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27/02/2016 1 Fundamentos de Radiologia e DPI Fundamentos Anatomia Radiológica do MS P ro d u ç ã o d e R a io s X P a d rõ e s R a d io ló g ic o s B á s ic o s Normal Hand X-ray Normal Anatomy Normal Anatomy 27/02/2016 2 27/02/2016 3 AP View: External Rotation AP View: Internal Rotation Axillary View 27/02/2016 4 27/02/2016 5 27/02/2016 6 SUMMARY 1. Peniosteal reactions occur in a variety of bone diseases and may be useful in differentiating among these conditions. 2. Solid reactions are seen in benign conditions and are useful in differentiating eosinophilic granuloma and osteoid osteoma from malignant bone tumors (Ewing's tumor). 3. Interrupted peniosteal reactions are common in active, progressive disease which may be either neoplastic or inflammatory. The lamellated type is associated with both neoplasm and infection, while the perpendicular type is more common in neoplastic conditions and rare with infection. 4. Codman'striangleis due to elevation of the peniosteum and not necessarily to malignancy.
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