Solid periosteal pattern is thought to evolve from single layer and multilayered periosteal reactions, forming a solid layer of mature new bone adjacent to the cortex. It denotes a longstanding pathological process.
Differential diagnosis
- osteoid osteoma
- osteomyelitis
- osteosarcoma
- chondrosarcoma
- fibrous dysplasia
- non-ossifying fibroma
- osteoblastoma
- osteofibrous dysplasia
- stress fracture
- Brodie abscess
- chondroblastoma
- giant cell tumor
- skeletal metastasis
- Ewing sarcoma
- simple bone cyst
- hypertrophic pulmonary osteoarthropathy (HPOA)
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