Spiculated periosteal reaction

Last revised by Soham J Patel on 1 May 2024

Citation, DOI, disclosures and article data

Citation:

Amini B, Patel S, Sharma R, et al. Spiculated periosteal reaction. Reference article, Radiopaedia.org (Accessed on 02 May 2024) https://doi.org/10.53347/rID-2067

DOI:

https://doi.org/10.53347/rID-2067

Permalink:

https://radiopaedia.org/articles/2067

rID:

2067

Article created:

2 May 2008, Behrang Amini

Disclosures:

At the time the article was created Behrang Amini had no recorded disclosures.

View Behrang Amini's current disclosures

Last revised:

1 May 2024, Soham J Patel

Disclosures:

At the time the article was last revised Soham J Patel had no financial relationships to ineligible companies to disclose.

View Soham J Patel's current disclosures

Revisions:

7 times, by 7 contributors - see full revision history and disclosures

Systems:

Musculoskeletal, Oncology

Sections:

Gamuts

Tags:

cases, case3

Synonyms:

Spiculated periostitis

Spiculated periosteal reaction represents spicules of new bone-forming along vascular channels and the fibrous bands that anchor periosteum to bone (Sharpey fibers).

Pathology

A spiculated periosteal reaction signifies a rapid underlying process that prevents the formation of new bone under the raised periosteum.

Etiology

The orientation of the spicules reflects the direction of tumor growth. Spiculated periosteal reactions can be divided into subtypes based on the orientation of the spicules:

Perpendicular (hair-on-end)

Divergent (sunburst)

osteosarcoma
hemangioma
osteoblastic metastasis
- prostatic
- bronchoalveolar
- carcinoid
- breast
- neuroblastoma (pediatric age group)
osteoblastoma

Focal slopping (velvet)

chondrosarcoma

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