paediatrics Brussels 17

Diagnostic Work-Up

Plain films

• Diaphyseal location: poorly marginated destructive lesion; the erosion of the cortex and spread to soft tissues are accompanied by a multilaminated periosteal reaction (Onion peel)

• Detachment of the periosteum (Codman triangle)

• Spiculae of calcification in soft tissues

• 10~15% pathologic fractures