Conventional open reduction internal fixation results in additional insult to already bruised skin as well as periosteal
stripping thus leading to further vascular compromise5.
Although different bone manifestations, including bone cysts in the phalanxes of the hands and feet, sclerotic lesions, and periosteal
new bone formation (1), are reported for tuberous sclerosis, the shortening of the third metacarpal has not been mentioned.
There was mature periosteal
reaction and a high intensity split cortex along the ulnar margin.
In terms of pathogenesis, juxta-articular demineralization, local bone destruction, and periosteal
new bone formation occur because of reactive hyperemia at the beginning of the disease.
X-ray of the left foot demonstrated peripheral cortical erosions, periosteal
thickening, sclerosis, and multiple lytic lesions involving the proximal phalanx of the great toe.
The lower portion of the muscle, together with its tendon, received vascular branches from the periosteal
arteries of the fibula, branches from adjacent vessels and muscles (Figs.
callus formation was present and rechecks were changed to once weekly.
There was no cortical erosion, periosteal
reaction, or pathological fracture [Figure 1].
A postauricular incision and an anterior-based periosteal
flap are commonly used by many surgeons for cochlear implantation [1, 2].
osteosarcoma is a rare intermediate-grade malignancy, estimated to represent less than 2% of all osteosarcomas.
Garre's osteomyelitis is a localized periosteal
thickening caused by mild irritation or infection [1, 4, 9, 11].