EURORAD ESR

Case 12928

Distal femoral cortical irregularity with diaphysis fracture

Author(s)
Saliha Çıracı1, Selim Doganay1, İbrahim Halil Kafadar2, Burcu Süreyya Görkem1, Alper Özcan3, Gonca Koç1, Abdulhakim Coşkun1

(1) Department of Radiology
(2) Department of Orthopedy
(3) Department of Pediatric Hematology
Erciyes University, School of Medicine
 
Patient
female, 6 year(s)
 
 
  • Figure 1
    AP X-ray

    Anteroposterior radiography of the leg showed a solid periosteal reaction on the proximal femoral diaphysis.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Digital radiography; Procedure: Imaging sequences; Special Focus: Trauma;
     
     
  • Figure 2
    CT
     

    Coronal CT of the leg demonstrated fracture and solid periosteal reaction on proximal femoral diaphysis.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Trauma;

    Axial CT of the leg showed fracture on proximal femoral diaphysis.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Trauma;

    Axial CT of the leg showed solid periosteal reaction on proximal femoral diaphysis.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Trauma;
     
     
  • Figure 3
    CT
     

    Axial CT of the knee demonstrated cortical irregularity on posteromedial aspect of distal femoral metaphysis.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Trauma;

    Coronal CT of the knee showed cortical irregularity on posteromedial aspect of distal femoral metaphysis.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Trauma;
     
     
  • Figure 4
    MRI
     

    The proximal diaphysis of the femur was hyperintense on T2W images due to oedema.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Trauma;

    The proximal diaphysis of the femur was hypointense on T1W images due to oedema.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Trauma;
     
     
  • Figure 5
    MRI
     

    Coronal MR imaging showed an oval-shaped, 11x9x6 mm sized lesion on the posteromedial distal femoral metaphysis. The lesion was hyperintense to muscle on fat satured T2W image.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Trauma;

    The lesion was isointense to muscle on T1W image.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Trauma;

    On post-contrast T1W series the lesion enhanced.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Trauma;
     
     
Anteroposterior radiography of the leg showed a solid periosteal reaction on the proximal femoral diaphysis.
 
Coronal CT of the leg demonstrated fracture and solid periosteal reaction on proximal femoral diaphysis.
 
Axial CT of the leg showed fracture on proximal femoral diaphysis.
 
Axial CT of the leg showed solid periosteal reaction on proximal femoral diaphysis.
 
Axial CT of the knee demonstrated cortical irregularity on posteromedial aspect of distal femoral metaphysis.
 
Coronal CT of the knee showed cortical irregularity on posteromedial aspect of distal femoral metaphysis.
 
The proximal diaphysis of the femur was hyperintense on T2W images due to oedema.
 
The proximal diaphysis of the femur was hypointense on T1W images due to oedema.
 
Coronal MR imaging showed an oval-shaped, 11x9x6 mm sized lesion on the posteromedial distal femoral metaphysis. The lesion was hyperintense to muscle on fat satured T2W image.
 
The lesion was isointense to muscle on T1W image.
 
On post-contrast T1W series the lesion enhanced.
 
 
 
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