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Mid-diaphyseal cortical thickening

Discussion in 'General Issues and Discussion Forum' started by Asher, Jun 1, 2010.

  1. Asher

    Asher Well-Known Member


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    Hi everyone,

    I started a comprehensive rundown of my patients history and symptoms but lost my post due to my own stupidity. So sorry for this very lacking thread but I am after advice for an x-ray finding I received today reporting:

    "Mid-diaphyseal proximal phalangeal cortical thickening are muscle insertions".

    Essentially, patient has 2 week duration aching dorsal aspect of the 2nd metatarsal distal shaft. I got x-rays to rule out stress fracture of the distal metatarsal shaft. I realise that stress fractures may not show on x-ray before 6 weeks.

    I understand that the interossei and lumbrical muscles attach to the proximal phalanges, but has anyone seen this before and what exactly do I make of it.

    Thanks.

    Rebecca
     

    Attached Files:

  2. drsarbes

    drsarbes Well-Known Member

    Hi Rebecca:
    Not unusual at all.
    Most of these are merely the product of Wolff's Law.

    Steve
     
  3. Asher

    Asher Well-Known Member

    OK, so incidental finding of no relevance or importance?

    Thanks Steve.
     
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