MSK Flashcards

1
Q

Well-Defined Lytic Lesions

A
  • Mets (RCC, Thyroid)
  • Multiple myeloma/Plasmacytoma
  • GCT
  • Enchondroma (hands/feet)
  • Clear cell chondrosarcoma
  • Desmoid
  • FD
  • Brown tumor
  • Hemophiliac pseudotumor
  • Subacute OM (Brodie’s abscess)
  • Osteoblastoma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Only in Pts < 30yo

A
  • ABC
  • SBC
  • Non-ossifying fibroma
  • Chondroblastoma
  • Chondromyxoid fibroma
  • EG
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Automatics Based on Age

A

< 30yo

 - EG
 - Infection

> 40yo

 - Mets
 - Multiple myeloma
 - Infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Multiple Lesions

A
  • FD
  • EG
  • Enchondromas
  • Mets/Myeloma
  • Brown tumors
  • Infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Lesions w/o Pain

A
  • FD
  • Enchondroma
  • NOF
  • UBC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Diffuse Periostitis (Adults)

A
  • Hypertrophic osteoarthropathy
  • Venous stasis
  • Hypervitaminosis A
  • Thyroid acropachy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Lesions w/ Fluid-Fluid Levels

A
  • ABC
  • GCT
  • Chondroblastoma
  • Osteoblastoma
  • Telangiectatic osteosarcoma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Madelung Deformity

A
  • Trauma (Salter-Harris)
  • Infection
  • Turner’s syndrome
  • Mucopolysaccharidoses (Morquio)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Enlarged Bones/Focal Gigantism

A
  • Paget’s
  • NF1
  • Acromegaly
  • Klippel-Trenaunay-Weber
  • Macrodystrophia lipomatosis
  • Fibrolipomatous hamartoma
  • Ollier’s/Maffucci’s
  • JIA/Hemophilia (epiphyseal overgrowth)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Acro-Osteolysis

A

Distal Predominant

  • Scleroderma
  • Psoriatic arthritis
  • HyperPTH
  • Thermal injury
  • Pyknodysostosis

Band-Like

  • HyperPTH
  • PVC exposure
  • Hadju-Cheney syndrome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Lucent Metaphyseal Bands

A
  • Leukemia/Lymphoma
  • Neonatal syphilis (Wimberger’s sign)
  • Neuroblastoma mets
  • Early stage rickets/scurvy
  • Growth arrest lines
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Dense Metaphyseal Bands

A
  • Growth arrest/stress lines
  • Chronic anemia (SCD, Thalassemia)
  • Lead poisoning
  • Chemotherapy
  • Osteopathia striata
  • Osteopetrosis
  • Healing stages rickets/scurvy
  • Hypothyroidism
  • HypoPTH
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Bone Bowing

A
  • Paget’s
  • Osteogenesis imperfecta
  • Osteomalacia/Rickets
  • FD
  • Growth plate injury (Salter-Harris)
  • NF1
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Posterior Element Lesions

A
  • TB
  • OO/Osteoblastoma
  • ABC
  • Mets
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Vertebral Body Lesions

A
  • Hemangioma
  • Mets/Myeloma
  • OO/Osteoblastoma
  • GCT
  • EG
  • Chordoma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Ivory Vertebrae

A
  • Lymphoma
  • Mets
  • Paget’s
  • Chronic OM
  • Osteosarcoma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Bullet-Shaped Vertebrae

A
  • Achondroplasia
  • Hypothyroidism
  • Down syndrome
  • Mucopolysaccharidoses
    • Morquio’s –> middle
    • Hurler’s —> inferior
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Iliac Wing Lesions

A
  • FD
  • SBC
  • Brown tumor
  • GCT
  • Chondrosarcoma
  • Ewing sarcoma
  • Mets/Myeloma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Soft Tissue Calcification

A
  • Metastatic
    • HyperPTH
    • Renal osteodystrophy
  • Dystrophic
    • Trauma
  • Calcinosis
    • Scleroderma
    • Dermatomyositis
    • Tumoral calcinosis
    • SLE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Periarticular Soft Tissue Calcification

A
  • Hydroxyapatite deposition
  • Gout
  • Scleroderma/SLE/Dermatomyositis
  • Hypercalcemia
    • HyperPTH
    • Renal failure
    • Hypervitaminosis D
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Rib Lesions

A
  • FD
  • ABC
  • Mets/Myeloma
  • EG
  • Enchondroma
  • Chondrosarcoma
  • Ewing’s sarcoma (Askin)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Expansile Lytic Lesions

A
  • Mets (thyroid, RCC)
  • Multiple myeloma (ribs)
  • ABC
  • GCT
  • Brown tumor
  • Enchondroma
  • NOF
  • Fibrous dysplasia
  • SBC
  • Hemophiliac pseudotumor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Epiphyseal Lytic Lesion (< 30yo)

A
  • GCT
  • ABC
  • Chondroblastoma
  • EG
  • Infection (Brodie’s abscess)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Epiphyseal Lytic Lesion (> 40yo)

A
  • GCT
  • Infection
  • Mets/Myeloma
  • Geode
  • Clear cell chondrosarcoma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Lesions w/ Sequestrum
- OM - EG - Fibrosarcoma - Lymphoma - Mets - Osteoid osteoma (pseudosequestrum)
26
Gracile Bones (Overtubulation)
1) NF1 2) JRA 3) OI 4) Immobilization or Paralysis - Congenital CNS lesions - Birth palsies 5) Muscular dystrophy
27
Epiphyseal Equivalents
- Greater trochanter - Patella - Carpal bones - Calcaneus - Subarticular Flat bones - Acetabulum - Glenoid of scapula - Around SI jts
28
Ribbon Ribs
``` "HORNS" H - HyperPTH O- OI R - RA N - NF1 S - Scleroderma ```
29
Mets
1) Lytic - Lung - Kidney - Breast - Thyroid - GI - Neuroblastoma 2) Blastic - Prostate - Carcinoid - Medulloblastoma 3) Mixed - Lung - Breast - GI 4) Lysis w/ Blowout - Thyroid - RCC
30
Dactylitis
1) SCD 2) Psoriatic arthritis 3) TB
31
Avascular Necrosis
"ASEPTIC" - Anemia from SCD - Steroid use, SLE, Scleroderma - Ethanol - Pancreatitis - Trauma - Infection/Idiopathic (Blount, Keinbock, Panner's, L-C-P) - Caisson's dz
32
Finger Masses
1) Bone Centered (Non-Aggressive) - Enchondroma - Epidermoid inclusion cyst - BPOP - Juxtacortical chondroma - Osteochondroma - Subungual exostosis 2) Bone Centered (Aggressive) - Mets - Myeloma - Infection 3) Soft Tissue Centered - Giant cell tumor of tendon sheath - Lipoma - Ganglion cyst - Glomus tumor - PNST
33
Non-Specific Soft Tissue Mass (XR)
1) Lipoma 2) PNST 3) Hematoma 4) Epidermal lesion 5) Sarcoma
34
Erosion of Distal Clavicle
1) Bilateral - RA - HyperPTH - Cleidocranial dysplasia - Gorlin disease/Vanishing bone disease 2) Unilateral - Septic arthritis - Post-traumatic osteolysis - Mets/Myeloma
35
High Riding Humerus
1) Rotator cuff tear 2) RA 3) CPPD
36
Erlenmeyer Flask Deformity
1) Gaucher's dz 2) Osteopetrosis 3) Hemoglobinopathies (Thalassemia, SCD) 4) FD 5) Multiple hereditary exostoses 6) Enchondromatosis
37
Diffuse Osteosclerosis
1) Mets - breast, prostate 2) Renal osteodystrophy 3) Osteopetrosis 4) Mastocytosis 5) Myelofibrosis 6) Pyknodysostosis 7) SCA 8) Paget's 9) Lymphoma 10) Fluorosis
38
Sacral Tumors
1) Chordoma 2) Chondrosarcoma 3) GCT 4) Mets/Myeloma 5) Tarlov cyst 6) Sacrococcygeal teratoma (paeds)
39
Epiphyseal Overgrowth
1) Hemophilia 2) JIA 3) Paralysis 4) TB arthritis
40
Coarse Trabeculation
1) Osteopenia 2) Hemangioma 3) Paget's 4) Thalassemia 5) Plasmacytoma (mini-brain appearance)
41
Diffuse Osteopenia
1) Osteoporosis 2) Multiple myeloma 3) Leukemia 4) Thalassemia 5) Gaucher's
42
Regional Osteoporosis
1) Disuse 2) AVN 3) Periarticular from Arthritis - RA, septic arthritis, SLE, RSD 4) AVN 5) Transient osteoporosis of the hip 6) Regional migratory osteoporosis 7) Ill-defined lytic lesions
43
Cortical Striation/Tunneling (Rapid Bone Turnover)
1) HyperPTH 2) Renal Osteodystrophy 3) Osteomalacia 4) Disuse 5) Paget's
44
Multifocal Sclerotic Lesions
1) Blastic mets 2) Osteopoikilosis 3) TS 4) Fluorosis 5) Mastocytosis 6) Paget's
45
Ill-Defined Lytic Lesions
1) Mets/Myeloma 2) Lymphoma/Leukemia 3) Acute OM 4) EG 5) Hemangioma 6) Ewing's 7) Telangiectatic osteosarcoma 8) Fibrosarcoma
46
Multiple Lytic Lesions
1) Mets/Myeloma 2) OM 3) FD 4) Brown tumors 5) EG 6) Lymphoma/Leukemia 7) Enchondromas
47
Intertrochanteric Tumor
1) Lipoma 2) Liposclerosing myxofibrous tumor 3) FD 4) SBC
48
Well-Defined Sclerotic Lesion
1) Mets 2) Bone island 3) Osteoid osteoma 4) Osteoblastoma 5) Mature bone infarct 6) Enchondroma 7) FD 8) Healing stress fracture 9) Involuted NOF
49
Ill-Defined Sclerotic Lesion
1) Met 2) Immature bone infarct 3) Osteosarcoma 4) Chondrosarcoma 5) Stress # 6) Paget's 7) Chronic OM
50
Focal Periostitis/Cortical Hyperostosis
1) Stress # 2) OM 3) Melorrheostosis 4) Myositis ossificans 5) Tumor - Osteoma - Osteoid osteoma - Osteoblastoma - Chondroblastoma - Parosteal osteosarcoma
51
Diffuse Periostitis (Kids)
1) Physiologic 2) Caffey's dz 3) NAI 4) Prostaglandin Rx 5) Malignancy 6) Congenital syphilis
52
Heterotopic Ossification
1) Trauma 2) Neurologic injury (TBI, Stroke, Spinal cord injury) 3) Burns 4) Myositis ossificans progressiva
53
Extensive Callous Formation
1) Steroids - Exogenous - Cushing's dz 2) OI 3) Infection 4) Trauma 5) Paralysis/Neuromuscular disorder
54
Cortically-Based Lesions
1) Cortical desmoid 2) Osteoid osteoma 3) NOF 4) Parosteal osteosarcoma 5) Cortical FD 6) Adamantinoma 7) Ossifying fibroma
55
Short Metacarpal/Metatarsal
1) Idiopathic 2) JIA 3) Turner's 4) Muccopolysacharidoses 5) Hypoparathyroidism 6) Trauma 7) SCD
56
Diaphyseal Bone Lesion
"FEMALE" - FD - EG - Met - Adamantinoma/Ossifying fibroma - Lymphoma/Leukemia - Ewing's
57
Coxa Magna/Coxa Breva/Coxa Plana
1) Trauma 2) Prior Legg-Calve-Perthes 3) DDH
58
Subchondral Cysts
1) Degenerative jt dz 2) CPPD 3) RA 4) Ischemia/AVN
59
Acetabular Protrusion
1) RA 2) JIA 3) Trauma 4) Infection 5) Osteomalacia 6) Paget's 7) AS
60
Permeative Lesion
1) OM 2) Small round blue cell tumors - Ewing's - Lymphoma/Leukemia - Neuroblastoma - Multiple myeloma 3) EG
61
Premature Closure of Physis
1) Truma 2) JIA 3) Infection 4) Hemophilia 5) Accelerated Skeletal Maturation - McCune-Albright - Hyperthyroidism
62
Well-Formed Bone Spurs
1) Degenerative enthesopathy 2) DISH 3) Acromegaly
63
Poorly-Defined Bone Spurs
1) Psoriatic arthritis 3) Reactive arthritis 4) Avulsion injury 5) AS
64
Tenosynovitis
1) Post-traumatic 2) Overuse 3) CTD (RA, SLE) 4) Infection
65
Monoarticular Arthritis
1) Trauma 2) Septic arthritis 3) PVNS 4) Synovial chondromatosis 5) Crystal Arthritides - Gout - CPPD - Calcium hydroxyapatite deposition dz
66
Purely Erosive Arthritis
1) RA 2) Septic (acute) 3) TB (indolent)
67
Erosive & Proliferative Arthritis
1) Psoriatic 2) Reactive 3) AS 4) Erosive OA
68
Arthritis w/ Preserved Jt Space
1) Gout 2) TB (indolent course) 3) Juvenile chronic arthritis 4) Hemophilia 5) Amyloidosis 6) Synovial chondromatosis 7) SLE, Jaccoud's 8) Reactive Synovitis - Infection, IBD, Neoplasms
69
Accelerated OA
1) Trauma 2) Infection 3) CPPD 4) Hemochromatosis 5) Acromegaly 6) Articular dysplasia
70
Calcified Intra-Articular Loose Body
1) Synovial osteochondromatosis 2) Detached osteophyte 3) Acute osteochondral # 4) Unstable OCD fragment
71
Non-Calcified Intra-Articular Loose Body
1) Synovial chondromatosis 2) Rice body (RA, TB) 3) Lipoma arborescens
72
DDx Joint Effusion
1) Trauma 2) Infection 3) Seronegative spondyloarthropathy 4) RA/JIA 5) Tarsal/Carpal coalition 6) Effusion Mimics - Amyloid - PVNS - Hemophilia
73
Olecranon Bursitis
1) Overuse, Dialysis 2) Trauma 3) Infection 4) RA 5) Gout 6) CPPD
74
Ulnar Deviation of MCPs
1) RA 2) SLE 3) Jaccoud's arthropathy
75
Radial Deviation of MCPs
JIA
76
Hooked Osteophytes
1) CPPD (2-3 MCPs) | 2) Hemochromatosis (diffuse)
77
Osteochondral Lesion
1) Trauma 2) Subchondral insufficiency # 3) AVN collapse 4) OCD 5) OA
78
Sacroiliitis
1) AS 2) HyperPTH 3) Septic arthritis 4) Reactive arthritis 5) Psoriatic arthritis 6) Enteropathic arthropathy
79
Arthropathy w/ Soft Tissue Mass
1) Gout 2) Amyloidosis (no blooming, low T1/T2) 3) PVNS (blooming, low T1/T2) 4) Hemophilia (bloom, low T1/T2, wide physes)
80
Amyloidosis vs. PVNS
Osteopenia in amyloidosis
81
PVNS vs. Giant Cell Tumor of Tendon Sheath
GCTTS located in soft tissue near jt
82
Periarticular Soft Tissue Calcification
1) Hydroxyapatite deposition 2) Gout 3) Scleroderma 4) Tumoral Calcinosis - HyperPTH - Renal failure - Hypervitaminosis D - Sarcoidosis
83
Soft Tissue Calcification
1) Metastatic - HyperPTH - Renal osteodystrophy 2) Scleroderma 3) Dermatomyositis/Polymyositis 4) SLE 5) Dystrophic (trauma)
84
Chondrocalcinosis
1) CPPD 2) OA 3) Gout 4) HyperPTH 5) Hemochromatosis
85
Spondylolisthesis
1) Spondylolysis 2) Facet degeneration 3) Degenerative disc dz 4) trauma 5) Ligamentous Laxity - Marfan's - Ehlers-Danlos
86
Atlantoaxial Subluxation
1) Trauma 2) Arthritis - RA - CPPD 3) Congenital - Down - Morquio's - Congenital hypoplasia of dens/ Os odontoideum 4) Ligamentous Laxity - Marfan's - Ehlers-Danlos 5) Adjacent infection (tonsilitis, pharyngitis)
87
Paravertebral Ossification
1) Asymmetric - Psoriatic arthritis - Reactive arthritis 2) Symmetric - AS - Enteropathic arthropathy 3) DISH (anterior) 4) TB (focal mass)
88
Disc Calcification
1) Degenerative disc dz 2) CPPD 3) AS 4) Surgical fusion
89
Enlarged Vertebrae
1) Paget's 2) ABC 3) Acromegaly
90
Posterior Scalloping of Vertebrae
1) Inc Spinal Pressure - Neoplasm (lipoma, ependymoma, schwannoma) - Syrinx - Long standing hydro 2) Dural Ectasia - NF1 - Marfan's - Ehlers-Danlos 3) Achondroplasia 4) Acromegaly
91
Anterior Scalloping of Vertebrae
1) Aortic aneurysm 2) LNs 3) TB
92
Absent Pedicle
1) Met 2) ABC 3) Congenital absence (contralateral hypertrophy)
93
Dense Pedicle
1) Osteoblastic met 2) Osteoblastoma 3) Congenital absence of contralateral pedicle
94
Dense Vertebral Endplates
1) Degenerative disc dz 2) Renal Osteodrystrophy 3) Osteopetrosis
95
Increased Interpedicular Distance
1) Trauma 2) Syrinx 3) Intraspinal tumor 4) Dysraphism 5) AVM
96
Gibbus Deformity
1) Congenital (achondroplasia) 2) TB (Pott's dz) 3) Fracture 4) Vertebra plana
97
Expansile Sternal Lesion
"MAC" Mets/Myeloma ABC Chondrosarcoma
98
Floating Teeth
1) EG 2) Lymphoma/Leukemia 3) Periapical abscess 4) 1ry mandibular tumor
99
Focal Marrow Edema
1) Trauma (contusion, stress #) 2) Osteoid osteoma 3) AVN 4) Transient regional osteoporosis 5) Infection 6) Other neoplasm
100
Cyst Like Masses (Low T1, High T2)
1) Hematoma 2) ABscess 3) Bursa 4) Synovial cyst 5) Ganglion cyst 6) Myxoid Tumors - Myxoma - Myxoid liposarcoma - MFH - Chondrosarcoma
101
Soft Tissue Neoplasm
1) Lipomatous 2) Sarcoma (MFH, Synovial) 3) Angiomatous 4) Neurogenic 5) Fibromatosis 6) PVNS
102
Bilateral Tendon Tears
1) Steroid use 2) Renal failure 3) DM 4) CTD (SLE, RA)
103
Cortical Based Tumors
1) Mets 2) Myeloma 3) NOF 4) Osteoid Osteoma 5) ABC 6) Chondromyxoid Fibroma 7) Adamantinoma 8) EG
104
Malignant Transformation of Bone Tumors
1) FD --> Osteosarcoma, Fibrosarcoma 2) Paget's --> Osteosarcoma 3) OM w/ Draining Sinus --> SCC 4) Radiation --> OSA, Chondrosarcoma, MFH 5) Bone Infarct --> Fibrosarcoma, MFH 6) Ollier's/Maffucci --> Chondrosarcoma 7) Hereditary Exostosis --> Chondrosarcoma
105
Radial Hypoplasia
1) VACTERL 2) Holt-Oram 3) Fanconi's anemia
106
Widened Pubic Symphysis
1) Congenital - Bladder exstrophy - Cleidocranial dysplasia - GU or anorectal malformations 2) Bone Resorption/Destruction - Pregnancy - Osteitis pubis - Infection - Mets - HyperPTH
107
Platyspondyly
1) Diffuse - Dwarf syndromes - OI - Morquio's 2) Solitary - Leukemia - EG - Mets/Myeloma SCD
108
Acquired Lucent Ribs
1) Acromegaly 2) Cushing's dz 3) Scurvy