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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 5/2008

01-05-2008 | Orthopaedic • Radiology • Pathology Conference

Knee Lesion in a 62-year-old Woman

Authors: Aditya V. Maheshwari, MD, Carlos A. Muro-Cacho, MD, H. Thomas Temple, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 5/2008

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Excerpt

A 62-year-old woman presented for evaluation of a knee contusion sustained approximately 2 weeks previously. Her pain had decreased considerably since the injury, and at the time of presentation, she had neither pain nor swelling. Several years earlier, she had sustained a traumatic fracture of the right pubic and ischial rami, which resulted in intermittent radicular pain to her right leg. She denied any constitutional symptoms and her medical history was noncontributory. …
Literature
1.
Allen DH. A variation of diaphyseal development which simulates the roentgen appearance of primary neoplasms of bone. Am J Roentgenol Radium Ther Nucl Med. 1953;69:940–943.PubMed
2.
Barnes GR Jr, Gwinn JL. Distal irregularities of the femur simulating malignancy. Am J Roentgenol Radium Ther Nucl Med. 1974;122:180–185.PubMed
3.
Bernasek TL, Sim FH, Wold LE, Beabout JW, Shives TC, Dunitz SJ. Avulsive cortical irregularities. Orthopedics. 1987;10:1423–1425.PubMed
4.
Brower AC, Culver JE Jr, Keats TE. Histological nature of the cortical irregularity of the medial posterior distal femoral metaphysis in children. Radiology. 1971;99:389–392.PubMed
5.
Bufkin WJ. The avulsive cortical irregularity. Am J Roentgenol Radium Ther Nucl Med. 1971;112:487–492.PubMed
6.
Burrows PE, Greenberg ID, Reed MH. The distal femoral defect: technetium-99 m pyrophosphate bone scan results. J Can Assoc Radiol. 1982;33:91–93.PubMed
7.
Caffey J. On fibrous defects in cortical walls of growing tubular bones: their radiologic appearance, structure, prevalence, natural course, and diagnostic significance. Adv Pediatr. 1955;7:13–51.PubMed
8.
Craigen MA, Bennet GC, MacKenzie JR, Reid R. Symptomatic cortical irregularities of the distal femur simulating malignancy. J Bone Joint Surg Br. 1994;76:814–817.PubMed
9.
Dunham WK, Marcus NW, Enneking WF, Haun C. Developmental defects of the distal femoral metaphysis. J Bone Joint Surg Am. 1980;62:801–806.PubMed
10.
Fulton MN, Albright JP, El-Khoury GY. Cortical desmoid-like lesion of the proximal humerus and its occurrence in gymnasts (ringman’s shoulder lesion). Am J Sports Med. 1979;7:57–61.PubMedCrossRef
11.
Hatcher CH. The pathogenesis of localized fibrous lesions in the metaphyses of long bones. Ann Surg. 1945;122:1016–1030.PubMedCrossRef
12.
Jung C, Choi YY, Cho S, Park KC. Symptomatic cortical desmoids detected on knee SPECT. Clin Nucl Med. 2002;27:437–438.PubMedCrossRef
13.
Kimmelstiel P, Rapp IR. Cortical defect due to periosteal desmoids. Bull Hosp Joint Dis. 1951;12:286–297.PubMed
14.
Kirkpatrick JA, Wilkinson RH. Case report 52: post-traumatic fibrous tissue lesion distal end of femur-parosteal (juxtacortical) desmoid. Skeletal Radiol. 1978;2:189–190.CrossRef
15.
Kreis WR, Hensinger RN. Irregularity of the distal femoral metaphysis simulating malignancy: case report. J Bone Joint Surg Am. 1977;59:38.PubMed
16.
Marek F. Fibrous cortical defect (periosteal desmoid). Bull Hosp Joint Dis. 1955;16:77–87.PubMed
17.
Pennes DR, Braunstein EM, Glazer GM. Computed tomography of cortical desmoid. Skeletal Radiol. 1984;12:40–42.PubMedCrossRef
18.
Pistolesi GF, Caudana R, D’Attoma N, Residori E, Pregarz M. Case report 686: stress fracture at distal end of femur simulating “periosteal desmoid”. Skeletal Radiol. 1991;20:454–457.PubMedCrossRef
19.
20.
Resnick D, Greenway G. Distal femoral cortical defects, irregularities, and excavations. Radiology. 1982;143:345–354.PubMed
21.
Simon H. Medial distal metaphyseal femoral irregularity in children. Radiology. 1968;90:258–260.
22.
Sklar DH, Phillips JJ, Lachman RS. Case report 683: distal metaphyseal femoral defect (cortical desmoid; distal femoral cortical irregularity). Skeletal Radiol. 1991;20:394–396.PubMedCrossRef
23.
Suh JS, Cho JH, Shin KH, Won JH, Park SJ, Shin DH, Kim SJ, Lee HY. MR appearance of distal femoral cortical irregularity (cortical desmoid). J Comput Assist Tomogr. 1996;20:328–332.PubMedCrossRef
24.
Velchik MG, Heyman S, Makler PT Jr, Goldstein HA, Alavi A. Bone scintigraphy: differentiating benign cortical irregularity of the distal femur from malignancy. J Nucl Med. 1984;25:72–74.PubMed
25.
Verdonk PC, Verstraete K, Verdonk R. Distal femoral cortical irregularity in a 13-year old boy: a case report. Acta Orthop Belg. 2003;69:377–381.PubMed
26.
Yamazaki T, Maruoka S, Takahashi S, Saito H, Takase K, Nakamura M, Sakamoto K. MR findings of avulsive cortical irregularity of the distal femur. Skeletal Radiol. 1995;24:43–46.PubMedCrossRef
27.
Young DW, Nogrady MB, Dunbar JS, Wiglesworth FW. Benign cortical irregularities in the distal femur of children. J Can Assoc Radiol. 1972;23:107–115.PubMed
Metadata
Title
Knee Lesion in a 62-year-old Woman
Authors
Aditya V. Maheshwari, MD
Carlos A. Muro-Cacho, MD
H. Thomas Temple, MD
Publication date
01-05-2008
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 5/2008
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-008-0135-5

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