteoporosis
- Arthritis (Inflammatory)
- Infection
- Neoplasm
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Osteonecrosis
- ASEPTIC LEG
- Alcohol
- Sickle Cell Anemia
- Exogenous Steroids
- Pancreatitis
- Trauma
- Infection
- Caisson (divers)
- Legg-Calve-Perthes Dz
- Epiphyseal Dysplasia
- Gaucher�s Dz
- Pregnancy
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Neuropathic Joint findings - 6 d's?
- (Debris, increased Density, Disorganization, Dislocation, Distension of the Joint)
- Diabetes (Feet> Knee, Spine)
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Neuropathic Joint causes?
- Syringomyelia (Shoulder)
- Myelomeningocele
- Alcohol Abuse
- Syphilis (Large Joints such as Knee and Hip)
- Congenital Insensitivity to Pain
- Amyloid
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TMJ Joint Bodies
- Synovial Osteochondromatosis (Unilateral)
- JRA (Bilateral, Erosions)
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Primary v secondary Hyperparathyroidism?
- PRIMARY- Adenoma > Hyperplasia
- SECONDARY- Renal Failure
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Skeletal Manifestations of Hyperparathyroidism
- Subperiosteal Resorption (Radial Aspect of 2nd and 3rd Middle Phalanges, Phalangeal Tufts, Distal Clavicle, Undersurface of Mid-Clavicle, Symphysis Pubis, SI Joints, Skull)
- Soft Tissue Calcification
- Osteopenia
- �Rugger Jersey� Spine
- Brown Tumors
- �Salt and Pepper� Skull
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Lytic Epiphyseal Lesion - CHILD:
- EG
- Chondroblastoma
- Osteomyelitis
- Lytic Epiphyseal Lesion - ADULT:
- Giant Cell Tumor
- Osteoblastoma
- Enchondroma
- Clear Cell Chondrosarcoma
- Subchondral Cyst
- Intraosseous Ganglion
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Lytic Sacral Lesion
- Chondrosarcoma
- Chordoma
- Giant Cell Tumor
- Mets
- Plasmacytoma/ Myeloma
- Brown Tumor
- ABC
- Neurofibroma (NO Actual Bone Destruction)
- Infection
-
Lytic Ilium Lesion - MALIGNANT
- Mets/ Myeloma
- Chondrosarcoma (Juxtacortical Chondroma/Sarcoma)
- Lymphoma
- Ewing�s Sarcoma
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Lytic Ilium Lesion- BENIGN
- Fibrous Dysplasia
- ABC
- SBC
- Enchondromas (Can Be Multiple)
- Hemophiliac Pseudotumor
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Widened Pubic Symphysis NOT RESORPTION or DESTRUCTION
- Cleidocranial Dysostosis
- Bladder Exstrophy
- OI
- GU or Anal rectal Malformations (Prune Belly (aka Eagle-Barrett) in Male Infants also has a Large Patulous Bladder, Urachal and Posterior Urethral Abnormalities)
- Trauma
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Widened Pubic Symphysis with RESORPTION or DESTRUCTION
- Pregnancy
- Infection
- Hyperparathyroidism
- Osteitis Pubis
- Mets
- Avulsion of Adductor Muscles
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