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Epiphyseal Lesions

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<v ->Now, among the epiphyseal lesions,

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a long list of possibilities.

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We've talked a bit about clear cell chondrosarcoma.

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You've seen some giant cell tumors.

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We're gonna talk about

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some of these other conditions tomorrow,

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but atop the list, chondroblastoma.

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It's a cartilage lesion in the immature skeleton.

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The knee is a common site of involvement.

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And what's interesting about this particular lesion,

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it does funny things.

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For example, it is associated with marrow edema.

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Even though it's a benign lesion,

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you will get extensive marrow edema.

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You also will get periosteal reaction.

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All right.

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And then the third component is joint involvement

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with synovial proliferation and a joint effusion.

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This is an old case showing you a chondroblastoma,

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the proximal tibia with a joint effusion.

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Here's a more recent case showing your chondroblastoma

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and epiphyseal lesion involving the proximal humerus.

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Again with synovial proliferation and a joint effusion

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and marrow edema associated with it.

Report

Faculty

Donald Resnick, MD

Professor Emeritus, Department of Radiology

University of California, San Diego

Tags

Shoulder

Musculoskeletal (MSK)

MSK

MRI

Knee