Abstract
The diagnosis of cortical desmoid in the typical case is easily established using conventional radiography. In atypical cases, the use of computed tomography (CT) may be helpful in diagnosis. We report the use of computed tomography in two patients with cortical desmoids. In one case plain radiographic findings were not diagnostic and the use of CT obviated biopsy. The finding of a desmoid in an atypical location, the insertion site of the medial head of the gastrocnemius tendon, is discussed.
Similar content being viewed by others
References
Allen DH (1953) A variation of diaphyseal development which simulates the roentgen appearance of primary neoplasms of bone. AJR 69:940
Barnes GR, Gwinn JL (1974) Distal irregularities of the femur simlating malignancy. AJR 122:180
Brower AC, Culver JE, Keats TE (1971) Histological nature of the cortical irregularity of the medial posterior distal femoral metaphysis in children. Radiology 99:389
Bufkin WJ (1971) The avulsive cortical irregularity. AJR 112:487
Dunham WK, Marcus NW, Enneking WF, Haun C (1980) Developmental defects of the distal femoral metaphysis. J Bone Joint Surg [Am] 62:801
Johnson LC, Genner BA III, Engh CA, Brown RH (1968) Cortical desmoids (Abstr). In: Proceedings of the American Academy of Orthopedic Surgeons. J Bone Joint Surg [Am] 50:828
Kimmelstiel P, Rapp I (1951) Cortical defect due to periosteal desmoids. Bull Hosp Joint Dis 12:286
Kirkpatrick JA, Wilkinson RH (1978) Case report 52. Skeletal Radiol 2:189
Kohler A (1928) Roentgenology: The borderlands of the normal and early pathological in the skiagram, 5th edn. William Wood, New York, p 164
Resnick D, Niwayama G (1981) Diagnosis of bone and joint disorders with an emphasis on articular abnormalities, Vol 3. Saunders, Philadelphia p 2663
Simon H (1968) Medial distal metaphyseal femoral irregularity in children. Radiology 90:258
Williams PL, Warwick R (eds) (1980) Gray's anatomy. 36th edn. Churchill Livingston, Edinburgh, pp 394, 607–8
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Pennes, D.R., Braunstein, E.M. & Glazer, G.M. Computed tomography of cortical desmoid. Skeletal Radiol. 12, 40–42 (1984). https://doi.org/10.1007/BF00373175
Issue Date:
DOI: https://doi.org/10.1007/BF00373175