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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2024; 34(01): 32-36
DOI: 10.1055/s-0043-1770723
Original Article

Periostitis Ossificans: Largest Case Series with Review of Literature

Ahmed Saad
1   Department of Orthopedic Oncology, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, United Kingdom
,
Karthikeyan P. Iyengar 
2   Department of Orthopedics, Southport and Ormskirk Hospital NHS Trust, Southport, United Kingdom
,
Vineet John Kurisunkal 
1   Department of Orthopedic Oncology, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, United Kingdom
,
Neha Nischal 
3   Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, United Kingdom
,
A.M. Davies
3   Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, United Kingdom
,
Rajesh Botchu 
3   Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, United Kingdom
› Author Affiliations Funding None.
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Abstract

Background Periostitis ossificans (PO) are rare, benign ossifying surface lesions characterized by the centripetal ossification with osseous and soft-tissue edema. Their clinicoradiological appearances can easily mimic those of more sinister or infective surface lesion.

Objective This study aimed to explore the various anatomical locations and muscle attachment at the site of PO, and evaluate the role of complementary image findings in patients presenting at our tertiary orthopaedic referral center.

Patients and Methods A retrospective review of our oncology and radiology databases was undertaken to identify patients with PO reported on radiographs, magnetic resonance imaging (MRI) and computed tomography (CT) over the past 13 years (2007–2020).

Patient demographics, sites of PO, muscle attachment at the site of PO, findings on complementary imaging, and clinical management outcome were documented.

Results We identified 38 patients with PO with a mean age of 24 years (range: 4–66 years). Muscle attachment was seen at the site of PO in the majority of cases (89%). The majority of PO were in the lower limb and commonly seen around the attachment of quadriceps. Deltoid attachment was commonly involved in the upper limb.

Conclusion Muscle attachment is commonly seen at the site of PO, which results in stripping of the periosteum resulting in soft-tissue and osseous edema and centripetal ossification.

Keywords

orthopedics - periosteum - lower extremity - upper extremity - computed tomography - magnetic resonance imaging


Publication History

Article published online:
14 July 2023

© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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