Lucent epiphyseal bone lesion

Lucent epiphyseal bone lesion

This includes carpal and tarsal bones since they are epiphyseal equivalents.

  • 1. Lesions related to joint pathology —e.g. geode, intraosseous ganglion, erosion, osteochondral defect, PVNS.
  • 2. Giant cell tumour —nonsclerotic margin, extends from metaphysis to epiphysis. Mainly in adults.
  • 3. Chondroblastoma —perilesional sclerosis ± chondroid calcification. Typically 10–20 years.
  • 4. Infection —including Brodie’s abscess.
  • 5. Location-specific lesions —e.g. intraosseous lipoma (calcaneus, central calcification), simple bone cyst (calcaneus, no central calcification), osteoblastoma (talus).
  • 6. Clear cell chondrosarcoma —mimics chondroblastoma but usually occurs >20 years.
  • 7. Bone lesions which can occur anywhere —e.g. metastasis, brown tumour, lymphoma, myeloma, haemophilic pseudotumour.
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