Skip to main content
Log in

Fibrous metaphyseal defects — determination of their origin and natural history using a radiomorphological study

  • Articles
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

The radiomorphological appearance of fibrous metaphyseal defects (FMDs) is demonstrated by long-term follow-up studies. A characteristic radiomorphological course rather than a typical single appearance can be established. These findings correlate well with the duration of these tumor-like lesions; therefore, the radiological findings allow conclusions to be made about the age of a fibrous metaphyseal defect. In addition, the characteristic locations of FMDs will be explained in respect of their origins at insertions of tendons and ligaments.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bufkin JW (1971) The avulsive cortical irregularity. AJR 112:487

    Google Scholar 

  2. Caffey J (1955) On fibrous defects in cortical walls of growing tubular bone: Their radiologic appearance, structure, prevalence, natural course and diagnostic significance. Adv Pediatr 7:13

    Google Scholar 

  3. Cunningham JB, Ackermann LV (1956) Metaphyseal fibrous defects. J Bone Joint Surg [Am] 38:797

    Google Scholar 

  4. Dahlin DC, Unni KK (1986) Metaphyseal fibrous defect. Bone tumors. Charles C, Thomas, Springfield, p 149

    Google Scholar 

  5. Dominok GW, Knoch HG (1977) Knochengeschwülste und geschwulstähnliche Knochenerkrankungen. Veb Gustav Fischer, Jena, p 174

    Google Scholar 

  6. Dunham WK, Marcus NW, Enneking WR, Haun C (1980) Developmental defects of the distal femoral metaphysis. J Bone Joint Surg [Am] 62:801

    Google Scholar 

  7. Freyschmidt J, Ostertag H, Saure D (1981) Der fibröse metaphysäre Defekt. ROFO 134:392

    Google Scholar 

  8. Huvos AG (1979) Bone tumors: Diagnosis, treatment and prognosis. WB Saunders, Philadelphia, p 297

    Google Scholar 

  9. Jaffe HL (1959) Tumors and tumorous conditions of the bones and joints. Lea and Febiger, Philadelphia, p 76

    Google Scholar 

  10. Jaffe HL, Lichtenstein L (1942) Non-osteogenic fibroma of bone. Am J Pathol 18:205

    Google Scholar 

  11. Kotz R, Salzer-Kuntschik M, Lechner G, Immenkamp M, Kogelnik HD, Salzer M (1984) Tumore und tumorähnliche Erkrankungen. In: Witt A, Rettig J, Schlege KF, Hackenbroch M, Hupfauer W (eds) Orthopädie in Praxis und Klinik. Allgemeine Orthopädie Bd. III, part II. Thieme, Stuttgart, p 1301

    Google Scholar 

  12. Lichtenstein L (1972) Bone tumors, 4th edn, Nonosteogenic fibroma of bone. CV Mosby, St. Louis, p 121

    Google Scholar 

  13. Mirra KS, Gold RH, Marcove RC (1980) Bone tumors, diagnosis and treatment. Lippincott, Philadelphia Toronto, p 258

    Google Scholar 

  14. Ranninger K (1977) Bone tumors. In: Diethelm L, Heuch F, Olsson O, Ranninger K, Strnad F, Vieten H, Zuppinger A (eds) Handbuch der medizinischen Radiologie, vol. 6, part 6: Röntgendiagnostik der Skeletterkrankungen. Springer, Berlin Heidelberg New York, p 471

    Google Scholar 

  15. Resnick D, Greenway G (1982) Distal femoral cortical defects, irregularities and excavations. Radiology 142:345

    Google Scholar 

  16. Ritschl P, Karnel F (1986) Zur Pathogenese des fibrösen Corticalisdefektes und nicht ossifizierenden Knochenfibroms. Z Orthop 6:671

    Google Scholar 

  17. Schajowicz F (1981) Tumors and tumor-like lesions of bone and joints. Springer, New York, p 449

    Google Scholar 

  18. Selby S (1961) Metaphyseal cortical defect in the tubular bones of growing children. J Bone Joint Surg [Am] 43:395

    Google Scholar 

  19. Sontag LW, Pyle SI (1941) The appearance and nature of cyst-like areas in the distal femoral metaphyses of children. Am J Roentgenol 46:185

    Google Scholar 

  20. Spjut HJ, Dorfman HD, Fechner RE, Ackermann LV (1970) Tumors of bone and cartilage. Atlas of tumor pathology. Second Series, Fascicle 5. Armed Forces Institute of Pathology, Washington D.C., p 254

    Google Scholar 

  21. Zieger M, Hauke H (1986) Wachstum eines nicht ossifizierenden Fibroms bei einem 11jährigen Knaben. ROFO 144:121

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ritschl, P., Karnel, F. & Hajek, P. Fibrous metaphyseal defects — determination of their origin and natural history using a radiomorphological study. Skeletal Radiol 17, 8–15 (1988). https://doi.org/10.1007/BF00361448

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00361448

Key words

Navigation