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MCQ – 74388

Question

The following X-ray was taken of a 16 years old patient. What is the most likely pathology seen?
A. Ewing’s sarcoma
B.

Osteosarcoma

C.

Chronic osteomyelitis

D.

Acute osteomyelitis

Show Answer

Correct Answer � C

Explanation

Answer- C. Chronic osteomyelitis

Osteomyelitis is an infection of bone and bone marrow. It may be subdivided into acute, subacute, and chronic stages.

Chronic osteomyelitis:

 * Chronic osteomyelitis results from incompletely healed or persistent suppurative acute infection.

* Chronic osteomyelitis is characterized by alternating periods of quiescence and recurrence of pain, swelling, and sinus tract drainage.

X-Ray findings:

* Chronic osteomyelitis characterized by marked cortical thickening or periosteal reaction producing a very dense appearance on radiographs.

* Bone resorption with thickening & sclerosis, pieces of dead bone (sequestra) & form of a distinct bony sheath (involucrum)

* Sequestration is a hallmark of chronic active osteomyelitis, and adequate treatment requires surgical removal of this necrotic bone nidus

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