Diagram of different types of bone tumors that can occur around the knee on XRay - Age > 30 years
• Multiple Myeloma - punched out lesions. endostea/ scalloping
• Healed NOF
• Giant cell tumor
• Chronic osteomyelitis - with sequestrum, cloaca, and involucrum
• Paget disease - blastic or mixed lytic-blastic phase
• Paget disease - lytic phase with flame/blade of grass sign
• Parosteal Osteosarcoma
• Aggressive lesion - lytic metastasis or osteomyelitis
• Lymphoma or blastic metastatic lesion
• Geode (AKA degenerative subchondral cyst, intraosseous ganglion)
• Enostosis/bone island
• Stress fracture
• Chondrosarcoma
• Stress fracture or intracortical Brodie abscess
Dr. Matt Skalski @docskalski
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