Bone Tumors & Fractures Flashcards
MC BBT of appendicular skeleton
osteochondroma
Fallen Fragment sign
SBC
BBT - Soap Bubble Appearance
Giant Cell Tumor
Night Pain relieved by aspirin - Central Nidus
Osteoid Osteoma
Similar to Osteoid Osteoma without Nidus but night pain relieved by aspirin
Brodies Abscess
MC BBT of the hand
Enchondroma
Multiple Enchondromas are called _______
Ollier’s Disease
An enchondroma with soft tissue calcification is called ___
Maffucci’s Syndrome
MC BBT of the spine
Hemangioma
AKA for bone island
Enostoma
Multiple Bone Islands are called
Osteopoikilosis
MC BBT of the Neural Arch
Osteoblastoma
MC BBT of the skull
Osteoma
Coast of Maine Appearance
Fibrous Dysplasia
Rind Sign
Fibrous Dysplasia - monostotic
Vertebral body scalloping with IVF enlargement
Neurofibromatosis
Coast of California appearance
Neurofibromatosis
Plasma Cell Sarcoma
Multiple Myeloma
MC primary malignancy of bone
Multiple Myeloma
Rain Drop skull
Multiple Myeloma
M spikes, Bence Jones Proteins, reverse A/G ratio
Multiple Myeloma
Bone Scan results for Multiple Myeloma
cold - nothing
MC malignant bone tumor
Mets (lytic and blastic)
Swiss Cheese skull
Mets
Reed Sternberg Cells, Ivory Vertebra with anterior scalloping
Hodgkins
What lab test would you run for Lytic Mets?
Alkaline Phosphotase
Pedicle eaten away
Lytic mets
MC cause of this malignant neoplasm is from prostate carcinoma
Blastic Mets
Osteitis Deformans
Paget’s
4 Stages of Paget’s are:
Lytic
Combined
Sclerotic
Malignant
Lab test is Urinary Hydroxyproline
Paget’s
Picture frame vertebra
Paget’s
Cortical thickening, bone expansion, bowing deformities
Paget’s
MC malignancy found in children
Osteosarcoma
Similar to osteosarcoma but patient is > 40 years old
Chondrosarcoma and Firbrosarcoma
MC found on diaphysis of long bones. Onion skin periosteal reaction, Codman’s triangle
Ewing’s sarcoma
MC found on sacrum and then the skull
Chordoma (the s cancer, sacrum & skull)
Fx of first metacarpal
Bennett’s Fx
Fx of Metacarpal 2 or 3
Boxer fx
Fx of metacarpal 4 or 5
Bar Room fx
MC fx carpal bone
Scaphoid
Fx of proximal ulna
Night Stick fx
Fx of ulna with radial head displaced
Monteggia
Fx of distal 1/3 of radius with dislocation of of distal radioulnar joint
Galeazzi
Fx of distal radius with posterior displacement of distal fragment
Colles
(Mr. Smith feeds his Collie in the back yard with a fork)
Fx of distal radius with anterior displacement of the distal fragment
Smith’s
(Mr. Smith feeds his Collie in the back with a fork)
Fx of distal phalanx of foot
Bedroom fx
Stress fx of metatarsal 2,3, or 4
March fx
Transverse fx of proximal 5th metatarsal
Jones fx (aka = Dancer’s fx)
Avulsion fx of SP due to hyperflexion
Clay Shoveler’s
MC = C6 - T1
B/L pedical fx of C2 due to hyper extension
Hangman’s fx
Axial compression fx thru Ant & Post arches of C2
Jefferson Burst Fx
Avulsion Fx thru tip of Dens
Type 1 Odontoid fx
Fx thru base of Dens
Type 2 Odontoid Fx
(MC Odontoid Fx)
Fx thru body of C2
Type 3 Odontoid fx
Avulsion fx of anterior inferior aspect of the vertebral body
Tear Drop fx
(MC location = C2)
Horizontal fx thru growth plate
Salter Harris 1
Fx thru growth plate and metaphysis
Salter Harris 2 (MC)
Fx thru growth plate and epiphysis
Salter Harris 3
Fx thru growth plate, metaphysis & epiphysis
Salter Harris 4
Compression Fx of growth plate
Salter Harris 5
Fx thru the pars without slippage
Spondylolysis
Slippage of the vertebral body with or without fracture
Spondylolisthesis
Congenital defect of the Pars
Type 1 Dysplastic Spondylolisthesis
Fracture thru the Pars
Type 2 Isthmic Spondylolisthesis
MC at L5
DJD of the Facet Joint
Type 3 Degenerative Spondy
Traumatic Fx thru the pedicle
Type 4
