HSS What's the Diagnosis Case #124

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What’s the Diagnosis – Case 124

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What’s the Diagnosis – Case 124

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Findings There is a comminuted distal radial fracture and fracture of the ulnar styloid process which are not the reason for this case. Multiple areas of cortical bone or bone islands are present diffusely of the carpal bones, of the distal radius and ulna, and at the bases and heads of the metacarplas.

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Diagnosis: Osteopoikilosis Perhaps not a diagnostic dilemma for many but this is a nice representation of osteopoikilosis which as seen here is manifest by multiple bone islands/areas of cortical bone within the medullary cavity or cancellous bone. The foci of cortical bone are typically centered around the joints in the ends of the bone/epiphyseal equivalents and metaphysis and parallel to the longitudinal axis of the bone. This is an incidental finding of no significance but as to otherwise appreciate that there is no more aggressive process at hand.

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References Osteopoikilosis. Amara Ogbonnaya, MD, Brittany Middleton, MD, Tiffany Cady, DO, Dr Cynthia Ho, MD. The Lancet. Volume 383, ISSUE 9912, Pe4, January 11, 2014

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