The Physical Therapist's Leg Pain: Paget's Disease

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Presentation transcript:

The Physical Therapist's Leg Pain: Paget's Disease David Carlsen, MD, Taara S. Hassan, MD, Jack E. Lewi, MD The American Journal of Medicine Volume 128, Issue 2, Pages 130-132 (February 2015) DOI: 10.1016/j.amjmed.2014.10.020 Copyright © 2015 Terms and Conditions

Figure 1 A lateral radiograph of the patient's lower leg showed thickening of the anterior tibial cortex (arrowheads). The lesion had well-defined margins and distal tapering (arrow), creating a subtle “blade of grass” appearance. The American Journal of Medicine 2015 128, 130-132DOI: (10.1016/j.amjmed.2014.10.020) Copyright © 2015 Terms and Conditions

Figure 2 Sagittal computed tomography (CT) of the tibia better demonstrated thickening of the anterior cortex (arrowheads). Smooth tapering of the lesion distally (arrow) was evident, once again highlighting the bone lesion's resemblance to a blade of grass. The American Journal of Medicine 2015 128, 130-132DOI: (10.1016/j.amjmed.2014.10.020) Copyright © 2015 Terms and Conditions

Figure 3 Sagittal T1 magnetic resonance imaging of the tibia showed findings similar to that found on CT. A T1 image indicated that the hypointense lesion was located in the anterior cortex (arrowheads) with tapering to a point distally (arrowhead); this is a clear example of the blade of grass sign. The underlying medullary space was not involved. The American Journal of Medicine 2015 128, 130-132DOI: (10.1016/j.amjmed.2014.10.020) Copyright © 2015 Terms and Conditions