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Unilateral mid-femoral periosteal newbone of varying aetiology in children
Authors:K. Kozlowski  F. Diard  J. Padovani  P. Sprague  K. Pietron
Affiliation:(1) Departments of Radiology, Royal Alexandra Hospital for Children, Sydney, Australia;(2) Departments of Radiology, Paediatric Hospitals, Bordeaux;(3) Marseille, France;(4) Princess Margaret Hospital for Children, Perth, Australia;(5) Paediatric Institute, Lublin, Poland
Abstract: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.
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