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Spiculated periosteal reaction

Spiculated periosteal reaction represents spicules of new bone forming along vascular channels and the fibrous bands that anchor tendons to bone (Sharpey fibers). A spiculated periosteal reaction signifies a rapid underlying process that prevents formation of new bone under the raised periosteum.

The orientation of the spicules reflects the direction of tumor growth. Spiculated periosteal reactions can be divided into subtypes based on the orientation of the spicules:

Perpendicular (hair-on-end)
Divergent (sunburst)
Focal slopping (velvet)

See also

Article information

rID: 2067
Section: Gamuts
Synonyms or Alternate Spellings:
  • Spiculated periostitis

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Cases and figures

  • Case 1: skull vault hemangioma
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  • Figure 1: types of periosteal reactions
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