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Periosteal Reaction

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What Radiology Residents Need to Know: Musculoskeletal Radiology

Part of the book series: What Radiology Residents Need to Know ((WRRNK))

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Abstract

This chapter describes the spectrum of imaging appearances of periosteal reaction, including solid, laminated, spiculated, and Codman triangle.

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References

  1. Rana RS, Wu JS, Eisenberg RL. Periosteal reaction. AJR. 2009;193:W259–72.

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  2. Eisenberg RL, Johnson NM. Comprehensive radiographic pathology. 7th ed. St. Louis: Elsevier; 2020.

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Authors and Affiliations

  1. Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA, USA

    Ronald L. Eisenberg

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  1. Ronald L. Eisenberg
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Correspondence to Ronald L. Eisenberg .

Electronic Supplementary Material

Fig. e4.1

Solid periosteal reaction (osteoid osteoma). CT image demonstrates lucent central nidus (arrow) and thick reactive periosteal reaction (arrowhead) [1] (JPG 240 kb)

Fig. e4.2

Caffey disease. Lateral radiograph of the lower leg of a 2-month-old girl with left lower extremity pain shows extensive thick periosteal reaction along the tibia and fibula (arrows) [1] (JPG 282 kb)

Fig. e4.3

Hair-on-end periosteal reaction (chronic osteomyelitis). Spiculations (arrows) arise along the posterior cortex of the scapula [1] (JPG 580 kb)

Fig. e4.4

Sunburst periosteal reaction (osteogenic sarcoma complicating long-standing Paget’s disease). Axial CT image shows extensive cortical thickening (arrowheads) and large soft-tissue mass (arrows) surrounding the diaphysis of the femur [1] (JPG 349 kb)

Fig. e4.5a

Bilateral periosteal reaction (voriconazole). Views of both hands 15 years before starting therapy with this powerful antifungal agent (JPG 459 kb)

Fig. e4.5b

Bilateral periosteal reaction (voriconazole). Views of both hands 15 years before starting therapy with this powerful antifungal agent (JPG 433 kb)

Fig. e4.5c

Bilateral periosteal reaction (voriconazole). Development of multiple areas of prominent periosteal reaction, especially involving the first CMC joints bilaterally (JPG 543 kb)

Fig. e4.5d

Bilateral periosteal reaction (voriconazole). Development of multiple areas of prominent periosteal reaction, especially involving the first CMC joints bilaterally (JPG 558 kb)

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Eisenberg, R.L. (2022). Periosteal Reaction. In: What Radiology Residents Need to Know: Musculoskeletal Radiology. What Radiology Residents Need to Know. Springer, Cham. https://doi.org/10.1007/978-3-030-72382-8_4

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  • DOI: https://doi.org/10.1007/978-3-030-72382-8_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-72381-1

  • Online ISBN: 978-3-030-72382-8

  • eBook Packages: MedicineMedicine (R0)

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