Fibrous Dysplasia by Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am Volume...
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Transcript of Fibrous Dysplasia by Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am Volume...
Fibrous Dysplasia
by Matthew R. DiCaprio, and William F. Enneking
J Bone Joint Surg AmVolume 87(8):1848-1864
August 1, 2005
©2005 by The Journal of Bone and Joint Surgery, Inc.
Clinical photograph demonstrating the irregular “coast-of-Maine” café-au-lait spots on the thorax of a fourteen-year-old girl with McCune-Albright syndrome.
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.
Anteroposterior radiograph of the hip of a twenty-two-year-old man who presented with a two-year history of hip pain.
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.
Radiographic features of fibrous dysplasia.
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.
Axial computed tomography scan demonstrating the “ground-glass” appearance of the lesion within the femoral diaphysis.
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.
Sagittal T1-weighted magnetic resonance image of the same lesion, showing primarily a low signal intensity.
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.
Histologic features of fibrous dysplasia.
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.
The mesenchymal stroma surrounding the dysplastic trabeculae is relatively hypocellular.
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.
Higher magnification emphasizes the lack of osteoblast rimming and wide osteoid seams (hematoxylin and eosin, ×400).
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.
A field of mature hyaline cartilage is shown adjacent to a bland fibrous stroma (hematoxylin and eosin, ×100).
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.
Examples of fibrous dysplasia of the femoral neck treated with fibular grafting.
Matthew R. DiCaprio, and William F. Enneking J Bone Joint Surg Am 2005;87:1848-1864
©2005 by The Journal of Bone and Joint Surgery, Inc.