555 circuits by Forrest M Mims

By Forrest M Mims

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Mgulat1on may sugge~t radiographically an acute fracture. Jiso be encountered in healing fractures and other bone diseases. At least some degree of soft-t1ssue swelling can be seen radiOgraphically in virtually all acute fractures. but th1s findmg IS of little use to different iate a fracture from a d1stort1on or other soft-tissue injuries. Fracture healing begins with an acute mnammatory response resulting in the organization of the fracture hema toma by invasion of fibrovascular tissue. At this stage.

25 Tuberculous osteomyelitis. A poorly de foned lytic IE'510n IS assOCiated w1th a thon sohd peoosteroor and Inferior aspect of the ldltar,eus c1re quite charatteri\tic. F1g. 26 Psoriatic arthritis. t tr nd Ylerosis is seen producing an ·,vory hand·. ) Diseases with Periosteal Reactions DISease Preferred Loations FrKtures and stress fractures (Fig. g. 29) Bone Infarct long tubular bone~ Eosinophilic granuloma Distribution Periosteal Reactions Comments '>olitary or multipll' Solid thin or thick or laminated.

Anemia. thrombocytopenia. s of bone den'>ity and coarsening of the trabecular pattern. Generalized sclerosis may occur, particularly in sickk cell anemia. <>fd~rs. ICcept en the adult sickle cell patient (presumably beis of the femoral head, Erlenmeyer's flask deform1ty of the d1stal end.

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