Citation, DOI, disclosures and article data
Citation:
Niknejad M, Knipe H, Basiony M, et al. Leave alone lesions - skeletal. Reference article, Radiopaedia.org (Accessed on 03 May 2024) https://doi.org/10.53347/rID-23003
Disclosures:
At the time the article was last revised Henry Knipe had the following disclosures:
- Integral Diagnostics, Shareholder (ongoing)
- Micro-X Ltd, Shareholder (ongoing)
These were assessed during peer review and were determined to
not be relevant to the changes that were made.
View Henry Knipe's current disclosures
Skeletal leave alone lesions, also called “do not touch” lesions, are so characteristic radiographically that further diagnostic tests such as a biopsy are unnecessary and can be frankly misleading and lead to additional unnecessary surgery. Thus a radiologic diagnosis should be made without a list of differential possibilities.
These lesions can be divided into three categories - post-traumatic lesions, normal variants, and lesions that are real but obviously benign.
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1. William E. Brant, Clyde A. Helms. Fundamentals of Diagnostic Radiology. (2012) ISBN: 9781608319114 - Google Books
-
2. Barnes G & Gwinn J. Distal Irregularities of the Femur Simulating Malignancy. Am J Roentgenol Radium Ther Nucl Med. 1974;122(1):180-5. doi:10.2214/ajr.122.1.180 - Pubmed
-
3. Martel W, Seeger J, Wicks J, Washburn R. Traumatic Lesions of the Discovertebral Junction in the Lumbar Spine. AJR Am J Roentgenol. 1976;127(3):457-64. doi:10.2214/ajr.127.3.457 - Pubmed
-
4. Phoebe Kaplan, Clyde A. Helms, Robert Dussault et al. Musculoskeletal MRI. (2001) ISBN: 0721690270 - Google Books
-
5. Wolfgang Dähnert. Radiology Review Manual. (2011) ISBN: 9781609139438 - Google Books
-
6. Lane F. Donnelly. Pediatric Imaging. (2009) ISBN: 9781416059073 - Google Books
-
7. Ralph Weissleder. Primer of Diagnostic Imaging. (2007) ISBN: 9780323040686 - Google Books
-
8. Minderhoud J, Braakman R, Penning L. Os Odontoideum, Clinical, Radiological and Therapeutic Aspects. J Neurol Sci. 1969;8(3):521-44. doi:10.1016/0022-510x(69)90011-2 - Pubmed
-
9. Onitsuka H. Roentgenologic Aspects of Bone Islands. Radiology. 1977;123(3):607-12. doi:10.1148/123.3.607 - Pubmed
-
10. Gill D & Clark W. Avulsion of the Ischial Apophysis. Aust N Z J Surg. 1996;66(8):564-5. doi:10.1111/j.1445-2197.1996.tb00814.x - Pubmed
-
11. Fonseca E, Castro A, Kubo R et al. Musculoskeletal "Don't Touch" Lesions: Pictorial Essay. Radiol Bras. 2019;52(1):48-53. doi:10.1590/0100-3984.2016.0225 - Pubmed
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