Title : Case 676 |
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Age / Sex : 63 / F Chief complaint : Clavicle fracture after slip down. Persistent pain during conservative therapy. Diagnosis: Post-Traumatic Osteolysis DiscussionFindings: Irregular erosion of fracture site of the clavicle is noted in 2month-f/u plain radiograph. MRI shows erosion with adjacent bone marrow edema at fracture site.
Differential Diagnosis: Malignant, infectious, and inflammatory process
Discussion: Some degree of bone loss is common after a traumatic insult, particularly when complicated by a fracture, in certain situations and sites, however, the degree of post-traumatic osteolysis may be excessive. Knowledge of the existence and appearance of such osteolysis is important so that the resorption of bone that accompanies a traumatic insult is not mistaken for an inflammatory or neoplastic process. The osteolytic process may begin as early as 2 to 3 weeks and as late as several years after the injury. Common sites of post-traumatic osteolysis ; Distal portion of clavicle, pubic and ischial rami, distal portion of ulna, distal portion of radius, carpus, femoral neck.
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Correct Answer | |||
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Total applicants | 28 | Correct answers | 7 |
Name | Institution | ||
김기욱 | 국군수도병원, 전문의 | ||
여현정 | 전문의 | ||
구보연 | 전공의 | ||
최형인 | 군의관, 전문의 | ||
김성진 | 365병원, 전문의 | ||
조신영 | 전문의 | ||
심상우 | 서울아산병원, 전문의 | ||
Semi-Correct Answer | |||
Total applicants | 28 | Semi-Correct answers | 4 |
이규정 | 국군대전병원, 전문의 | ||
김대영 | 전문의 | ||
전인환 | 전문의 | ||
김유진 | 전문의 |
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