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

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Presentation on theme: "The Physical Therapist's Leg Pain: Paget's Disease"— Presentation transcript:

1 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 (February 2015) DOI: /j.amjmed Copyright © Terms and Conditions

2 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  , DOI: ( /j.amjmed ) Copyright © Terms and Conditions

3 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  , DOI: ( /j.amjmed ) Copyright © Terms and Conditions

4 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  , DOI: ( /j.amjmed ) Copyright © Terms and Conditions


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