Periosteitis Ossificans: Largest Case Series with Review of Literature

Saad, Ahmed, Iyengar, Karthikeyan P ORCID: 0000-0002-4379-1266, Kurisunkal, Vineet John, Nischal, Neha, Davies, AM and Botchu, Rajesh (2023) Periosteitis Ossificans: Largest Case Series with Review of Literature. INDIAN JOURNAL OF RADIOLOGY AND IMAGING, 34 (1). pp. 32-36.

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Official URL: http://dx.doi.org/10.1055/s-0043-1770723

Abstract

Background Periostitis ossificans (PO) are rare, benign ossifying surface lesions characterized by the centripetal ossification with osseous and soft-tissue edema. Their clinicoradiological appearances can easily mimic those of more sinister or infective surface lesion. Objective This study aimed to explore the various anatomical locations and muscle attachment at the site of PO, and evaluate the role of complementary image findings in patients presenting at our tertiary orthopaedic referral center. Patients and Methods A retrospective review of our oncology and radiology databases was undertaken to identify patients with PO reported on radiographs, magnetic resonance imaging (MRI) and computed tomography (CT) over the past 13 years (2007-2020). Patient demographics, sites of PO, muscle attachment at the site of PO, findings on complementary imaging, and clinical management outcome were documented. Results We identified 38 patients with PO with a mean age of 24 years (range: 4-66 years). Muscle attachment was seen at the site of PO in the majority of cases (89%). The majority of PO were in the lower limb and commonly seen around the attachment of quadriceps. Deltoid attachment was commonly involved in the upper limb. Conclusion Muscle attachment is commonly seen at the site of PO, which results in stripping of the periosteum resulting in soft-tissue and osseous edema and centripetal ossification.

Item Type:	Article
Uncontrolled Keywords:	computed tomography, lower extremity, magnetic resonance imaging, orthopedics, periosteum, upper extremity
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences > School of Medicine
Depositing User:	Symplectic Admin
Date Deposited:	06 Feb 2024 09:39
Last Modified:	06 Feb 2024 09:39
DOI:	10.1055/s-0043-1770723
Open Access URL:	http://10.0.4.31/s-0043-1770723
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3178429