50 Congenital and Acquired Alterations in Form and Structure of the Metaphyses



10.1055/b-0034-77675

50 Congenital and Acquired Alterations in Form and Structure of the Metaphyses

Horwitz, A.

(Normal variants shown in parentheses)





























































Form/Structure


Description


Found in


Figure


Cup-shaped metaphyses




  • Cup-shaped metaphyseal growth plate



  • Lateral protrusions




  • Achrondrogenesis II



  • Menkes syndrome



  • Enchondromatosis



  • Metaphyseal chondrodysplasias



  • Mucolipidoses



  • Shwachman syndrome



  • Trichorhinophalangeal syndrome



  • Wilson disease



  • Hypophosphatasia



  • Rickets



  • Fluorosis




  • 16.1b


Mushroom-shaped metaphyses




  • Convex bulging metaphyseal growth plate




  • (Normal variants)

 

Fragmented metaphyses with protrusions




  • Fragmented or asymmetrically deformed metaphyses



  • Corner sign



  • Basket-handle fracture




  • Birth trauma



  • Battered-child syndrome



  • Scurvy

 

Wavy metaphyseal end plate




  • Growth plate usually with irregular lateral configuration



  • Partially osteosclerotic




  • Metaphyseal dysostosis



  • Homocystinuria



  • Rubella embryopathy



  • Posttraumatic

 

Indistinct metaphyseal end plate, with some spotty densities




  • Osteosclerotic, punctate islands




  • Metaphyseal dysostosis



  • Hypophosphatasia



  • Osteopoikilosis



  • Rickets



  • Hyperparathyroidism




  • 16.28



  • 31.6


Horizontal lines of increased density




  • Osteosclerotic metaphyseal growth plates with irregular edges




  • Homocystinuria



  • Growth retardation



  • Hypothyroidism



  • Heavy-metal poisoning



  • (Normal variant)




  • 41.1


Horizontal radiolucent lines




  • Band-shaped radiolucent lines



  • Proximal of the metaphyseal end plate




  • Consuming diseases of newborns and infants



  • Leukemia



  • Rickets



  • Scurvy

 

Horizontal lines of increased density and radiolucency




  • Dense zones between the metaphyseal end plate and the proximal radiolucent band




  • Healing rickets



  • Osteopetrosis



  • Posttraumatic

 

Vertical lines of density




  • Longitudinal density lines in the metaphyses




  • Osteopathia striata



  • Rubella embryopathy



  • Cytomegaly



  • Posttraumatic

 

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Jul 21, 2020 | Posted by in MUSCULOSKELETAL IMAGING | Comments Off on 50 Congenital and Acquired Alterations in Form and Structure of the Metaphyses
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