|Title : Case 676|
Age / Sex : 63 / F
Chief complaint :
Clavicle fracture after slip down. Persistent pain during conservative therapy.
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.
Malignant, infectious, and inflammatory process
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.
|Total applicants||28||Correct answers||7|
|Total applicants||28||Semi-Correct answers||4|