MR Imaging of sports-related pseudotumor in children: mid femoral diaphyseal periostitis at insertion site of adductor musculature

AJR. American Journal of Roentgenology
S E AndersonL S Steinbach

Abstract

The objective of this study was to review the imaging appearance of the femurs of five patients who had been referred from outside institutions after presenting with thigh pain and being given a preliminary diagnosis of primary malignant bone tumor. Typically, when making a diagnosis, physicians place emphasis on the characteristic appearances of diseases on MR imaging, but such appearances may be misleading. An awareness of the specific MR imaging pattern of stress-related partial muscle avulsion can lead to the correct diagnosis. Femoral diaphyseal periostitis after a sports injury to the adductor musculature in children has a characteristic imaging appearance. This condition can initially appear to be misleadingly aggressive. Knowledge of the findings-particularly of the findings on MR imaging-in the proper clinical setting can help physicians make the correct diagnosis and eliminate unnecessary biopsy or inappropriate treatment.

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Citations

May 14, 2005·Skeletal Radiology·D Tshering-VogelS E Anderson
Aug 15, 2003·Magnetic Resonance Imaging Clinics of North America·Robert D Boutin, Joel S Newman
Oct 12, 2016·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Tarek M HegaziWilliam B Morrison
Mar 19, 2009·Orthopedics·M T Porcel LópezM Quiles Galindo
Nov 5, 2014·Sports Health·Aaron R L Dawes, Peter H Seidenberg
Feb 28, 2008·Topics in Magnetic Resonance Imaging : TMRI·Suzanne E AndersonPeter Choong
Jun 27, 2006·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Carolyn M SofkaRonald S Adler
May 15, 2020·Journal of the Belgian Society of Radiology·Anatole PauchetOlivier Lebecque
Jan 2, 2020·Journal of Clinical Imaging Science·Urszula Wegner, Chitrangada Singh
Apr 16, 2003·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jennifer S WeaverCurtis W Hayes
Sep 12, 2006·Clinics in Sports Medicine·Derek R ArmfieldDouglas D Robertson
Nov 26, 2010·Radiologic Clinics of North America·Kirkland W Davis

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