Unilateral mid-femoral periosteal newbone of varying aetiology in children. Radiographic analysis of 25 cases.
Thigh pain is a serious condition in childhood and should be promptly and thoroughly investigated. Twenty-five cases of thigh pain lasting between 1 day and 7 months with mid-femoral periosteal thickening were analysed. There were 10 patients with Ewing's sarcoma, 7 with eosinophilic granuloma, 1 with osteoid osteoma, 1 with leukaemia, 3 with osteomyelitis, 1 with myositis and 2 with post-traumatic periosteal reaction. It was shown that patients with Ewing's sarcoma and eosinophilic granuloma have certain patterns of X-ray changes of high diagnostic value, which allow a proper diagnosis in most cases.
D000293:Adolescent; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000503:physiopathology; D002648:Child; D004803:Eosinophilic Granuloma / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D005269:Femur / Q000503:physiopathology*; D006801:Humans; D007223:Infant; D008297:Male; D010012:Osteogenesis; D010521:Periosteum / Q000503:physiopathology*; D011859:Radiography; D012512:Sarcoma, Ewing / Q000000981:diagnostic imaging / Q000503:physiopathology