ULCER OSTEOMA AND PERIOSTEAL REACTIONS TO CHRONIC LEG ULCERS

Citation
D. Karasick et al., ULCER OSTEOMA AND PERIOSTEAL REACTIONS TO CHRONIC LEG ULCERS, American journal of roentgenology, 168(1), 1997, pp. 155-157
Citations number
11
Categorie Soggetti
Radiology,Nuclear Medicine & Medical Imaging
ISSN journal
0361803X
Volume
168
Issue
1
Year of publication
1997
Pages
155 - 157
Database
ISI
SICI code
0361-803X(1997)168:1<155:UOAPRT>2.0.ZU;2-K
Abstract
OBJECTIVE. The purpose of this study was to describe the types of peri osteal reaction seen in response to long-standing leg ulcers and to di fferentiate the types associated with osteomyelitis. MATERIALS AND MET HODS. Over a IO-year span, we retrospectively evaluated the radiograph s of 20 patients with lower leg soft-tissue ulceration and adjacent pe riosteal bone reaction of the tibia or fibula. Two of us evaluated the location and appearance of periosteal reaction, and one of us evaluat ed the patients' medical records for evidence of peripheral vascular d isease, systemic illnesses, and osteomyelitis. RESULTS. Twelve patient s had organized periosteal reactions that resulted in the appearance o f ulcer osteoma. None of these patients subsequently developed osteomy elitis. Eight patients had interrupted lamellar nodular periosteal rea ctions; six of the eight patients had superimposed osteomyelitis. CONC LUSION. Our study showed two types of periosteal response to chronic l eg ulcers: a solid organized type that over time formed an ulcer osteo ma and a lamellar nodular type that was often associated with osteomye litis. Both types of ulcers were seen in patients with peripheral vasc ular disease, TV drug abuse, sickle cell disease, and neurologic impai rment.