Epiphyseal lesions (differential)
Last revised by Henry Knipe on 3 May 2022
Citation, DOI, disclosures and article data
Citation:
Reddy S, Knipe H, Kanhirat S, et al. Epiphyseal lesions (differential). Reference article, Radiopaedia.org (Accessed on 28 Mar 2024) https://doi.org/10.53347/rID-6536
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rID:
6536
Article created:
8 Jul 2009,
Suresh V Reddy
Disclosures:
At the time the article was created Suresh V Reddy had no recorded disclosures.
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Last revised:
Disclosures:
At the time the article was last revised Henry Knipe had the following disclosures:
- Radiopaedia Events Pty Ltd, Speaker fees (past)
- Integral Diagnostics, Shareholder (ongoing)
- Micro-X Ltd, Shareholder (ongoing)
These were assessed during peer review and were determined to not be relevant to the changes that were made.
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Systems:
Sections:
Synonyms:
- Epiphyseal tumours
- Epiphyseal tumours and tumourlike lesions
- Osseous lesions preferentially involving the epiphysis
Epiphyseal lesions comprise tumours and other pathologies that occur around the epiphysis and any epiphyseal equivalent bone.
Differential diagnosis
Common differential diagnoses include the following 2-4:
- chondroblastoma: rare epiphyseal tumour found in young adults; it usually does not extend into the metaphysis, and usually does not extend beyond the bone
- giant cell tumour (GCT): occurs in adolescents in whom the epiphyseal growth plates have closed; it can extend to involve the adjacent metaphysis
- geode
- intraosseous ganglion
- osteomyelitis
- clear cell chondrosarcoma
- others that occur rarely
- osteosarcoma and osteoblastoma
- aneurysmal bone cyst (ABC): usually metaphyseal, but if it occurs after the growth plate is obliterated, it may extend into the epiphysis
- brown tumour
- haemophilic pseudotumour
- enchondroma
- osteoid osteoma
See also
The more common of the above entities may be recalled with a mnemonic: epiphyseal lesions (mnemonic).
References
- 1. Stacy G, Heck R, Peabody T, Dixon L. Neoplastic and Tumorlike Lesions Detected on MR Imaging of the Knee in Patients with Suspected Internal Derangement: Part I, Intraosseous Entities. AJR Am J Roentgenol. 2002;178(3):589-94. doi:10.2214/ajr.178.3.1780589 - Pubmed
- 2. Stacy G, Peabody T, Dixon L. Mimics on Radiography of Giant Cell Tumor of Bone. AJR Am J Roentgenol. 2003;181(6):1583-9. doi:10.2214/ajr.181.6.1811583 - Pubmed
- 3. William E. Brant, Clyde A. Helms. Fundamentals of Diagnostic Radiology. (2007) ISBN: 9780781765183 - Google Books
- 4. Adam Greenspan, Wolfgang Remagen. Differential Diagnosis of Tumors and Tumor-Like Lesions of Bones and Joints. (1998) ISBN: 9780397517107 - Google Books
- 5. Maurice M. Reeder. Reeder and Felson’s Gamuts in Radiology. (2006) ISBN: 9780387216867 - Google Books
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Related articles: Bone tumours
The differential diagnosis for bone tumours is dependent on the age of the patient, with a very different set of differentials for the paediatric patient.
-
bone tumours
- bone-forming tumours
- cartilage-forming tumours
- bizarre parosteal osteochondromatous proliferation (Nora lesion)
- chondroblastoma
- chondromyxoid fibroma
- chondrosarcoma
- enchondroma
- juxtacortical chondroma
- osteochondroma
- fibrous bone lesions
- bone marrow tumours
- other bone tumours or tumour-like lesions
- adamantinoma
- aneurysmal bone cyst
- benign fibrous histiocytoma
- chordoma
- giant cell tumour of bone
- Gorham massive osteolysis
- haemangioendothelioma
- haemophilic pseudotumour
- intradiploic epidermoid cyst
- intraosseous lipoma
- musculoskeletal angiosarcoma
- musculoskeletal haemangiopericytoma
- primary intraosseous haemangioma
- post-traumatic cystic bone lesion
- simple bone cyst
-
skeletal metastases
- morphology
- location
- impending fracture risk
- staging
- approach
- describing a bone lesion
- differentials