Unilateral Mid-femoral Periosteal Newbone of Varying Aetiology in Children. Radiographic Analysis of 25 Cases
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Thigh pain is a serious condition in childhood and should be promptly and thoroughly investigated. Twenty-five cases of thigh pain lasting between 1 day and 7 months with mid-femoral periosteal thickening were analysed. There were 10 patients with Ewing's sarcoma, 7 with eosinophilic granuloma, 1 with osteoid osteoma, 1 with leukaemia, 3 with osteomyelitis, 1 with myositis and 2 with post-traumatic periosteal reaction. It was shown that patients with Ewing's sarcoma and eosinophilic granuloma have certain patterns of X-ray changes of high diagnostic value, which allow a proper diagnosis in most cases.
Herman T, Shackelford G, Borders J, Dehner L Pediatr Radiol. 1993; 23(1):41-3.
PMID: 8469590 DOI: 10.1007/BF02020220.